Amphetamine-type stimulant use and HIV/STI risk behaviour among young female sex workers in Phnom Penh, Cambodia

Maher, Lisa; Phlong, Pisith; Mooney-Somers, Julie; Keo, Samnang; Stein, Ellen; Couture, MC; Page, Kimberly

doi:10.1016/j.drugpo.2011.01.003

Cited by 53 publications

(69 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Methamphetamine is highly addictive, leading some individuals to turn to sex trading as a way to acquire the drug (Rawstorne et al, 2007; Urada et al, 2014). At the same time, methamphetamine may be used as a functional drug among sex workers, because it induces stamina and wakefulness, and allows individuals to work long hours and serve more customers (Maher et al, 2011; Urada et al, 2014). Sex trading behaviors are associated with increased risk of HIV infection (Astemborski, Vlahov, Warren, Solomon, & Nelson, 1994; Couture et al, 2011; Windle, 1997), and methamphetamine use in the context of sex trading may further increase this risk because it affects sexual decision-making (Halkitis, Green, & Mourgues, 2005) and leads to risky behavior such as inconsistent or incorrect condom use and multiple sex partners (Couture et al, 2012; Nakamura, Mausbach, Ulibarri, Semple, & Patterson, 2011; Nakamura, Semple, Strathdee, & Patterson, 2011).…”

Section: Introductionmentioning

confidence: 99%

“Nothing Is Free”: A Qualitative Study of Sex Trading Among Methamphetamine Users in Cape Town, South Africa

et al. 2015

View full text Add to dashboard Cite

South Africa is facing an established epidemic of methamphetamine, known locally as “tik”. Globally, methamphetamine has been linked to high rates of sexual risk behaviors, including sex trading. The goal of this study was to qualitatively examine the experiences of sex trading among methamphetamine users in Cape Town, South Africa. Individual in-depth interviews were conducted with 30 active methamphetamine users (17 men and 13 women) recruited from the community. Interviews were conducted in local languages using a semi-structured guide that included questions on sex trading experiences and perceptions of sex trading among methamphetamine users. Interviews were audio-recorded, transcribed, and analyzed using analytic memos and coding with constant comparison techniques. The data revealed that in a setting of high levels of addiction and poverty, sex was an important commodity for acquiring methamphetamine. Women were more likely to use sex to acquire methamphetamine, but men reported opportunistic cases of trading sex for methamphetamine. Four models of sex trading emerged: negotiated exchange, implicit exchange, relationships based on resources, and facilitating sex exchange for others. The expectation of sex trading created a context in which sexual violence against female methamphetamine users was common. Multiple sexual partners and inconsistent condom use in acts of sex trading put methamphetamine users at high risk of HIV. Interventions in this setting should address addiction, which is the primary driver of sex trading among methamphetamine users. Harm reduction interventions may include education about HIV and other sexually transmitted infections, availability of condoms and HIV testing, and sexual violence prevention.

show abstract

Section: Introductionmentioning

confidence: 99%

“Nothing Is Free”: A Qualitative Study of Sex Trading Among Methamphetamine Users in Cape Town, South Africa

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Recent research has also identified drug use and, in particular, amphetamine-type stimulant (ATS) use as a serious emerging problem associated with HIV risk among FSW [3,9,10], which threatens to reverse downward trends in HIV infection rates in the region.…”

Section: Introductionmentioning

confidence: 99%

Testing for amphetamine-type stimulant (ATS) use to ascertain validity of self-reported ATS use among young female sex workers in Cambodia

Kab

Neth

et al. 2014

Drug and Alcohol Dependence

Self Cite

View full text Add to dashboard Cite

Objective: To assess concordance between self-reported amphetamine-type stimulant (ATS) use and toxicology results among young female sex workers (FSW) in Phnom Penh, Cambodia. Methods: Cross-sectional data from the Young Women's Health Study-2 (YWHS-2), a prospective study of HIV and ATS use among young (15 to 29 years) FSW in Phnom Penh, Cambodia, was analyzed. The YWHS-2 assessed sociodemographic characteristics, HIV serology, HIV risk, and ATS use by self-report and urine toxicology testing at each quarterly visit, the second of which provided data for this assessment. Outcomes include sensitivity, specificity, positive-and negative predictive values (overall and stratified by age), sex-work setting, and HIV status.Results: Among 200 women, prevalence of positive toxicology screening for ATS use was 14% (95% confidence interval [CI], 9.2, 18.9%) and concurrent prevalence of self-reported ATS was 15.5% (95% CI, 10.4, 20.6%). The sensitivity and specificity of self-reported ATS use compared to positive toxicology test results was 89.3% (25/28), and 96.5% (166/172), respectively. The positive predictive value of self-reported ATS use was 80.6% (25/31); the negative predictive value was 98.2% (166/169). Some differences in concordance between self-report and urine toxicology results were noted in analyses stratified by age group and sex-work setting but not by HIV status. Conclusion:Results indicate a high prevalence of ATS use among FSW in Phnom Penh, Cambodia, and high concordance between self-reported and toxicology-test confirmed ATS use.

show abstract

“…However, it has been reported that substance use causes a negative evaluation (Conner et al, 2008;Davis et al, 2015). For example, when people are under the effects of any substance use, they avoid using condoms, because they do not feel the same and it delays ejaculation, causing them to rate condoms as terrible (Maher et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

Effect of substance use on condom use in the Theory of Planned Behavior: Analysis of differential item functioning

Sánchez-Domínguez

Villalobos-Gallegos

Felix-Romero

et al. 2017

View full text Add to dashboard Cite

Introduction. Substance use is one of the factors associated with lower condom use in young adults, which increases the likelihood of HIV infection. The Theory of Planned Behavior (TPB) is one of the most useful models for explaining this phenomenon since it considers the aim of engaging in a behavior based on attitudes, subjective norms and self-efficacy. Objective. To develop a questionnaire and to evaluate the Differential Item Functioning (DIF) caused by substance use in TPB indicators, using the Multiple Indicators Multiple Causes Analysis (MIMIC). Method. The study was conducted in two phases with Mexico City college students age 18 to 25. Results. Adequate goodness of fit was obtained in all three models of the TPB: attitudes χ

show abstract

Amphetamine-type stimulant use and HIV/STI risk behaviour among young female sex workers in Phnom Penh, Cambodia

Abstract: Background-Use of amphetamine-type substances (ATS) has been linked to increased risk of HIV and other sexually transmitted infections (STI) worldwide. In Cambodia, recent ATS use is independently associated with incident STI infection among young female sex workers (FSW).

Cited by 53 publications

References 42 publications

“Nothing Is Free”: A Qualitative Study of Sex Trading Among Methamphetamine Users in Cape Town, South Africa

“Nothing Is Free”: A Qualitative Study of Sex Trading Among Methamphetamine Users in Cape Town, South Africa

Testing for amphetamine-type stimulant (ATS) use to ascertain validity of self-reported ATS use among young female sex workers in Cambodia

Effect of substance use on condom use in the Theory of Planned Behavior: Analysis of differential item functioning

Contact Info

Product

Resources

About