Objective: This study examined the prevalence and correlates of survival sex among runaway and homeless youths.
Methods: A nationally representative sample of shelter youths and a multicity sample of street youths were interviewed.
Results: Approximately 28% of street youths and 10% of shelter youths reported having participated in survival sex, which was associated with age, days away from home, victimization, criminal behaviors, substance use, suicide attempts, sexually transmitted disease, and pregnancy.
Conclusions: Intensive and ongoing services are needed to provide resources and residential assistance to enable runaway and homeless youths to avoid survival sex, which is associated with many problem behaviors.