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Survival Sex Trading in Los Angeles County, California, USA

Bibliographic Data

ID10205405
AuthorsSarah E Clingan (0000-0002-2714-2039, Joint Doctoral Program, Interdisciplinary Research on Substance Use, San Diego State University/University of California San Diego), Dennis G Fisher (0000-0002-3813-2207, Center for Behavioral Research and Services, and Psychology Department, California State University, corresponding author), Grace L Reynolds (0000-0003-3324-0337, Center for Behavioral Research and Services, and Department of Health Care Administration, California State University), Michael A Janson (Los Angeles County Department of Public Health), Debra A Rannalli (School of Nursing, California State University), Loucine M Huckabay (California State University System), Loucine Huckabay (School of Nursing, California State University), Hannah-Hanh D Nguyen (0000-0002-8493-0365, University of Hawaiʻi at Mānoa)
Year2020
Volume57
Issue7
Pages943-952
Publication date2020-01-04
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueThe Journal of Sex Research (JOURNAL)
Journal identifiersISSN: 0022-4499 • E-ISSN: 1559-8519
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/00224499.2019.1703885
PMID31902245
OpenAlexW2998356842
LanguageEN
Citations received1
References cited51

Most studies on survival sex, defined as sex trading for money, drugs, or other needs , have limited their focus to adolescents. The current study reports about the relationships between survival sex trading (SST) and high-risk behaviors in a sample of adults. Bivariate analysis shows that HIV-positive status, use of cocaine, ketamine, methamphetamine, heroin, having received drug treatment, and having received medical services are associated with SST. SST are more likely to not use condoms with partners other than their main partner, to have partners who inject drugs and are more likely to use drugs with sex. A logistic regression model included unwanted sexual touching, partner abuse, identifying as bisexual, African American, higher age, gender (women more likely), homelessness, a higher number of sexual partners, having anal sex, injection drug use, HIV seropositivity, crack use, and the likelihood of injecting drugs. The model was retested on independently collected Risk Behavior Assessment (RBA) data and showed significant relationships between survival sex and crack use, gender (women more likely), HIV positivity, identifying as bisexual, having anal sex, African American, and a higher number of sex partners. These findings make it imperative to integrate victimization counseling and HIV education into substance abuse treatment programs

Condom · Drug · Family medicine · Heroin · Human immunodeficiency virus (HIV · Logistic regression · Psychiatry · Sex partners · Substance abuse · Syphilis · Unsafe Sex · Clinical Psychology · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Internal Medicine · Medicine · Psychology · Sex work and related issues

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Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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