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Sex trade involvement and rates of human immunodeficiency virus positivity among young gay and bisexual men.

https://arctichealth.org/en/permalink/ahliterature191719
Source
Int J Epidemiol. 2001 Dec;30(6):1449-54; discussion 1455-6
Publication Type
Article
Date
Dec-2001
Author
A E Weber
K J Craib
K. Chan
S. Martindale
M L Miller
M T Schechter
R S Hogg
Author Affiliation
British Columbia Centre for Excellence in HIV/AIDS, St Paul's Hospital, Vancouver, Canada.
Source
Int J Epidemiol. 2001 Dec;30(6):1449-54; discussion 1455-6
Date
Dec-2001
Language
English
Publication Type
Article
Keywords
Adult
Bisexuality - statistics & numerical data
British Columbia - epidemiology
Chi-Square Distribution
HIV Seropositivity - epidemiology
HIV-1
Homosexuality, Male - statistics & numerical data
Housing
Humans
Incidence
Logistic Models
Male
Prevalence
Prospective Studies
Prostitution
Questionnaires
Risk factors
Risk-Taking
Sexual Behavior
Sexually Transmitted Diseases, Viral - epidemiology
Substance-Related Disorders - epidemiology
Abstract
Susceptibility to human immunodeficiency virus (HIV) infection is of particular concern for marginalized populations. The objective of this study was to determine risk factors associated with sex trade work among young gay and bisexual men. Further, we aimed to compare HIV prevalence and incidence among men involved and not involved in sex trade work.
The study is based upon data obtained from a prospective cohort study of young gay and bisexual men. Participants had completed a baseline questionnaire which elicited information on demographic information, sexual behaviours, and substance use. Sex trade involvement was defined as the exchange of money, drugs, goods, clothing, shelter or protection for sex within the one year prior to enrollment. Contingency table and multivariate logistic regression analyses were used to identify risk factors associated with involvement in the sex trade.
Of the 761 eligible participants, 126 (16%) reported involvement in sex trade work. Multivariate logistic regression analysis revealed regular alcohol use (Odds Ratio [OR] = 3.6, 95% CI : 1.8-7.2), aboriginal ethnicity (OR = 3.7, 95% CI : 1.6-8.7), unemployment (OR = 3.9, 95% CI : 2.1-7.3), history of residence in a psychiatric ward (OR = 4.2, 95% CI : 1.8-9.8), bisexual activity (OR = 7.0, 95% CI : 3.5-14.1) and the use of crack (OR = 7.4, 95% CI : 3.0-18.7) to be independently associated with sex trade work. Sex trade workers had a significantly higher HIV prevalence at baseline compared with non-sex trade workers (7.3% versus 1.1%, P
PubMed ID
11821362 View in PubMed
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