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. 2018 Aug;22(8):2553-2563.
doi: 10.1007/s10461-018-2131-4.

Sex Trade and Health Care Utilization Among People Living with HIV/AIDS

Lianne A Urada  1   2 , Laramie R Smith  3 , Jennifer Yore  3 , Daniel P Triplett  3 , Christopher Hucks-Ortiz  4 , Anita Raj  3   5
Affiliations

Sex Trade and Health Care Utilization Among People Living with HIV/AIDS

Lianne A Urada et al. AIDS Behav. 2018 Aug.

Abstract
in English, Undetermined language

People living with HIV/AIDS (PLWH) are more likely to have a history of trading sex, but little research has examined whether trading sex is associated with lower health care utilization amongst PLWH. This study assesses this association with PLWH (N = 583) recruited and surveyed from seven community sites in six US cities participating in a multi-site community-based HIV test and treat initiative. Participants were 90.6% Black or Latino, 30.4% homeless, and 9.0% (1 in 11) sold sex (past 90 days). Most reported receiving HIV clinical care (63.9%, past 6 months) and HIV case management (68.9%, past year), but 35.7% reported a missed health care appointment (past 3 months). In adjusted regression models, trading sex was associated with a missed health care appointment (OR = 2.44) and receiving psychological assistance (OR = 2.31), past 90 days, but not receipt of HIV care or supportive HIV services. Trading sex may compromise consistent health care utilization among PLWH.

Las personas que viven con VIH/SIDA (SLWH) tienes más probabilidades de tener un historial de comercio sexual, poca investigación ha examinado si el comercio sexual está asociado con una menor utilización de atención médica entre las personas PLHW. Este estudio evalúa la asociación con PLWH (N=583) reclutados y encuestados en seis ciudades en los Estados Unidos. Los participantes fueron 90.6% Negros o Latinos, 30.4% sin hogar y 9.0% (1 en 11) vendió sexo (últimos 90 días). La mayoría informo que recibió atención médica (63.9%, últimos 6 meses) y manejo de caso VIH (68.9%, el pasado año), pero 35.7% perdió una cita médica (últimos 3 meses). En los modelos de regresión ajustada, el sexo comercial fue asociado con una cita médica perdida (OR=2.31), después de 90 días, pero sin atención o servicios de apoyo VIH. El comercio sexual puede comprometer el uso constante de atención medica en las PLWH.

Keywords: Adherence; Insurance; Living with HIV; Sex trade; Substance use.

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Conflict of interest statement

Conflict of interest: The authors declare that they have no conflict of interest.

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