Showing posts with label Sex Trading. Show all posts
Showing posts with label Sex Trading. Show all posts

Thursday, June 30, 2016

The relationship between violence and engagement in drug dealing and sex work among street-involved youth

OBJECTIVES:
Street-involved youth are highly vulnerable to violence. While involvement in income-generating activities within illicit drug scenes is recognized as shaping youths' vulnerability to violence, the relative contributions of different income-generating activities remain understudied. We sought to examine the independent effects of drug dealing and sex work on experiencing violence among street-involved youth.

METHODS:
Data were derived from a prospective cohort of street-involved youth aged 14-26 who used drugs in Vancouver, British Columbia, between September 2005 and May 2014. Multivariable generalized estimating equations were used to examine the impact of involvement in drug dealing and sex work on experiencing violence.

RESULTS:
Among 1,152 participants, including 364 (31.6%) women, 740 (64.2%) reported having experienced violence at some point during the study period. In multivariable analysis, involvement in drug dealing but not sex work remained independently associated with experiencing violence among females (adjusted odds ratio [AOR]: 1.43; 95% confidence interval [CI]: 1.08-1.90) and males (AOR: 1.50; 95% CI: 1.25-1.80), while involvement in sex work only was not associated with violence among females (AOR: 1.15; 95% CI: 0.76-1.74) or males (AOR: 1.42; 95% CI: 0.81-2.48).

CONCLUSION:
Findings indicate that involvement in drug dealing is a major factor associated with experiencing violence among our sample. In addition to conventional interventions, such as addiction treatment, novel approaches are needed to reduce the risk of violence for drug-using youth who are actively engaged in drug dealing. The potential for low-threshold employment and decriminalization of drug use to mitigate violence warrants further study.

Purchase full article at:   http://goo.gl/emWqd9

  • 1Department of Medicine, University of British Columbia; British Columbia Centre for Excellence in HIV/AIDS. khayashi@cfenet.ubc.ca.
  •  2016 Jun 27;107(1):e88-93. doi: 10.17269/cjph.107.5219. 





Monday, April 4, 2016

Gendered Contexts: Psychopathy and Drug Use in Relation to Sex Work and Exchange

Few scholars have examined psychopathology correlates of sex work. It has been suggested that sex work may reflect manifestations of impulsive-antisocial psychopathic traits (e.g., reckless disregard, delinquency) in women more than men. 

The current work examined relative contributions of drug dependence and distinct psychopathic features in relation to traditional forms of sex work (i.e., prostitution) in women, along with gender differences in psychopathy relationships with casual forms of sex exchange (i.e., trading sex for necessities). 

Study 1 included 171 community-dwelling women offenders, and Study 2 included 319 participants (42.3% women) with histories of drug use and/or violence. Participants completed the Psychopathy Checklist: Screening Version, prostitution was measured as self-report and/or public record data across studies, and sex exchange in Study 2 was assessed using a questionnaire based on prior research on sexual risk-taking. 

Findings across both studies demonstrated that although psychopathic traits, particularly impulsive-antisocial features, were associated with prostitution in women above the use of drugs, drug dependence did not moderate the relationship between psychopathic traits and prostitution in women. 

Analyses of Study 2 data revealed that impulsive-antisocial traits were associated with sex exchange at low, but not high, levels of interpersonal-affective traits across participants. As well, interpersonal-affective traits were significantly positively related to sex exchange in men and not significantly (and negatively) related in women. 

In sum, impulsive-antisocial traits related to prostitution among women, suggesting that women may manifest these traits within intimate contexts. Moreover, findings indicated gender differences in the manifestation of interpersonal-affective traits within sexual exchange contexts.

Purchase full article at:   http://goo.gl/ewq3Pg

Department of Psychology, University of South Florida




Wednesday, March 30, 2016

A Retrospective & Prospective Analysis of Trading Sex for Drugs or Money in Women Substance Abuse Treatment Patients

BACKGROUND:
Trading sex for drugs or money is common in substance abuse treatment patients, and this study evaluated prevalence and correlates of this behavior in women with cocaine use disorders initiating outpatient care. In addition, we examined the relation of sex trading status to treatment response in relation to usual care versus contingency management (CM), as well as predictors of continued involvement in sex trading over a 9-month period.

METHODS:
Women (N=493) recruited from outpatient substance abuse treatment clinics were categorized according to histories of sex trading (n=215, 43.6%) or not (n=278).

RESULTS:
Women with a history of trading sex were more likely to be African American, older and less educated, and they had more severe employment problems and were more likely to be HIV positive than those without this history. Controlling for baseline differences, both groups responded equally to substance abuse treatment in terms of retention and abstinence outcomes. Fifty-four women (11.3%) reported trading sex within the next nine months. Predictors of continued involvement in trading sex included a prior history of such behaviors and achieving less abstinence during treatment. Each additional week of abstinence during treatment was associated with a 16% reduction in the likelihood of trading sex over the follow-up.

CONCLUSIONS:
Because over 40% of women receiving community-based treatment for cocaine use disorders have traded sex for drugs or money and more than 10% persist in the behavior, more intensive and directed approaches toward addressing this HIV risk behavior are recommended.

Purchase full article at:   http://goo.gl/NGm0G5

  • 1UConn Health, 263 Farmington Avenue (MC 3944), Farmington, CT 06030, United States. Electronic address: rashc@uchc.edu.
  • 2UConn Health, 263 Farmington Avenue (MC 3944), Farmington, CT 06030, United States.
  • 3Community Health Services, 500 Albany Avenue, Hartford, CT 06120, United States. 
  •  2016 Mar 16. pii: S0376-8716(16)00146-0. doi: 10.1016/j.drugalcdep.2016.03.006.



Friday, January 8, 2016

Prevalence & Factors Associated with Sex Trading in the Year Prior to Entering Treatment for Drug Misuse in England

BACKGROUND:
This study estimates the past year prevalence of and factors associated with sex trading (offering sex for money, drugs or something else) among 1796 men and women presenting to 342 drug misuse treatment agencies in England, and identifies service development and delivery implications.

METHODS:
Secondary analysis of baseline data from a prospective cohort was conducted. Short Form-12 measured mental and physical wellbeing, psychiatric diagnoses were self-reported and the circumstances, motivation and readiness tool assessed readiness for/pressure to enter treatment. Logistic regression models determined associations with sex trading separately by sex. Inverse probability population weights were calculated, utilising demographics from the National Drug Treatment Monitoring System and agency specific data collection windows.

RESULTS:
The estimated prevalence rate of sex trading in the past 12 months was 5.1% (15.0% for women and 2.1% for men). For women, adjusted models identified crack use, previous treatment and greater readiness for treatment  as independently associated with sex trading. For men, lower mental wellbeing was independently associated and marginal effects were identified for syringe sharing and unprotected sex.

CONCLUSIONS:
Sex trading among drug misusers is associated with additional health risks and specific treatment needs. Given the scale of the problem it is important that treatment providers have the competencies to adequately address the issue and provide accessible and appropriate services.

Purchase full article at:   http://goo.gl/4LJKF1

  • 1King's College London, National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, 4 Windsor Walk, London SE5 8BB, United Kingdom. Electronic address: gail.gilchrist@kcl.ac.uk.
  • 2King's College London, National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, 4 Windsor Walk, London SE5 8BB, United Kingdom. Electronic address: Nicola.Singleton@kcl.ac.uk.
  • 3National Drug Evidence Centre, Institute of Population Health, University of Manchester, Ellen Wilkinson Building, 4th Floor, Oxford Road, Manchester M13 9PL, United Kingdom. Electronic address: M.Donmall@manchester.ac.uk.
  • 4National Drug Evidence Centre, Institute of Population Health, University of Manchester, Ellen Wilkinson Building, 4th Floor, Oxford Road, Manchester M13 9PL, United Kingdom. Electronic address: Andrew.Jones@manchester.ac.uk.
  •  2015 Jul 1;152:116-22. doi: 10.1016/j.drugalcdep.2015.04.017. Epub 2015 Apr 30. 





Sunday, September 13, 2015

Correlates of Sex Trading among Drug-Involved Women in Committed Intimate Relationships: A Risk Profile

Despite a slight decline in new human immunodeficiency virus (HIV) infections in New York, marked increases and concentrated epidemics continue among subsets of the population, including women engaged in sex trading. We examined the prevalence and correlates of sex trading among 346 low-income, HIV-negative women in HIV-concordant intimate relationships.

Of the 346 women in the study, 28% reported sex trading during the prior 90 days. Multivariate analyses showed increased relative risk of sex trading by lifetime experience of severe intimate partner violence (IPV), drug, and alcohol use, and marginal significance for mental health hospitalization, partner drug dependency, and homelessness.

These findings suggest an urgent need for HIV prevention and intervention efforts targeted toward women in intimate relationships who trade sex for money or drugs, with an emphasis on IPV, mental health, history of incarceration, and substance abuse.



  • 1Social Intervention Group (SIG), School of Social Work, Columbia University, New York City, New York
  • 2Social Intervention Group (SIG), School of Social Work, Columbia University, New York City, New York.

Prevalence & Factors Associated with Sex Trading in the Year Prior to Entering Treatment for Drug Misuse in England

This study estimates the past year prevalence of and factors associated with sex trading (offering sex for money, drugs or something else) among 1796 men and women presenting to 342 drug misuse treatment agencies in England, and identifies service development and delivery implications.

The estimated prevalence rate of sex trading in the past 12 months was 5.1% (15.0% for women and 2.1% for men). For women, adjusted models identified crack use, previous treatment and greater readiness for treatment as independently associated with sex trading. For men, lower mental wellbeing was independently associated and marginal effects were identified for syringe sharing and unprotected sex.

Sex trading among drug misusers is associated with additional health risks and specific treatment needs. Given the scale of the problem it is important that treatment providers have the competencies to adequately address the issue and provide accessible and appropriate services.



  • 1King's College London, National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, 4 Windsor Walk, London SE5 8BB, United Kingdom. Electronic address: gail.gilchrist@kcl.ac.uk.
  • 2King's College London, National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, 4 Windsor Walk, London SE5 8BB, United Kingdom. Electronic address: Nicola.Singleton@kcl.ac.uk.
  • 3National Drug Evidence Centre, Institute of Population Health, University of Manchester, Ellen Wilkinson Building, 4th Floor, Oxford Road, Manchester M13 9PL, United Kingdom. Electronic address: M.Donmall@manchester.ac.uk.
  • 4National Drug Evidence Centre, Institute of Population Health, University of Manchester, Ellen Wilkinson Building, 4th Floor, Oxford Road, Manchester M13 9PL, United Kingdom

Tuesday, September 8, 2015

Characteristics Associated with Group Sex Participation among Men & Women in the Club Drug Scene

This study examined the demographics, substance use and sexual risk behaviours associated with group sex (GS) participation among a sample of club drug users (n = 498) in Miami. 

Men and women reported histories of GS. Group sex participation among men and women was associated with heroin and injection drug use, trading or selling sex, and sex while high, compared with no GS participation. Moreover, among men, GS was associated with buying sex and sex with an injection drug user; among women, GS was associated with substance dependence, a history of sexually transmissible infections and crack cocaine use, compared with no GS participation.

Via: http://ht.ly/RX6vv

By: Buttram MEKurtz SP.
Center For Applied Research on Substance Use and Health Disparities, 2 NE 40th Street, Suite 404 Miami, FL 33137, USA. 

Sunday, September 6, 2015

Youth Arrested for Trading Sex Have the Highest Rates of Childhood Adversity: A Statewide Study of Juvenile Offenders

Naramore R1Bright MA2Epps N3Hardt NS1.
  • 1University of Florida, Gainesville, USA.
  • 2University of Florida, Gainesville, USA mbright08@ufl.edu.
  • 3Florida Department of Juvenile Justice, Tallahassee, USA.
A history of childhood adversity is associated with high-risk behaviors and criminal activity in both adolescents and adults. Furthermore, individuals with histories of child maltreatment are at higher risk for engaging in risky sexual behavior, experiencing re-victimization, and in some cases, becoming sexual offenders. 

The purpose of the current study was to examine the prevalence of individual and cumulative adverse childhood experiences (ACEs) reported by 102 offending youth who were arrested for trading sex and 64,227 offending youth who were arrested for various other crimes, using Florida's Positive Achievement Change Tool. 

Youth with violations related to sex trafficking had higher rates for each ACE as well as number of ACEs, particularly sexual abuse and physical neglect. These findings have implications for identifying adverse experiences in both maltreated and offending youth as well as tailoring services to prevent re-victimization.

Via: http://ht.ly/RRlwb HT https://twitter.com/UF

More at:  https://twitter.com/hiv_insight