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
Hauptverfasser: Allen, Sean T., White, Rebecca Hamilton, O’Rourke, Allison, Ahmad, N. Jia, Hazelett, Tim, Kilkenny, Michael E., Sherman, Susan G.
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container_issue 3
container_start_page 775
container_title AIDS and behavior
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creator Allen, Sean T.
White, Rebecca Hamilton
O’Rourke, Allison
Ahmad, N. Jia
Hazelett, Tim
Kilkenny, Michael E.
Sherman, Susan G.
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</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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