August 5, 2002
The current study describes sexual and drug use behaviors associated with HIV and other STDs among WSW who responded to a door-to-door population-based survey of women ages 18 to 29. It was conducted between April 1996 and January 1998 among residents of low-income neighborhoods in northern California.
Of 2,457 women, 88 percent reported sex exclusively with men; 7 percent reported sex with men and women; 1 percent reported sex exclusively with women. Of the seven HIV-positive women, four reported only male partners; 2 reported both male and female partners; one reported only female partners. None of the 16 WSW who reported sex exclusively with women reported any injection drug use. Therefore, analyses of risk were limited to those who reported sex with both men and women and those who reported sex exclusively with men.
Compared with women who had sex exclusively with men, women who had sex with men and women were significantly more likely to report past and recent high-risk sexual behavior, including sex with an HIV-positive man; multiple male sex partners; sex with a man who had sex with other men; sex with an injection drug user; trading sex for drugs or money; and anal sex. They were also more likely to report past and recent injection drug use, and they were more likely to have serological markers for hepatitis B and C. Rates for HIV and other STDs did not significantly differ, owing to the small number of these infections.
American Journal of Public Health
07.02 Vol. 92; No. 7:1110-1111; Susan Scheer, Ph.D.; Ingrid Peterson, M.P.H.; Kimberly Page-Shafer, Ph.D., M.P.H.; Viva Delgado, M.P.H.; Alice Gleghorn, Ph.D.; Juan Ruiz, M.D., Dr.P.H.; Fred Molitor, Ph.D.; William McFarland, M.D., Ph.D.; Jeffrey Klausner, M.D., M.P.H.; and the Young Women's Survey Team
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