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AIDS and Behavior

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22.07.2019 | Original Paper

The Relationship Between Economic Deprivation, Housing Instability and Transactional Sex Among Women in North Carolina (HPTN 064)

verfasst von: Marie C. D. Stoner, Danielle F. Haley, Carol E. Golin, Adaora A. Adimora, Audrey Pettifor

Erschienen in: AIDS and Behavior | Ausgabe 11/2019

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Abstract

Transactional sex is associated with socioeconomic disadvantage and HIV risk but few studies in the United States (US) have examined both individual and area-level predictors of transactional sex or distinguished transactional sex from sex work. We combined data from HIV Prevention Trials Network 064 study and the US Census to estimate prevalence ratios (PR) for the relationship between census-level and individual measures of economic deprivation and housing instability on transactional sex in 417 women in North Carolina. Increased transactional sex was associated with food insecurity (PR 1.86; 95%; CI 1.57, 2.19), housing instability (PR 1.33; 95% CI 1.11, 1.59), substance abuse (PR 1.90; 95% CI 1.64, 2.19) and partner incarceration (PR 1.32; 95% CI 1.09, 1.61). Census-level indicators were not associated with transactional sex, adjusted for individual-level covariates. Interventions should support housing stability and financial opportunities among southern African American women to reduce HIV risk, particularly among women with incarcerated partners.

Nur mit Berechtigung zugänglich

Prejean J, Tang T, Irene Hall H. HIV diagnoses and prevalence in the southern region of the United States, 2007–2010. J Commun Health. 2013;38:414–26.

CDC. HIV among women. Center for Disease Control, Atlanta, GA, USA. 2016. https://www.cdc.gov/hiv/group/gender/women/index.html. Accessed Feb 2019.

Justman J, Befus M, Hughes J, Wang J, Golin CE, Adimora AA, et al. Sexual behaviors of US women at risk of HIV acquisition: a longitudinal analysis of findings from HPTN 064. AIDS Behav. 2015;19:1327–37.PubMedPubMedCentral

Dunkle KL, Wingood GM, Camp CM, DiClemente RJ. Economically motivated relationships and transactional sex among unmarried African American and white women: results from a US national telephone survey. Public Health Rep. 2010;125:90–100.PubMedPubMedCentral

Chop E, Duggaraju A, Malley A, Burke V, Caldas S, Yeh PT, et al. Food insecurity, sexual risk behavior, and adherence to antiretroviral therapy among women living with HIV: a systematic review. Health Care Women Int. 2017;38:927–44.PubMed

Aidala A, Cross JE, Stall R, Harre D, Sumartojo E. Housing status and HIV risk behaviors: implications for prevention and policy. AIDS Behav. 2005;9:251–65.PubMed

Corneil TA, Kuyper LM, Shoveller J, Hogg RS, Li K, Spittal PM, et al. Unstable housing, associated risk behaviour, and increased risk for HIV infection among injection drug users. Health Place. 2006;12:79–85.PubMed

Bauermeister J, Eaton L, Stephenson R. A multilevel analysis of neighborhood socioeconomic disadvantage and transactional sex with casual partners among young men who have sex with men living in metro Detroit. Behav Med. 2016;42:197–204.PubMedPubMedCentral

Senn TE, Carey MP, Vanable PA, Urban MA, Sliwinski MJ. The male-to-female ratio and multiple sexual partners: multilevel analysis with patients from an STD clinic. AIDS Behav. 2010;14:942–8.PubMed

10.

Stephenson R, Winter A, Elfstrom M. Community environments shaping transactional sex among sexually active men in Malawi, Nigeria, and Tanzania. AIDS Care. 2013;25:784–92.PubMed

11.

Stoebenau K, Heise L, Wamoyi J, Bobrova N. Revisiting the understanding of “transactional sex” in sub-Saharan Africa: a review and synthesis of the literature. Soc Sci Med. 2016;168:186–97.PubMed

12.

Wamoyi J, Stoebenau K,Kyegombe N, Heise L, Ranganathan M. STRIVE technical brief: transactional sex and HIV risk. National Institute of Medical Research, Mwanza, Tanzania; International Center for Research on Women, Washington D.C., USA; London School of Hygiene & Tropical Medicine, London, UK. 2018.

13.

Kilburn K, Ranganathan M, Stoner MCD, Hughes JP, Macphail C, Agyei Y, et al. Transactional sex and incident HIV infection in a cohort of young women from rural South Africa enrolled in HPTN 068. AIDS. 2018;32:1669.PubMedPubMedCentral

14.

Dunkle K, Jewkes R, Brown H, Gray G, McIntryre J, Harlow S. Transactional sex among women in Soweto, South Africa: prevalence, risk factors and association with HIV infection. Soc Sci Med. 2004;59:1581–92.PubMed

15.

Wamoyi J, Stobeanau K, Bobrova N, Abramsky T, Watts C. Transactional sex and risk for HIV infection in sub-Saharan Africa: a systematic review and meta-analysis. J Int AIDS Soc. 2016;19:20992.PubMedPubMedCentral

16.

Jewkes R, Dunkle K, Nduna M, Shai NJ. Transactional sex and HIV incidence in a cohort of young women in the stepping stones trial. J AIDS Clin Res. 2012;3:7.

17.

Adimora AA, Schoenbach VJ, Taylor EM, Khan MR, Schwartz RJ. Concurrent partnerships, nonmonogamous partners, and substance use among women in the United States. Am J Public Health. 2011;101:128–36.PubMedPubMedCentral

18.

Jenness SM, Begier EM, Neaigus A, Murrill CS, Wendel T, Hagan H. Unprotected anal intercourse and sexually transmitted diseases in high-risk heterosexual women. Am J Public Health. 2011;101:745–50.PubMedPubMedCentral

19.

Browning CR, Olinger-Wilbon M. Neighborhood structure, social organization, and number of short-term sexual partnerships. J Marriage Fam. 2003;65:730–45.

20.

Castel R. The roads to disaffiliation: insecure work and vulnerable relationships. Int J Urban Reg Res. 2000;24:519–35.

21.

Reilly T, Woo G. Access to services and maintenance of safer sex practices among people living with HIV/AIDS. Soc Work Health Care. 2002;36:81–95.

22.

Mizuno Y, Purcell D, Borkowski TM, Knight K. The life priorities of HIV-seropositive injection drug users: findings from a community-based sample. AIDS Behav. 2003;7:395–403.PubMed

23.

Wenzel SL, Tucker JS, Elliott MN, Hambarsoomians K, Perlman J, Becker K, et al. Prevalence and co-occurrence of violence, substance use and disorder, and HIV risk behavior: a comparison of sheltered and low-income housed women in Los Angeles County. Prev Med. 2004;39:617–24.PubMed

24.

Bourgois P. The moral economies of homeless heroin addicts: confronting ethnography, HIV risk, and everyday violence in San Francisco shooting encampments. Subst Use Misuse. 1998;33:2323–51.PubMed

25.

Saegert S, Evans GW. Poverty, housing niches, and health in the United States. J Soc Issues. 2003;59:569–89.

26.

Surratt HL, Inciardi JA, Kurtz SP, Kiley MC. Sex work and drug use in a subculture of violence. Crime Delinq. 2004;50:43–59.

27.

North Carolina Department of Health and Human Services. 2013 North Carolina STD/HIV Epidemiological Profile. 2013.

28.

Hodder SL, Justman J, Hughes JP, Wang J, Haley DF, Adimora AA, et al. HIV acquisition among women from selected areas of the united states a cohort study. Ann Intern Med. 2013;158:10–8.PubMedPubMedCentral

29.

Eshleman SH, Hughes JP, Laeyendecker O, Wang J, Brookmeyer R, Johnson-Lewis L, et al. Use of a multifaceted approach to analyze HIV incidence in a cohort study of women in the United States: HIV Prevention Trials Network 064 Study. J Infect Dis. 2013;207:223–31.PubMed

30.

SAS. Principal component analysis, Chap. 1. SAS Corporation, Cary, NC. 1989. Retrieved from: https://support.sas.com/publishing/pubcat/chaps/55129.pdf.

31.

Mukaka MM. A guide to appropriate use of correlation coefficient in medical research. Malawi Med J. 2012;24:69–71.PubMedPubMedCentral

32.

Radloff LS. The CES-D Scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1:385–401.

33.

Prins A, Ouimette P, Kimerling R, Camerond RP, Hugelshofer DS, Shaw-Hegwer J, et al. The primary care PTSD screen (PC–PTSD): development and operating characteristics. Prim Care Psychiatry. 2004;9:9–14.

34.

CDC. Social vulnerability index (SVI). Centers for Disease Control and Prevention. Atlanta, GA. 2015. Retrieved from: https://svi.cdc.gov/factsheet.html.

35.

Ene M, Leighton EA, Blue GL, Bell BA. Multilevel models for categorical data using SAS ^® PROC GLIMMIX. SAS Corporation, Cary, NC. 2015. Retrieved from: https://support.sas.com/resources/papers/proceedings15/3430-2015.pdf.

36.

Orelien J. Model fitting in PROC GENMOD. In: Proceedings of the 26th Annual SAS Users Group International Conference. 2001.

37.

Grieb SMD, Davey-Rothwell M, Latkin CA. Housing stability, residential transience, and HIV testing among low-income urban African Americans. AIDS Educ Prev. 2013;25:430–44.PubMed

38.

Weir BW, Bard RS, O’Brien K, Casciato CJ, Stark MJ. Uncovering patterns of HIV risk through multiple housing measures. AIDS Behav. 2007;11:31–44.PubMed

39.

Royse D, Leukefeld C, Logan TK, Dennis M, Wechsberg W, Hoffman J. Homelessness and gender in out-of-treatment drug users. Am J Drug Alcohol Abuse. 2000;26:283–96.PubMed

40.

Whittle HJ, Palar K, Napoles T, Hufstedler LL, Ching I, Hecht FM, et al. Experiences with food insecurity and risky sex among low-income people living with HIV/AIDS in a resource-rich setting. J Int AIDS Soc. 2015;18:20293.PubMedPubMedCentral

41.

Mulia N. Questioning sex: drug-using women and heterosexual relations. J Drug Issues. 2000;30:741–65.

42.

Hedden SL, Hulbert A, Cavanaugh CE, Parry CD, Moleko AG, Latimer WW. Alcohol, drug, and sexual risk behavior correlates of recent transactional sex among female black South African drug users. J Subst Use. 2011;16:57–67.PubMedPubMedCentral

43.

United States Census Bureau. Income, poverty and health insurance coverage in the United States: 2010. Suitland: United States Census Bureau; 2011.

44.

Logan TK, Cole J, Leukefeld C. Gender differences in the context of sex exchange among individuals with a history of crack use. AIDS Educ Prev. 2003;15:448–64.PubMed

45.

Hoffman JA, Klein H, Eber M, Crosby H. Frequency and intensity of crack use as predictors of women’s involvement in HIV-related sexual risk behaviors. Drug Alcohol Depend. 2000;58:227–36.PubMed

46.

Weiser SD, Leiter K, Bangsberg DR, Butler LM, Percy-De Korte F, Hlanze Z, et al. Food insufficiency is associated with high-risk sexual behavior among women in Botswana and Swaziland. PLoS Med. 2007;4:1589–98.PubMed

47.

Tester G. An intersectional analysis of sexual harassment in housing. Gend Soc. 2008;22:349–66.

48.

Shrier LA, Harris SK, Sternberg M, Beardslee WR. Associations of depression, self-esteem, and substance use with sexual risk among adolescents. Prev Med. 2001;33:179–89.PubMed

49.

Gray P, Fraser P. Housing and heroin use: the role of floating support. Drugs Educ Prev Policy. 2005;12:269–78.

50.

Howden-Chapmam P. Housing standards: a glossary of housing and health. J Epidemiol Commun Health. 2004;58:162–8.

51.

Khan MR, Behrend L, Adimora AA, Weir SS, White BL, Wohl DA. Dissolution of primary intimate relationships during incarceration and implications for post-release HIV transmission. J Urban Health. 2011;88:365–75.PubMedPubMedCentral

52.

Dauria EF, Oakley L, Arriola KJ, Elifson K, Wingood G, Cooper HLF. Collateral consequences: implications of male incarceration rates, imbalanced sex ratios and partner availability for heterosexual Black women. Cult Heal Sex. 2015;17:1190–206.

53.

Harawa NT, Adimora AA. Incarceration, African Americans and HIV: advancing a research agenda. J Natl Med Assoc. 2008;100:57–63.PubMedPubMedCentral

54.

Freudenberg N. Jails, prisons, and the health of urban populations: a review of the impact of the correctional system on community health. J. Urban Health. 2001;78:214–35.PubMedPubMedCentral

55.

Adimora AA, Schoenbach VJ. Social context, sexual networks, and racial disparities in rates of sexually transmitted infections. J Infect Dis. 2005;191:S115–22.PubMed

56.

Khan MR, Wohl DA, Weir SS, Adimora AA, Moseley C, Norcott K, et al. Incarceration and risky sexual partnerships in a southern US City. J Urban Health. 2008;85:100–13.PubMed

57.

Cooper HLF, Clark CD, Barham T, Embry V, Caruso B, Comfort M. “He Was the story of my drug use life”: a longitudinal qualitative study of the impact of partner incarceration on substance misuse patterns among African American women. Subst Use Misuse. 2014;49:176–88.PubMed

58.

Grinstead OA, Faigeles B, Comfort M, Seal D, Nealey-Moore J, Belcher L, et al. HIV, STD, and hepatitis risk to primary female partners of men being released from prison. Women Health. 2005;41:63–80.PubMed

59.

Kim A, Page-Shafer K, Ruiz J, Reyes L, Delgado V, Klausner J, et al. Vulnerability to HIV among women formerly incarcerated and women with incarcerated sexual partners. AIDS Behav. 2002;6:331–8.

60.

Adimora AA, Schoenbach VJ, Taylor EM, Khan MR, Schwartz RJ, Miller WC. Sex ratio, poverty, and concurrent partnerships among men and women in the United States: a multilevel analysis. Ann Epidemiol. 2013;23:716–9.PubMedPubMedCentral

61.

Haley DF, Haardörfer R, Kramer MR, Adimora AA, Wingood GM, Goswami ND, et al. Associations between neighborhood characteristics and sexual risk behaviors among HIV-infected and HIV-uninfected women in the southern United States. Ann Epidemiol. 2017;27:252–9.PubMedPubMedCentral

62.

Morrison-Beedy D, Carey MP, Tu X. Accuracy of audio computer-assisted self-interviewing (ACASI) and self-administered questionnaires for the assessment of sexual behavior. AIDS Behav. 2006;10:541–52.PubMedPubMedCentral

63.

Haley DF, Lucas J, Golin CE, Wang J, Hughes JP, Emel L, et al. Retention strategies and factors associated with missed visits among low income women at increased risk of HIV acquisition in the US (HPTN 064). AIDS Patient Care STDS. 2014;28:206–17.PubMedPubMedCentral

Titel: The Relationship Between Economic Deprivation, Housing Instability and Transactional Sex Among Women in North Carolina (HPTN 064)
verfasst von: Marie C. D. Stoner
Danielle F. Haley
Carol E. Golin
Adaora A. Adimora
Audrey Pettifor
Publikationsdatum: 22.07.2019
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 11/2019
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-019-02611-8

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