School of Social Work, San Diego State University, Hepner Hall #119, 5500 Campanile Drive, San Diego, CA, 92182-4119, USA.
Center on Gender Equity and Health, Division of Infectious Diseases and Global Public Health, Department of Medicine, University of California San Diego, La Jolla, USA.
AIDS Behav. 2018 Aug;22(8):2553-2563. doi: 10.1007/s10461-018-2131-4.
People living with HIV/AIDS (PLWH) are more likely to have a history of trading sex, but little research has examined whether trading sex is associated with lower health care utilization amongst PLWH. This study assesses this association with PLWH (N = 583) recruited and surveyed from seven community sites in six US cities participating in a multi-site community-based HIV test and treat initiative. Participants were 90.6% Black or Latino, 30.4% homeless, and 9.0% (1 in 11) sold sex (past 90 days). Most reported receiving HIV clinical care (63.9%, past 6 months) and HIV case management (68.9%, past year), but 35.7% reported a missed health care appointment (past 3 months). In adjusted regression models, trading sex was associated with a missed health care appointment (OR = 2.44) and receiving psychological assistance (OR = 2.31), past 90 days, but not receipt of HIV care or supportive HIV services. Trading sex may compromise consistent health care utilization among PLWH.
艾滋病毒/艾滋病感染者（PLWH）更有可能有过性交易史，但很少有研究调查过性交易是否与 PLWH 较低的医疗保健利用率有关。本研究评估了来自参与美国六个城市七个社区站点的多地点社区为基础的 HIV 检测和治疗倡议的七项社区站点招募和调查的 PLWH（N=583）之间的这种关联。参与者 90.6%为黑种人或拉丁裔，30.4%无家可归，9.0%（11 人中就有 1 人）有过性交易（过去 90 天内）。大多数人报告在过去 6 个月内接受过艾滋病毒临床护理（63.9%）和艾滋病毒病例管理（68.9%），但 35.7%的人报告过去 3 个月错过了医疗预约。在调整后的回归模型中，过去 90 天内进行性交易与错过医疗预约（OR=2.44）和接受心理援助（OR=2.31）相关，但与接受 HIV 护理或支持性 HIV 服务无关。性交易可能会影响 PLWH 持续接受医疗保健服务。
