Transgender female youth and sex work: HIV risk and a comparison of life factors related to engagement in sex work.

Twenty-three percent of youth with a history of sex work reported being HIV positive compared to only 6% among those who never engaged in sex work; the odds of ever having engaged in sex work was over four times higher among HIV positive than HIV negative participants, but this association was only of borderline significance, controlling for age and study site ( P = 0.054).

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Substance use remained a highly significant correlate of sex work within this sample, which is again consistent with findings from samples of transgender women (Clements-Nolle et al. 2001 ; Nemoto et al. 2004a , b ; Operario and Nemoto 2005 ).

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