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Sexually Transmitted Infections. In comparison with participants who entered sex work as adults, those who reported early initiation were more likely to report using injection Individual, social, and environmental influences associated with HIV infection among injection drug users in Tijuana, Mexico. Social-structural factors negatively associated with early initiation included recent migration to Vancouver and working indoors. Females experiencing sexual and drug vulnerabilities are at elevated risk for HIV infection among youth who use injection drugs. International Journal of Drug Policy. In a multivariate explanatory model, after adjusting for other factors, injection drug use AOR: 1. To explore factors associated with early sex work initiation, and model the independent effect of early initiation on HIV infection and prostitution arrests among adult sex workers SWs.

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