HIV, HBV, and HCV infections among drug-involved, inner-city, street sex workers in Miami, Florida.
ABSTRACT 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.
SourceAvailable from: Marcelo Cruz[Show abstract] [Hide abstract]
ABSTRACT: Studies have shown important gender differences among drug (including crack) users related to: drug use patterns; health risks and consequences; criminal involvement; and service needs/use. Crack use is prevalent in Brazil; however, few comparative data by sex exist. We examined and compared by sex key drug use, health, socio-economic indicators and service use in a bi-city sample of young (18-24 years), regular and marginalized crack users in Brazil.International Journal for Equity in Health 08/2014; 13(1):70. DOI:10.1186/s12939-014-0070-x · 1.71 Impact Factor
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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.
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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 then 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.