title: Transactional Sex among Noninjecting Illicit Drug Users: Implications for HIV Transmission.
abstract: Noninjecting illicit drug users (NIDUs) present high risk for HIV infection, due especially to transactional sex. This study aimed to estimate the prevalence and risk factors for transactional sex among NIDUs in the Southwest region of Goiás State, Central Brazil. The prevalence of self-reported transactional sex was 22.8%. Prevalence in women and men was 52.7% and 16.8%, respectively, a significant difference (p < 0.001). Crack use and history of sexually transmitted infections (STI) were risk factors for transactional sex in men. Homelessness, crack use, sex under the influence of drugs, and history of sexual violence were risk factors for transactional sex in women. A high prevalence of transactional sex was observed among NIDUs. This risk behavior may contribute to the high rates of HIV among this population and their social networks and in the general population.
authors.affiliation: Federal University of Goiás, Regional Goiânia, Goiânia, GO, Brazil.
authors.forename: Rafael Alves
authors.identifier: 0000-0001-5171-7958
authors.initials: RA
authors.lastname: Guimarães
authors.affiliation: Municipal Health Department of Catalão, Catalão, GO, Brazil.
authors.forename: Aurélio Goulart
authors.initials: AG
authors.lastname: Rodovalho
authors.affiliation: Federal University of Goiás, Regional Catalão, Catalão, GO, Brazil.
authors.forename: Inaina Lara
authors.initials: IL
authors.lastname: Fernandes
authors.affiliation: Federal University of Goiás, Regional Catalão, Catalão, GO, Brazil.
authors.forename: Graciele Cristina
authors.initials: GC
authors.lastname: Silva
authors.affiliation: Federal University of Goiás, Regional Catalão, Catalão, GO, Brazil.
authors.forename: Rodrigo Lopes
authors.initials: RL
authors.lastname: de Felipe
authors.affiliation: Federal University of Goiás, Regional Catalão, Catalão, GO, Brazil.
authors.forename: Ivânia
authors.initials: I
authors.lastname: Vera
authors.affiliation: Federal University of Goiás, Regional Catalão, Catalão, GO, Brazil.
authors.forename: Valéria Duarte
authors.initials: VD
authors.lastname: Gregório
authors.affiliation: Federal University of Goiás, Regional Catalão, Catalão, GO, Brazil.
authors.forename: Roselma
authors.initials: R
authors.lastname: Lucchese
mesh_terms: D001938:Brazil; D005260:Female; D015658:HIV Infections / Q000635:transmission*; D006801:Humans; D013287:Illicit Drugs; D008297:Male; D015995:Prevalence; D012307:Risk Factors; D011477:Sex Work; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases; D019966:Substance-Related Disorders; D047568:Unsafe Sex
chemical_list: D013287:Illicit Drugs