Interpersonal and structural factors associated with receptive syringe‐sharing among a prospective cohort of female sex workers who inject drugs
Aims To determine the interpersonal and structural factors associated with receptive syringe sharing (RSS) among female sex workers who inject drugs (FSW‐IDU), a group at high risk of HIV/hepatitis C virus (HCV) acquisition. Design Sex workers And Police Promoting Health In Risky Environments (SAPPH...
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| Veröffentlicht in: | Addiction (Abingdon, England) England), 2019-07, Vol.114 (7), p.1204-1213 |
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| creator | Park, Ju Nyeong Footer, Katherine H. A. Decker, Michele R. Tomko, Catherine Allen, Sean T. Galai, Noya Sherman, Susan G. |
| description | Aims
To determine the interpersonal and structural factors associated with receptive syringe sharing (RSS) among female sex workers who inject drugs (FSW‐IDU), a group at high risk of HIV/hepatitis C virus (HCV) acquisition.
Design
Sex workers And Police Promoting Health In Risky Environments (SAPPHIRE) study, a prospective cohort study.
Setting
Baltimore, MD, USA
Participants
One hundred and eighty FSW‐IDU; mean age = 33 years, 77.1% white and 62.9% in a relationship/married.
Measurements
Surveys were conducted between April 2016 and February 2018. The main outcome was recent RSS (past 3 months). In addition to socio‐demographic characteristics and drug use behaviors, we assessed factors at the interpersonal level, including injection practices, intimate partner and client drug use and exposure to violence. Structural‐level factors included methods of syringe access.
Findings
Nearly all FSW‐IDU used heroin (97.1%) or crack cocaine (89.7%). Recent RSS was reported by 18.3%. Syringes were accessed from needle exchange programs (64.6%), pharmacies (29.7%), street sellers (30.3%) or personal networks (29.1%). Some FSW‐IDU had clients or intimate partners who injected drugs (26.3 and 26.9%, respectively). Longitudinal factors independently associated with RSS in the multi‐level mixed‐effects model were recent client violence [adjusted odds ratio (aOR) = 2.17, 95% confidence interval (CI) = 1.09–4.33], having an intimate partner who injected drugs (aOR = 2.18, 95% CI = 0.98–4.85), being injected by others (aOR = 4.95, 95% CI = 2.42–10.10) and obtaining syringes from a street seller (aOR = 1.88, 95% CI = 0.94–3.78) or from a member of their personal network (aOR = 4.43, 95% CI = 2.21–8.90).
Conclusions
Client violence, intimate partner injection drug use, being injected by others and obtaining syringes from personal connections appear to increase parenteral HIV/HCV risk among female sex workers who inject drugs. |
| doi_str_mv | 10.1111/add.14567 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6548574</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2179448640</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4437-9944c4430a2ba6df777f48abe08e8deef290e784fcfacdb60fbbe5061ecb799c3</originalsourceid><addsrcrecordid>eNp1kc9u1DAQxi0EokvhwAsgS1zKIa2TOLZzQapa_lSqxAXOlmOPN16SONhOl73xCIhH5EnwdksFSPhgj-XffJ6ZD6HnJTkt8zpTxpyWtGH8AVqVNSMFobR-iFakZU1RlZQcoScxbgghXLT0MTqqCWtpI_gK_biaEoQZQvSTGrCaDI4pLDotIV-t0smHiFWMXjuVwOCtSz0OoGFO7gZw3AU3reHnt--xV_sQq9HvdzwHH2fQt5T2vQ8Je4stjGrIafAVb334nP_F295jN20yik1Y1vEpemTVEOHZ3XmMPr198_HifXH94d3Vxfl1oXN3vGhbSvcRUVWnmLGcc0uF6oAIEAbAVi0BLqjVuQvTMWK7DhrCStAdb1tdH6PXB9156UYwGqaUe5ZzcKMKO-mVk3-_TK6Xa38jWUNFw2kWOLkTCP7LAjHJ0UUNw6Am8EuUVclzjYJRktGX_6Abv4Q88UxVNa0pE6zM1KsDpfPsYgB7X0xJ5N5pmZ2Wt05n9sWf1d-Tv63NwNkB2LoBdv9XkueXlwfJX9AauT8</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2234346861</pqid></control><display><type>article</type><title>Interpersonal and structural factors associated with receptive syringe‐sharing among a prospective cohort of female sex workers who inject drugs</title><source>Wiley Online Library Journals Frontfile Complete</source><source>Sociological Abstracts</source><creator>Park, Ju Nyeong ; Footer, Katherine H. A. ; Decker, Michele R. ; Tomko, Catherine ; Allen, Sean T. ; Galai, Noya ; Sherman, Susan G.</creator><creatorcontrib>Park, Ju Nyeong ; Footer, Katherine H. A. ; Decker, Michele R. ; Tomko, Catherine ; Allen, Sean T. ; Galai, Noya ; Sherman, Susan G.</creatorcontrib><description>Aims
To determine the interpersonal and structural factors associated with receptive syringe sharing (RSS) among female sex workers who inject drugs (FSW‐IDU), a group at high risk of HIV/hepatitis C virus (HCV) acquisition.
Design
Sex workers And Police Promoting Health In Risky Environments (SAPPHIRE) study, a prospective cohort study.
Setting
Baltimore, MD, USA
Participants
One hundred and eighty FSW‐IDU; mean age = 33 years, 77.1% white and 62.9% in a relationship/married.
Measurements
Surveys were conducted between April 2016 and February 2018. The main outcome was recent RSS (past 3 months). In addition to socio‐demographic characteristics and drug use behaviors, we assessed factors at the interpersonal level, including injection practices, intimate partner and client drug use and exposure to violence. Structural‐level factors included methods of syringe access.
Findings
Nearly all FSW‐IDU used heroin (97.1%) or crack cocaine (89.7%). Recent RSS was reported by 18.3%. Syringes were accessed from needle exchange programs (64.6%), pharmacies (29.7%), street sellers (30.3%) or personal networks (29.1%). Some FSW‐IDU had clients or intimate partners who injected drugs (26.3 and 26.9%, respectively). Longitudinal factors independently associated with RSS in the multi‐level mixed‐effects model were recent client violence [adjusted odds ratio (aOR) = 2.17, 95% confidence interval (CI) = 1.09–4.33], having an intimate partner who injected drugs (aOR = 2.18, 95% CI = 0.98–4.85), being injected by others (aOR = 4.95, 95% CI = 2.42–10.10) and obtaining syringes from a street seller (aOR = 1.88, 95% CI = 0.94–3.78) or from a member of their personal network (aOR = 4.43, 95% CI = 2.21–8.90).
Conclusions
Client violence, intimate partner injection drug use, being injected by others and obtaining syringes from personal connections appear to increase parenteral HIV/HCV risk among female sex workers who inject drugs.</description><identifier>ISSN: 0965-2140</identifier><identifier>EISSN: 1360-0443</identifier><identifier>DOI: 10.1111/add.14567</identifier><identifier>PMID: 30694587</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Aggression ; Blood diseases ; Clients ; Cocaine ; Cohort analysis ; Crack cocaine ; Demographics ; Demography ; Domestic violence ; Drug abuse ; Drug use ; Drugs ; Exchange programs ; Females ; Health behavior ; Health promotion ; Health risks ; Hepatitis ; Hepatitis C ; Heroin ; High risk ; HIV ; HIV risk ; Human immunodeficiency virus ; Hypodermic needles ; Injection ; injection drug use ; Intimacy ; Intimate partner violence ; intimate partners ; Merchants ; Needle exchange programs ; Needle sharing ; Occupational health ; Pharmacies ; Police ; Prostitution ; Sex ; Sex industry ; sex work ; Sex workers ; Social networks ; substance use ; Syringes ; Violence ; women ; Womens health ; Workers</subject><ispartof>Addiction (Abingdon, England), 2019-07, Vol.114 (7), p.1204-1213</ispartof><rights>2019 Society for the Study of Addiction</rights><rights>2019 Society for the Study of Addiction.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4437-9944c4430a2ba6df777f48abe08e8deef290e784fcfacdb60fbbe5061ecb799c3</citedby><cites>FETCH-LOGICAL-c4437-9944c4430a2ba6df777f48abe08e8deef290e784fcfacdb60fbbe5061ecb799c3</cites><orcidid>0000-0001-6490-9887</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fadd.14567$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fadd.14567$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,777,781,882,1412,27905,27906,33755,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30694587$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Park, Ju Nyeong</creatorcontrib><creatorcontrib>Footer, Katherine H. A.</creatorcontrib><creatorcontrib>Decker, Michele R.</creatorcontrib><creatorcontrib>Tomko, Catherine</creatorcontrib><creatorcontrib>Allen, Sean T.</creatorcontrib><creatorcontrib>Galai, Noya</creatorcontrib><creatorcontrib>Sherman, Susan G.</creatorcontrib><title>Interpersonal and structural factors associated with receptive syringe‐sharing among a prospective cohort of female sex workers who inject drugs</title><title>Addiction (Abingdon, England)</title><addtitle>Addiction</addtitle><description>Aims
To determine the interpersonal and structural factors associated with receptive syringe sharing (RSS) among female sex workers who inject drugs (FSW‐IDU), a group at high risk of HIV/hepatitis C virus (HCV) acquisition.
Design
Sex workers And Police Promoting Health In Risky Environments (SAPPHIRE) study, a prospective cohort study.
Setting
Baltimore, MD, USA
Participants
One hundred and eighty FSW‐IDU; mean age = 33 years, 77.1% white and 62.9% in a relationship/married.
Measurements
Surveys were conducted between April 2016 and February 2018. The main outcome was recent RSS (past 3 months). In addition to socio‐demographic characteristics and drug use behaviors, we assessed factors at the interpersonal level, including injection practices, intimate partner and client drug use and exposure to violence. Structural‐level factors included methods of syringe access.
Findings
Nearly all FSW‐IDU used heroin (97.1%) or crack cocaine (89.7%). Recent RSS was reported by 18.3%. Syringes were accessed from needle exchange programs (64.6%), pharmacies (29.7%), street sellers (30.3%) or personal networks (29.1%). Some FSW‐IDU had clients or intimate partners who injected drugs (26.3 and 26.9%, respectively). Longitudinal factors independently associated with RSS in the multi‐level mixed‐effects model were recent client violence [adjusted odds ratio (aOR) = 2.17, 95% confidence interval (CI) = 1.09–4.33], having an intimate partner who injected drugs (aOR = 2.18, 95% CI = 0.98–4.85), being injected by others (aOR = 4.95, 95% CI = 2.42–10.10) and obtaining syringes from a street seller (aOR = 1.88, 95% CI = 0.94–3.78) or from a member of their personal network (aOR = 4.43, 95% CI = 2.21–8.90).
Conclusions
Client violence, intimate partner injection drug use, being injected by others and obtaining syringes from personal connections appear to increase parenteral HIV/HCV risk among female sex workers who inject drugs.</description><subject>Aggression</subject><subject>Blood diseases</subject><subject>Clients</subject><subject>Cocaine</subject><subject>Cohort analysis</subject><subject>Crack cocaine</subject><subject>Demographics</subject><subject>Demography</subject><subject>Domestic violence</subject><subject>Drug abuse</subject><subject>Drug use</subject><subject>Drugs</subject><subject>Exchange programs</subject><subject>Females</subject><subject>Health behavior</subject><subject>Health promotion</subject><subject>Health risks</subject><subject>Hepatitis</subject><subject>Hepatitis C</subject><subject>Heroin</subject><subject>High risk</subject><subject>HIV</subject><subject>HIV risk</subject><subject>Human immunodeficiency virus</subject><subject>Hypodermic needles</subject><subject>Injection</subject><subject>injection drug use</subject><subject>Intimacy</subject><subject>Intimate partner violence</subject><subject>intimate partners</subject><subject>Merchants</subject><subject>Needle exchange programs</subject><subject>Needle sharing</subject><subject>Occupational health</subject><subject>Pharmacies</subject><subject>Police</subject><subject>Prostitution</subject><subject>Sex</subject><subject>Sex industry</subject><subject>sex work</subject><subject>Sex workers</subject><subject>Social networks</subject><subject>substance use</subject><subject>Syringes</subject><subject>Violence</subject><subject>women</subject><subject>Womens health</subject><subject>Workers</subject><issn>0965-2140</issn><issn>1360-0443</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>BHHNA</sourceid><recordid>eNp1kc9u1DAQxi0EokvhwAsgS1zKIa2TOLZzQapa_lSqxAXOlmOPN16SONhOl73xCIhH5EnwdksFSPhgj-XffJ6ZD6HnJTkt8zpTxpyWtGH8AVqVNSMFobR-iFakZU1RlZQcoScxbgghXLT0MTqqCWtpI_gK_biaEoQZQvSTGrCaDI4pLDotIV-t0smHiFWMXjuVwOCtSz0OoGFO7gZw3AU3reHnt--xV_sQq9HvdzwHH2fQt5T2vQ8Je4stjGrIafAVb334nP_F295jN20yik1Y1vEpemTVEOHZ3XmMPr198_HifXH94d3Vxfl1oXN3vGhbSvcRUVWnmLGcc0uF6oAIEAbAVi0BLqjVuQvTMWK7DhrCStAdb1tdH6PXB9156UYwGqaUe5ZzcKMKO-mVk3-_TK6Xa38jWUNFw2kWOLkTCP7LAjHJ0UUNw6Am8EuUVclzjYJRktGX_6Abv4Q88UxVNa0pE6zM1KsDpfPsYgB7X0xJ5N5pmZ2Wt05n9sWf1d-Tv63NwNkB2LoBdv9XkueXlwfJX9AauT8</recordid><startdate>201907</startdate><enddate>201907</enddate><creator>Park, Ju Nyeong</creator><creator>Footer, Katherine H. A.</creator><creator>Decker, Michele R.</creator><creator>Tomko, Catherine</creator><creator>Allen, Sean T.</creator><creator>Galai, Noya</creator><creator>Sherman, Susan G.</creator><general>Blackwell Publishing Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QG</scope><scope>7TK</scope><scope>7U3</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6490-9887</orcidid></search><sort><creationdate>201907</creationdate><title>Interpersonal and structural factors associated with receptive syringe‐sharing among a prospective cohort of female sex workers who inject drugs</title><author>Park, Ju Nyeong ; Footer, Katherine H. A. ; Decker, Michele R. ; Tomko, Catherine ; Allen, Sean T. ; Galai, Noya ; Sherman, Susan G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4437-9944c4430a2ba6df777f48abe08e8deef290e784fcfacdb60fbbe5061ecb799c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aggression</topic><topic>Blood diseases</topic><topic>Clients</topic><topic>Cocaine</topic><topic>Cohort analysis</topic><topic>Crack cocaine</topic><topic>Demographics</topic><topic>Demography</topic><topic>Domestic violence</topic><topic>Drug abuse</topic><topic>Drug use</topic><topic>Drugs</topic><topic>Exchange programs</topic><topic>Females</topic><topic>Health behavior</topic><topic>Health promotion</topic><topic>Health risks</topic><topic>Hepatitis</topic><topic>Hepatitis C</topic><topic>Heroin</topic><topic>High risk</topic><topic>HIV</topic><topic>HIV risk</topic><topic>Human immunodeficiency virus</topic><topic>Hypodermic needles</topic><topic>Injection</topic><topic>injection drug use</topic><topic>Intimacy</topic><topic>Intimate partner violence</topic><topic>intimate partners</topic><topic>Merchants</topic><topic>Needle exchange programs</topic><topic>Needle sharing</topic><topic>Occupational health</topic><topic>Pharmacies</topic><topic>Police</topic><topic>Prostitution</topic><topic>Sex</topic><topic>Sex industry</topic><topic>sex work</topic><topic>Sex workers</topic><topic>Social networks</topic><topic>substance use</topic><topic>Syringes</topic><topic>Violence</topic><topic>women</topic><topic>Womens health</topic><topic>Workers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Park, Ju Nyeong</creatorcontrib><creatorcontrib>Footer, Katherine H. A.</creatorcontrib><creatorcontrib>Decker, Michele R.</creatorcontrib><creatorcontrib>Tomko, Catherine</creatorcontrib><creatorcontrib>Allen, Sean T.</creatorcontrib><creatorcontrib>Galai, Noya</creatorcontrib><creatorcontrib>Sherman, Susan G.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Animal Behavior Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Social Services Abstracts</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Addiction (Abingdon, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Park, Ju Nyeong</au><au>Footer, Katherine H. A.</au><au>Decker, Michele R.</au><au>Tomko, Catherine</au><au>Allen, Sean T.</au><au>Galai, Noya</au><au>Sherman, Susan G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Interpersonal and structural factors associated with receptive syringe‐sharing among a prospective cohort of female sex workers who inject drugs</atitle><jtitle>Addiction (Abingdon, England)</jtitle><addtitle>Addiction</addtitle><date>2019-07</date><risdate>2019</risdate><volume>114</volume><issue>7</issue><spage>1204</spage><epage>1213</epage><pages>1204-1213</pages><issn>0965-2140</issn><eissn>1360-0443</eissn><abstract>Aims
To determine the interpersonal and structural factors associated with receptive syringe sharing (RSS) among female sex workers who inject drugs (FSW‐IDU), a group at high risk of HIV/hepatitis C virus (HCV) acquisition.
Design
Sex workers And Police Promoting Health In Risky Environments (SAPPHIRE) study, a prospective cohort study.
Setting
Baltimore, MD, USA
Participants
One hundred and eighty FSW‐IDU; mean age = 33 years, 77.1% white and 62.9% in a relationship/married.
Measurements
Surveys were conducted between April 2016 and February 2018. The main outcome was recent RSS (past 3 months). In addition to socio‐demographic characteristics and drug use behaviors, we assessed factors at the interpersonal level, including injection practices, intimate partner and client drug use and exposure to violence. Structural‐level factors included methods of syringe access.
Findings
Nearly all FSW‐IDU used heroin (97.1%) or crack cocaine (89.7%). Recent RSS was reported by 18.3%. Syringes were accessed from needle exchange programs (64.6%), pharmacies (29.7%), street sellers (30.3%) or personal networks (29.1%). Some FSW‐IDU had clients or intimate partners who injected drugs (26.3 and 26.9%, respectively). Longitudinal factors independently associated with RSS in the multi‐level mixed‐effects model were recent client violence [adjusted odds ratio (aOR) = 2.17, 95% confidence interval (CI) = 1.09–4.33], having an intimate partner who injected drugs (aOR = 2.18, 95% CI = 0.98–4.85), being injected by others (aOR = 4.95, 95% CI = 2.42–10.10) and obtaining syringes from a street seller (aOR = 1.88, 95% CI = 0.94–3.78) or from a member of their personal network (aOR = 4.43, 95% CI = 2.21–8.90).
Conclusions
Client violence, intimate partner injection drug use, being injected by others and obtaining syringes from personal connections appear to increase parenteral HIV/HCV risk among female sex workers who inject drugs.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>30694587</pmid><doi>10.1111/add.14567</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-6490-9887</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0965-2140 |
| ispartof | Addiction (Abingdon, England), 2019-07, Vol.114 (7), p.1204-1213 |
| issn | 0965-2140 1360-0443 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6548574 |
| source | Wiley Online Library Journals Frontfile Complete; Sociological Abstracts |
| subjects | Aggression Blood diseases Clients Cocaine Cohort analysis Crack cocaine Demographics Demography Domestic violence Drug abuse Drug use Drugs Exchange programs Females Health behavior Health promotion Health risks Hepatitis Hepatitis C Heroin High risk HIV HIV risk Human immunodeficiency virus Hypodermic needles Injection injection drug use Intimacy Intimate partner violence intimate partners Merchants Needle exchange programs Needle sharing Occupational health Pharmacies Police Prostitution Sex Sex industry sex work Sex workers Social networks substance use Syringes Violence women Womens health Workers |
| title | Interpersonal and structural factors associated with receptive syringe‐sharing among a prospective cohort of female sex workers who inject drugs |
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