ArticleAddiction (Abingdon, England)2019
Interpersonal and structural factors associated with receptive syringe-sharing among a prospective cohort of female sex workers who inject drugs.
Article in Addiction (Abingdon, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
25 citing papers in PubMed, 34 citations in OpenAlex.
- Health inequities faced by sex workers.The Lancet. Public health · 2026Review
- Exploring Perceptions and Experiences of Health Needs Among Women Who Sell Sex.Archives of sexual behavior · 2025Article
- Risk Factors for Infective Endocarditis and Serious Injection Related Infections Among People Who Inject Drugs in Los Angeles, CA and Denver, CO.Drug and alcohol dependence · 2025Article
- Telehealth resources and utilization interest among women who sell sex: An explanatory sequential mixed methods study.Public health in practice (Oxford, England) · 2024Article
- LatinX harm reduction capital, medication for opioid use disorder, and nonfatal overdose: A structural equation model analysis among people who use drugs in Massachusetts.Drug and alcohol dependence · 2024Article
- Interrogating perceived relevance and feasibility of HIV pre-exposure prophylaxis: A novel model of PrEP acceptability among cisgender women who inject drugs.SSM. Qualitative research in health · 2023Article
- Who Asks About HIV/STI Status?: An Analysis of Women Who Sell Sex and Inject Drugs.AIDS and behavior · 2023Article
- Factors Associated with Exchange Sex Among Cisgender Persons Who Inject Drugs: Women and MSM-23 U.S. Cities, 2018.AIDS and behavior · 2023Article
- Gender Dynamics in Substance Use and Treatment: A Women's Focused Approach.The Medical clinics of North America · 2022Review
- The role of local business employees and community members in the HIV risk environment of female sex workers in an urban setting: associations between negative interactions and inconsistent condom use.BMC public health · 2021Article
- Us for us: reflections of a journey by people who use drugs in East Africa to shape HIV, hepatitis and other relevant health policies.Journal of the International AIDS Society · 2021Article
- Confirmatory Factor Analysis and Construct Validity of the Internalized Sex Work Stigma Scale among a Cohort of Cisgender Female Sex Workers in Baltimore, Maryland, United States.Journal of sex research · 2021Article
- Competing risks of women and men who use fentanyl: "The number one thing I worry about would be my safety and number two would be overdose".Journal of substance abuse treatment · 2021Article
- Sexual-risk reduction following the referral of syringe exchange registrants to methadone maintenance: Impact of gender and drug use.Journal of substance abuse treatment · 2021Article
- The EMERALD (Enabling Mobilization, Empowerment, Risk Reduction, and Lasting Dignity) Study: Protocol for the Design, Implementation, and Evaluation of a Community-Based Combination HIV Prevention Intervention for Female Sex Workers in Baltimore, Maryland.JMIR research protocols · 2021Article
- Prevalence and correlates of receptive syringe-sharing among people who inject drugs in rural Appalachia.Addiction (Abingdon, England) · 2021Observational
- A fentanyl test strip intervention to reduce overdose risk among female sex workers who use drugs in Baltimore: Results from a pilot study.Addictive behaviors · 2020Article
- Sex Work as a Mediator Between Female Gender and Incident HIV Infection Among People Who Inject Drugs in Tijuana, Mexico.AIDS and behavior · 2020Article
- Barriers and facilitators to retaining a cohort of street-based cisgender female sex workers recruited in Baltimore, Maryland, USA: results from the SAPPHIRE study.BMC public health · 2020Article
- Inconsistent Condom Use Among Female Sex Workers: Partner-specific Influences of Substance Use, Violence, and Condom Coercion.AIDS and behavior · 2020Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 2 countries.
Funding
Abstract
aimsTo determine the interpersonal and structural factors associated with receptive syringe sharing (RSS) among female sex workers who inject drugs (FSW-IDU), a group at high risk of HIV/hepatitis C virus (HCV) acquisition.
designSex workers And Police Promoting Health In Risky Environments (SAPPHIRE) study, a prospective cohort study.
settingBaltimore, MD, USA
participantsOne hundred and eighty FSW-IDU; mean age = 33 years, 77.1% white and 62.9% in a relationship/married. MEASUREMENTS: Surveys were conducted between April 2016 and February 2018. The main outcome was recent RSS (past 3 months). In addition to socio-demographic characteristics and drug use behaviors, we assessed factors at the interpersonal level, including injection practices, intimate partner and client drug use and exposure to violence. Structural-level factors included methods of syringe access.
findingsNearly all FSW-IDU used heroin (97.1%) or crack cocaine (89.7%). Recent RSS was reported by 18.3%. Syringes were accessed from needle exchange programs (64.6%), pharmacies (29.7%), street sellers (30.3%) or personal networks (29.1%). Some FSW-IDU had clients or intimate partners who injected drugs (26.3 and 26.9%, respectively). Longitudinal factors independently associated with RSS in the multi-level mixed-effects model were recent client violence [adjusted odds ratio (aOR) = 2.17, 95% confidence interval (CI) = 1.09-4.33], having an intimate partner who injected drugs (aOR = 2.18, 95% CI = 0.98-4.85), being injected by others (aOR = 4.95, 95% CI = 2.42-10.10) and obtaining syringes from a street seller (aOR = 1.88, 95% CI = 0.94-3.78) or from a member of their personal network (aOR = 4.43, 95% CI = 2.21-8.90).
conclusionsClient violence, intimate partner injection drug use, being injected by others and obtaining syringes from personal connections appear to increase parenteral HIV/HCV risk among female sex workers who inject drugs.
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