History of sex exchange in women with a history of incarceration

Amanda J. Noska, Mary B. Roberts, Carolyn Sufrin, L. A.R. Stein, Curt G. Beckwith, Josiah D. Rich, Emily F. Dauria, Jennifer G. Clarke

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Sex exchange among incarcerated women is not well-described in the literature. Sex exchange can lead to numerous adverse health outcomes, especially when combined with individual factors (e.g., depression and homelessness) and larger systemic inequalities. The purpose of this study was to explore factors associated with having a history of sex exchange among a sample of incarcerated women. Of 257 women surveyed in this study, 68 women (26.5%) reported a history of sex exchange. In multivariate logistic regression analysis, physical abuse history (p=.05, OR 2.20), history of two or more sexually transmitted infections (p=.01, OR 2.90), injection drug use (p=.04, OR 2.46) and crack-cocaine use (p<.01, OR 3.42) were associated with prior sex exchange. This is one of only two studies to examine factors associated with prior sex exchange among incarcerated women. Our study has important implications for corrections providers to provide more comprehensive care, directly addressing the unique needs of this population.

Original languageEnglish (US)
Pages (from-to)149-162
Number of pages14
JournalJournal of health care for the poor and underserved
Issue number2
StatePublished - May 2016


  • Abuse history
  • Cocaine
  • Crack
  • Depression
  • HIV
  • Hepatitis C
  • Incarceration
  • Injection drug use
  • Sex exchange
  • Sexually transmitted diseases
  • Transactional sex
  • Women
  • Young

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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