Sex trade among young women attending family-planning clinics in Northern California

Michele R. Decker, Elizabeth Miller, Heather L. McCauley, Daniel J Tancredi, Rebecca R. Levenson, Jeffrey Waldman, Phyllis Schoenwald, Jay G. Silverman

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Objective: To describe the prevalence and nature of sex trade in a clinic-based sample of young women and to evaluate associations with sexual and reproductive health. Methods: A cross-sectional survey was conducted with women aged 16-29 years (n = 1277) presenting to family-planning clinics in Northern California, USA. Results: Overall, 8.1% of respondents indicated a lifetime history of trading sex for money or other resources. Sex trade was associated with unintended pregnancy (adjusted risk ratio [ARR] 1.27; 95% confidence interval [CI], 1.09-1.48), multiple abortions (ARR 1.63; 95% CI, 1.19-2.23), STI diagnosis (ARR 1.46; 95% CI, 1.27-1.68), and unwanted sex (vaginal ARR 3.64; 95% CI, 2.39-5.56; anal ARR 4.99; 95% CI, 2.17-11.50). Of the women ever involved in sex trade, 12 (37.3%) reported that their first such experience was before they were 18 years of age. Conclusion: Approximately 1 in 12 participants had been involved in sex trade, illustrating the presence of patients with this history within the family-planning clinical setting. Sex trade was associated with multiple indicators of poor sexual and reproductive health. Family-planning clinics may represent an underused mechanism for engaging this high-risk population.

Original languageEnglish (US)
Pages (from-to)173-177
Number of pages5
JournalInternational Journal of Gynecology and Obstetrics
Volume117
Issue number2
DOIs
StatePublished - May 2012

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Family Planning Services
Reproductive Health
Odds Ratio
Confidence Intervals
Sexually Transmitted Diseases
Cross-Sectional Studies
History
Pregnancy
Population

Keywords

  • Reproductive health
  • Sex trade
  • Sexual risk
  • STI/HIV
  • Unintended pregnancy
  • Violence

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Sex trade among young women attending family-planning clinics in Northern California. / Decker, Michele R.; Miller, Elizabeth; McCauley, Heather L.; Tancredi, Daniel J; Levenson, Rebecca R.; Waldman, Jeffrey; Schoenwald, Phyllis; Silverman, Jay G.

In: International Journal of Gynecology and Obstetrics, Vol. 117, No. 2, 05.2012, p. 173-177.

Research output: Contribution to journalArticle

Decker, MR, Miller, E, McCauley, HL, Tancredi, DJ, Levenson, RR, Waldman, J, Schoenwald, P & Silverman, JG 2012, 'Sex trade among young women attending family-planning clinics in Northern California', International Journal of Gynecology and Obstetrics, vol. 117, no. 2, pp. 173-177. https://doi.org/10.1016/j.ijgo.2011.12.019
Decker, Michele R. ; Miller, Elizabeth ; McCauley, Heather L. ; Tancredi, Daniel J ; Levenson, Rebecca R. ; Waldman, Jeffrey ; Schoenwald, Phyllis ; Silverman, Jay G. / Sex trade among young women attending family-planning clinics in Northern California. In: International Journal of Gynecology and Obstetrics. 2012 ; Vol. 117, No. 2. pp. 173-177.
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