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Data from women in a cohort study recruited in were analyzed to determined whether trading sex for drugs or money was independently associated with human immunodeficiency virus HIV seroprevalence in a population of female intravenous drug users. The women were grouped according to the number of partners with whom they reported trading sex for drugs or money during the previous 10 years: none, 1 through 49 low , or 50 or more high ; the prevalence of HIV seropositivity in the three groups was Logistic regression was used to compare the low- and high-trade groups separately with the group that reported no trading.
Low trading was not associated with seroprevalent HIV infection. In a multivariate model, high trading compared with no trading was significantly associated with HIV seropositivity after adjustment for cocaine use, history of sexually transmitted diseases, and duration of intravenous drug use. These data indicate that, among intravenous drug-using women, high levels of trading sex for drugs or money were independently associated with HIV infection.
This group needs to be targeted for further intensive intervention. National Center for Biotechnology Information , U. Am J Public Health.
Author information Copyright and License information Disclaimer. Copyright notice. This article has been cited by other articles in PMC. Transmission of the human immunodeficiency virus. N Engl J Med. Association of drug injection patterns with antibody to human immunodeficiency virus type 1 among intravenous drug users in Baltimore, Maryland. Am J Epidemiol.
New evidence on intravenous cocaine use and the risk of infection with human immunodeficiency virus type 1. Parenteral and sexual transmission of human immunodeficiency virus in intravenous drug users: a study of seroconversion. J Infect Dis. Risk factors for human immunodeficiency virus infection in intravenous drug users. J Acquir Immune Defic Syndr.