Edwards Jessica M, Halpern Carolyn T, Wechsberg Wendee M
Pacific Institute for Research and Evaluation, Chapel Hill, NC 27514-2812, USA.
AIDS Educ Prev. 2006 Oct;18(5):420-9. doi: 10.1521/aeap.2006.18.5.420.
This study examined the correlates of trading sex for drugs or money among women who use crack cocaine. Using baseline data (n = 669) from a woman-focused HIV intervention study among African American women who use crack cocaine, we conducted logistic regression analysis to examine the odds of trading sex associated with distal and proximal factors. The results indicate that heavier crack use, homelessness, and unemployment are associated with trading sex. In addition, childhood abuse is associated with trading sex and this relationship is, in part, mediated by psychological distress. This suggests that distal factors may underlie the relationship between current variables and sex trading. These findings underscore the importance for public health interventions to address both distal and proximal factors that contribute to and/or co-occur with women's drug use which, in turn, may affect their HIV risk and overall well-being.
本研究调查了使用快克可卡因的女性中以性交易换取毒品或金钱的相关因素。利用一项针对使用快克可卡因的非裔美国女性的以女性为重点的艾滋病毒干预研究的基线数据（n = 669），我们进行了逻辑回归分析，以检验与远端和近端因素相关的性交易几率。结果表明，大量使用快克可卡因、无家可归和失业与性交易有关。此外，童年期受虐与性交易有关，且这种关系部分由心理困扰介导。这表明远端因素可能是当前变量与性交易之间关系的基础。这些发现强调了公共卫生干预措施应对促成女性吸毒和/或与女性吸毒同时出现的远端和近端因素的重要性，而这些因素反过来可能会影响她们感染艾滋病毒的风险和整体健康状况。
