TY - JOUR
T1 - Alcohol, drug, and sexual risk behavior correlates of recent transactional sex among female black South African drug users
AU - Hedden, Sarra L.
AU - Hulbert, Alicia
AU - Cavanaugh, Courtenay E.
AU - Parry, Charles D.
AU - Moleko, Anne Gloria
AU - Latimer, William W.
N1 - Funding Information: Funding for this study was provided by NIDA’s Southern Africa Initiative as a supplement to a parent study conducted in the United States (R01DA014498) and from the Drug Dependence Epidemiology Training Grant (T32DA007292). The authors wish to thank Dr. Leah Floyd for her work on this study.
PY - 2011/2
Y1 - 2011/2
N2 - Transactional sex among black South African women has become a mode of economic survival putting them at higher risk for HIV and other infectious disease.Methods: In order to inform HIV interventions, drug, and sexual risk behavior correlates of recent transactional sex among a descriptive epidemiological, cross-sectional sample of 189, black South African women in Pretoria were examined using log binomial regression.Results: Prevalence of HIV seropositivity was extremely high among non-transactional sex workers (47.1%) and transactional sex workers (54.6%), albeit not significantly different. Adjusted regression results indicated that the probability of transactional sex was greater for drug using women who tested positive for cocaine use [adjusted prevalence ratio (APR) = 1.3, 95% CI = 1.1, 1.5] and knew of anyone who died of AIDS (APR = 1.5, 95% CI = 1.1, 2.1). The probability of transactional sex was lower for female drug users who reported greater education (APR = 0.6, 95% CI = 0.4, 0.8), condom use in their first sexual encounter (APR = 0.7, 95% CI = 0.6, 1.0), or reported a recent steady sexual partnership (APR = 0.8, 95% CI = 0.7, 0.9).Conclusions: Drug use-related interventions for female transactional sex workers may need to focus on methods for the reduction of not only drug use, especially cocaine use, but also the reduction of sexual risk behaviors.
AB - Transactional sex among black South African women has become a mode of economic survival putting them at higher risk for HIV and other infectious disease.Methods: In order to inform HIV interventions, drug, and sexual risk behavior correlates of recent transactional sex among a descriptive epidemiological, cross-sectional sample of 189, black South African women in Pretoria were examined using log binomial regression.Results: Prevalence of HIV seropositivity was extremely high among non-transactional sex workers (47.1%) and transactional sex workers (54.6%), albeit not significantly different. Adjusted regression results indicated that the probability of transactional sex was greater for drug using women who tested positive for cocaine use [adjusted prevalence ratio (APR) = 1.3, 95% CI = 1.1, 1.5] and knew of anyone who died of AIDS (APR = 1.5, 95% CI = 1.1, 2.1). The probability of transactional sex was lower for female drug users who reported greater education (APR = 0.6, 95% CI = 0.4, 0.8), condom use in their first sexual encounter (APR = 0.7, 95% CI = 0.6, 1.0), or reported a recent steady sexual partnership (APR = 0.8, 95% CI = 0.7, 0.9).Conclusions: Drug use-related interventions for female transactional sex workers may need to focus on methods for the reduction of not only drug use, especially cocaine use, but also the reduction of sexual risk behaviors.
KW - South Africa
KW - sexual risk behavior
KW - substance use
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U2 - https://doi.org/10.3109/14659891003721141
DO - https://doi.org/10.3109/14659891003721141
M3 - Article
VL - 16
SP - 57
EP - 67
JO - Journal of Substance Use
JF - Journal of Substance Use
SN - 1465-9891
IS - 1
ER -