ArticleSubstance use & misuse2017
Gender and Sex Trading Among Active Methamphetamine Users in Cape Town, South Africa.
Article in Substance use & misuse, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Mental health problems among female sex workers in low- and middle-income countries: A systematic review and meta-analysis.PLoS medicine · 2020Pooled it
- Feasibility, Acceptability, and Preliminary Efficacy of a Pilot Study To Integrate Buprenorphine into a Harm-reduction Drop-in-Center in Kampala, Uganda.AIDS and behavior · 2026Article
- Characterising people who inject drugs, and association with HIV infection: A situation analysis in Kampala City, Uganda.PLOS global public health · 2025Article
- Characterising People who inject drugs, and association with HIV infection: A Situation Analysis in Kampala city, Uganda.medRxiv : the preprint server for health sciences · 2024Article
- The Role of Context in Integrating Buprenorphine into a Drop-In Center in Kampala, Uganda, Using the Consolidated Framework for Implementation Research.International journal of environmental research and public health · 2022Article
- Online Narratives of Methamphetamine Use and Risky Sexual Behavior: Can Shame-Free Guilt Aid in Recovery?Archives of sexual behavior · 2021Article
- Injection and sexual risk among people who use or inject drugs in Kampala, Uganda: An exploratory qualitative study.PloS one · 2020Article
- Understanding HIV Risk Behaviors Among Young Men in South Africa: A Syndemic Approach.AIDS and behavior · 2018Article
- Sex Trade and Health Care Utilization Among People Living with HIV/AIDS.AIDS and behavior · 2018Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundSouth Africa has experienced a tremendous rise in methamphetamine use since the year 2000. Sex trading is a global phenomenon that has been observed in active drug users and has been associated with risks for HIV infection and violence.
objectivesThis paper describes and examines the correlates of sex trading among active methamphetamine users in Cape Town, South Africa.
methodsThrough peer referral, 360 (201 male; 159 female) active methamphetamine users were recruited in a peri-urban township. Demographics, sex trading, drug use, trauma, and mental health were assessed by a structured clinical interview and computer survey. Logistic regression models were used to examine predictors of sex trading for men and women.
resultsIn the past 3 months, 40% of men and 33% of women endorsed trading sex for methamphetamine or money. Among these, they reported trading with same sex partners (33%), high rates of inconsistent condom use (73%), and incidences of physical (23%) and sexual (27%) assault when sex trading. Increased drug use severity was correlated with sex trading. Women with experiences of violence and trauma were also more likely to trade sex. Conclusions/importance: The results stress a need for linkage to drug treatment, as addiction may be fueling sex trading. Targeted interventions geared towards safe sex practices may reduce risky sexual behaviors. Women need interventions that are attuned to their specific vulnerabilities. More research is needed to explore the experiences of men who have sex with men given their particularly high rates of sex trading behavior.
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Registered trials
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