Head Sara K, Eaton Danice, Lloyd Patricia C, McLaughlin Aimee, Davies-Cole John
Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia.
Division of Scientific Education and Professional Development, Center for Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention, Atlanta, Georgia.
J Adolesc Health. 2021 Feb;68(2):350-356. doi: 10.1016/j.jadohealth.2020.06.006. Epub 2020 Jul 14.
Exchange sex, the exchange of money or nonmonetary items for sex, is associated with sexually transmitted diseases and HIV. We sought to identify prevalence and characteristics associated with exchange sex among District of Columbia (DC) high school students.
We used the 2017 DC Youth Risk Behavior Survey, a cross-sectional survey of students in grades 9-12 (n = 8,578). We performed multivariable logistic regression to examine associations between exchange sex and demographic, home environment, and substance use measures.
In 2017, a total of 7.4% (95% confidence interval [CI]: 6.6-8.2) of students reported ever having engaged in exchange sex. Odds of exchange sex were higher among males (adjusted odds ratio [AOR]: 2.5; 95% CI: 1.6-4.0) and students who had sexual contact with partners of both sexes (AOR: 2.4; 95% CI: 1.2-4.9), compared with students having sexual contact with partners of opposite sex only. Exchange sex was also associated with having been kicked out, run away, or abandoned during the past 30 days (AOR: 10.7; 95% CI: 7.0-16.3]); going hungry during the past 30 days (AOR: 2.2; 95% CI: 1.1-4.5); and ever using synthetic marijuana (AOR: 2.6; 95% CI: 1.3-5.0) or cocaine, heroin, methamphetamines, or ecstasy (AOR: 2.9; 95% CI: 1.6-5.3]), compared with those who had not.
Approximately one in 14 DC high school students engaged in exchange sex. Programs providing services to youth with unstable housing, food insecurity, or who use drugs should incorporate sexual health services to address exchange sex practices.
交易性行为，即用金钱或非货币物品换取性行为，与性传播疾病及艾滋病毒相关。我们试图确定哥伦比亚特区（DC）高中生中交易性行为的流行情况及其相关特征。
我们使用了2017年DC青少年风险行为调查，这是一项对9至12年级学生（n = 8578）的横断面调查。我们进行了多变量逻辑回归分析，以检验交易性行为与人口统计学、家庭环境及物质使用指标之间的关联。
2017年，共有7.4%（95%置信区间[CI]：6.6 - 8.2）的学生报告曾有过交易性行为。与仅与异性有性接触的学生相比，男性（调整后的优势比[AOR]：2.5；95% CI：1.6 - 4.0）以及与两性伴侣都有性接触的学生（AOR：2.4；95% CI：1.2 - 4.9）发生交易性行为的几率更高。交易性行为还与在过去30天内被赶出、离家出走或被抛弃（AOR：10.7；95% CI：7.0 - 16.3）、在过去30天内挨饿（AOR：2.2；95% CI：1.1 - 4.5）以及曾使用合成大麻（AOR：2.6；95% CI：1.3 - 5.0）或可卡因、海洛因、甲基苯丙胺或摇头丸（AOR：2.9；95% CI：1.6 - 5.3）有关，与未出现这些情况的学生相比。
约每14名DC高中生中就有1人有过交易性行为。为住房不稳定、粮食无保障或吸毒的青少年提供服务的项目应纳入性健康服务，以解决交易性行为问题。
