Brown Qiana L, Cavanaugh Courtenay E, Penniman Typhanye V, Latimer William W
Department of Mental Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
J Subst Use. 2012;17(3):287-293. doi: 10.3109/14659891.2011.583309. Epub 2011 Oct 3.
This study is a secondary data analysis aimed to examine the influence of recent homelessness on recent sex trade among pregnant women in drug treatment after controlling for psychiatric comorbidity, age, education, and race. Eighty-one pregnant women from a drug treatment program in Baltimore, Maryland attended an in-person interview and completed the Structured Clinical Interview for Diagnostic and Statistical Manual for Mental Disorders-IV for Axis I disorders, the HIV Risk Behavior Interview, and demographic questionnaires, which assessed psychiatric symptoms, recent homelessness, and sexual risk behavior respectively. Women who experienced recent homelessness had a 4.74 greater odds of having recently traded sex than women who had not been recently homeless, suggesting that homelessness uniquely influences sex trade beyond psychiatric status, which was also a significant correlate of recent sex trade. Addressing both homelessness and psychiatric problems may effectively reduce sex trade and risk for infectious diseases, which could adversely impact maternal and child health outcomes.
本研究是一项二次数据分析，旨在在控制精神疾病共病、年龄、教育程度和种族因素后，考察近期无家可归状况对接受药物治疗的孕妇近期性交易行为的影响。来自马里兰州巴尔的摩一个药物治疗项目的81名孕妇参加了面对面访谈，并完成了针对《精神疾病诊断与统计手册》第四版轴I障碍的结构化临床访谈、艾滋病毒风险行为访谈以及人口统计问卷，这些问卷分别评估了精神症状、近期无家可归状况和性风险行为。近期无家可归的女性近期进行性交易的几率比近期无此状况的女性高4.74倍，这表明无家可归状况对性交易行为的影响具有独特性，超出了精神状态的影响，而精神状态也是近期性交易行为的一个重要相关因素。解决无家可归问题和精神疾病问题可能会有效减少性交易行为以及传染病风险，而这些可能会对母婴健康结局产生不利影响。
