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AIDS and Behavior
Published in: AIDS and Behavior 6/2006

01-11-2006 | Original Article

Contextual Determinants of Condom Use Among Female Sex Exchangers in East Harlem, NYC: An Event Analysis

Authors: James M. McMahon, Stephanie Tortu, Enrique R. Pouget, Rahul Hamid, Alan Neaigus

Published in: AIDS and Behavior | Issue 6/2006

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Abstract

Recent studies have revealed a variety of contexts involving HIV risk behaviors among women who exchange sex for money or drugs. Event analysis was used to identify the individual, relationship, and contextual factors that contribute to these high-risk sex exchange practices. Analyses were conducted on data obtained from 155 drug-using women who reported details of their most recent sex exchange event with male clients. The majority of sex exchange encounters (78%) involved consistent condom use. In multivariable analysis, protective behavior was associated primarily with situational and relationship variables, such as exchange location, substance use, sexual practices, and respondent/client discussion and control. In order to inform HIV prevention programs targeted to women sex exchangers, further research is needed on the contextual determinants of risk, especially with regard to condom-use negotiation and factors involving substance use that adversely affect women's ability to manage protective behavior in the context of sex exchange.
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Metadata
Title
Contextual Determinants of Condom Use Among Female Sex Exchangers in East Harlem, NYC: An Event Analysis
Authors
James M. McMahon
Stephanie Tortu
Enrique R. Pouget
Rahul Hamid
Alan Neaigus
Publication date
01-11-2006
Published in
AIDS and Behavior / Issue 6/2006
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-006-9093-7

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