If you insist on going down that path? Well, she lives in the USA, she's not poor, she's a porn actress and part-time sex worker, so the chances are high that she'd be taking PREP, which would give her the same kind of protection from HIV that a condom would. And just about every other STD she might contract is curable, if she visits a sexual health clinic regularly (which she would have to do as matter of course to work in the Porn Industry). Of course, this is a fantasy, so she doesn't really need to worry about stuff like that, does she?
Her getting involved with the mob has nothing to do with her sex addiction. Her sister and her sister's boyfriend were already mixed up with them from the start, and she starts off helping Carl, by delivering money to the guys who are selling drugs for him on the streets, and that leads to her helping him recover the documents from Patrick's Bar. She needed the money and a place to live, so she would have done that anyway, regardless of whether she had her 'condition' or not. Later she asks Sergey to give Andrew a job, which he does, whether she sleeps with him or not. And that gets her in deeper with the gang, because she feels that she now owes Sergey.
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