McMahon James M, Tortu Stephanie, Pouget Enrique R, Hamid Rahul, Neaigus Alan
National Development and Research Institutes, 71 West 23rd Street, 8th Floor, New York, New York 10010, USA.
AIDS Behav. 2006 Nov;10(6):731-41. doi: 10.1007/s10461-006-9093-7.
Recent studies have revealed a variety of contexts involving HIV risk behaviors among women who exchange sex for money or drugs. Event analysis was used to identify the individual, relationship, and contextual factors that contribute to these high-risk sex exchange practices. Analyses were conducted on data obtained from 155 drug-using women who reported details of their most recent sex exchange event with male clients. The majority of sex exchange encounters (78%) involved consistent condom use. In multivariable analysis, protective behavior was associated primarily with situational and relationship variables, such as exchange location, substance use, sexual practices, and respondent/client discussion and control. In order to inform HIV prevention programs targeted to women sex exchangers, further research is needed on the contextual determinants of risk, especially with regard to condom-use negotiation and factors involving substance use that adversely affect women's ability to manage protective behavior in the context of sex exchange.
近期研究揭示了以性换钱或毒品的女性中存在的各种涉及艾滋病病毒风险行为的情况。采用事件分析法来确定促成这些高风险性交易行为的个人、关系及环境因素。对从155名吸毒女性那里获取的数据进行了分析，这些女性报告了她们与男性客户最近一次性交易事件的细节。大多数性交易（78%）中都始终使用了避孕套。在多变量分析中，保护行为主要与情境和关系变量相关，如交易地点、药物使用、性行为，以及受访者/客户之间的讨论和控制。为了给针对女性性交易者的艾滋病病毒预防项目提供信息，需要进一步研究风险的环境决定因素，尤其是关于避孕套使用的协商以及涉及药物使用的、会对女性在性交易情境中管理保护行为的能力产生不利影响的因素。
