Prevalence and Correlates of Female Condom Use and Interest Among Injection Drug-Using Female Sex Workers in Two Mexico–US Border Cities

Stockman, Jamila K.; Morris, Meghan D.; Martínez, Gustavo; Lozada, Remedios; Patterson, Thomas L.; Ulibarri, Monica D.; Vera, Alicia; Strathdee, Steffanie A.

doi:10.1007/s10461-012-0235-9

Cited by 19 publications

(20 citation statements)

References 34 publications

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“…Condom use is often seen as inappropriate in these non-paying partnerships (Maher et al, 2013; Richter et al, 2002). In entertainment and sex work contexts, condom use, or the suggestion of condom use has been associated with increased violence from clients (Stockman et al, 2012), in addition to intimate partners (Argento et al, 2014). The proportion of women in this study who experienced violence from non-paying partners is within the range reported in previous studies (Decker et al, 2014; Hong et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

The impact of violence on sex risk and drug use behaviors among women engaged in sex work in Phnom Penh, Cambodia

Moret

Evans²,

Stein³

et al. 2016

Drug and Alcohol Dependence

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Background Violence, substance use, and HIV disproportionately impact female entertainment and sex workers (FESW), but causal pathways remain unclear. Methods We examined data from an observational cohort of FESW age 15-29 in Phnom Penh, Cambodia for associations between violence exposure and sexual risk and drug use. Validated measures of physical and sexual violence were assessed at baseline. Self-reported outcomes measured quarterly over the next 12-months included past month sexual partners, consistent condom use by partner type, sex while high, and amphetamine type stimulant (ATS) use. Biomarkers measured quarterly included prostate specific antigen (PSA) and urine toxicology. Generalized estimating equations were fit adjusting for age, education, marital status and sex work venue. Results Of 220 women, 48% reported physical or sexual violence in the preceding 12-months. Physical violence was associated with increased number of sex partners (adjusted incidence rate ratio [aIRR] 1.33; 95% CI: 1.04-1.71), greater odds of sex while high (adjusted odds ratio [aOR] 2.42; 95% CI: 1.10-5.33), increased days of ATS use (aIRR 2.74; 95% CI: 1.29-5.84) and increased odds of an ATS+ urine screen (aOR 2.80, 95%CI: 1.38-5.66). Sexual violence predicted decreased odds of consistent condom use with non-paying partners (aOR 0.24; 95% CI: 0.10-0.59) and greater odds of a PSA+ vaginal swabs (aOR 1.83; 95% CI: 1.13-2.93). Conclusions Physical and sexual violence are prevalent among Cambodian FESW and associated with subsequent sexual risk and drug use behaviors. Clinical research examining interventions targeting structural and interpersonal factors impacting violence is needed to optimize HIV/AIDS prevention among FESW.

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Section: Discussionmentioning

confidence: 99%

The impact of violence on sex risk and drug use behaviors among women engaged in sex work in Phnom Penh, Cambodia

Moret

Evans²,

Stein³

et al. 2016

Drug and Alcohol Dependence

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“…Similar micro-social contexts exist surrounding condom use in intimate relationships, where protection is rarely used because of love, trust, and commitment (9; 11; 16; 38; 42••; 46). Condom use remains low in intimate relationships when compared to sex with casual and commercial partners (9; 14).…”

Section: Trust and Commitment In Intimate Relationships And Hiv Risksmentioning

confidence: 96%

People Who Inject Drugs in Intimate Relationships: It Takes Two to Combat HIV

et al. 2014

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We reviewed papers published during the past 18 months (2012-2013) focusing on micro-social contexts of gender and power inequalities as drivers of HIV risks among people who inject drugs (PWID) in intimate heterosexual relationships. Although there has been a proliferation of social and behavioral research on the micro-social contexts of drug injection in heterosexual intimate relationships, there is still a gap in knowledge of these issues, particularly in low- and middle-income countries. Research has identified couple-based approaches for PWID in intimate relationships as an effective HIV prevention strategy to address micro-social contexts driving HIV risks. While HIV incidence has declined in many countries, prevalence remains at troubling levels among PWID and transmission from PWID to their sex partners is increasing in many parts of the world. HIV prevention among drug-using couples must address the importance of the relationship dyad and micro-social contexts.

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“…17–22 Although little is known regarding the specific factors that affect utilization of HIV-related services among street-based female sex workers in the U.S., 18 data from international studies indicate that stigma, discrimination, and denial of risk are particularly salient barriers to testing in many locations, along with lack of knowledge and access to HIV testing services. 19, 23–26 …”

mentioning

confidence: 99%

“…14, 28, 29 International research on voluntary counseling and testing services for female sex workers has widely documented low uptake of HIV testing among this group, with approximately 20% to 50% reporting prior HIV testing. 19, 23–26 Although data on HIV treatment utilization are even more limited, one recent study among female sex workers in Rwanda indicated that just 63% of the HIV infected were linked to care. 30 In the U.S., prior research in South Florida has documented an HIV prevalence of 25% among street-based African American female sex workers, 14 nearly half of whom were undiagnosed prior to the study due to low utilization of routine HIV testing services.…”

mentioning

confidence: 99%

HIV Testing and Engagement in Care among Highly Vulnerable Female Sex Workers: Implications for Treatment as Prevention Models

Surratt¹,

O’Grady²,

Kurtz³

et al. 2014

hpu

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Background Although emerging Treatment as Prevention models can be effective in reducing HIV incidence among high-risk populations, many HIV infected individuals remain undiagnosed or fail to engage in HIV care. Methods This study examined the factors associated with HIV testing and care among a population of substance using female sex workers. Results Recent HIV testing was associated with higher education level, having a regular health care provider or clinic, recent crack use, and higher sexual risk behaviors; HIV treatment utilization was associated with higher levels of social support, having a regular health care provider or clinic, housing stability and insurance coverage. Qualitative data revealed HIV-related stigma, denial, social isolation, and substance use as barriers to HIV testing and treatment; social support and accessibility of services were key enablers. Conclusions Improving HIV testing and linkage to treatment among female sex workers will require structural initiatives to reduce stigma and increase service seeking support.

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Prevalence and Correlates of Female Condom Use and Interest Among Injection Drug-Using Female Sex Workers in Two Mexico–US Border Cities

Cited by 19 publications

References 34 publications

The impact of violence on sex risk and drug use behaviors among women engaged in sex work in Phnom Penh, Cambodia

The impact of violence on sex risk and drug use behaviors among women engaged in sex work in Phnom Penh, Cambodia

People Who Inject Drugs in Intimate Relationships: It Takes Two to Combat HIV

HIV Testing and Engagement in Care among Highly Vulnerable Female Sex Workers: Implications for Treatment as Prevention Models

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