Abstract
The objective of this study was to compare human immunodeficiency virus (HIV) risk factors among female street youths involved in prostitution and those with no history of prostitution. Youths aged 14 to 25 years were recruited into the Montreal Street Youth Cohort. Semiannually, youths completed an interviewer-administered questionnaire. Statistical analyses comparing characteristics and HIV risk factors for girls involved in prostitution and those never involved were carried out using parametric and nonparametric methods. Of the girls, 88 (27%) reported involvement in prostitution, and 177 girls reported no history of prostitution at the baseline interview. Girls involved in prostitution were two times and five times more likely to have reported bingeing on alcohol and on drugs, respectively. A history of injection drug use was four times more likely to have been reported by girls involved in prostitution. Further, these girls were 2.5 times more likely to have reported injected cocaine as their drug of choice. Girls involved in prostitution were younger the first time they had consensual sex and were twice as likely to have reported anal sex. Consistent condom use for anal, vaginal, and oral sex was low for all girls. Girls involved in prostitution reported more risky sexual partners. In conclusion, girls involved in prostitution may be at increased risk of HIV infection due to their injection drug use and risky sexual behaviors. Unique intervention strategies are necessary for reducing HIV infection among female street youths involved in prostitution.
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Yates GL, MacKenzie R, Pennbridge J, Cohen E. A risk profile comparison of runaway and non-runaway youth. Am J Public Health. 1988;81:208–210.
Council on Scientific Affairs. Health status of detained and incarcerated youth. JAMA. 1990;263:987–991.
Podschun GD. Teen peer outreach-street work project: HIV prevention education for runaway and homeless youth. Public Health Rep. 1993;108:150–155.
Ringwalt CL, Greene JM, Robertson M, McPheeters M. The prevalence of homelessness among a dolescents in the United States. Am J Public Health. 1998;88:1325–1329.
Kipke MD, O'Connor S, Palmer R, MacKenzie RG. Street youth in Los Angeles: profile of a group at high risk for human immunodeficiency virus infection. Arch Pediatr Adolesc. 1995;149:513–519.
Kral AH, Molnar BE, Booth RE, Watters JK. Prevalence of sexual risk behaviour and substance use among runaway and homeless adolescents in San Francisco, Denver and New York City. Int J STD AIDS. 1997;8:109–117.
Anderson JE, Freese TE, Pennbridge JN. Sexual risk behavior and condom use among street youth in Hollywood. Fam Plann Perspect. 1994;26(6):22–25.
Greenblatt M, Robertson MJ. Life-styles, adaptive strategies, and sexual behaviors of homeless adolescents. Hosp Community Psychiatry. 1993;44:1177–1180.
Pfeifer RW, Oliver J. A study of HIV seroprevalence in a group of homeless youth in Hollywood, California. J Adolesc Health. 1997;20:339–342.
Sullivan T. Juvenile prostitution: a critical perspective. Marriage Fam Rev. 1988;12:113–134.
Clements K, Gleghorn A, Garcia D, Katz M, Marx R. A risk profile of street youth in northern California: implications for gender-specific human immunodeficiency virus prevention. J Adolesc Health. 1997;20:343–353.
Forst ML, Harry J, Goddard PA. A health-profile comparison of delinquent and homeless youths. J Health Care Poor Underserved. 1993;4:386–400.
Johnson TP, Aschkenasy JR, Herbers MR, Gillenwater SA. Self-reported risk factors for AIDS among homeless youth. AIDS Educ Prev. 1996;8:308–322.
Rotheram-Borus MJ, Mahler KA, Koopman C, Langabeer K. Sexual abuse history and associated multiple risk behavior in adolescent runaways. Am J Orthopsychiatry. 1996; 66:390–400.
Simons RL, Witbeck LB. Sexual abuse as a precursor to prostitution and victimization among adolescent and adult homeless women. J Family Issues. 1991;12:361–379.
deMatteo D, Major C, Block B, et al. Toronto street youth and HIV/AIDS: prevalence, demographics and risks. J Adolesc Health. 1999;25:358–366.
Roy É, Haley N, Leclerc P, et al. Prevalence of HIV infection and risk behaviours among Montreal street youth. Int J STD AIDS. 2000;11:241–247.
Rotheram-Borus M, Koopman C, Ehrhardt A. Homeless youth and HIV infection in the United States. Am Psychol. 1991;46:1188–1197.
deMatteo D, Read S, Bock B, et al. HIV seroprevalence in Toronto street youth. Int Conf AIDS 1992;C297.
Roy É, Haley N, Boivin J-F, Frappier J-Y, Claessens C. HIV Infection Among Montreal Street Youth. Montreal, Canada: Unité de santé publique—Division des maladies infectieuses; July 1996.
Stricof RL, Kennedy JT, Nattell TC, Weisfuse IB, Novick LF. HIV seroprevalence in a facility for runaway and homeless adolescents. Am J Public Health. 1991;81:S50-S53.
Kipke MD, Montgomery SB, Simon TR, Iverson EF. “Substance abuse” disorders among runaway and homeless youth. Substance Use Misuse. 1997;32:969–986.
Markos AR, Wade AAH, Walzman M. The adolescent female prostitute and sexually transmitted diseases. Int J STD AIDS. 1992;3:92–95.
Bailey SL, Camlin CS, Ennett ST. Substance use and risky sexual behavior among homeless and runaway youth. J Adolesc Health. 1998;23:378–388.
Baseman J, Ross M, Williams M. Sale of sex for drugs and drugs for sex: an economic context of sexual risk behavior for STDs. Sex Transm Dis. 1999;26:444–449.
Clatts MC, Davis WR. A demographic and behavioral profile of homeless youth in New York City: implications for AIDS outreach and prevention. Med Anthropol Q. 1999; 13:365–374.
Doherty MC, Garfein RS, Monterroso E, Brown D, Vlahov D. Correlates of HIV infection among young adult short-term injection drug users. AIDS. 2000;14:717–726.
Kral AH, Bluthenthal RN, Booth RE, Watters JK. HIV seroprevalence among street-recruited injection drug and crack cocaine users in 16 US municipalities. Am J Public Health. 1998;88:108–113.
DeHovitz JA, Kelly P, Feldman J, et al. Sexually transmitted diseases, sexual behavior, and cocaine use in inner-city women. Am J Epidemiol. 1994;140:1125–1134.
Edlin BR, Irwin KL, Faruque S, et al. Intersecting epidemics—crack cocaine use and HIV infection among inner-city young adults. N Engl J Med. 1994;331:1422–1427.
Marx R, Aral SO, Rolfs RT, Sterk CE, Kahn JG, Crack, sex and STD. Sex Transm Dis. 1991;18:92–101.
Friedman SR, Rosenblum A, Goldsmith D, Des Jarlais DC, Sufian M. Risk factors for HIV-1 infection among street-recruited intravenous drug users in New York City. Int Conf AIDS. 1989:56.
Wilson TE, Minkoff H, DeHovitz J, Feldman J, Landesman S. The relationship of cocaine use and human immunodeficiency virus serostatus to incident sexually transmitted diseases among women. Sex Transm Dis. 1998;25(2):70–75.
Guadagnino V, Zimatore G, Izzi A, et al. Relevance of intravenous cocaine use in relation to prevalence of HIV, hepatitis B and C virus markers among intravenous drug abusers in southern Italy. J Clin Lab Immunol. 1995;47:1–9.
Magura S, Kang SY, Nwakeze PC, Demsky S. Temporal patterns of heroin and cocaine use among methadone patients. Substance Use Misuse. 1998;33:2441–2467.
Chaisson RE, Bacchetti P, Osmond D, Brodie B, Sande MA, Moss AR. Cocaine use and HIV infection in intravenous drug users in San Francisco. JAMA. 1989;261:561–565.
Spatz Widom C, Kuhns JB. Childhood victimization and subsequent risk for promiscuity, prostitution, and teenage pregnancy: a prospective study. Am J Public Health. 1996; 86:1607–1612.
Zierler S, Feingold L, Laufer D, Velentgas P, Kantrowitz-Gordon I, Mayer K. Adult survivors of childhood sexual abuse and subsequent risk of HIV infection. Am J Public Health. 1991;81:572–575.
Sheldrick C. Adult sequelae of child sexual abuse. Br J Psychiatry. 1991;158 (suppl 10): 55–62.
Farley M, Barkan H. Prostitution, violence, and posttraumatic stress disorder. Women Health. 1998;27(3):37–49.
El-Bassel N, Schilling RF, Irwin KL, et al. Sex trading and psychological distress among women recruited from the street of Harlem. Am J Public Health. 1997;87:66–70.
Teets JM. The incidence and experience of rape among chemically dependent women. J Psychoactive Drugs. 1997;29:331–336.
Greenberg J, Magder L, Aral S. Age at first coitus: a marker for risky sexual behavior in women. Sex Transm Dis. 1992;19:331–334.
European Study Group on Heterosexual Transmission of HIV. Comparison of female to male and male to female transmission of HIV in 563 stable couples BMJ. 1992;304: 809–813.
Darrow WW, Echenberg DF, Jaffe HW, et al. Risk factors for human immunodeficiency virus (HIV) infections in homosexual men. Am J Public Health. 1987;77:479–483.
Moss AR, Osmond DH, Cherman JC, Barre-Sinoussi F, Carlson J. Risk factors for AIDS and HIV seropositivity in homosexual men. Am J Epidemiol. 1987;125:1035–1047.
van Griensven GJP, Tielman RAP, Goudsmit J, van der Noorda J, de Wolf F, Coutinho RA. Risk factors and prevalence of HIV antibodies among homosexual men in the Netherlands. Am J Epidemiol. 1987;125:1048–1057.
Abdool Karim SS, Ramjee G. Anal sex and HIV transmission in women. Am J Public Health. 1998;88:1265–1266.
Saracco A, Musicco M, Nicolosi A, et al. Man-to-woman sexual transmission of HIV: longitudinal study of 343 steady partners of infected men. J Acquir Immune Defic Syndr. 1993;6:498–502.
Council on Scientific Affairs. Health care needs of homeless and runaway youths. JAMA. 1989;262:1358–1361.
Fournier L, Chevalier S, Ostoj M, Caulet M, Courtemanche R, Plante N. Dénombrement de la clientèle itinérante dans les centres d'hébergement, les soupes populaires et les centres de jour des villes de Montréal et de Québec 1996–97. Montreal, Canada: Santé Québec; November 20, 1998.
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Weber, A.E., Boivin, JF., Blais, L. et al. HIV risk profile and prostitution among female street youths. J Urban Health 79, 525–535 (2002). https://doi.org/10.1093/jurban/79.4.525
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DOI: https://doi.org/10.1093/jurban/79.4.525