el-Bassel N, Schilling R F, Irwin K L, Faruque S, Gilbert L, Von Bargen J, Serrano Y, Edlin B R
Social Intervention Group, School of Social Work, Columbia University, New York, NY 10025, USA.
Am J Public Health. 1997 Jan;87(1):66-70. doi: 10.2105/ajph.87.1.66.
This study examines the relationship between sex trading and psychological distress and the implications of that relationship for prevention of human immunodeficiency virus among a sample of young women recruited from the streets of Harlem.
Interviews were conducted with 346 predominantly drug-using women, aged 18 to 29 years, of whom 176 had exchanged sex for money or drugs in the previous 30 days and were categorized as "sex traders." Psychological distress was measured by using the Brief Symptom Inventory.
Sex traders scored significantly higher than non-sex traders on the General Severity Index and on eight of the nine subscales of the Brief Symptom Inventory. Multivariate analysis indicated that after adjustments were made for age; ethnicity; pregnancy; recent rape; perceived risk for acquired immunodeficiency syndrome; current, regular crack use; and current, regular alcohol use, sex traders scored 0.240 units higher on the General Severity Index than non-sex traders.
Poor mental health and drug dependence may under-mine the motivation and ability of these sex traders to adopt safer sex behavior. Therefore, interventions need to be integrated with mental health services and drug treatment to reduce risk behavior in this population.
本研究调查了性交易与心理困扰之间的关系，以及这种关系对从哈莱姆街头招募的年轻女性样本中预防人类免疫缺陷病毒的影响。
对346名年龄在18至29岁之间、主要使用毒品的女性进行了访谈，其中176人在过去30天内曾以性换取金钱或毒品，被归类为“性交易者”。使用简明症状量表测量心理困扰。
在简明症状量表的总体严重程度指数和九个分量表中的八个上，性交易者的得分显著高于非性交易者。多变量分析表明，在对年龄、种族、怀孕、近期强奸、获得性免疫缺陷综合征的感知风险、当前经常使用快克可卡因以及当前经常饮酒进行调整后，性交易者在总体严重程度指数上的得分比非性交易者高0.240分。
心理健康不佳和药物依赖可能会削弱这些性交易者采取更安全性行为的动机和能力。因此，干预措施需要与心理健康服务和药物治疗相结合，以减少该人群中的风险行为。
