Gender and Sex Trading Among Active Methamphetamine Users in Cape Town, South Africa

Autor:	Melissa H. Watt, Wendee M. Wechsberg, Ryan R. Lion, Christina S. Meade
Rok vydání:	2017
Předmět:	Adult Male medicine.medical_specialty Health (social science) Adolescent Referral media_common.quotation_subject Amphetamine-Related Disorders Psychological intervention Medicine (miscellaneous) Violence Article Methamphetamine Men who have sex with men Interviews as Topic South Africa Young Adult 03 medical and health sciences Sex Factors 0302 clinical medicine Unsafe Sex Surveys and Questionnaires medicine Humans 030212 general & internal medicine Young adult Psychiatry Aged media_common Sex work 030505 public health business.industry Addiction Public Health Environmental and Occupational Health Middle Aged Sex Work Mental health Psychiatry and Mental health Female 0305 other medical science business Demography
Zdroj:	Substance Use & Misuse. 52:773-784
ISSN:	1532-2491 1082-6084
DOI:	10.1080/10826084.2016.1264964
Popis:	Background South Africa has experienced a tremendous rise in methamphetamine use since the year 2000. Sex trading is a global phenomenon that has been observed in active drug users and has been associated with risks for HIV infection and violence. Objectives This paper describes and examines the correlates of sex trading among active methamphetamine users in Cape Town, South Africa. Methods Through peer referral, 360 (201 male; 159 female) active methamphetamine users were recruited in a peri-urban township. Demographics, sex trading, drug use, trauma, and mental health were assessed by a structured clinical interview and computer survey. Logistic regression models were used to examine predictors of sex trading for men and women. Results In the past 3 months, 40% of men and 33% of women endorsed trading sex for methamphetamine or money. Among these, they reported trading with same sex partners (33%), high rates of inconsistent condom use (73%), and incidences of physical (23%) and sexual (27%) assault when sex trading. Increased drug use severity was correlated with sex trading. Women with experiences of violence and trauma were also more likely to trade sex. Conclusions/importance: The results stress a need for linkage to drug treatment, as addiction may be fueling sex trading. Targeted interventions geared towards safe sex practices may reduce risky sexual behaviors. Women need interventions that are attuned to their specific vulnerabilities. More research is needed to explore the experiences of men who have sex with men given their particularly high rates of sex trading behavior.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0338fd13b2d4bc57ae74a204b4e7f3e1 https://doi.org/10.1080/10826084.2016.1264964 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.