The purpose of this study was to investigate differences in drug use and HIV risk behaviors among women who exchanged sex for drugs only, for money only, or for both drugs and money. Structured interview responses from 2,042 drug-using women in 23 cities who reported having exchanged sex in the prior 30 days were analyzed. Results indicated that women who exchanged sex for drugs only (n = 117), and for drugs and money (n = 965), were more likely to use alcohol and smoke crack than those who exchanged sex for money only(n = 960). They were also more likely to have had unprotected sex and sex with a drug injector. Those who exchanged sex only for drugs reported having sex half as often as the other two groups and had one fourth the number of partners, but used condoms the least when having sex. Women who exchanged sex for money only were the most likely to inject drugs and the least likely to have had unprotected sex. Promoting condom use and increasing availability of condoms to women who exchange sex, and to their partners, is crucial. Continued research into the relationship between crack use and sex-related HIV risk behaviors is also needed.
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Kwiatkowski, C.F., Booth, R.E. Differences in HIV Risk Behaviors Among Women Who Exchange Sex for Drugs, Money, or Both Drugs and Money. AIDS Behav 4, 233–240 (2000). https://doi.org/10.1023/A:1009512601057