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Peter A. Newman, PhD, Fen Rhodes, PhD and Robert E. Weiss, PhD

Peter A. Newman is with the Faculty of Social Work, University of Toronto, Toronto, Ontario. Fen Rhodes is with the Center for Community Health, Neuropsychiatric Institute, University of California, Los Angeles. Robert E. Weiss is with the Department of Biostatistics, School of Public Health, University of California, Los Angeles.

Correspondence: Requests for reprints should be sent to Peter A. New-man, Faculty of Social Work, University of Toronto, 246 Bloor St W, Toronto, Ontario, M5S 1A1 Canada (e-mail: p.newman{at}utoronto.ca).

Objectives. We examined correlates of trading sex for money, drugs, and shelter, or food among drug-using men who have sex with men (MSM).

Methods. Audio computer-assisted self-interviewing questionnaires were completed by 387 MSM. The association of predictors with sex trading was assessed with ² tests and multiple logistic regression.

Results. Sex-trading prevalence was 62.5% (95% confidence interval=57.7%, 67.4%). Sex trading was associated with crack use, injection drug use, childhood maltreatment, nongay self-identification, and homelessness (adjusted odds ratios=3.72, 2.28, 2.62, 2.21, and 1.88, respectively).

Conclusions. Multiple risk factors are associated with sex trading among MSM. Interventions may need to address crack and injection drug use, homelessness, and childhood maltreatment and target non–gay-identified MSM who engage in sex trading.

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