Background: Despite a slight decline in new human immunodeficiency virus (HIV) infections in New York, marked increases and concentrated epidemics continue among subsets of the population, including women engaged in sex trading. We examined the prevalence and correlates of sex trading among 346 low-income, HIV-negative women in HIV-concordant intimate relationships. Methods: Women and their long-term main partners were recruited to participate in an HIV prevention intervention. Baseline data were used in this article. Findings: Of the 346 women in the study, 28% reported sex trading during the prior 90days. Multivariate analyses showed increased relative risk of sex trading by lifetime experience of severe intimate partner violence (IPV), drug, and alcohol use, and marginal significance for mental health hospitalization, partner drug dependency, and homelessness. Conclusions: These findings suggest an urgent need for HIV prevention and intervention efforts targeted toward women in intimate relationships who trade sex for money or drugs, with an emphasis on IPV, mental health, history of incarceration, and substance abuse. © 2015 Jacobs Institute of Women's Health.

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hospitalization HIV Infections transmission sexual behavior Human immunodeficiency virus infection Interpersonal Relations lowest income group alcohol consumption internal consistency mental health human sexuality Sexual Partners controlled study Substance-Related Disorders substance abuse alcoholism social support test retest reliability drug dependence human relation Cross-Sectional Studies United States Surveys and Questionnaires Humans cross-sectional study psychology New York male female Socioeconomic Factors risk factor Risk Factors socioeconomics questionnaire prostitution prevalence Incidence epidemic high risk behavior Risk-Taking Article major clinical study adult partner violence intimacy Homeless Persons risk reduction homelessness