AIDS and Behavior
Volume 22, Issue 8, 2018, Pages 2553-2563

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

Urada L.A.* , Smith L.R. , Yore J. , Triplett D.P. , Hucks-Ortiz C. , Raj A.
  • a School of Social Work, San Diego State University, Hepner Hall #119, 5500 Campanile Drive, San Diego, CA 92182-4119, United States, Center on Gender Equity and Health, Division of Infectious Diseases and Global Public Health, Department of Medicine, University of California San Diego, La Jolla, United States
  • b Center on Gender Equity and Health, Division of Infectious Diseases and Global Public Health, Department of Medicine, University of California San Diego, La Jolla, United States
  • c Center on Gender Equity and Health, Division of Infectious Diseases and Global Public Health, Department of Medicine, University of California San Diego, La Jolla, United States
  • d Center on Gender Equity and Health, Division of Infectious Diseases and Global Public Health, Department of Medicine, University of California San Diego, La Jolla, United States
  • e JWCH Institute, Inc., Los Angeles, CA, United States
  • f Center on Gender Equity and Health, Division of Infectious Diseases and Global Public Health, Department of Medicine, University of California San Diego, La Jolla, United States, Department of Education Studies, Division of Social Sciences, University of California San Diego, La Jolla, United States

Abstract

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. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.

Author Keywords

Living with HIV adherence Insurance Substance use Sex trade

Index Keywords

HIV Infections mental health service Human immunodeficiency virus infection mass screening Caucasian homeless person health insurance human middle aged Odds Ratio statistics and numerical data health service Substance-Related Disorders Aged Logistic Models Mental Health Services drug dependence Insurance, Health African American Hispanic Americans Surveys and Questionnaires Young Adult Humans Hispanic Adolescent male female Appointments and Schedules questionnaire prostitution health services case management adult European Continental Ancestry Group patient attitude Sex Work Homeless Persons Patient Acceptance of Health Care statistical model hospital management African Americans
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85046825131&doi=10.1007%2fs10461-018-2131-4&partnerID=40&md5=981c1887a746680d561c0b118493f69e
DOI: 10.1007/s10461-018-2131-4
ISSN: 10907165
Cited by: 1
Original Language: English