Alcohol, drug, and sexual risk behavior correlates of recent transactional sex among female black South African drug users

dc.contributor.authorHedden, Sarra L.
dc.contributor.authorHulbert, Alicia
dc.contributor.authorCavanaugh, Courtenay E.
dc.contributor.authorParry, Charles D.
dc.contributor.authorMoleko, Anne Gloria
dc.contributor.authorLatimer, William W.
dc.contributor.emailamoleko@postino.up.ac.zaen_US
dc.date.accessioned2011-02-24T07:12:25Z
dc.date.available2011-02-24T07:12:25Z
dc.date.issued2011-02
dc.description.abstractINTRODUCTION: Transactional sex among black South African women has become a mode of economic survival putting them at higher risk for HIV and other infectious disease. METHODS: In order to inform HIV interventions, drug and sexual risk behavior correlates of recent transactional sex among a descriptive epidemiological, cross-sectional sample of 189, black, South African women in Pretoria were examined using log binomial regression. RESULTS: Prevalence of HIV seropositivity was extremely high among non-transactional sex workers (47.1%) and transactional sex workers (54.6%), albeit not significantly different. Adjusted regression results indicated that the probability of transactional sex was greater for drug using women who tested positive for cocaine use (Adjusted Prevalence Ratio (APR)=1.3, 95% CI=1.1, 1.5) and knew of anyone who died of AIDS (APR =1.5, 95% CI 1.1, 2.1). The probability of transactional sex was lower for female drug users who reported greater education (APR =0.6, 95% CI= 0.4, 0.8), condom use in their first sexual encounter (APR =0.7, 95% CI=0.6, 1.0) or reported a recent steady sexual partnership (APR =0.8, 95% CI=0.7, 0.9). CONCLUSIONS: Drug use-related interventions for female transactional sex workers may need to focus on methods for the reduction of not only drug use, especially cocaine use, but also the reduction of sexual risk behaviors.en_US
dc.description.sponsorshipFunding for this study was provided by NIDA’s Southern Africa Initiative as a supplement to a parent study conducted in the US (R01DA014498) and from the Drug Dependence Epidemiology Training Grant (T32DA007292). The authors wish to thank Dr. Leah Floyd for her work on this study.en_US
dc.identifier.citationHedden, SL, Hulbert, A, Cavanaugh, CE, Parry, CD, Moleko, AG & Latimer, WW 2011,' Alcohol, drug and sexual risk behavior correlates of recent transactional sex among female black South African drug users', Journal of Substance Use, vol. 16, no. 1, pp. 57-67 [http://informahealthcare.com/jsu]en_US
dc.identifier.issn1465-9891
dc.identifier.issn1475-9942 (online)
dc.identifier.other10.3109/14659891003721141
dc.identifier.urihttp://hdl.handle.net/2263/15937
dc.language.isoenen_US
dc.publisherInforma Healthcareen_US
dc.rightsInforma Healthcare. This is an electronic version of an article published in Journal of Substance Use, vol. 16, no. 1, pp. 57-67. Journal of Substance Use is available online at informaworld. This item is embargoed by the publisher until August 2012.en_US
dc.subjectSubstance Useen_US
dc.subjectSexual Risk Behavioren_US
dc.subject.lcshWomen, Black -- Sexual behavior -- South Africaen
dc.subject.lcshWomen, Black -- Drug use -- South Africaen
dc.subject.lcshProstitution -- South Africaen
dc.subject.lcshHIV infections -- Women, Black -- South Africaen
dc.titleAlcohol, drug, and sexual risk behavior correlates of recent transactional sex among female black South African drug usersen_US
dc.typePostprint Articleen_US

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