Predictors of Sexual Risk Behaviors Among Newly Homeless Youth: A Longitudinal Study

Solorio, M. Rosa; Rosenthal, Doreen; Milburn, Norweeta G.; Weiss, Robert E.; Batterham, Philip J.; Gandara, Marla

doi:10.1016/j.jadohealth.2007.09.023

Cited by 76 publications

(72 citation statements)

References 20 publications

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“…5 Although other studies have reported an association between illicit drug use and risky sexual activity, 25 our study did not determine this association, perhaps due to its small sample size. However, we did find a nonsignificant trend toward increased risk of unprotected sex for those who used alcohol to intoxication.…”

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confidence: 55%

Correlates of HIV Risk Behaviors among Homeless and Unstably Housed Young Adults

et al. 2013

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Objectives. Homeless young adults are exposed to multiple risk factors for HIV infection. We identified HIV risk behaviors and their correlates among homeless young adults in Portland, Oregon.Methods. We conducted a community-based, cross-sectional survey of HIV risk behaviors among homeless young adults aged 18-25 years in 2010. Participants completed three study components: (1) an interviewer-administered survey of HIV risk behaviors; (2) a brief, client-centered HIV risk-based counseling session; and (3) rapid HIV testing.Results. Among 208 participants, 45.8% identified as racial/ethnic minority groups, 63.8% were male, and 35.7% self-identified as nonheterosexual. Six participants, all from sexual minority groups, had positive HIV screening results (two newly identified, four previously known) for a seropositivity rate of 2.9%. Female sex, belonging to a sexual minority group, frequent traveling between cities, depression, and alcohol use to intoxication were significantly associated with unprotected sex in univariate analysis. Female sex and high perceived risk of HIV were significantly associated with unprotected sex in multivariate analysis.Conclusions. Our findings support the need for enhanced HIV prevention interventions for homeless young adults.

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confidence: 55%

Correlates of HIV Risk Behaviors among Homeless and Unstably Housed Young Adults

et al. 2013

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“…As a result, these groups more frequently report sexual abuse, violence, discrimination, drug and alcohol use, and exchange of sex for money and favors. 6,9,14,21,22,26 Among homosexuals, homophobia has been identifi ed as the main factor driving them onto streets. 4.19 A qualitative study conducted in Los Angeles 21 showed that women's choice to use condoms is strongly affected by their emotional involvement and trust in their partner, and that sex occur due to various reasons including sexual abuse and need for affective involvement.…”

Section: Discussionmentioning

confidence: 99%

Prevalência e vulnerabilidade à infecção pelo HIV de moradores de rua em São Paulo, SP

et al. 2012

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OBJETIVO: Analisar a prevalência e o perfil de vulnerabilidade ao HIV de moradores de rua. MÉTODOS: Estudo transversal com amostra não probabilística de 1.405 moradores de rua usuários de instituições de acolhimento de São Paulo, SP, de 2006 a 2007. Foi realizado teste anti-HIV e aplicado questionário estruturado. O perfil de vulnerabilidade foi analisado pela frequência do uso do preservativo, considerando mais vulneráveis os que referiram o uso nunca ou às vezes. Foram utilizadas regressões logística e multinomial para estimar as medidas de efeito e intervalos de 95% de confiança. RESULTADOS: Houve predominância do sexo masculino (85,6%), média de 40,9 anos, ter cursado o ensino fundamental (72,0%) e cor não branca (71,5%). A prática homo/bissexual foi referida por 15,7% e a parceria ocasional por 62,0%. O número médio de parcerias em um ano foi de 5,4 e mais da metade (55,7%) referiu uso de drogas na vida, dos quais 25,7% relataram uso frequente. No total, 39,6% mencionaram ter tido uma doença sexualmente transmissível e 38,3% relataram o uso do preservativo em todas as relações sexuais. A prevalência do HIV foi de 4,9% (17,4% dos quais apresentaram também sorologia positiva para sífilis). Pouco mais da metade (55,4%) tinha acesso a ações de prevenção. A maior prevalência do HIV esteve associada a ser mais jovem (OR 18 a 29 anos = 4,0 [IC95% 1,54;10,46]), história de doença sexualmente transmissível (OR = 3,3 [IC95% 1,87;5,73]); prática homossexual (OR = 3,0 [IC95% 1,28;6,92]) e à presença de sífilis (OR = 2,4 [IC95% 1,13;4,93]). O grupo de maior vulnerabilidade foi caracterizado por ser mulher, jovem, ter prática homossexual, número reduzido de parcerias, parceria fixa, uso de drogas e álcool e não ter acesso a ações de prevenção e apoio social. CONCLUSÕES: O impacto da epidemia entre moradores de rua é elevado, refletindo um ciclo que conjuga exclusão, vulnerabilidade social e acesso limitado à prevenção.

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“…Of Massachusetts high school students, 69% of homeless youth report current sexual activity [7]. Among recently homeless youth, half of females are sexually active at initial contact, and the rate of sexual activity increases over time [8].…”

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confidence: 99%

“…Among high school students in the United States, 12% of females have four or more lifetime sex partners [6]. Recently, homeless females average one sexual partner in the previous 3 months [8]. Among runaways, first sexual partners are about 3 years older.…”

mentioning

confidence: 99%

“…Sheltered youth and street-intercepts engage in high-risk sexual activity [9][10][11]. Female homeless youth who abuse substances have a higher risk of multiple sex partners, but living with family provides no protective effect [8]. In addition, 44% of homeless students engage in concurrent alcohol use and sexual activity compared to 22% of remaining students [7].…”

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confidence: 99%

See 1 more Smart Citation

Impact of Running Away on Girls' Sexual Onset

Thrane

Chen

2010

Journal of Adolescent Health

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Predictors of Sexual Risk Behaviors Among Newly Homeless Youth: A Longitudinal Study

Cited by 76 publications

References 20 publications

Correlates of HIV Risk Behaviors among Homeless and Unstably Housed Young Adults

Correlates of HIV Risk Behaviors among Homeless and Unstably Housed Young Adults

Prevalência e vulnerabilidade à infecção pelo HIV de moradores de rua em São Paulo, SP

Impact of Running Away on Girls' Sexual Onset

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