Factors associated with transactional sex among a cohort of gay, bisexual, and other men who have sex with men in Vancouver, Canada

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dc.contributor.authorArmstrong, Heather L.
dc.contributor.authorSang, Jordan M.
dc.contributor.authorSkala, Ales
dc.contributor.authorWang, Lu
dc.contributor.authorZhu, Julia
dc.contributor.authorLachowsky, Nathan J.
dc.contributor.authorCard, Kiffer G.
dc.contributor.authorBenoit, Cecilia
dc.contributor.authorOlarewaju, Gbolahan
dc.contributor.authorHogg, Robert S.
dc.contributor.authorMoore, David M.
dc.contributor.authorRoth, Eric A.
dc.date.accessioned2022-03-04T00:19:06Z
dc.date.available2022-03-04T00:19:06Z
dc.date.copyright2021en_US
dc.date.issued2021
dc.descriptionWe thank the Momentum Study participants, office staff and community advisory board, as well as our community partners: Health Initiative for Men, YouthCO HIV & Hep C Society, and Positive Living Society of BC.en_US
dc.description.abstractBackground. Gay, bisexual, and other men who have sex with men (GBM) who engage in transactional sex (sex in exchange for drugs, money, or goods) experience increased risk of sexually transmitted infections (STI), including HIV. This study explored additional psychosocial and health-related factors associated with transactional sex among GBM. Methods. Respondent-driven sampling was used to recruit GBM in Vancouver, Canada, from 2012 to 2015, with follow up every 6 months until July 2019. We examined factors associated with transactional sex using multivariable three-level mixed-effects modelling. Results. Among 698 GBM, 22.1% reported ever receiving drugs, money, or goods for sex. Transactional sex was more likely to be reported by GBM who were younger (<30 years) and who had lower incomes, less education, and insecure housing. GBM reporting transactional sex were more likely to report substance use (i.e. crystal methamphetamine, poppers, GHB, and non-steroid injection drugs) and higher risk sexual behaviours (i.e. more sex partners, sex party attendance, and condomless anal sex with serodifferent or unknown HIV status partners); however, they were no more likely to be living with HIV or to report a recent bacterial STI diagnosis. GBM who reported higher loneliness, anxiety, and cognitive escape were also more likely to report transactional sex. Conclusions. More than one-fifth of GBM in Vancouver reported transactional sex and those who did were more likely to also experience psychosocial stressors, increased substance use, and higher risk sexual behaviours. Programs which consider the interconnections of personal, social, and structural challenges faced by GBM engaging in transactional sex are necessary to support improved mental, physical, and sexual health for these men.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThis work was supported by the National Institute on Drug Abuse (R01DA031055-01A1) and the Canadian Institutes of Health Research (MOP-107544, FDN-143342, PJT 153139). NJL was supported by a CANFAR/CTN Postdoctoral Fellowship Award. HLA was supported by a Postdoctoral Fellowship award from the Canadian Institutes of Health Research (Grant #MFE-152443). DMM and NJL are supported by a Michael Smith Foundation for Health Research Scholar Awards (#5209, #16863). KGC is supported by a Canadian Institutes of Health Research Health Systems Impact Fellowship award, a Michael Smith Foundation for Health Research Trainee award, and a Canadian HIV Trials Network/Canadian Foundation for AIDS Research Postdoctoral Fellowship award. JMS is supported by a CTN postdoctoral fellowship award and a Michael Smith Foundation for Health Research trainee award.en_US
dc.identifier.citationArmstrong, H. L., Sang, J. M., Skala, A., Wang, L., Zhu, J., Lachowsky, N. L., Card, K. G., Benoit, C., Olarewaju, G., Hogg, R. S., Moore, D. M., & Roth, E. A. (2021). “Factors associated with transactional sex among a cohort of gay, bisexual, and other men who have sex with men in Vancouver, Canada.” Sexual Health, 18(6), 487-497. DOI: https://doi.org/10.1071/SH21128en_US
dc.identifier.urihttps://doi.org/10.1071/SH21128
dc.identifier.urihttp://hdl.handle.net/1828/13765
dc.language.isoenen_US
dc.publisherSexual Healthen_US
dc.subjectHIV
dc.subjectmental health
dc.subjectMSM
dc.subjectsexual behaviours
dc.subjectsex work
dc.subjectSTI
dc.subjectsubstance use
dc.subjectsyndemic factors
dc.subjecttransactional sex
dc.subject.departmentSchool of Public Health and Social Policy
dc.titleFactors associated with transactional sex among a cohort of gay, bisexual, and other men who have sex with men in Vancouver, Canadaen_US
dc.typeArticleen_US

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