Correlates of Sex Trading Among Drug-Using Men Who Have Sex With Men
American Journal of Public HealthPublished 1 November 2004Open access
Peter A. Newman, Fen Rhodes, Robert E. Weiss
Citations90
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Multiple risk factors are associated with sex trading among MSM and interventions may need to address crack and injection drug use, homelessness, and childhood maltreatment and target non-gay-identified MSM who engage in sex trading.
Abstract
OBJECTIVES: We examined correlates of trading sex for money, drugs, and shelter, or food among drug-using men who have sex with men (MSM). METHODS: Audio computer-assisted self-interviewing questionnaires were completed by 387 MSM. The association of predictors with sex trading was assessed with chi(2) tests and multiple logistic regression. RESULTS: Sex-trading prevalence was 62.5% (95% confidence interval=57.7%, 67.4%). Sex trading was associated with crack use, injection drug use, childhood maltreatment, non-gay self-identification, and homelessness (adjusted odds ratios=3.72, 2.28, 2.62, 2.21, and 1.88, respectively). CONCLUSIONS: Multiple risk factors are associated with sex trading among MSM. Interventions may need to address crack and injection drug use, homelessness, and childhood maltreatment and target non-gay-identified MSM who engage in sex trading.
Keywords
Social SciencesMedicine
ScienceAdolescent Sexual Behavior, Drug Use, and Violence: Increased Reporting with Computer Survey Technology
2,060 Citations1998Charles F. Turner, Leighton Ku +4 more
Estimates of the prevalence of male-male sex, injection drug use, and sexual contact with intravenous drug users were higher when audio-CASI was used and increased reporting was also found for several other risk behaviors.
American PsychologistSubstance use and risky sexual behavior for exposure to HIV: Issues in methodology, interpretation, and prevention.
654 Citations1993Barbara C. Leigh, Ron Stall
Research on the relationship between substance use and high-risk sexual behavior is reviewed, inherent limitations of the research designs used to study this relationship are considered, and some methodological concerns including measurement and sampling issues are outlined.
American Journal of Public HealthThe Differential Effects of Face-to-Face and Computer Interview Modes
462 Citations2002JESSICA CLARK NEWMAN, Don C. Des Jarlais +4 more
Responding to potentially sensitive questions should not be seen as merely "providing data," but rather as an activity with complex motivations.
Child Abuse & NeglectUnderstanding childhood sexual abuse as a predictor of sexual risk-taking among men who have sex with men: The Urban Men’s Health Study☆
275 Citations2001Jay P. Paul, Joseph A. Catania +2 more
The high risk for CSA among MSM, which can predispose such men to patterns of HIV sexual risk, warrants new approaches in HIV prevention, and a model linking CSA and sexual risk among MSM is proposed.
Drug and Alcohol DependenceSex related HIV risk behaviors: differential risks among injection drug users, crack smokers, and injection drug users who smoke crack
256 Citations2000Robert E. Booth, Carol F. Kwiatkowski +1 more
Crack smoking injectors reported the highest average number of days of alcohol consumption and were the most likely to have had an IDU sex partner, and crack only smokers and crack smoking injector were more likely than injectors only to report multiple sex partners and exchanging sex.
Drug and Alcohol DependenceCorrelates of heavy substance use among young gay and bisexual men: The San Francisco Young Men's Health Study
207 Citations2001Gregory L. Greenwood
These correlates of heavier substance use among young gay and bisexual men could be used to identify and intervene early with members of this population who are at risk of substance misuse, as well as HIV/AIDS risk.
The Journal of PediatricsComputer-assisted detection and intervention in adolescent high-risk health behaviors
205 Citations1990David M. Paperny, June Y. Aono +3 more
Experience with 3327 teenagers demonstrated that 89% preferred the computer over a questionnaire or personal interview, but nearly all were willing to share the printout with the pediatrician, which should facilitate clinical evaluation.
Journal of Substance Abuse TreatmentSexual HIV risk among gay and bisexual male methamphetamine abusers
193 Citations1996Dominick L. Frosch, Steven Shoptaw +3 more
Findings indicate a strong connection between methamphetamine abuse and high-risk sexual behavior and implications for treatment of gay and bisexual male methamphetamine abusers and prevention of HIV among this population are discussed.
American Journal of Public HealthHistories of substance use and risk behavior: precursors to HIV seroconversion in homosexual men.
192 Citations1998Margaret A. Chesney, Donald C. Barrett +1 more
Seroconverters were consistently more likely to report use of marijuana, nitrite inhalants, amphetamines, and cocaine than nonconverters, and there are three potential mechanisms for an increased risk of conversion due to consistent substance use.
AIDSCorrelates of HIV infection among young adult short-term injection drug users
186 Citations2000Meg Doherty, Richard S. Garfein +3 more
Among short-term injectors, both sexual and injecting practices were important predictors of HIV infection, indicating that a proportion of HIV infections among young injection drug users can be attributed to sexual transmission.
JAIDS Journal of Acquired Immune Deficiency SyndromesHIV-Positive Men's Sexual Practices in the Context of Self-Disclosure of HIV Status
157 Citations2001Guy B. Marks, Nicole Crepaz
Interventions for seropositive men that focus primarily on increasing disclosure of serostatus to sex partners may not reduce the prevalence of unsafe sex, and interventions are needed to address the social and psychologic processes that give rise to risky behavior patterns in HIV-infected men.
American Journal of Public HealthThe trading of sex for drugs or money and HIV seropositivity among female intravenous drug users.
148 Citations1994Jacquie Astemborski, David Vlahov +3 more
Among intravenous drug-using women, high levels of trading sex for drugs or money were independently associated with HIV infection, and this group needs to be targeted for further intensive intervention.
Child Abuse & NeglectAssociation between history of childhood sexual abuse and adult HIV-risk sexual behavior in puerto rican men who have sex with men
148 Citations1995Alex Carballo‐Diéguez, Curtis Dolezal
It is concluded that given the need to improve HIV prevention among Puerto Rican men who have sex with men, sexual abuse in childhood may constitute a marker to identify men at increased risk of HIV.
JAMAHIV Incidence Among Young Men Who Have Sex With Men—Seven US Cities, 1994-2000
148 Citations2001Notice To Readers
AIDSDevelopment of cytomegalovirus (CMV) disease may be predicted in HIV-infected patients by CMV polymerase chain reaction and the antigenemia test
136 Citations1997Karen Kaae Dodt, Palle Høy Jacobsen +6 more
The CMV PCR and the CMV antigenemia tests are both sensitive methods that may predict development of CMV disease up to several months prior to clinical disease.
American Journal of Public HealthMale transvestite prostitutes and HIV risk.
136 Citations1993Kirk W. Elifson, Jacqueline Boles +4 more
The results show that transvestite prostitutes are a heterogenous population and distinct from nontransvestite prostitute; specific outreach is thus needed to address the sexual and drug-use-related HIV risk behaviors of transvestITE prostitutes.
Psychiatric ServicesLife-Styles, Adaptive Strategies, and Sexual Behaviors of Homeless Adolescents
128 Citations1993Milton Greenblatt, Marjorie J. Robertson
The sample had a high prevalence of several mental disorders, including conduct disorder with aggression, major depression, and alcohol and drug abuse, and almost half had attempted suicide.
Drug and Alcohol DependenceFrequency and intensity of crack use as predictors of women’s involvement in HIV-related sexual risk behaviors
119 Citations2000Jeffrey A. Hoffman, Hugh Klein +2 more
The data revealed that the women who used crack with the greatest frequency and the greatest intensity were the most heavily involved in risky sexual behaviors, probably as a result of their involvement in high-risk sexual behaviors.
Child Abuse & NeglectAssociation between early sexual abuse and adult HIV-risky sexual behaviors among community-recruited women☆
115 Citations2001Kathleen M. Parillo, Robert C. Freeman +2 more
Overall, regression analyses indicated a significant relationship between early sexual abuse and adult risky behaviors; rape in adulthood mediated this relationship for all three HIV-risky behaviors.
Journal of General Internal MedicineChildhood Sexual Abuse Among Homosexual Men Prevalence and Association with Unsafe Sex
114 Citations1997William R. Lenderking, Cheryl Wold +4 more
Drug and Alcohol DependenceNon-injection substance use correlates with risky sex among men having sex with men: data from HIVNET1The content of this publication does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products or organizations imply endorsement by the US Government.1
114 Citations1999George Woody, Deborah Donnell +8 more
Those with past drug use or past heavy alcohol use but not currently using demonstrated no increase in sexual risk, suggesting an important role for substance-focused interventions in risk reduction efforts among MSM.
JAIDS Journal of Acquired Immune Deficiency SyndromesVery Young Gay and Bisexual Men Are at Risk for HIV Infection: The San Francisco Bay Area Young Men's Survey II
112 Citations2000Craig R. Waldo, Willi McFarland +3 more
Sexually Transmitted DiseasesSex Hustling, Injection Drug Use, and Non-Gay Identification by Men Who Have Sex With Men
112 Citations1998Cornelis A. Rietmeijer, Richard J. Wolitski +3 more
Among MSM, subgroups at particularly high risk for HIV can be identified and may be important epidemiologic links to the larger MSM and heterosexual communities and warrant focused behavioral interventions to prevent the further spread of HIV.
AIDS and BehaviorChildhood Sexual Abuse and HIV Risk-Taking Behavior Among Gay and Bisexual Men
109 Citations1998Samuel Jinich, Jay P. Paul +5 more
It is recommended that existing programs for those at risk for HIV be modified to deal with these issues, and that efforts to bring about behavior change will require approaches that go beyond simply increasing knowledge and awareness.
Archives of DermatologyResurgent Bacterial Sexually Transmitted Disease Among Men Who Have Sex With Men— King County, Washington, 1997-1999
108 Citations2000
It is indicated that infectious syphilis among men who have sex with men (MSM) in King County increased to 46 cases during January-June 1999, and chlamydia and gonorrhea also increased among MSM attending public health clinics.
International Journal of STD & AIDSPrevalence of HIV infection and risk behaviours among Montreal street youth
108 Citations2000Nancy Haley, Pascale Leclerc +4 more
Multivariate logistic regression showed that being over 20 years of age, having injected drugs, having engaged in prostitution, and being born outside Canada were all independently associated with HIV infection.
Social Science & MedicineThe male street prostitute: A vector for transmission of HIV infection into the heterosexual world
105 Citations1991Edward V. Morse, Patricia Simon +3 more
Results from the study support the argument that male prostitutes serve as a bridge of HIV infection into populations with currently low infection rates through contact with both non-customer sexual partners and customers and thus indirectly to spouses and sexual partners of these individuals.
Journal of Psychoactive DrugsCrack Cocaine Use and Sexual Activity in Miami, Florida
100 Citations1992Norman L. Weatherby, James M. Shultz +5 more
Crack use was associated with increased sexual activity, trading sex for money or drugs, and sex with multiple partners, and neither traders nor nontraders reported rates of condom use sufficient to substantially reduce the transmission of sexually transmitted diseases and HIV infection.
Drug and Alcohol DependenceSexual and drug use behaviors among female crack users: a multi-site sample
99 Citations2000TK Logan, Carl Leukefeld
Results indicated that both groups of women had frequent unprotected sex, but women who exchanged sex had more sexual partners, had sex more often, used drugs before and during sex more frequently, and had a higher rate of STDs than women who did not exchange sex.
American Journal of Public HealthRisk factors associated with HIV infection among male prostitutes.
90 Citations1993Kirk W. Elifson, Jacqueline Boles +1 more
Sexually Transmitted InfectionsHIV, sexually transmitted infections, and risk behaviours in male commercial sex workers in Sydney
88 Citations2000Claudia Estcourt
Although male CSWs use condoms with clients, they are more likely to practise unsafe sex with non-work partners (especially women) and inject drugs than female CSWs and non-CSW homosexual men.
Journal of Acquired Immune Deficiency Syndromes & Human RetrovirologyCorrelates of Condom Failure in a Sexually Active Cohort of Men Who Have Sex With Men
77 Citations1999Elizabeth F. Stone, Patrick J. Heagerty +10 more
Safer sex counseling should particularly target men of lower socioeconomic status, promote proper and consistent use of condoms with appropriate lubricants, and address the impact of drug use, especially amphetamines and alcohol, on condom failure.
AIDS CarePowerlessness and HIV prevention among people who trade sex for drugs ('strawberries')
63 Citations1997William N. Elwood, Malcolm Williams +2 more
The results show that trading sexual favours for drugs is not limited to African American women, nor solely to women, and urges educators and researchers to be alert for 'strawberry behaviours' exhibited by drug-users of any racial/ethnic background or gender.
JAMAHIV Incidence Among Young Men Who Have Sex With Men--Seven US Cities, 1994-2000
59 Citations2001
To determine HIV incidence among young MSM, CDC analyzed data from the Young Men's Survey (YMS), a study that found a high prevalence of HIV and associated risks among MSM aged 15-22 years sampled in seven U.S. cities.
AIDSRisk factors for and trends in gonorrhea incidence among persons infected with HIV in the United States
54 Citations2001Ann N., Debra L. Hanson +2 more
The increase in the trend in gonorrhea incidence among HIV-infected men who have sex with men is of particular concern because it suggests an increase in risky sexual behaviors.
Drug and Alcohol DependenceThe trading of sex for money or drugs, sexually transmitted diseases (STDs), and HIV-related risk behaviors among multisubstance using alcoholic inpatients
53 Citations1997Michael Windle
The findings indicated that, among these multisubstance using alcoholic inpatients, high levels of trading sex for money or drugs were independently associated with self- reported STDs, a cofactor of HIV infection, as well as self-reported HIV infection and perceptions of risk for infection.
AIDS CareMale prostitutes and safe sex: Different settings, different risks
53 Citations1994Ron de Graaf, Ine Vanwesenbeeck +3 more
Twenty-seven male prostitutes were interviewed extensively about their work and considerations relating to safe sex with clients, and the same factors that encourage anal intercourse also appear conducive to unprotected intercourse.
JAIDS Journal of Acquired Immune Deficiency SyndromesAssociation Between Crack Cocaine Use and High-Risk Sexual Behaviors After HIV Diagnosis
52 Citations2000Michael Campsmith, Allyn K. Nakashima +1 more
Treatment programs to assist people in quitting crack are needed to help reduce the risk of HIV transmission from this population, and crack use after HIV diagnosis was associated with high-risk sexual behaviors.
Journal of Psychoactive DrugsMethamphetamine Abuse: Issues for Special Populations
52 Citations2000Thomas E. Freese, Jeanne L. Obert +3 more
Examination of the clients receiving services though this project provides an opportunity to explore particular issues of diverse special populations who are impacted by the problem of MA dependence, and strategies that have been used to overcome these barriers.
Archives of Sexual BehaviorSexual behavior patterns of customers of male street prostitutes
51 Citations1992Edward V. Morse, Patricia Simon +2 more
It is likely that male customers of male prostitutes serve as a vector of transmission of HIV infection to their other partners including the heterosexual population.
JAMAHIV/AIDS Among Racial/Ethnic Minority Men Who Have Sex With Men—United States, 1989-1998
49 Citations2000
The findings indicate that among MSM, non-Hispanic black and Hispanic men accounted for an increasing proportion of AIDS cases and had smaller proportionate declines in AIDS incidence and deaths from 1996 to 1998.
Journal of the Association of Nurses in AIDS CareSubstance Abuse and HIV: Considerations With Regard to Methamphetamines and Other Recreational Drugs for Nursing Practice and Research
40 Citations2000Ed Gorman, Robert Carroll
Concerns about the growth in popularity of a group of recreational or so-called party drugs associated with specific social and sexual environments and networks in dual-risk men who have sex with other men and use and/or inject drugs are reported.
Violence Against WomenSexual Abuse During Childhood and Adolescence as Predictors of HIV-Related Sexual Risk During Adulthood Among Female Sexual Partners of Injection Drug Users
40 Citations1995Hugh Klein, BETTY S. CHAO
The data indicate that there is a strong link between sexual abuse victimization early in life and involvement later in life in sexual behaviors that place women at risk for contracting HIV.
Australian and New Zealand Journal of Public HealthA profile of the clients of male sex workers in three Australian cities
38 Citations1999Victor Minichiello, Rodrigo Mariño +5 more
The profile of clients as reported by 186 male sex workers in three Australian cities is described, with a focus on Sydney, Melbourne and Brisbane.
JAIDS Journal of Acquired Immune Deficiency SyndromesAssociation Between Crack Cocaine Use and High-Risk Sexual Behaviors After HIV Diagnosis
35 Citations2000Michael Campsmith, Allyn K. Nakashima +1 more
Treatment programs to assist people in quitting crack are needed to help reduce the risk of HIV transmission from this population, and crack use after HIV diagnosis was associated with high‐risk sexual behaviors.
AIDS CareAn assessment of the risks of syphilis and HIV infection among a sample of not-in-treatment drug users in Houston, Texas
34 Citations1996Mark L. Williams, William N. Elwood +5 more
Assessment of the risk factors associated with having a positive syphilis or HIV serology using a sample of not-in-treatment drug users volunteering to participate in an HIV risk reduction intervention showed that being a gay or bisexual male, having a history of drug injection, having less than a high-school education, being African-American, and having apositive blood test for syphilis significantly increased the odds of a positive HIV test.
Journal of Psychoactive DrugsSex Trading and Psychological Distress in a Street-Based Sample of Low-Income Urban Men
32 Citations2000Nabila El‐Bassel, Robert Schilling +4 more
The alarmingly high HIV seroprevalence rate in sex traders in this sample underscores the need to redouble HIV prevention efforts for this population and the high levels of psychological distress and crack cocaine dependence among sex traders may undermine their ability to adopt safer sex behaviors.
PubMedChanges in AIDS incidence trends in the United States.
29 Citations1992Green Ta, Karon Jm +1 more
Analysis of AIDS incidence trends in the United States by exposure category and selected demographic factors suggests that several factors have affected the trend in total incidence and that the burden of severe symptomatic HIV disease may be shifting.
Journal of Acquired Immune Deficiency Syndromes & Human RetrovirologyRecent Trends in the HIV Epidemic in Adolescent and Young Adult Gay and Bisexual Men
19 Citations1997Paul Denning, Jeffrey L. Jones +1 more
PubMedSpeed use and HIV transmission.
19 Citations1996Michael M. Gorman
Methamphetamine use is most prevalent in the western United States, and the drug is popular in the gay community, and there is compelling evidence linking HIV disease and speed use.