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The prevalence of self-reported transactional sex was Prevalence in women and men was Crack use and history of sexually transmitted infections STI were risk factors for transactional sex in men. Homelessness, crack use, sex under the influence of drugs, and history of sexual violence were risk factors for transactional sex in women.
A high prevalence of transactional sex was observed among NIDUs. This risk behavior may contribute to the high rates of HIV among this population and their social networks and in the general population. Transactional sex, defined as the exchange of sex for money, drugs, food, shelter, or other items [ 2 ], is a way for drug users to earn an income to finance their high drug consumption.
Studies have shown high rates of transactional sex among NIDUs, and this behavior is strongly associated with HIV infection [ 1 , 3 — 6 ] in these populations.
In this respect, transactional sex among NIDUs increases the risk of spreading HIV to their social networks and the general population. Some factors, such as female sex, crack use, mental illness, homelessness, binge drinking, sexual violence, and risk behaviors [ 6 , 7 ], have been associated with transactional sex among illicit drug users.