Type of Exchange Sex and Associated Behaviors and Outcomes Among Cisgender Men and Women at Increased Risk for HIV via Heterosexual Transmission in Six US Metropolitan Areas

被引：0

作者：

Lipira, Lauren E. ^{[1
,2
]}

Glick, Jennifer L. ^{[3
]}

German, Danielle ^{[3
]}

Glick, Sara N. ^{[4
,5
]}

Moreno, Courtney ^{[5
]}

Elimam, Dena ^{[6
]}

Brantley, Meredith L. ^{[7
]}

Pichon, Latrice C. ^{[8
]}

Barak, Narquis ^{[9
]}

Booth, Meredith M. ^{[9
]}

Flynn, Colin ^{[10
]}

Menza, Timothy ^{[2
,11
]}

机构：

[1] Portland State Univ, Reg Res Inst, Portland, OR 97207 USA

[2] Oregon Hlth Author, Publ Hlth Div, 800 NE Oregon St, Portland, OR 97232 USA

[3] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Hlth Behav & Soc, Baltimore, MD USA

[4] Univ Washington, Div Allergy & Infect Dis, Seattle, WA USA

[5] Publ Hlth Seattle & King Cty, HIV STD Program, Seattle, WA USA

[6] Georgia Dept Publ Hlth, Div Hlth Protect, Epidemiol Sect, Atlanta, GA USA

[7] Tennessee Dept Hlth, HIV STI Viral Hepatitis Sect, Nashville, TN USA

[8] Univ Memphis, Sch Publ Hlth, Div Social & Behav Sci, Memphis, TN USA

[9] CrescentCare, New Orleans, LA USA

[10] Maryland Dept Hlth, Baltimore, MD USA

[11] Oregon Hlth & Sci Univ, Dept Med, Portland, OR USA

来源：

ARCHIVES OF SEXUAL BEHAVIOR | 2023年

关键词：

Exchange sex; HIV; Prevention; Transactional sex; Violence; TRANSACTIONAL SEX; AFRICAN-AMERICAN; SUBSTANCE USE; LOW-INCOME; WORKERS; PREVALENCE; INFECTION; PREVENTION; SAMPLE; SURVEILLANCE;

D O I：

10.1007/s10508-023-02663-x

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Exchange sex is associated with sexual risk behaviors and poor outcomes and different types may incur different levels of risk. We assessed risk profiles of different types of exchange sex among non-injecting cisgender men and women who participated in the 2019 National HIV Behavioral Surveillance project at six sites. Six percent of men and 19% of women reported exchange sex in the past year; most engaged in non-commercial exchange sex for drugs/money with smaller percentages reporting formal sex work or non-commercial exchange sex for goods or services other than drugs/money. Exchange sex was associated with sexual risk and prevention behaviors and psychosocial and sexual health outcomes and associations varied by type of exchange sex. Efforts to improve access to STI/HIV testing and PrEP may benefit from tailoring based on type of exchange sex. Findings indicate value in a broader definition of exchange sex with follow-up assessment of exchange sex typology.

引用

页码：3313 / 3327

页数：15

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