Exchange sex among people receiving medical care for HIV in the United States – medical monitoring project 2009–2013
Bibliographic Data
| ID | 19439399 |
|---|---|
| Authors | Oluwatosin Olaiya (0000-0002-5049-0111, Centers for Disease Control and Prevention), Lina Nerlander (0000-0001-6309-468X, Centers for Disease Control and Prevention), Christine L Mattson (Centers for Disease Control and Prevention), Linda Beer (0000-0002-5781-8626, Centers for Disease Control and Prevention, corresponding author) |
| Year | 2018 |
| Volume | 30 |
| Issue | 10 |
| Pages | 1315-1321 |
| Publication date | 2018-10-03 |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2018.1465174 |
| PMID | 29678119 |
| OpenAlex | W2802398801 |
| Language | EN |
| Citations received | 1 |
| References cited | 25 |
Many studies of persons who exchange sex for money or drugs have focused on their HIV acquisition risk, and are often limited to select populations and/or geographical locations. National estimates of exchange sex among people living with HIV (PLWH) who are in medical care, and its correlates, are lacking. To address these gaps, we analyzed data from the Medical Monitoring Project, a surveillance system that produces nationally representative estimates of behavioral and clinical characteristics of PLWH receiving medical care in the United States, to estimate the weighted prevalence of exchange sex overall, and by selected socio-demographic, behavioral and clinical characteristics. We found 3.6% of sexually active adults reported exchange sex in the past 12 months. We found a higher prevalence of exchange sex among transgender persons, those who experienced homelessness, and those with unmet needs for social and medical services. Persons who exchanged sex were more likely to report depression and substance use than those who did not exchange sex. We found a higher prevalence of sexual behaviors that increase the risk of HIV transmission and lower viral suppression among persons who exchanged sex. PLWH who exchanged sex had a higher prevalence of not being prescribed ART, and not being ART adherent than those who did not exchange sex. We identify several areas for intervention, including: provision of or referral to services for unmet needs (such as housing or shelter), enhanced delivery of mental health and substance abuse screening and treatment, risk-reduction counseling, and ART prescription and adherence support services
Environmental health · Family medicine · Health care · Men who have sex with men · Mental health · Psychiatry · Referral · Substance abuse · Syphilis · Transgender · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues · Gerontology
Sex-work harm reduction
Estimating sexual transmission of HIV from persons aware and unaware that they are infected with the virus in the USA
Prevention of HIV-1 Infection with Early Antiretroviral Therapy
Powerlessness and HIV prevention among people who trade sex for drugs ('strawberries')
Individual, Network, and Neighborhood Correlates of Exchange Sex Among Female Non-Injection Drug Users in Baltimore, MD (2005–2007)
Sex Trading and Psychological Distress in a Street-Based Sample of Low-Income Urban Men
Transactional Sex among Men and Women in the South at High Risk for HIV and Other STIs
The trading of sex for drugs or money and HIV seropositivity among female intravenous drug users
Sexual Risk Behaviors Among HIV-Positive Black Men Who Have Sex With Women, With Men, or With Men and Women
HIV infection, risk behaviors, and depressive symptoms among Puerto Rican sex workers
Crack, crack house sex, and HIV risk
| Citations per year | 0.33 |
|---|---|
| Citation span | 2023 - 2023 (1) |
| Highly cited | No |