Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/607
Title: The relationship of illicit drug use to HIV: infection among commercial sex workers in the city of Santos, São Paulo, Brazil
Authors: Szwarcwald, Celia Landmann
Bastos, Francisco Inácio Pinkusfeld Monteiro
Gravato, Neide
Lacerda, Regina
Chequer, Pedro N.
Castilho, Euclides Ayres de
Affilliation: Department of Information on Health, Oswaldo Cruz Foundation
Department of Information on Health, Oswaldo Cruz Foundation
Municipal Health Secretariat, Santos, SP, Brazil
Municipal Health Secretariat, Santos, SP, Brazil
Brazilian Ministry of Health, Brasilia, DF, Brazil
Brazilian Ministry of Health, Brasilia, DF, Brazil
Abstract: Objective: To assess the role of illicit drug use as a risk factor of HIV infection among female commercial sex workers (CSWs) in the city of Santos, Brazil. Design: Cross-sectional survey of 697 chain-referred CSWs. Methodology: The study included information on social-demographic characteristics, sexual practices and use of illicit drugs. Blood samples were tested for HIV. Associations between the response variable and drug-related variables, controlling for potential confounders, were assessed through multiple logistic regression procedures. Results: The univariate analyses for all drug-related variables evidenced that ‘use of injecting drugs’ (odds-ratios (OR)=10.9) and ‘use of crack in the previous month’ (OR=9.0), were the two variables most highly associated to the outcome. The multivariate analysis emphasized the role of crack use, the first variable included in the stepwise procedure (adjusted OR=5.3, P=0.0001). Other relevant predictors were ‘educational level’ (P=0.0003), ‘practice of anal intercourse with customers’ (P=0.0031), ‘use of injecting drugs’ (adjusted OR=3.1, P=0.0647), ‘age at first intercourse’ (P=0.0188) and ‘age’ (P=0.0175). Additional multivariate results showed that crack-users tend to use other drugs simultaneously, to agree more frequently to have unprotected sex and to earn a significantly smaller payment per sexual encounter than crack non-users. Conclusions: The analysis showed the vulnerability of CSWs in relation to drug use, lack of education and unprotected sex. These findings highlight the need for preventive programs focused on the general use of drugs in this population as well as efforts to help CSWs to acquire educational and professional skills.
Keywords: Crack cocaine
AIDS
HIV
Commercial sex workers
Brazil
Issue Date: 1998
Publisher: Elsevier Science B.V.
Citation: SZWARCWALD, Celia L. The relationship of illicit drug use to HIV: infection among commercial sex workers in the city of Santos, São Paulo, Brazil. International Journal of Drug Policy, v. 9, p.427–436, 1998.
ISSN: 0955-3959
Copyright: open access
Appears in Collections:ICICT - Artigos de Periódicos

Files in This Item:
File Description SizeFormat 
LANDMANN_BASTOS_Relationship Illicit Drug_1998.pdf92.96 kBAdobe PDFThumbnail
View/Open


FacebookTwitterDeliciousLinkedInGoogle BookmarksBibTex Format mendeley Endnote DiggMySpace

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.