Drugs—20 US Cities, 2009

Details

• Alternative Title:
  J Acquir Immune Defic Syndr
• Personal Author:
  Nerlander, Lina M. ; Hess, Kristen L. ; Rose, Charles E. ; Sionean, Catlainn ; Thorson, Anna ; Broz, Dita ; Paz-Bailey, Gabriela
• Description:
  Background
  
  Women who inject drugs and who also exchange sex are at increased risk for HIV infection, but data on this population in the United States remain sparse.
  
  Methods
  
  This study assessed the prevalence of exchanging sex for money or drugs among women who inject drugs using data from the 2009 US National HIV Behavioral Surveillance (NHBS) system. Prevalence of being HIV-positive (testing positive in NHBS), HIV-positive–unaware (reporting being HIV-negative or unknown status but testing positive in NHBS), and risk behaviors and use of services were compared between women who did and did not exchange sex. The association between exchange sex and being HIV-positive–unaware of the infection was examined using multivariate Poisson models with robust standard errors.
  
  Results
  
  Among 2305 women who inject drugs, 39% reported receiving things like money or drugs from ≥1 male partners in exchange for oral, vaginal, or anal sex in the previous 12 months. Women who exchanged sex were more likely to be unemployed, homeless, lack health insurance, have multiple condomless vaginal or anal sex partners, and receptively share syringes. In multivariate analysis, exchange sex was associated with being HIV-positive–unaware (adjusted prevalence ratio 1.97, 95% confidence intervals: 1.31 to 2.97).
  
  Conclusions
  
  Prevalence of exchange sex was high in this population. Women who exchange sex were more likely to be socially disadvantaged, report sexual and injection risk, and be HIV-positive–unaware. They represent an important group to reach with HIV prevention, testing, and care services.
  
  
• Subjects:
  Adolescent Adult Article Behavioral Risk Factor Surveillance System Cities Exchange Sex Female HIV Infections Humans Middle Aged Prevalence Prostitution PWID Risk-Taking Sexual Partners Sex Work Socioeconomic Factors Substance Abuse, Intravenous Undiagnosed HIV United States Young Adult

  More +
• Source:
  J Acquir Immune Defic Syndr. 75(Suppl 3):S333-S340.
• Pubmed ID:
  28604435
• Pubmed Central ID:
  PMC5681711
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHS/United States
• Volume:
  75
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:563a963c3c4444d9438bd761556661d87d441e7e4b966df2b5a8835052c33489
• Download URL:
  https://stacks.cdc.gov/view/cdc/49708/cdc_49708_DS1.pdf
• File Type:
  [PDF - 411.82 KB ]