Men and women involved in
transactional sex (TS) report increased rates of HIV risk behaviors and
substance use problems as compared with the general population. When people
engaged in TS seek health care, they may be more likely to utilize the
emergency department (ED) rather than primary care services.
Our goal was to
examine the prevalence and correlates of TS involvement among an ED sample of
men and women. Adults ages 18-60 were recruited from an urban ED, as part of a
larger randomized control trial. Participants (n = 4,575; 3,045 women, 1,530
men) self-administered a screening survey that assessed past 3-month substance
use (including alcohol, marijuana, illicit drugs, and prescription drugs) and
HIV risk behaviors, including TS (i.e., being paid in exchange of a sexual
behavior), inconsistent condom use, multiple partners, and anal sex.
Of the
sample, 13.3% (n = 610) reported TS within the past 3 months (64.4% were
female). Bivariate analysis showed TS was significantly positively associated
with alcohol use severity, marijuana use, and both illicit and prescription
drug use, and multiple HIV risk behaviors. These variables (except marijuana)
remained significantly positively associated with TS in a binary logistic
regression analysis.
The prevalence of recent TS involvement among both male
and female ED patients is substantial. These individuals were more likely to
report higher levels of alcohol/drug use and HIV risk behaviors.
The ED may be
a prime location to engage both men and women who are involved in TS in
behavioral interventions for substance use and sexual risk reduction.
Purchase full article at: http://goo.gl/ZvIWgU
- 1The Substance Abuse Research Center, University of Michigan.
- 2Department of Psychiatry, University of Michigan.
- Psychol Addict Behav. 2014 Jun;28(2):625-30. doi: 10.1037/a0035417.
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