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Factors Associated with Exchange Sex Among Cisgender Persons Who Inject Drugs: Women and MSM—23 U.S. Cities, 2018

2022; Springer Science+Business Media; Volume: 27; Issue: 1 Linguagem: Inglês

10.1007/s10461-022-03743-0

1573-3254

Julie Rushmore, Kate Buchacz, Dita Broz, Christine Agnew-Brune, Michelle L. Johnson Jones, Susan Cha, Pascale Wortley, Jeff Todd, David W. Melton, Colin Flynn, Danielle German, Monina Klevens, Rose Doherty, Conall O’Cleirigh, Antonio D. Jimenez, Thomas Clyde, Jonathon Poe, Margaret Vaaler, Jie Deng, Alia Al‐Tayyib, Daniel Shodell, Emily Higgins, Vivian Griffin, Corrine Sanger, Salma Khuwaja, Zaida Lopez, Paige Padgett, Ekow Kwa Sey, Yingbo Ma, Hugo Santacruz, Meredith Brantley, Christopher Mathews, Jack Marr, Emma Spencer, Willie Nixon, David Forrest, Bridget J. Anderson, Ashley Tate, Meaghan Abrego, William T. Robinson, Narquis Barak, Jeremy Beckford, Sarah Braunstein, Alexis V. Rivera, Sidney Carrillo, Abdel R. Ibrahim, Afework Wogayehu, Luis Moraga, Kathleen A. Brady, Jennifer Shinefeld, Chrysanthus Nnumolu, Timothy W. Menza, E. Roberto Orellana, Amisha Bhattari, Anna Flynn, Onika Chambers, Marisa Ramos, Willi McFarland, Jessica Lin, Desmond Miller, Sandra Miranda De León, Yadira Rolón-Colón, María Pabón Martínez, Tom Jaenicke, Sara N. Glick, Jennifer Kienzle, Brandie Smith, Toyah Reid, Jenevieve Opoku, Irene Kuo, Monica Adams, Christine Agnew Brune, Amy R. Baugher, Dita Broz, Janet Burnett, Susan Cha, Johanna Chapin-Bardales, Paul Denning, Dafna Kanny, Teresa Finlayson, Senad Handanagić, Terence Hickey, Kathryn Lee, Rashunda Lewis, Elana Morris, Evelyn Olansky, Taylor Robbins, Catlainn Sionéan, Amanda L. Smith, Anna Teplinskaya, Lindsay Trujillo, Cyprian Wejnert, Ari Whiteman, Mingjing Xia,

HIV/AIDS Research and Interventions

Persons who inject drugs (PWID) and exchange sex face disproportionate HIV rates. We assessed prevalence of exchange sex (receiving money/drugs for sex from ≥ 1 male partner(s) during the past year) among cisgender PWID, separately for women and men with a history of sex with men (MSM). We examined factors associated with exchange sex, including sociodemographic characteristics, sexual and drug use behaviors, and healthcare access/utilization. Over one-third of the 4657 participants reported exchange sex (women: 36.2%; MSM: 34.8%). Women who exchanged sex (WES) were significantly more likely to test HIV-positive than other women. Men who exchanged sex with men (MESM) showed a similar trend. WES and MESM shared many characteristics, including being uninsured, experiencing recent homelessness, condomless sex, polydrug use, and receptive/distributive needle sharing. These findings highlight a need to strengthen prevention interventions and address structural determinants of HIV for WES and MESM, particularly PWID who exchange sex.