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. 2012 May;117(2):173-7.
doi: 10.1016/j.ijgo.2011.12.019. Epub 2012 Feb 21.

Sex trade among young women attending family-planning clinics in Northern California

Michele R Decker  1 , Elizabeth Miller, Heather L McCauley, Daniel J Tancredi, Rebecca R Levenson, Jeffrey Waldman, Phyllis Schoenwald, Jay G Silverman
Affiliations

Sex trade among young women attending family-planning clinics in Northern California

Michele R Decker et al. Int J Gynaecol Obstet. 2012 May.

Abstract

Objective: To describe the prevalence and nature of sex trade in a clinic-based sample of young women and to evaluate associations with sexual and reproductive health.

Methods: A cross-sectional survey was conducted with women aged 16-29 years (n=1277) presenting to family-planning clinics in Northern California, USA.

Results: Overall, 8.1% of respondents indicated a lifetime history of trading sex for money or other resources. Sex trade was associated with unintended pregnancy (adjusted risk ratio [ARR] 1.27; 95% confidence interval [CI], 1.09-1.48), multiple abortions (ARR 1.63; 95% CI, 1.19-2.23), STI diagnosis (ARR 1.46; 95% CI, 1.27-1.68), and unwanted sex (vaginal ARR 3.64; 95% CI, 2.39-5.56; anal ARR 4.99; 95% CI, 2.17-11.50). Of the women ever involved in sex trade, 12 (37.3%) reported that their first such experience was before they were 18 years of age.

Conclusion: Approximately 1 in 12 participants had been involved in sex trade, illustrating the presence of patients with this history within the family-planning clinical setting. Sex trade was associated with multiple indicators of poor sexual and reproductive health. Family-planning clinics may represent an underused mechanism for engaging this high-risk population.

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