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AIDS Care
Psychological and Socio-medical Aspects of AIDS/HIV
Volume 33, 2021 - Issue 8
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Research Article

Prevalence and associated factors of sexualized drug use in sex work among transgender women sex workers in China

Xiaoyan Fana School of Public Health, Sun Yat-Sen University, Guangzhou, People’s Republic of China
,
Joseph T.F. Laub JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong, People’s Republic of China;c Shenzhen Research Institute, The Chinese University of Hong Kong, Shenzhen, People’s Republic of ChinaORCID Iconhttps://orcid.org/0000-0003-2344-7107
ORCID Icon,
Yong Caid Department of Community Health and Family Medicine, School of Public Health, Shanghai Jiao Tong University, Shanghai, People’s Republic of ChinaORCID Iconhttps://orcid.org/0000-0002-5706-7906
ORCID Icon,
Jinghua Lia School of Public Health, Sun Yat-Sen University, Guangzhou, People’s Republic of ChinaORCID Iconhttps://orcid.org/0000-0002-9571-7359
ORCID Icon,
Tiecheng Mae Shenyang Consultation Centre of AIDS Aid and Health Service, Shenyang, People’s Republic of China
,
Jing Gua School of Public Health, Sun Yat-Sen University, Guangzhou, People’s Republic of China
&
Zixin Wangb JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong, People’s Republic of China;c Shenzhen Research Institute, The Chinese University of Hong Kong, Shenzhen, People’s Republic of ChinaCorrespondence[email protected]
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Pages 1098-1106 | Received 31 Mar 2020, Accepted 10 Nov 2020, Published online: 01 Dec 2020
 
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ABSTRACT

Sexualized drug use (SDU) is associated with a higher risk of HIV transmission. There is a dearth of study investigating the association between sex work characteristics and SDU in sex work among transgender women sex workers. To address these gaps, we conducted a secondary analysis of a cross-sectional study among 220 transgender women sex workers in Shenyang, China. The prevalence of SDU in sex work was 20.9% in the past month. After adjustment for age, HIV status, education, monthly income and duration of stay in Shenyang, performing sex work mainly in hotel rooms, charging higher per episode of commercial sex, depressive symptoms and anxiety symptoms were associated with higher likelihood of SDU in sex work. Future SDU prevention programmes SDU targeting transgender women sex workers should focus on those who charged higher and performed sex work in hotel rooms, and integrate mental health promotion as an essential component.

Disclosure statement

No potential conflict of interest was reported by the author(s).

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