Correlates of Transactional Sex Among a Rural Population of People Who Inject Drugs
In the United States, high rates of HIV infection among persons who engage in transactional sex are partially driven by substance use. Little is known about transactional sex among rural populations of people who inject drugs (PWID). Using data from a 2018 survey of 420 rural PWID in West Virginia,...
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Veröffentlicht in: | AIDS and behavior 2020-03, Vol.24 (3), p.775-781 |
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description | In the United States, high rates of HIV infection among persons who engage in transactional sex are partially driven by substance use. Little is known about transactional sex among rural populations of people who inject drugs (PWID). Using data from a 2018 survey of 420 rural PWID in West Virginia, we used logistic regression to identify correlates of recent transactional sex (past 6 months). Most study participants were male (61.2%), white (83.6%), and reported having injected heroin (81.0%) in the past 6 months. Nearly one-fifth (18.3%) reported engaging in recent transactional sex. Independent correlates of transactional sex were: being female [adjusted odds ratio (aOR) 3.90; 95% CI 2.12–7.16]; being a sexual minority (aOR 3.07; 95% CI 1.60–5.87); being single (aOR 3.22; 95% CI 1.73–6.01); receptive syringe sharing (aOR 3.13; 95% CI 1.73–5.66); and number of injections per day (aOR 1.08; 95% CI 1.01–1.15). Rural PWID who engage in transactional sex are characterized by multiple vulnerabilities that increase their HIV risk. |
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Jia ; Hazelett, Tim ; Kilkenny, Michael E. ; Sherman, Susan G.</creator><creatorcontrib>Allen, Sean T. ; White, Rebecca Hamilton ; O’Rourke, Allison ; Ahmad, N. Jia ; Hazelett, Tim ; Kilkenny, Michael E. ; Sherman, Susan G.</creatorcontrib><description>In the United States, high rates of HIV infection among persons who engage in transactional sex are partially driven by substance use. Little is known about transactional sex among rural populations of people who inject drugs (PWID). Using data from a 2018 survey of 420 rural PWID in West Virginia, we used logistic regression to identify correlates of recent transactional sex (past 6 months). Most study participants were male (61.2%), white (83.6%), and reported having injected heroin (81.0%) in the past 6 months. Nearly one-fifth (18.3%) reported engaging in recent transactional sex. Independent correlates of transactional sex were: being female [adjusted odds ratio (aOR) 3.90; 95% CI 2.12–7.16]; being a sexual minority (aOR 3.07; 95% CI 1.60–5.87); being single (aOR 3.22; 95% CI 1.73–6.01); receptive syringe sharing (aOR 3.13; 95% CI 1.73–5.66); and number of injections per day (aOR 1.08; 95% CI 1.01–1.15). Rural PWID who engage in transactional sex are characterized by multiple vulnerabilities that increase their HIV risk.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-019-02612-7</identifier><identifier>PMID: 31407213</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Drug abuse ; Drug use ; Drugs ; Female ; Health Psychology ; Health risk assessment ; Health risks ; Heroin ; HIV ; HIV Infections - epidemiology ; Human immunodeficiency virus ; Humans ; Infectious Diseases ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Needle Sharing - statistics & numerical data ; Original Paper ; Public Health ; Risk-Taking ; Rural areas ; Rural Health ; Rural population ; Rural Population - statistics & numerical data ; Rural populations ; Sex ; Sex Work - statistics & numerical data ; Sexual and Gender Minorities ; Sexual behavior ; Sexually transmitted diseases ; STD ; Substance abuse ; Substance Abuse, Intravenous - epidemiology ; Substance use ; Surveys and Questionnaires ; West Virginia - epidemiology</subject><ispartof>AIDS and behavior, 2020-03, Vol.24 (3), p.775-781</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>AIDS and Behavior is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-660755f5aaff00246ba88f977831d2e57830cab467fea07de002502accbc79d13</citedby><cites>FETCH-LOGICAL-c474t-660755f5aaff00246ba88f977831d2e57830cab467fea07de002502accbc79d13</cites><orcidid>0000-0002-0540-3824</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-019-02612-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-019-02612-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27321,27901,27902,33751,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31407213$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Allen, Sean T.</creatorcontrib><creatorcontrib>White, Rebecca Hamilton</creatorcontrib><creatorcontrib>O’Rourke, Allison</creatorcontrib><creatorcontrib>Ahmad, N. Jia</creatorcontrib><creatorcontrib>Hazelett, Tim</creatorcontrib><creatorcontrib>Kilkenny, Michael E.</creatorcontrib><creatorcontrib>Sherman, Susan G.</creatorcontrib><title>Correlates of Transactional Sex Among a Rural Population of People Who Inject Drugs</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>In the United States, high rates of HIV infection among persons who engage in transactional sex are partially driven by substance use. Little is known about transactional sex among rural populations of people who inject drugs (PWID). Using data from a 2018 survey of 420 rural PWID in West Virginia, we used logistic regression to identify correlates of recent transactional sex (past 6 months). Most study participants were male (61.2%), white (83.6%), and reported having injected heroin (81.0%) in the past 6 months. Nearly one-fifth (18.3%) reported engaging in recent transactional sex. Independent correlates of transactional sex were: being female [adjusted odds ratio (aOR) 3.90; 95% CI 2.12–7.16]; being a sexual minority (aOR 3.07; 95% CI 1.60–5.87); being single (aOR 3.22; 95% CI 1.73–6.01); receptive syringe sharing (aOR 3.13; 95% CI 1.73–5.66); and number of injections per day (aOR 1.08; 95% CI 1.01–1.15). Rural PWID who engage in transactional sex are characterized by multiple vulnerabilities that increase their HIV risk.</description><subject>Adult</subject><subject>Drug abuse</subject><subject>Drug use</subject><subject>Drugs</subject><subject>Female</subject><subject>Health Psychology</subject><subject>Health risk assessment</subject><subject>Health risks</subject><subject>Heroin</subject><subject>HIV</subject><subject>HIV Infections - epidemiology</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Needle Sharing - statistics & numerical data</subject><subject>Original Paper</subject><subject>Public Health</subject><subject>Risk-Taking</subject><subject>Rural areas</subject><subject>Rural Health</subject><subject>Rural population</subject><subject>Rural Population - statistics & numerical data</subject><subject>Rural populations</subject><subject>Sex</subject><subject>Sex Work - statistics & numerical data</subject><subject>Sexual and Gender Minorities</subject><subject>Sexual behavior</subject><subject>Sexually transmitted diseases</subject><subject>STD</subject><subject>Substance abuse</subject><subject>Substance Abuse, Intravenous - epidemiology</subject><subject>Substance use</subject><subject>Surveys and Questionnaires</subject><subject>West Virginia - epidemiology</subject><issn>1090-7165</issn><issn>1573-3254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kU1PAjEQhhujEUX_gAfTxPPqtNvtsBcTgl8kJBLBeGxK6fIR2GK7a_TfWwRRL56m6TzzzsdLyBmDSwaAV4GBkCwBlifAJeMJ7pEjlmGapDwT-_ENOSTIZNYgxyHMASCXmB-SRsoEIGfpERl0nPd2oSsbqCvo0OsyaFPNXKkXdGDfaXvpygnV9Kn28afvVnWEY3pN961bLSx9mTraLefWVPTG15NwQg4KvQj2dBub5Pnudth5SHqP991Ou5cYgaJKpATMsiLTuigAuJAj3WoVOWIrZWNusxjB6JGQWFgNOLYRyoBrY0YG8zFLm-R6o7uqR0s7Nras4oxq5WdL7T-U0zP1N1POpmri3hRCvBKKKHCxFfDutbahUnNX-7h5UJwjB9GS-ZriG8p4F4K3xa4DA7U2Qm2MUNEI9WWEwlh0_nu2Xcn35SOQboAQU-XE-p_e_8h-Aj0Ck9w</recordid><startdate>20200301</startdate><enddate>20200301</enddate><creator>Allen, Sean T.</creator><creator>White, Rebecca Hamilton</creator><creator>O’Rourke, Allison</creator><creator>Ahmad, N. 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Jia</au><au>Hazelett, Tim</au><au>Kilkenny, Michael E.</au><au>Sherman, Susan G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Correlates of Transactional Sex Among a Rural Population of People Who Inject Drugs</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2020-03-01</date><risdate>2020</risdate><volume>24</volume><issue>3</issue><spage>775</spage><epage>781</epage><pages>775-781</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><abstract>In the United States, high rates of HIV infection among persons who engage in transactional sex are partially driven by substance use. Little is known about transactional sex among rural populations of people who inject drugs (PWID). Using data from a 2018 survey of 420 rural PWID in West Virginia, we used logistic regression to identify correlates of recent transactional sex (past 6 months). Most study participants were male (61.2%), white (83.6%), and reported having injected heroin (81.0%) in the past 6 months. Nearly one-fifth (18.3%) reported engaging in recent transactional sex. Independent correlates of transactional sex were: being female [adjusted odds ratio (aOR) 3.90; 95% CI 2.12–7.16]; being a sexual minority (aOR 3.07; 95% CI 1.60–5.87); being single (aOR 3.22; 95% CI 1.73–6.01); receptive syringe sharing (aOR 3.13; 95% CI 1.73–5.66); and number of injections per day (aOR 1.08; 95% CI 1.01–1.15). Rural PWID who engage in transactional sex are characterized by multiple vulnerabilities that increase their HIV risk.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31407213</pmid><doi>10.1007/s10461-019-02612-7</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-0540-3824</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adult Drug abuse Drug use Drugs Female Health Psychology Health risk assessment Health risks Heroin HIV HIV Infections - epidemiology Human immunodeficiency virus Humans Infectious Diseases Male Medicine Medicine & Public Health Middle Aged Needle Sharing - statistics & numerical data Original Paper Public Health Risk-Taking Rural areas Rural Health Rural population Rural Population - statistics & numerical data Rural populations Sex Sex Work - statistics & numerical data Sexual and Gender Minorities Sexual behavior Sexually transmitted diseases STD Substance abuse Substance Abuse, Intravenous - epidemiology Substance use Surveys and Questionnaires West Virginia - epidemiology |
title | Correlates of Transactional Sex Among a Rural Population of People Who Inject Drugs |
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