HIV, HBV, and HCV infections among drug-involved, inner-city, street sex workers in Miami, Florida

Center for Drug and Alcohol Studies, University of Delaware Research Center, 2100 Ponce de Leon Boulevard, Coral Gables, FL 33134, USA.
AIDS and Behavior (Impact Factor: 3.49). 04/2006; 10(2):139-47. DOI: 10.1007/s10461-005-9049-3
Source: PubMed


This study describes the rates of HIV, HBV, and HCV seropositivity among drug-involved, female street sex workers in low-income, inner-city sections of Miami, Florida; further, their sociodemographic characteristics, drug use, and sexual risk behaviors were assessed; and predictors of infection were reported. A sample of 586 sex workers was recruited through targeted sampling methods, interviewed, and counseled and tested for the presence of antibody to HIV, HBV, and HCV. Respondents' median age was 38 years, median time in sex work was 14 years, all were heavily involved in the use of alcohol and drugs, and 42% were homeless. More than half (51.0%) had engaged in unprotected vaginal sex in the past month. Prevalences were HIV, 22.4%; HBV, 53.4%; HCV, 29.7%. A multidimensional public health program must address not only issues related to unsafe sex, but also the problems of drug abuse, homelessness, and other lifestyle factors that contribute to risk behaviors.

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    • "Much of prior research on the connections between drug addiction and CSE/ prostitution has focused on destructive drug epidemics that have swept through disadvantaged neighborhoods resulting in the prostitution of girls and young women desperate for another hit (Inciardi, Lockwood, and Pettieger 1993; Inciardi, Surratt, and Kurtz 2006; Maxwell and Maxwell 2000). In general, these studies focused on adolescent girls and young women reported that involvement in commercial sexual activity was often triggered and sustained by addictions to serious drugs such as cocaine, heroin, and opiates (Golder and Logan 2007; Inciardi, Surratt, and Kurtz 2006). In addition, based on a review of research studies focused on alcohol use by female sex workers, Li, Li, and Stanton (2010) found that, on average, studies reported approximately half of female sex workers (ranging from 19% to 76.5%) used alcohol before and during commercial sexual activity. "
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    ABSTRACT: Few studies have explored the longitudinal relationship between commercial sexual exploitation (CSE) and the use of specific types of substances by male youth. To gain a more comprehensive understanding of the links between CSE and substance use in male youth, the current study explored this connection using longitudinal data collected from a sample of 98 male serious youthful offenders with reported incidents of CSE/prostitution. Study findings indicated that alcohol use and marijuana use, rather than the use of more serious types of drugs, were concurrently linked to involvement in CSE/prostitution. Using parallel-process latent growth modeling, associations between alcohol and marijuana use were observed, with alcohol use significantly impacting chronic and persistent CSE/prostitution. The findings highlight the need for CSE intervention programs designed for male youth to include screening and treatment for marijuana – and especially alcohol – use.
    Journal of Crime and Justice 07/2015; 38(3):377-394. DOI:10.1080/0735648X.2014.965588
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    • "Previous studies have reported high rates of substance abuse including alcohol intoxication among FSWs (Chiao, Morisky, Rasenberg, Ksobiech, & Malow, 2006; Inciardi, Surratt, & Kurtz, 2006). It also is evident that alcohol abuse is strongly associated with mental disorders and suicidal behaviors (Gomberg, 1989;Kolves, Varnik, Tooding, & Wasserman, 2006;Preuss et al., 2003;Wilcox, Conner, & Caine, 2004). "
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    ABSTRACT: The purpose of this study was to explore the factors associated with suicidal ideation and attempt among female sex workers (FSWs) in China. A cross-sectional survey was administered among 454 FSWs in a rural county of Guangxi, China. About 14% of FSWs had thought of suicide and 8% had attempted suicide in the past 6 months. Multiple logistic regression analyses indicated that those FSWs who were dissatisfied with life, abused alcohol, were deceived or forced into commercial sex, and had stable sexual partners were more likely to report suicidal ideation. Female sex workers who had multiple stable partners, experienced sexual coercion, and worried about an inability to make enough money were more likely to report a suicide attempt. These FSWs who entered commercial sex because of financial needs or who were influenced by the peers were less likely to report a suicide attempt. Our data suggested that the rates of suicidal ideation and attempts were high among FSWs in China, and there were multiple factors associated with their suicidality. Future health education and promotion efforts among FSWs need to take into consideration substance abuse, interpartner conflict, and psychological stress.
    Health Care For Women International 06/2007; 28(5):490-505. DOI:10.1080/07399330701226529 · 0.63 Impact Factor
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    • "Florida ranked second in the nation in the number of AIDS cases with most cases being reported from Miami- Dade County in 2004 (DHHS: CDC, 2007). The majority of new cases of HIV in Miami-Dade County are among those who live at the fringes of society and are members of hard-to-reach populations (Miami-Dade Health Department, 2007; Inciardi et al., 2006), many of whom suffer from homelessness, mental health and substance abuse problems (Devieux et al., 2007; McCoy et al., 2004; Schultz et al., 1999). As a consequence of these characteristics, cases of HIV-infection are underreported and the available HIV-services are grossly underutilized (Barash et al., 2007). "
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    ABSTRACT: Objective: To evaluate the effect of active case management and incentives on compliance with scheduled study visits as compared to compliance with visits to monitor antiretroviral therapy (ART) and viral control for 6 months in a cohort of 144 HIV-drug users on ART in Miami. Methods: A prospective 6-month study to compare participant compliance with research visits using active case management, incentives, and close follow-up, versus their compliance with routine healthcare visits to monitor ART and viral load during the same time period. Attendance at research visits and routine healthcare visits was recorded, and CD4 cell count and viral load were measured at baseline and 6-months. Active case management included monthly scheduled visits to assess compliance with nutritional supplementation study protocol, follow-up of participants missing visits, and incentives for attendance at all visits. Descriptive statistics and Student's t-test for proportions was used in the analyses.
    Public Administration and Management 01/2007; 12(3).
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