Correlates of trading sex for methamphetamine in a sample of HIV-negative heterosexual methamphetamine users.

Correlates of trading sex for methamphetamine in a sample of HIV-negative heterosexual methamphetamine users.
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DOI:
10.1080/02791072.2011.587390
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发表时间:
2011-04
影响因子:
2.8
通讯作者:
Patterson TL
Patterson TL
中科院分区:
医学4区
文献类型:
--
作者:
Semple SJ;Strathdee SA;Zians J;Patterson TL

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虽然许多研究都研究了性交易与金钱的相关性,但很少有人研究与性交易毒品有关的因素。我们在加州圣地亚哥参加性风险降低干预的HIV阴性异性恋男性和女性样本中确定了以性换取甲基苯丙胺的社会人口统计学、行为和心理相关性。在342名参与者中,26%的人(21%的男性和31%的女性)报告在过去两个月内用性交易来换取甲基苯丙胺。多元逻辑回归分析显示,最近的性交易甲基苯丙胺与女性,无家可归,吸食甲基苯丙胺,过去两个月的性受害,过去两个月的肛交24次或更多,以及较高的性强迫分数独立相关。对这一高风险人群的有效干预措施应考虑针对性虐待的以性别为重点的咨询、动机增强疗法、社会认知技能培训,以及增加获得和利用社会服务的机会,包括药物治疗。
While many studies have examined correlates of trading sex for money, few have examined factors associated with exclusive trading of sex for drugs. We identified sociodemographic, behavioral, and psychological correlates of trading sex for methamphetamine in a sample of HIV-negative heterosexual men and women who were enrolled in a sexual risk reduction intervention in San Diego, California. Of 342 participants, 26% overall (21% of males and 31% of females) reported trading sex for methamphetamine in the past two months. Multiple logistic regression analysis revealed that recently trading sex for methamphetamine was independently associated with being female, homeless, binging on methamphetamine, sexual victimization in the past two months, engaging in anal sex 24 or more times in the past two months, and higher sexual compulsivity scores. Effective interventions for this high-risk population should consider gender-focused counseling for sexual abuse, motivational enhancement therapy, social-cognitive skills training, as well as enhanced access and utilization of social services, including drug treatment.