Gender and Sex Trading Among Active Methamphetamine Users in Cape Town, South Africa.
Gender and Sex Trading Among Active Methamphetamine Users in Cape Town, South Africa.
复制标题
DOI：
10.1080/10826084.2016.1264964
复制
发表时间：
2017-05-12
影响因子：
2
通讯作者：
Meade CS
中科院分区：
文献类型：
--
作者：
Lion RR;Watt MH;Wechsberg WM;Meade CS
自2000年以来，南非的甲基苯丙胺使用量急剧上升。性交易是一种全球现象，在活跃的吸毒者中观察到，并与艾滋病毒感染和暴力的风险有关。本文介绍和研究的相关性，活跃的甲基苯丙胺用户在南非开普敦。通过同行推荐，360名（201名男性; 159名女性）活跃的甲基苯丙胺使用者被招募在城郊乡镇。通过结构化临床访谈和计算机调查评估人口统计学、性交易、药物使用、创伤和心理健康。Logistic回归模型被用来研究男性和女性性交易的预测因素。在过去的3个月里，40%的男性和33%的女性支持用性来换取冰毒或金钱。其中，他们报告与同性伴侣进行交易（33%），不一致使用避孕套的比例很高（73%），性交易时发生身体攻击（23%）和性攻击（27%）。吸毒严重程度的增加与性交易有关。有暴力和创伤经历的妇女也更有可能进行性交易。研究结果强调了与药物治疗联系的必要性，因为成瘾可能会助长性交易。针对安全性行为的有针对性的干预措施可能会减少危险的性行为。妇女需要针对其具体脆弱性的干预措施。需要更多的研究来探索与男性发生性关系的男性的经历，因为他们的性交易行为率特别高。
South Africa has experienced a tremendous rise in methamphetamine use since the year 2000. Sex trading is a global phenomenon that has been observed in active drug users and has been associated with risks for HIV infection and violence. This paper describes and examines the correlates of sex trading among active methamphetamine users in Cape Town, South Africa. Through peer referral, 360 (201 male; 159 female) active methamphetamine users were recruited in a peri-urban township. Demographics, sex trading, drug use, trauma, and mental health were assessed by a structured clinical interview and computer survey. Logistic regression models were used to examine predictors of sex trading for men and women. In the past 3 months, 40% of men and 33% of women endorsed trading sex for methamphetamine or money. Among these, they reported trading with same sex partners (33%), high rates of inconsistent condom use (73%), and incidences of physical (23%) and sexual (27%) assault when sex trading. Increased drug use severity was correlated with sex trading. Women with experiences of violence and trauma were also more likely to trade sex. The results stress a need for linkage to drug treatment, as addiction may be fueling sex trading. Targeted interventions geared towards safe sex practices may reduce risky sexual behaviors. Women need interventions that are attuned to their specific vulnerabilities. More research is needed to explore the experiences of men who have sex with men given their particularly high rates of sex trading behavior.
登录
查看更多内容
影响因子：
1.6
作者：
Beksinska ME;Smit JA;Mantell JE
通讯作者：
Mantell JE
影响因子：
--
作者：
Elmore-Meegan, M;Conroy, RM;Agala, CB
通讯作者：
Agala, CB
影响因子：
1.4
作者：
Dunkle, KL;Beksinska, ME;Wilson, ML
通讯作者：
Wilson, ML
影响因子：
56.3
作者：
Baral, Stefan;Beyrer, Chris;Kerrigan, Deanna
通讯作者：
Kerrigan, Deanna
影响因子：
5.4
作者：
Dunkle, KL;Jewkes, RK;Harlow, SD
通讯作者：
Harlow, SD