This study examined risky sexual behaviors, Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV)-defined alcohol and substance use disorders, and perceptions of risky behaviors among community released, justice-involved women, who are currently trading sex (CTS), formerly traded sex (FTS), or have never traded sex. Data were derived from 266 sexually active women recruited from a Municipal Drug Court System in St. Louis, Missouri. In an adjusted multinomial regression model, being dependent on alcohol and cocaine was the most robust correlate of sex-trading status (adjusted odds ratio [AOR]: CTS = 4.21, FTS = 4.66). Perceptions of sexual risk and HIV were significantly associated with CTS (AOR = 3.39), however, not FTS. Other significant correlates of sex trading status included age, lifetime injection drug use, lower education, child sexual abuse, and unstable housing. Gender-specific interventions tailored toward currently and formerly sex-trading women are needed.
Keyphrases
- healthcare
- mental health
- polycystic ovary syndrome
- primary care
- emergency department
- pregnancy outcomes
- physical activity
- type diabetes
- hepatitis c virus
- cervical cancer screening
- wastewater treatment
- insulin resistance
- adipose tissue
- heavy metals
- pregnant women
- data analysis
- big data
- electronic health record
- ultrasound guided
- alcohol consumption
- prefrontal cortex
- anaerobic digestion