Jones Abenaa A, Dyer T V, Das A, Lasopa S O, Striley C W, Cottler L B
Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
University of Maryland, College Park, USA.
J Drug Issues. 2019 Jan 1;49(1):15-27. doi: 10.1177/0022042618795141. Epub 2018 Aug 29.
This study examined risky sexual behaviors, (4th ed.; )-defined alcohol and substance use disorders, and perceptions of risky behaviors among community released, justice-involved women, who are currently trading sex (CTS), formerly traded sex (FTS), or have never traded sex. Data were derived from 266 sexually active women recruited from a Municipal Drug Court System in St. Louis, Missouri. In an adjusted multinomial regression model, being dependent on alcohol and cocaine was the most robust correlate of sex-trading status (adjusted odds ratio [AOR]: CTS = 4.21, FTS = 4.66). Perceptions of sexual risk and HIV were significantly associated with CTS (AOR = 3.39), however, not FTS. Other significant correlates of sex trading status included age, lifetime injection drug use, lower education, child sexual abuse, and unstable housing. Gender-specific interventions tailored toward currently and formerly sex-trading women are needed.
本研究调查了有危险性行为、（第4版；）界定的酒精和物质使用障碍，以及社区释放的、涉及司法程序的女性（她们目前正在进行性交易[CTS]、以前进行过性交易[FTS]或从未进行过性交易）对危险行为的认知。数据来自从密苏里州圣路易斯市一个市毒品法庭系统招募的266名性活跃女性。在一个调整后的多项回归模型中，对酒精和可卡因产生依赖是性交易状态最有力的相关因素（调整后的优势比[AOR]：CTS = 4.21，FTS = 4.66）。对性风险和艾滋病毒的认知与CTS显著相关（AOR = 3.39），然而，与FTS无关。性交易状态的其他显著相关因素包括年龄、终身注射吸毒史、低学历、儿童性虐待和住房不稳定。需要针对目前和以前进行性交易的女性制定针对性别的干预措施。
