4.7 Article

Sex Trading Among Adolescent Cisgender Boys

Journal

PEDIATRICS
Volume 151, Issue 5, Pages -

Publisher

AMER ACAD PEDIATRICS
DOI: 10.1542/peds.2022-058729

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This study found that about 1.2% of boys reported trading sex, and these boys were more likely to identify as Black or Indigenous, have a marginalized gender identity or sexual expression, have engaged in sexual intercourse, and have experienced various forms of destabilizing circumstances including homelessness, food insecurity, foster care, and substance treatment. These findings challenge assumptions and stereotypes and open up new avenues for research, intervention, and prevention.
OBJECTIVESCisgender girls and boys report trading sex for something of value at roughly equal proportions; yet, boys are understudied and underserved. We compare boys who reported trading sex to those who never traded sex to address this gap in knowledge and practice. METHODSThe study is a secondary analysis of the Minnesota Student Survey, a triannual, census-style survey. The sample included 32 311 cisgender boy students in ninth and 11th grades who answered a question about sex trading. Bivariate descriptive statistics and multivariate logistic models were used to identify associated factors and determine the odds of trading sex on the basis of specific experiences. RESULTSWe found that 1.2% of boys reported trading sex. In bivariate analyses, boys who reported trading sex were more likely than those who did not to: identify as Black or Indigenous; report a marginalized gender identity or sexual expression; have had sexual intercourse; have experienced sexual harassment and harassment on the basis of sexual identity and race, ethnicity, and national origin; and to have experienced homelessness, food insecurity, foster care, and substance treatment (P < .001). In multivariate models, we found increased odds of trading sex for some variables, including a marginalized sexual identity, identifying as Black, and experiences of unstable housing, foster care, substance treatment, sexual harassment, and harassment based on gender (P < .001). CONCLUSIONSThese findings contribute new knowledge about boys who trade sex using a large, population-based sample and counter false assumptions and stereotypes. These data suggest new avenues of research, intervention, and prevention.

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