Astemborski J, Vlahov D, Warren D, Solomon L, Nelson K E
Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, MD.
Am J Public Health. 1994 Mar;84(3):382-7. doi: 10.2105/ajph.84.3.382.
Data from 538 women in a cohort study recruited in 1988-1989 were analyzed to determined whether trading sex for drugs or money was independently associated with human immunodeficiency virus (HIV) seroprevalence in a population of female intravenous drug users.
The women were grouped according to the number of partners with whom they reported trading sex for drugs or money during the previous 10 years: none, 1 through 49 (low), or 50 or more (high); the prevalence of HIV seropositivity in the three groups was 23.2%, 23.7%, and 47.6%, respectively. Logistic regression was used to compare the low- and high-trade groups separately with the group that reported no trading.
Low trading was not associated with seroprevalent HIV infection. In a multivariate model, high trading (compared with no trading) was significantly associated with HIV seropositivity after adjustment for cocaine use, history of sexually transmitted diseases, and duration of intravenous drug use.
These data indicate that, among intravenous drug-using women, high levels of trading sex for drugs or money were independently associated with HIV infection. This group needs to be targeted for further intensive intervention.
对1988 - 1989年招募的队列研究中的538名女性数据进行分析，以确定以性交易换取毒品或金钱是否与女性静脉吸毒人群中的人类免疫缺陷病毒（HIV）血清阳性率独立相关。
根据女性在过去10年中报告的以性交易换取毒品或金钱的性伴侣数量对她们进行分组：无、1至49名（低）或50名及以上（高）；三组中HIV血清阳性率分别为23.2%、23.7%和47.6%。使用逻辑回归分别将低交易组和高交易组与报告无交易的组进行比较。
低交易与血清阳性的HIV感染无关。在多变量模型中，在调整可卡因使用、性传播疾病史和静脉吸毒持续时间后，高交易（与无交易相比）与HIV血清阳性显著相关。
这些数据表明，在静脉吸毒女性中，高水平的以性交易换取毒品或金钱与HIV感染独立相关。这一群体需要作为进一步强化干预的目标。
