Gerassi Lara B, Jonson-Reid Melissa, Plax Katie, Kaushik Gaurav
Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri, USA.
Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri, USA.
J Aggress Maltreat Trauma. 2016;25(9):909-920. doi: 10.1080/10926771.2016.1223245. Epub 2016 Sep 21.
The purpose of this study was to determine the prevalence and individual risk factors of people who trade or sell sex among sexually active individuals seeking HIV and sexually transmitted infection (STI) testing. Using electronic agency records, an analysis of the characteristics of 5,029 youth and adults who voluntarily obtained HIV and STI testing was conducted. Multiple imputation procedures for missing data from 3 variables and logistic regression were conducted. A total of 128 individuals reported having traded sex. Nine variables had statistically significant associations with trading sex. Individuals who identified as White and female had lesser odds of trading sex, whereas individuals who were transgender, were living in a shelter, had been sexually assaulted, had a previous STI, had high-risk sex, or used drugs had greater odds of trading sex. Elevated levels of high-risk behavior in addition to sexual trauma should be considered in intervention research and community health practice. Implications for service providers and researchers are discussed.
本研究的目的是确定在寻求艾滋病毒和性传播感染（STI）检测的性活跃个体中，从事性交易或性买卖人群的患病率及个体风险因素。利用电子机构记录，对5029名自愿接受艾滋病毒和性传播感染检测的青年及成年人的特征进行了分析。针对3个变量的缺失数据采用了多重填补程序并进行了逻辑回归分析。共有128人报告有过性交易行为。9个变量与性交易存在统计学上的显著关联。自认为是白人且为女性的个体进行性交易的几率较低，而跨性别者、居住在收容所者、曾遭受性侵犯者、既往有性传播感染者、有高危性行为者或吸毒者进行性交易的几率较高。在干预研究和社区卫生实践中，除性创伤外，还应考虑高危行为水平的升高。文中讨论了对服务提供者和研究人员的启示。
