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Official websites use. Share sensitive information only on official, secure websites. Requests for reprints should be sent to Peter A. We examined correlates of trading sex for money, drugs, and shelter, or food among drug-using men who have sex with men MSM. Audio computer-assisted self-interviewing questionnaires were completed by MSM. Sex-trading prevalence was Multiple risk factors are associated with sex trading among MSM.
Interventions may need to address crack and injection drug use, homelessness, and childhood maltreatment and target nonβgay-identified MSM who engage in sex trading. Individuals who engage in sex trading are at elevated risk for HIV infection. Among MSM, those who engage in sex trading have been found to be more likely than nonβsex-trading MSM to engage in unprotected sex with nonβsex-trade male 16β 18 and female 17 partners, leading to increased risk for HIV transmission in nonβsex-trade encounters.
Thus, in addition to increasing their own risk for contracting HIV, sex-trading MSM may infect their nonβsex-trade male and female partners. However, scant research has addressed factors associated with sex trading among MSM. Research in populations other than MSM suggests that several sociodemographic factors may be associated with sex trading.
Homelessness is associated with sex trading among male 17 and female 17, 19 adults and adolescents. In addition to homelessness, childhood maltreatment may be associated with sex trading. Among women, childhood sexual abuse is positively associated with sex trading. In addition to demographic and personal characteristics, drug and alcohol use may be associated with sex trading among MSM. Several studies indicate a positive correlation between crack use and sex trading among high-risk women, 11, 17, 37 as well as among HIV-seropositive heterosexual men, women, and MSM 38 and among adults in general.
We assessed the association of sex trading with age, ethnicity, self-identified sexual orientation, formal education, homelessness, and childhood maltreatment among a high-risk sample of predominantly ethnic minority, urban MSM. In addition, we investigated crack cocaine, methamphetamine, alcohol, marijuana, and injection drug use as correlates of sex trading within this population. Participants were recruited for a randomized trial of an HIV prevention intervention for MSM who engage in illicit drug use.