Research Article
Volume 4 Issue 10 - 2020
Substance Use and Homelessness as Barriers to Safer Sex among Older Heterosexual Female Sex Workers
Erika Harding-Davis*
Regional Manager, Advocate Aurora Health, Chicago, Illinois, USA
*Corresponding Author: Erika Harding-Davis, Regional Manager, Advocate Aurora Health, Chicago, Illinois, USA.
Received: August 25, 2020; Published: September 10, 2020


Introduction: Women infected with HIV through heterosexual contact made up 87% (1,871) of all new infections among individuals ages 50 and over in the United States in 2017. Female sex workers are at an increased risk of getting HIV and other sexually transmitted infections (STI) because they may be more likely to participate in risky sexual behaviors such as sex with multiple partners and condom-less vaginal sex.

Methods: In this analysis, linear regression models were developed to assess the relationship between social and structural factors such as homelessness and substance use, and high-risk sexual behaviors. Survey data was extracted and compiled from the National HIV Behavioral Surveillance Study (NHBS).

Results: Multiple factors were shown to predict unsafe sexual behaviors among CSWs. Homelessness and substance use were positively associated with condom-less vaginal sex (R2 = .056; F Change = 3.860; p < .05) and multiple sex partners (R2 = .088; F Change = 10.458; p < .001).

Interpretation: The results of this study will not only increase awareness of the challenges and barriers among female sex workers living in Illinois but can also significantly contribute to the literature by characterizing this hidden and vulnerable population.

Keywords: Sex Work; HIV/AIDS; Substance Use; Homelessness; Sexual Behaviors, Condomless Sex


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Citation: Erika Harding-Davis. “Substance Use and Homelessness as Barriers to Safer Sex among Older Heterosexual Female Sex Workers”. EC Emergency Medicine and Critical Care 4.10 (2020): 04-12.

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