1. Factors Associated with Exchange Sex Among Cisgender Persons Who Inject Drugs: Women and MSM—23 U.S. Cities, 2018.
- Author
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Rushmore, Julie, Buchacz, Kate, Broz, Dita, Agnew-Brune, Christine B., Jones, Michelle L. Johnson, Cha, Susan, for the NHBS Study Group, Wortley, Pascale, Todd, Jeff, Melton, David, Flynn, Colin, German, Danielle, Klevens, Monina, Doherty, Rose, O'Cleirigh, Conall, Jimenez, Antonio D., Clyde, Thomas, Poe, Jonathon, Vaaler, Margaret, and Deng, Jie
- Subjects
HIV infection risk factors ,SEXUALLY transmitted disease risk factors ,RISK-taking behavior ,NEEDLE sharing ,INTRAVENOUS drug abusers ,HEALTH services accessibility ,SOCIAL determinants of health ,HUMAN sexuality ,SEX work ,WOMEN ,PSYCHOSOCIAL factors ,SEX customs ,DESCRIPTIVE statistics ,MEN who have sex with men ,SOCIODEMOGRAPHIC factors ,HOMELESSNESS ,DATA analysis software ,CISGENDER people ,UNSAFE sex ,DRUG abusers - Abstract
Persons who inject drugs (PWID) and exchange sex face disproportionate HIV rates. We assessed prevalence of exchange sex (receiving money/drugs for sex from ≥ 1 male partner(s) during the past year) among cisgender PWID, separately for women and men with a history of sex with men (MSM). We examined factors associated with exchange sex, including sociodemographic characteristics, sexual and drug use behaviors, and healthcare access/utilization. Over one-third of the 4657 participants reported exchange sex (women: 36.2%; MSM: 34.8%). Women who exchanged sex (WES) were significantly more likely to test HIV-positive than other women. Men who exchanged sex with men (MESM) showed a similar trend. WES and MESM shared many characteristics, including being uninsured, experiencing recent homelessness, condomless sex, polydrug use, and receptive/distributive needle sharing. These findings highlight a need to strengthen prevention interventions and address structural determinants of HIV for WES and MESM, particularly PWID who exchange sex. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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