HIV risk, seropositivity and predictors of infection among homeless and non-homeless women sex workers in Miami, Florida, USA
HIV risk, seropositivity and predictors of infection among homeless and non-homeless women sex workers in Miami, Florida, USA
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DOI：
10.1080/09540120410001716397
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发表时间：
2004-07-01
影响因子：
1.7
通讯作者：
Inciardi, JA
中科院分区：
文献类型：
--
作者：
Surratt, HL;Inciardi, JA
虽然无家可归经常与药物滥用有关，并已被确定为药物滥用者中艾滋病毒风险的预测因素，但人们对无家可归对女性性工作者中艾滋病毒风险的影响知之甚少。这项分析调查的贡献无家可归的性风险之间的样本485女性性工作者招募到艾滋病毒预防方案在迈阿密，佛罗里达，其中41.6%的人认为自己目前无家可归。研究结果表明，与非无家可归的性工作者相比，更多的无家可归的性工作者每天使用酒精和快克，他们过去一个月的性工作反映了更频繁的阴道和口交行为，更高水平的无保护阴道性行为和更多的性活动，而“高”的药物。与此同时，无家可归的性工作者遇到拒绝使用避孕套的顾客的比例明显高于非无家可归的性工作者。无家可归和非无家可归妇女之间的艾滋病毒血清阳性率没有显着差异（分别为22.5%和24.9%），主要是因为研究中的大多数妇女都是在无家可归的情况下循环的。
Although homelessness has frequently been associated with substance abuse, and has been established as a predictor of HIV risk among substance abusers, little is known about the impact of homelessness on HIV risk among female sex workers. This analysis investigated the contribution of homelessness to sexual risk taking among a sample of 485 female sex workers recruited into an HIV prevention programme in Miami, Florida, 41.6% of whom considered themselves to be currently homeless. Findings indicated that in comparison to non-homeless sex workers, significantly more homeless sex workers were daily users of alcohol and crack, and their past month sex work reflected significantly more frequent vaginal and oral sex acts, higher levels of unprotected vaginal sex and more numerous sexual activities while 'high' on drugs. At the same time, a significantly greater proportion of homeless sex workers encountered customers that refused to use condoms than did the non-homeless sex workers. There were no significant differences in HIV seropositivity between the homeless and nonhomeless women (22.5 and 24.9%, respectively), primarily because the majority of the women in the study cycled in and out of homelessness.