University of Kentucky, Lexington, KY, USA.
Health Educ Behav. 2024 Jun;51(3):416-424. doi: 10.1177/10901981231225440. Epub 2024 Jan 28.
The rise in opioid misuse coincides with increased sexually transmitted infection (STI) and HIV incidence. Transactional sex is an under-researched phenomenon among Black Americans who misuse opioids, and may increase their risk of STI or HIV transmission. Given the disproportionate impact of the opioid epidemic on Black Americans and the risks associated with opioid misuse, the current study aims to investigate sociostructural factors, history of violence, and sexual risk factors associated with transactional sex among Black men and women. A sample of = 375 Black adult Kentuckians reporting opioid misuse completed a survey including transactional sex, sociostructural, violence history, and sexual risk measures. Results of chi-squares and independent samples -tests revealed that compared to men who did not report engaging in transactional sex, men who engaged in transactional sex were less educated, reported being sexually assaulted or having an unwanted sexual experience in their lifetime, and were more likely to use opioids or cocaine before or during sex in the last year. Women who engaged in transactional sex had a history of violence, more structural barriers, higher psychological distress, and engaged in more sexual risk behaviors compared to women who did not engage in transactional sex. Implications for future research and interventions with this population are discussed.
阿片类药物滥用的增加与性传播感染（STI）和艾滋病毒发病率的增加相一致。在美国黑人中，易误用阿片类药物的人之间的交易性行为是一个研究不足的现象，这可能会增加他们感染性传播感染或艾滋病毒的风险。鉴于阿片类药物流行对美国黑人的不成比例的影响，以及与阿片类药物滥用相关的风险，目前的研究旨在调查与黑人群体易误用阿片类药物相关的社会结构因素、暴力史和性风险因素。 = 375 名报告阿片类药物滥用的成年肯塔基州黑人完成了一项调查，其中包括交易性行为、社会结构、暴力史和性行为风险措施。卡方检验和独立样本 t 检验的结果表明，与没有报告进行交易性行为的男性相比，进行交易性行为的男性受教育程度较低，报告在一生中曾遭受过性侵犯或发生过非自愿的性经历，并且在过去一年中更有可能在性行为前或性行为中使用阿片类药物或可卡因。与没有进行交易性行为的女性相比，进行交易性行为的女性有暴力史、更多的结构性障碍、更高的心理困扰，并从事更多的性风险行为。讨论了针对该人群的未来研究和干预措施的意义。
