Prevalence and Correlates of Sex Selling and Sex Purchasing among Adults Seeking Treatment for Cocaine Use Disorder. (6th December 2021)
- Record Type:
- Journal Article
- Title:
- Prevalence and Correlates of Sex Selling and Sex Purchasing among Adults Seeking Treatment for Cocaine Use Disorder. (6th December 2021)
- Main Title:
- Prevalence and Correlates of Sex Selling and Sex Purchasing among Adults Seeking Treatment for Cocaine Use Disorder
- Authors:
- Lathan, Emma C.
Hong, Judy H.
Heads, Angela M.
Borgogna, Nicholas C.
Schmitz, Joy M. - Abstract:
- Abstract: Introduction : Exchange sex places individuals with cocaine use disorder (CUD) at particularly high risk for deleterious safety and health outcomes. A substance use treatment provider who is aware of a patient's exchange sex behavior is better able to provide appropriate screening, care, and/or referral to risk reduction services. However, little is known about exchange sex, especially purchasing, among treatment-seeking adults with CUD. Method : The current study examined the prevalence and correlates of sex selling and sex purchasing among treatment-seeking men and women with CUD ( n = 109; ClinicalTrials.gov #NCT02896712). Separate binary logistic regressions via backward elimination were used to identify best fitting models for sex selling and sex purchasing. Results : Over 41% of participants endorsed exchange sex within the last 30 days; 20.2% reported selling sex and 30.3% reported purchasing sex. Sex selling and sex purchasing rates differed by gender and race. Number of sexual partners (OR = 5.83, 95% CI = 2.07–16.43), concern about contracting HIV/AIDS (OR = 2.01, 95% CI = 1.31–3.44), cumulative interpersonal trauma exposure (OR = 1.82, 95% CI = 1.20–2.77), years using cocaine (OR = 1.11, 95% CI = 1.03–1.20), drug-related problem days (OR = 1.07, 95% CI = 1.00–1.14), and sexual preference (OR = 9.50, 95% CI = .69–130.35) were retained in the final model estimating sex selling (Nagelkerke R 2 = .56). In the final sex purchasing model (Nagelkerke R 2 =Abstract: Introduction : Exchange sex places individuals with cocaine use disorder (CUD) at particularly high risk for deleterious safety and health outcomes. A substance use treatment provider who is aware of a patient's exchange sex behavior is better able to provide appropriate screening, care, and/or referral to risk reduction services. However, little is known about exchange sex, especially purchasing, among treatment-seeking adults with CUD. Method : The current study examined the prevalence and correlates of sex selling and sex purchasing among treatment-seeking men and women with CUD ( n = 109; ClinicalTrials.gov #NCT02896712). Separate binary logistic regressions via backward elimination were used to identify best fitting models for sex selling and sex purchasing. Results : Over 41% of participants endorsed exchange sex within the last 30 days; 20.2% reported selling sex and 30.3% reported purchasing sex. Sex selling and sex purchasing rates differed by gender and race. Number of sexual partners (OR = 5.83, 95% CI = 2.07–16.43), concern about contracting HIV/AIDS (OR = 2.01, 95% CI = 1.31–3.44), cumulative interpersonal trauma exposure (OR = 1.82, 95% CI = 1.20–2.77), years using cocaine (OR = 1.11, 95% CI = 1.03–1.20), drug-related problem days (OR = 1.07, 95% CI = 1.00–1.14), and sexual preference (OR = 9.50, 95% CI = .69–130.35) were retained in the final model estimating sex selling (Nagelkerke R 2 = .56). In the final sex purchasing model (Nagelkerke R 2 = .46), gender (OR = 36.17, 95% CI = 2.96–441.75), number of sexual partners (OR = 6.28, 95% CI = 2.69–14.66), number of convictions (OR = 1.13, 95% CI = 1.02–1.25), and drug-related problem days (OR = 0.96, 95% CI = .92–1.01) were retained. Conclusion : Predictive models in this study identified distinct sets of variables related to sex selling and purchasing. Findings may be used to improve identification of exchange sex in the substance use treatment setting and referral to targeted interventions to reduce associated risk. … (more)
- Is Part Of:
- Substance use & misuse. Volume 56:Number 14(2021)
- Journal:
- Substance use & misuse
- Issue:
- Volume 56:Number 14(2021)
- Issue Display:
- Volume 56, Issue 14 (2021)
- Year:
- 2021
- Volume:
- 56
- Issue:
- 14
- Issue Sort Value:
- 2021-0056-0014-0000
- Page Start:
- 2229
- Page End:
- 2241
- Publication Date:
- 2021-12-06
- Subjects:
- Cocaine use disorder -- exchange sex -- sex work -- sex purchasing -- substance use treatment -- interpersonal trauma
Narcotic habit -- Periodicals
Alcoholism -- Periodicals
Substance abuse -- Periodicals
Behavior, Addictive -- Periodicals
Sustance-Related Disorders -- Periodicals
362.2905 - Journal URLs:
- http://informahealthcare.com/loi/sum ↗
http://informahealthcare.com ↗ - DOI:
- 10.1080/10826084.2021.1981391 ↗
- Languages:
- English
- ISSNs:
- 1082-6084
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 8503.493000
British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 25110.xml