The Relationship between Economic Deprivation, Housing Instability and Transactional Sex among Women in North Carolina (HPTN 064)

Citation

Stoner, Marie C. D.; Haley, Danielle F.; Golin, Carol Elaine; Adimora, Adaora A.; & Pettifor, Audrey E. (2019). The Relationship between Economic Deprivation, Housing Instability and Transactional Sex among Women in North Carolina (HPTN 064). AIDS and Behavior, 23(11), 2946-2955. PMCID: PMC7374930

Abstract

Transactional sex is associated with socioeconomic disadvantage and HIV risk but few studies in the United States (US) have examined both individual and area-level predictors of transactional sex or distinguished transactional sex from sex work. We combined data from HIV Prevention Trials Network 064 study and the US Census to estimate prevalence ratios (PR) for the relationship between census-level and individual measures of economic deprivation and housing instability on transactional sex in 417 women in North Carolina. Increased transactional sex was associated with food insecurity (PR 1.86; 95%; CI 1.57, 2.19), housing instability (PR 1.33; 95% CI 1.11, 1.59), substance abuse (PR 1.90; 95% CI 1.64, 2.19) and partner incarceration (PR 1.32; 95% CI 1.09, 1.61). Census-level indicators were not associated with transactional sex, adjusted for individual-level covariates. Interventions should support housing stability and financial opportunities among southern African American women to reduce HIV risk, particularly among women with incarcerated partners.

URL

http://dx.doi.org/10.1007/s10461-019-02611-8

Reference Type

Journal Article

Year Published

2019

Journal Title

AIDS and Behavior

Author(s)

Stoner, Marie C. D.
Haley, Danielle F.
Golin, Carol Elaine
Adimora, Adaora A.
Pettifor, Audrey E.

PMCID

PMC7374930

ORCiD

Pettifor - 0000-0002-3387-0817
Stoner - 0000-0002-7189-8669