| Literature DB >> 35750928 |
Julie Rushmore1,2, Kate Buchacz3, Dita Broz3, Christine B Agnew-Brune3, Michelle L Johnson Jones4, Susan Cha3.
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.Entities:
Keywords: Exchange sex; HIV risk; Injection drug use; STI risk; Sex work
Year: 2022 PMID： 35750928 DOI： 10.1007/s10461-022-03743-0
Source DB: PubMed Journal: AIDS Behav ISSN： 1090-7165