title: Correlates of trading sex for methamphetamine in a sample of HIV-negative heterosexual methamphetamine users.
abstract: While many studies have examined correlates of trading sex for money, few have examined factors associated with exclusive trading of sex for drugs. We identified sociodemographic, behavioral, and psychological correlates of trading sex for methamphetamine in a sample of HIV-negative heterosexual men and women who were enrolled in a sexual risk reduction intervention in San Diego, California. Of 342 participants, 26% overall (21% of males and 31% of females) reported trading sex for methamphetamine in the past two months. Multiple logistic regression analysis revealed that recently trading sex for methamphetamine was independently associated with being female, homeless, binging on methamphetamine, sexual victimization in the past two months, engaging in anal sex 24 or more times in the past two months, and higher sexual compulsivity scores. Effective interventions for this high-risk population should consider gender-focused counseling for sexual abuse, motivational enhancement therapy, social-cognitive skills training, as well as enhanced access and utilization of social services, including drug treatment.
authors.affiliation: Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093-0680, USA.
authors.forename: Shirley J
authors.initials: SJ
authors.lastname: Semple
authors.forename: Steffanie A
authors.initials: SA
authors.lastname: Strathdee
authors.forename: Jim
authors.initials: J
authors.lastname: Zians
authors.forename: Thomas L
authors.initials: TL
authors.lastname: Patterson
mesh_terms: D000328:Adult; D019969:Amphetamine-Related Disorders / Q000453:epidemiology* / Q000523:psychology*; D002140:California / Q000453:epidemiology; D000697:Central Nervous System Stimulants; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology; D003071:Cognition / Q000502:physiology; D003866:Depressive Disorder / Q000150:complications / Q000523:psychology; D005260:Female; D018023:HIV Seronegativity; D020010:Heterosexuality / Q000523:psychology*; D006703:Ill-Housed Persons; D006801:Humans; D008297:Male; D008694:Methamphetamine; D008875:Middle Aged; D008913:Minority Groups; D012309:Risk-Taking; D011477:Sex Work / Q000523:psychology* / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D047568:Unsafe Sex / Q000523:psychology* / Q000706:statistics & numerical data; D055815:Young Adult
chemical_list: D000697:Central Nervous System Stimulants; D008694:Methamphetamine