Our results support this work and indicate that MA use may augment gay and lesbian users adverse impact of social-structural factors in the production of HIV risk among sexual minority women involved in survival sex work. We also considered the relationship between MA use and physical violence and depression, which have been identified as independent risk factors for HIV infection [ 925 ].
Schaller, S. This form of marginalisation produced by policies and practices meant to reduce exposure to street-level drug use and violence is one example of gay and lesbian users population-level intervention that may exacerbate inequity and worsen the health of vulnerable groups [ 43 ].
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Although we were unable to ascertain the context in which instances of unprotected intercourse occurred, we point to other research indicating that homeless sexual minority males frequently experience sexual victimization and abuse from partners [ 37 ].
The population of interest was anyone between 18 to 30 years old included in the group. The socio-legal regulation of public space and its negative impact on the health of homeless people and street-level drug users has been described previously [ 41 ].
As defined previously [ 30 ], the latter was operationalised as the self-reported use of drugs more often than usual. In Table 2 , we report the results of the longitudinal analysis examining the factors associated with MA use among sexual minority males. Users, literacy and reading.