Residential Status as a Risk Factor for Drug Use and HIV Risk Among Young Men Who Have Sex with Men

Kipke, Michele D.; Weiss, George B.; Wong, Carolyn F.

doi:10.1007/s10461-006-9204-5

Cited by 67 publications

(53 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…41 Previous research has debated whether prior drug use among youth may predict homelessness or does homelessness serve as a predictor of drug use, and determining which is an antecedent to the other has been difficult to ascertain due to the crosssectional methods used in most of the studies of homeless youth. 10,42,43 Our results suggest that experiencing stigma relating to one's sexual orientation and ever being kicked out of one's home increase the risk of elevated marijuana use tremendously within groups of YMSM, regardless of their current housing status. Despite our cross-sectional design, there are sequential paths implicit in the model due to the temporal frames embedded in the measures: experience of sexual orientation-related stigma in the past, ever being kicked out of one's home, experiencing homelessness over the past 12 months, daily marijuana use during the past 90 days, and major depressive symptoms over the past 7 days.…”

Section: Discussionmentioning

confidence: 78%

Modeling Minority Stress Effects on Homelessness and Health Disparities among Young Men Who Have Sex with Men

2014

View full text Add to dashboard Cite

Sexual minority youth are more likely to experience homelessness, and homeless sexual minority youth report greater risk for mental health and substance abuse symptoms than homeless heterosexual youth, yet few studies have assessed determinants that help explain the disparities. Minority stress theory proposes that physical and mental health disparities among sexual minority populations may be explained by the stress produced by living in heterosexist social environments characterized by stigma and discrimination directed toward sexual minority persons. We used data from a sample of 200 young men who have sex with men (YMSM) (38 % African American, 26.5 % Latino/Hispanic, 23.5 % White, 12 % multiracial/other) to develop an exploratory path model measuring the effects of experience and internalization of sexual orientation stigma on depression and substance use via being kicked out of home due to sexual orientation and current homelessness. Direct significant paths were found from experience of sexual orientation-related stigma to internalization of sexual orientation-related stigma, having been kicked out of one's home, experiencing homelessness during the past year, and major depressive symptoms during the past week. Having been kicked out of one's home had a direct significant effect on experiencing homelessness during the past 12 months and on daily marijuana use. Internalization of sexual orientation-related stigma and experiencing homelessness during the past 12 months partially mediated the direct effect of experience of sexual orientation-related stigma on major depressive symptoms. Our empirical testing of the effects of minority stress on health of YMSM advances minority stress theory as a framework for investigating health disparities among this population.

show abstract

Section: Discussionmentioning

confidence: 78%

Modeling Minority Stress Effects on Homelessness and Health Disparities among Young Men Who Have Sex with Men

2014

View full text Add to dashboard Cite

show abstract

“…[33][34][35] Emerging evidence demonstrates that improvements in housing status also contribute to reductions in HIV-related risk behaviors. [36][37][38][39][40][41][42] One study of more than 2,000 people found that at baseline, recent drug use, needle use, and "transactional" sex-exchanging sex for money, drugs, or other resources-were more common in homeless or marginally housed people than in those with stable housing. At six-to-nine-month follow-up, those who experienced an improvement in their housing status decreased their frequency of drug use, needle use, needle sharing, and unprotected sexual intercourse compared with people whose housing did not change.…”

Section: Stable Housingmentioning

confidence: 99%

Transforming Social Structures And Environments To Help In HIV Prevention

Auerbach

2009

Health Affairs

View full text Add to dashboard Cite

Interest in social and structural interventions for HIV prevention is growing.Such approaches modify social norms, institutions, laws, and policies to reduce vulnerability and create environments in which individuals can protect themselves against HIV infection. Examples include expanding access to sterile syringes for injecting drug users and subsidizing stable housing for low-income people. Evidence of the effectiveness of such interventions is emerging despite scientific and political obstacles to their development, implementation, and evaluation. The U.S. government can help build the evidence base for such interventions. It can also implement those with demonstrated or promising results as part of a cost-effective HIV prevention strategy domestically and globally. [Health Aff (Millwood). 2009;28(6):1655-65]

show abstract

“…6 With regard to sexual minority men, a Los Angeles-based cohort study found 17 % of participants had been forced to move from a family or friend's home because of their sexuality. 8 These data suggest that housing instability may manifest itself in many forms and consequently may produce a range of physical and mental health outcomes. Homeless SMY have particularly high rates of HIV risk behaviors, suicidality, depression, physical victimization, and substance abuse problems.…”

Section: Introductionmentioning

confidence: 99%

Early Life Psychosocial Stressors and Housing Instability among Young Sexual Minority Men: the P18 Cohort Study

et al. 2016

View full text Add to dashboard Cite

Homelessness and housing instability is a significant public health problem among young sexual minority men. While there is a growing body of literature on correlates of homelessness among sexual minority men, there is a lack of literature parsing the different facets of housing instability. The present study examines factors associated with both living and sleeping in unstable housing among n = 600 sexual minority men (ages 18-19). Multivariate models were constructed to examine the extent to which sociodemographic, interpersonal, and behavioral factors as well as adverse childhood experiences explain housing instability. Overall, 13 % of participants reported sleeping in unstable housing and 18 % had lived in unstable housing at some point in the 6 months preceding the assessment. The odds of currently sleeping in unstable housing were greater among those who experienced more frequent lack of basic needs (food, proper hygiene, clothing) during their childhoods. More frequent experiences of childhood physical abuse and a history of arrest were associated with currently living in unstable housing. Current enrollment in school was a protective factor with both living and sleeping in unstable housing. These findings indicate that being unstably housed can be rooted in early life experiences and suggest a point of intervention that may prevent unstable housing among sexual minority men.

show abstract

Residential Status as a Risk Factor for Drug Use and HIV Risk Among Young Men Who Have Sex with Men

Cited by 67 publications

References 59 publications

Modeling Minority Stress Effects on Homelessness and Health Disparities among Young Men Who Have Sex with Men

Modeling Minority Stress Effects on Homelessness and Health Disparities among Young Men Who Have Sex with Men

Transforming Social Structures And Environments To Help In HIV Prevention

Early Life Psychosocial Stressors and Housing Instability among Young Sexual Minority Men: the P18 Cohort Study

Contact Info

Product

Resources

About