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Engagement in sex work does not increase HIV risk for women who inject drugs in Ukraine
BACKGROUND: We studied the association between sex in exchange for money, drugs or goods and HIV for women who inject drugs (WWID) in Ukraine, as previous data on this association from the post-USSR region are contradictory. METHODS: Data come from the Integrated Bio-Behavioral Survey of Ukrainian p...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5896584/ https://www.ncbi.nlm.nih.gov/pubmed/27451415 http://dx.doi.org/10.1093/pubmed/fdw070 |
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author | Vasylyeva, Tetyana I. Friedman, Samuel R. Gensburg, Lenore Smyrnov, Pavlo |
author_facet | Vasylyeva, Tetyana I. Friedman, Samuel R. Gensburg, Lenore Smyrnov, Pavlo |
author_sort | Vasylyeva, Tetyana I. |
collection | PubMed |
description | BACKGROUND: We studied the association between sex in exchange for money, drugs or goods and HIV for women who inject drugs (WWID) in Ukraine, as previous data on this association from the post-USSR region are contradictory. METHODS: Data come from the Integrated Bio-Behavioral Survey of Ukrainian people who inject drugs collected in 2011 using respondent-driven sampling. Participants were interviewed and tested with rapid HIV tests. RESULTS: The sample included 2465 WWID (24% HIV positive); 214 (8.7%) of which reported having had exchange sex during the last 90 days. Crude analysis showed no association between exchange sex and HIV (OR = 0.644; 95% CI 0.385–1.077). No confounders were found to alter this result in a multivariable analysis. Further modeling showed that exchange sex modifies association between HIV and alcohol use: no association between HIV and daily alcohol use was found for those women who exchanged sex (OR = 1.699, 95% CI 0.737–3.956); while not engaging in sex work and daily using alcohol reduced odds to be HIV infected (OR = 0.586, 95% CI 0.389–0.885). CONCLUSIONS: Exchange sex may have less impact on the HIV status of WWID who are exposed to injecting risks. The finding that daily alcohol use appears protective against HIV among WWID who do not exchange sex requires more research. |
format | Online Article Text |
id | pubmed-5896584 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-58965842018-04-17 Engagement in sex work does not increase HIV risk for women who inject drugs in Ukraine Vasylyeva, Tetyana I. Friedman, Samuel R. Gensburg, Lenore Smyrnov, Pavlo J Public Health (Oxf) Original Article BACKGROUND: We studied the association between sex in exchange for money, drugs or goods and HIV for women who inject drugs (WWID) in Ukraine, as previous data on this association from the post-USSR region are contradictory. METHODS: Data come from the Integrated Bio-Behavioral Survey of Ukrainian people who inject drugs collected in 2011 using respondent-driven sampling. Participants were interviewed and tested with rapid HIV tests. RESULTS: The sample included 2465 WWID (24% HIV positive); 214 (8.7%) of which reported having had exchange sex during the last 90 days. Crude analysis showed no association between exchange sex and HIV (OR = 0.644; 95% CI 0.385–1.077). No confounders were found to alter this result in a multivariable analysis. Further modeling showed that exchange sex modifies association between HIV and alcohol use: no association between HIV and daily alcohol use was found for those women who exchanged sex (OR = 1.699, 95% CI 0.737–3.956); while not engaging in sex work and daily using alcohol reduced odds to be HIV infected (OR = 0.586, 95% CI 0.389–0.885). CONCLUSIONS: Exchange sex may have less impact on the HIV status of WWID who are exposed to injecting risks. The finding that daily alcohol use appears protective against HIV among WWID who do not exchange sex requires more research. Oxford University Press 2017-09 2016-07-22 /pmc/articles/PMC5896584/ /pubmed/27451415 http://dx.doi.org/10.1093/pubmed/fdw070 Text en © The Author 2016. Published by Oxford University Press on behalf of Faculty of Public Health. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Vasylyeva, Tetyana I. Friedman, Samuel R. Gensburg, Lenore Smyrnov, Pavlo Engagement in sex work does not increase HIV risk for women who inject drugs in Ukraine |
title | Engagement in sex work does not increase HIV risk for women who inject drugs in Ukraine |
title_full | Engagement in sex work does not increase HIV risk for women who inject drugs in Ukraine |
title_fullStr | Engagement in sex work does not increase HIV risk for women who inject drugs in Ukraine |
title_full_unstemmed | Engagement in sex work does not increase HIV risk for women who inject drugs in Ukraine |
title_short | Engagement in sex work does not increase HIV risk for women who inject drugs in Ukraine |
title_sort | engagement in sex work does not increase hiv risk for women who inject drugs in ukraine |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5896584/ https://www.ncbi.nlm.nih.gov/pubmed/27451415 http://dx.doi.org/10.1093/pubmed/fdw070 |
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