Compared to female IDUs, the correlates of receiving money,
drugs, or other things in exchange for sex ("selling sex") among male
IDUs are not well understood.
In 2012, IDUs were sampled in New York City for the National
HIV Behavioral Surveillance cross-sectional study using respondent driven
sampling. Analyses were limited to male participants. Logistic regression was
used to calculate crude and adjusted odds ratios (aOR) and 95% confidence
intervals (95% CI) to determine the correlates of selling sex to (1) men and
(2) women in the past 12 months.
Of 394 males, 35 (8.9%) sold sex to men and 66 (16.8%) sold
sex to women. Correlates of selling sex to men included bisexual/gay identity
(aOR: 31.0; 95% CI: 8.1, 119.1), Bronx residence (vs. Manhattan), and in the past 12 months, being homeless, ≥3 sex partners, non-injection
cocaine use, and injecting methamphetamine. Correlates of selling sex to women included, in the
past 12 months, ≥3 sex partners, binge drinking
at least once a week, non-injection crack use, most frequently injected "speedball"
(vs. heroin), and receptively shared syringes.
Among male IDUs, those who sold sex had more sex partners,
which may facilitate the sexual spread of HIV among IDUs and to non-IDU male
and female sex partners. HIV prevention interventions aimed at male IDUs who
sell sex should consider both their sexual and parenteral risks and the greater
risk of engaging in exchange sex associated with the use of injection and
non-injection stimulant drugs.
Purchase full article at: http://goo.gl/csRkCm
By:
- 1HIV Epidemiology Program, New York City Department of Health and Mental Hygiene, 42-09 28th Street, Long Island City, NY 11101, USA. Electronic address: kreilly3@health.nyc.gov.
- 2HIV Epidemiology Program, New York City Department of Health and Mental Hygiene, 42-09 28th Street, Long Island City, NY 11101, USA.
- 3St. Ann's Corner of Harm Reduction, 310 Walton Ave., Bronx, NY 10451, USA.
- 4Department of Anthropology, John Jay College of Criminal Justice, 899 10th Ave., New York, NY 10019, USA.
- 5College of Nursing, New York University, 726 Broadway, New York, NY 10003, USA.
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