PMID- 20447221
OWN - NLM
STAT- MEDLINE
DCOM- 20100813
LR  - 20211020
IS  - 1465-3362 (Electronic)
IS  - 0959-5236 (Print)
IS  - 0959-5236 (Linking)
VI  - 29
IP  - 2
DP  - 2010 Mar
TI  - Offer of financial incentives for unprotected sex in the context of sex work.
PG  - 144-9
LID - 10.1111/j.1465-3362.2009.00091.x [doi]
AB  - INTRODUCTION AND AIMS: Commercial sex workers (CSW) are often portrayed as 
      vectors of disease transmission. However, the role clients play in sexual risk 
      taking and related decision making has not been thoroughly characterised. DESIGN 
      AND METHODS: Participants were drawn from the Vancouver Injection Drug Users 
      Study, a longitudinal cohort. Analyses were restricted to those who reported 
      selling sex between June 2001 and December 2005. Using multivariate generalised 
      estimating equation, we evaluated the prevalence of and factors associated with 
      being offered money for sex without a condom. RESULTS: A total of 232 CSW were 
      included in the analyses, with 73.7% reporting being offered more money for 
      condom non-use, and 30.6% of these CSW accepting. Variables independently 
      associated with being offered money for sex without a condom included daily 
      speedball use [adjusted odds ratio (AOR) = 1.21, 95% confidence interval (CI): 
      0.23-0.62], daily crack smoking (AOR = 1.51, 95% CI: 1.04-2.19), daily heroin 
      injection (AOR = 1.76, 95% CI: 1.27-2.43) and drug use with clients (AOR = 3.22, 
      95% CI: 2.37-4.37). Human immunodeficiency virus seropositivity was not 
      significant (AOR = 0.98, 95% CI: 0.67-1.44). DISCUSSION AND CONCLUSIONS: Findings 
      highlight the role clients play in contributing to unprotected sex through 
      economic influence and exploitation of CSW drug use. HIV serostatus has no 
      bearing on whether more money is offered for sex without a condom. Novel 
      interventions should target both CSW and clients.
FAU - Johnston, Caitlin L
AU  - Johnston CL
AD  - British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 
      Vancouver, British Columbia, Canada.
FAU - Callon, Cody
AU  - Callon C
FAU - Li, Kathy
AU  - Li K
FAU - Wood, Evan
AU  - Wood E
FAU - Kerr, Thomas
AU  - Kerr T
LA  - eng
GR  - R01 DA011591/DA/NIDA NIH HHS/United States
GR  - CAPMC/CIHR/Canada
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
PL  - Australia
TA  - Drug Alcohol Rev
JT  - Drug and alcohol review
JID - 9015440
SB  - IM
MH  - Adult
MH  - British Columbia
MH  - Cohort Studies
MH  - Condoms/*statistics & numerical data
MH  - Economics
MH  - Female
MH  - HIV Infections/prevention & control/transmission
MH  - HIV Seropositivity/epidemiology
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - Multivariate Analysis
MH  - *Risk-Taking
MH  - Sex Work/psychology/*statistics & numerical data
MH  - Substance-Related Disorders/epidemiology
MH  - Unsafe Sex/psychology/*statistics & numerical data
MH  - Young Adult
PMC - PMC4646705
MID - NIHMS736908
EDAT- 2010/05/08 06:00
MHDA- 2010/08/14 06:00
PMCR- 2015/11/16
CRDT- 2010/05/08 06:00
PHST- 2010/05/08 06:00 [entrez]
PHST- 2010/05/08 06:00 [pubmed]
PHST- 2010/08/14 06:00 [medline]
PHST- 2015/11/16 00:00 [pmc-release]
AID - DAR091 [pii]
AID - 10.1111/j.1465-3362.2009.00091.x [doi]
PST - ppublish
SO  - Drug Alcohol Rev. 2010 Mar;29(2):144-9. doi: 10.1111/j.1465-3362.2009.00091.x.