TY - JOUR
T1 - Sex trade among young women attending family-planning clinics in Northern California
AU - Decker, Michele R.
AU - Miller, Elizabeth
AU - McCauley, Heather L.
AU - Tancredi, Daniel J.
AU - Levenson, Rebecca R.
AU - Waldman, Jeffrey
AU - Schoenwald, Phyllis
AU - Silverman, Jay G.
N1 - Funding Information:
E.M. and J.G.S. received funding from the National Institute of Child Health and Human Development (R21 HD057814-02). M.R.D. received funding from Harvard University Center for AIDS Research (HU CFAR NIH/NIAID fund P30-AI060354). E.M. received a University of California Davis Health System Research award and a Building Interdisciplinary Research Careers in Women's Health award (BIRCWH, K12 HD051958; National Institute of Child Health and Human Development, Office of Research on Women's Health, Office of Dietary Supplements, National Institute of Aging).
Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2012/5
Y1 - 2012/5
N2 - 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.
AB - 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.
KW - Reproductive health
KW - STI/HIV
KW - Sex trade
KW - Sexual risk
KW - Unintended pregnancy
KW - Violence
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U2 - 10.1016/j.ijgo.2011.12.019
DO - 10.1016/j.ijgo.2011.12.019
M3 - Article
C2 - 22356762
AN - SCOPUS:84859583297
VL - 117
SP - 173
EP - 177
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
SN - 0020-7292
IS - 2
ER -