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. 2010 Sep;32(3):322-7.
doi: 10.1093/pubmed/fdp126. Epub 2010 Jan 9.

Survival sex work involvement among street-involved youth who use drugs in a Canadian setting

Jill Chettiar  1 , Kate Shannon, Evan Wood, Ruth Zhang, Thomas Kerr
Affiliations

Survival sex work involvement among street-involved youth who use drugs in a Canadian setting

Jill Chettiar et al. J Public Health (Oxf). 2010 Sep.

Abstract

Background: Drug users engaged in survival sex work are at heightened risk for drug- and sexual-related harms. We examined factors associated with survival sex work among street-involved youth in Vancouver, Canada.

Methods: From September 2005 to November 2007, baseline data were collected for the At-Risk Youth Study (ARYS), a prospective cohort of street-recruited youth aged 14-26 who use illicit drugs. Using multiple logistic regression, we compared youth who reported exchanging sex for money, drugs etc. with those who did not.

Results: The sample included 560 youth: median age 22; 179 (32%) female; 63 (11%) reporting recent survival sex work. Factors associated with survival sex work in multivariate analyses included non-injection crack use [adjusted odds ratio (AOR) = 3.45, 95% confidence interval (CI): 1.75-6.78], female gender (AOR = 3.02, 95% CI: 1.66-5.46), Aboriginal ethnicity (AOR = 2.35, 95% CI: 1.28-4.29) and crystal methamphetamine use (AOR = 2.02, 95% CI: 1.13-3.62). In subanalyses, the co-use of crack cocaine and methamphetamine was shown to be driving the association between methamphetamine and survival sex work.

Conclusions: This study demonstrates a positive interactive effect of dual stimulant use in elevating the odds of survival sex work among street youth who use drugs. Novel approaches to reduce the harms associated with survival sex work among street youth who use stimulants are needed.

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References

    1. DeMatteo D, Major C, Block B, et al. Toronto street youth and HIV/AIDS: prevalence, demographics, and risks. J Adolesc Health. 1999;25(5):358–66. - PubMed
    1. Miller CL, Spittal PM, LaLiberte N, et al. Females experiencing sexual and drug vulnerabilities are at elevated risk for HIV infection among youth who use injection drugs. J Acquir Immune Defic Syndr. 2002;30(3):335–41. - PubMed
    1. Roy E, Haley N, Leclerc P, et al. Drug injection among street youths in Montreal: predictors of initiation. J Urban Health. 2003;80(1):92–105. - PMC - PubMed
    1. Wood E, Stoltz JA, Zhang R, et al. Circumstances of first crystal methamphetamine use and initiation of injection drug use among high-risk youth. Drug Alcohol Rev. 2008;27(3):270–6. - PMC - PubMed
    1. Roy E, Boudreau JF, Leclerc P, et al. Trends in injection drug use behaviors over 10 years among street youth. Drug Alcohol Depend. 2007;89(2–3):170–5. - PubMed

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