Document Detail

Survival sex work and increased HIV risk among sexual minority street-involved youth.
MedLine Citation:
PMID:  19927006     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Exchanging sex for money, drugs, or other commodities for survival is associated with an array of HIV risks. We sought to determine if street-involved drug-using sexual minority youth are at greater risk for survival sex work and are more likely to engage in risk behaviors with clients.
METHODS: We examined factors associated with survival sex work among participants enrolled in the At Risk Youth Study using logistic regression. Self-reported risk behaviors with clients were also examined.
RESULTS: Of 558 participants eligible for this analysis, 75 (13.4%) identified as a sexual minority and 63 (11.3%) reported survival sex work in the past 6 months. Sexual minority males (adjusted odds ratio = 16.1, P < 0.001) and sexual minority females (adjusted odds ratio = 6.87, P < 0.001) were at significantly greater risk for survival sex work. Sexual minority youth were more likely to report inconsistent condom use with clients (odds ratio = 4.30, P= 0.049) and reported a greater number of clients in the past 6 months (median = 14 vs. 3, P = 0.008).
CONCLUSIONS: Sexual minority street youth are not only more likely to engage in survival sex work but also demonstrate elevated HIV risk behavior. These findings suggest that harm reduction and HIV prevention programs for sexual minority youth who exchange sex are urgently required.
Brandon D L Marshall; Kate Shannon; Thomas Kerr; Ruth Zhang; Evan Wood
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of acquired immune deficiency syndromes (1999)     Volume:  53     ISSN:  1944-7884     ISO Abbreviation:  J. Acquir. Immune Defic. Syndr.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-25     Completed Date:  2010-04-22     Revised Date:  2013-08-30    
Medline Journal Info:
Nlm Unique ID:  100892005     Medline TA:  J Acquir Immune Defic Syndr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  661-4     Citation Subset:  IM; X    
British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, British Columbia, Canada.
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MeSH Terms
Cohort Studies
HIV Infections / etiology*
Homeless Youth*
Logistic Models
Minority Groups
Prospective Studies
Sexual Behavior
Young Adult
Grant Support
HHP-67262//Canadian Institutes of Health Research; R01 DA011591/DA/NIDA NIH HHS; R01DA011591/DA/NIDA NIH HHS; RAA-79918//Canadian Institutes of Health Research

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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