Exchange of Sex for Drugs or Money in Adolescents and Young Adults: An Examination of Sociodemographic Factors, HIV-Related Risk, and Community Context

the Adolescent Medicine Trials Network

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

The goal of this research was to examine associations among sociodemographic factors, HIV risk, and community context (e.g., economic insecurity, job training, housing instability, crime victimization, and perceived community norms) in adolescents and young adults who ever exchanged sex for drugs or money. Anonymous survey data were collected using ACASIs at community venues where adolescents and young adults congregate in resource-challenged, STI prevalent, urban, US neighborhoods. Conventional descriptive statistics, Fisher’s exact tests, and generalized estimating equations approaches were used to examine associations. Participants (1818, 95.5 % of those screened eligible) were, on average, aged 21.0 years; 42.2 % were males, and 4.6 % were transgender. Almost one-third (32.1 %) identified as gay or lesbian, 18.1 % identified as bisexual; 66.2 % were Black and 21.0 % were Hispanic; 1.3 % was ‘living on the street’. A sizeable proportion reported HIV-related risk: 16.3 % exchanged sex, 12.6 % had sex with someone they knew to be HIV-infected, 7.8 % had sex with someone who injected drugs, and 1.3 % injected drugs. Multivariate comparisons identified a number of variables (e.g., being male or transgender, homelessness, sex with a partner who has HIV, STI history, unemployment, job training access, housing instability, crime victimization, perceived community norms) that were significantly associated with exchange of sex (p < 0.05). This research contributes to the knowledge-base regarding exchange of sex among adolescents and young adults, particularly as it relates to community context. Longitudinal studies to describe the trajectory of social, health, and physical risks and consequences are needed for development of effective evidence-based prevention strategies.

Original languageEnglish (US)
Pages (from-to)1-11
Number of pages11
JournalJournal of Community Health
DOIs
StateAccepted/In press - Aug 6 2016

Fingerprint

sociodemographic factors
young adult
Young Adult
money
HIV
adolescent
drug
examination
Pharmaceutical Preparations
community
Transgender Persons
victimization
Crime Victims
Crime
Sexually Transmitted Diseases
housing
offense
homelessness
descriptive statistics
Homeless Persons

Keywords

  • Adolescents and young adults
  • Community context
  • Exchange of sex
  • STI/HIV risk

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

Exchange of Sex for Drugs or Money in Adolescents and Young Adults : An Examination of Sociodemographic Factors, HIV-Related Risk, and Community Context. / the Adolescent Medicine Trials Network.

In: Journal of Community Health, 06.08.2016, p. 1-11.

Research output: Contribution to journalArticle

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abstract = "The goal of this research was to examine associations among sociodemographic factors, HIV risk, and community context (e.g., economic insecurity, job training, housing instability, crime victimization, and perceived community norms) in adolescents and young adults who ever exchanged sex for drugs or money. Anonymous survey data were collected using ACASIs at community venues where adolescents and young adults congregate in resource-challenged, STI prevalent, urban, US neighborhoods. Conventional descriptive statistics, Fisher’s exact tests, and generalized estimating equations approaches were used to examine associations. Participants (1818, 95.5 {\%} of those screened eligible) were, on average, aged 21.0 years; 42.2 {\%} were males, and 4.6 {\%} were transgender. Almost one-third (32.1 {\%}) identified as gay or lesbian, 18.1 {\%} identified as bisexual; 66.2 {\%} were Black and 21.0 {\%} were Hispanic; 1.3 {\%} was ‘living on the street’. A sizeable proportion reported HIV-related risk: 16.3 {\%} exchanged sex, 12.6 {\%} had sex with someone they knew to be HIV-infected, 7.8 {\%} had sex with someone who injected drugs, and 1.3 {\%} injected drugs. Multivariate comparisons identified a number of variables (e.g., being male or transgender, homelessness, sex with a partner who has HIV, STI history, unemployment, job training access, housing instability, crime victimization, perceived community norms) that were significantly associated with exchange of sex (p < 0.05). This research contributes to the knowledge-base regarding exchange of sex among adolescents and young adults, particularly as it relates to community context. Longitudinal studies to describe the trajectory of social, health, and physical risks and consequences are needed for development of effective evidence-based prevention strategies.",
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author = "{the Adolescent Medicine Trials Network} and Boyer, {Cherrie B.} and Lauren Greenberg and Kate Chutuape and Bendu Walker and Dina Monte and Jennifer Kirk and Ellen, {Jonathan M.} and Marvin Belzer and Miguel Martinez and Julia Dudek and Milton Smith and Stroger, {John H.} and Lisa Henry-Reid and Jaime Martinez and Ciuinal Lewis and Atara Young and Jolietta Holliman and Antoinette McFadden and Lawrence D’Angelo and William Barnes and Stephanie Stines and Jennifer Sinkfield and Donna Futterman and Bianca Lopez and Elizabeth Spurrell and Rebecca Shore and Abdalian, {Sue Ellen} and Nadrine Hayden and Patricia Flynn and Aditya Guar and Andrea Stubbs and Lawrence Friedman and Friedman, {Lawrence B} and Steven Douglas and Bret Rudy and Marne Castillo and Alison Lin and Patricia Emmanuel and Diane Straub and Amanda Schall and Rachel Stewart-Campbell and Cristian Chandler and Chris Walker and Mary Paul and Kimberly Lopez and Elizabeth Secord and Angulique Outlaw and Emily Brown and Allison Agwu and Renata Sanders",
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