Who Is Couch-Surfing and Who Is on the Streets? Disparities Among Racial and Sexual Minority Youth in Experiences of Homelessness

Petry, Laura; Hill, Chyna; Milburn, Norweeta G.; Rice, Eric

doi:10.1016/j.jadohealth.2021.10.039

Cited by 14 publications

(6 citation statements)

References 19 publications

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“…As hypothesized, our findings that SGM who had sex with men and experienced housing instability were more likely to engage in behaviors that increased vulnerability for STIs, including sex work, was consistent with existing literature on STI risk and the general population of youth experiencing housing instability, including those who identify LGBTQ+ 6,7,11 . MSM, including transgender men and women, who experience housing instability, may be more likely to engage in sex work or exchange-sex for basic needs such as food or shelter.…”

Section: Discussionsupporting

confidence: 88%

“…LGBTQ+ youth experiencing housing instability are at a higher risk for health and mental health problems including post-traumatic stress and are heavily impacted by health disparities and racism 1,7,8 . Behavioral risk factors such as sex work and injection drug use, are heavily associated with homelessness especially among trans gender youth, putting youth experiencing housing instability at an increased risk for sexually transmitted infections (STIs) 6,[9][10][11] .…”

Section: Introductionmentioning

confidence: 99%

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Housing instability among young men who have sex with men in a US national sample

Sisselman-Borgia,

Patel,

Grov

2024

Preprint

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Background: Youth, including those experiencing housing instability, are among the fastest growing groups of individuals with new STI diagnoses, including HIV. The unpredictable nature of the lives of youth experiencing housing instability often leads to inconsistent or non-existent health care and preventive follow up, leaving gaps in our knowledge about the most prominent needs for intervention. Methods: Using data from the Together 5000 (T5K) study, we examined factors associated with housing instability in a sample of 2,228 youth between the ages of 16-24 who identified as sexual and gender minority (SGM) men having sex with men. Logistic regression was used to assess the most prominent factors associated with housing instability. The model included seven significant factors - former peer victimization, gender, age, sex work, IPV, social support, and health insurance status. Findings: Participants who reported more behavioral risk factors for STI and those who reported sex work in the last three months were more likely to experience housing instability (OR = 2.5 and 2.76 respectively). Youth with higher levels of reported social support, health insurance, and older age were more likely to report stable housing (OR = .98, 1.61, and 1.13 respectively). Surprisingly, youth with stable housing were more likely to report intimate partner violence than those experiencing housing instability (OR = .89). Discussion: Implications for addressing STIs among adolescent SGM men having sex with men are discussed including bolstering support systems and addressing basic needs deficits and trauma associated with sex work and behavioral risk factors for STI.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Housing instability among young men who have sex with men in a US national sample

Sisselman-Borgia,

Patel,

Grov

2024

Preprint

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“…Of the 47% of mpox case-patients in sheltered–noncongregate settings, 89% were couch surfers, who are difficult to identify using traditional surveillance methods without dedicated questions delving into housing details. Couch surfers are not included in PEH population estimates from the point-in-time counts required by HUD in the Continuums of Care ( 19 ) and may rapidly cycle between private homes and streets to shelters ( 20 ). PEH who predominantly couch surf warrant further study to better understand their risk factors for communicable diseases and inform disease prevention strategies.…”

Section: Discussionmentioning

confidence: 99%

Epidemiologic Characteristics of Mpox Infections among People Experiencing Homelessness, Los Angeles County, California, USA, 2022

Brosnan¹,

Yeh²,

Jones³

et al. 2023

Emerg. Infect. Dis.

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In Los Angeles County, California, USA, public health surveillance identified 118 mpox cases among persons experiencing homelessness (PEH) during July–September 2022. Age and sex were similar for mpox case-patients among PEH and in the general population. Seventy-one (60%) PEH mpox case-patients were living with HIV, 35 (49%) of them virally suppressed. Hospitalization was required for 21% of case-patients because of severe disease. Sexual contact was likely the primary mode of transmission; 84% of patients reported sexual contact < 3 weeks before symptom onset. PEH case-patients lived in shelters, encampments, cars, or on the street, or stayed briefly with friends or family (couch surfed). Some case-patients stayed at multiple locations during the 3-week incubation period. Public health follow-up and contact tracing detected no secondary mpox cases among PEH in congregate shelters or encampments. Equitable efforts should continue to identify, treat, and prevent mpox among PEH, who often experience severe disease.

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“…Unaccompanied homelessness, regardless of form, is a multifaceted problem driven by economic, social, and political systems of power and oppression that disadvantage particular groups of people who identify with minoritized social identities. LGBTQ+ youth and racially or ethnically diverse youth are at greater risk of unaccompanied unstable housing relative to their heterosexual, cisgender, and White peers (Bretherton & Pleace, 2023; Gattis, 2013; Petry et al, 2022).…”

Section: Disparities In Unaccompanied Unstable Housingmentioning

confidence: 99%

Unaccompanied unstable housing among racially, ethnically, sexually, and gender diverse youth: Intersecting identities bearing the greatest burden.

Houghtaling,

Simon,

Gower

et al. 2024

American Journal of Orthopsychiatry

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Disparities in youth homelessness by racial/ethnic, sexual, and gender identities are well documented, though this literature lacks specificity regarding intersectional social identities of youth who are most likely to experience homelessness. Population-based cross-sectional data on youth from the 2019 Minnesota Student Survey (N = 80,456) were used to examine the relationship between parent caring and intersections of minoritized identities that experience the highest prevalence of two distinct types of unaccompanied unstable housing with expanded categories of sexual and gender identities.

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Who Is Couch-Surfing and Who Is on the Streets? Disparities Among Racial and Sexual Minority Youth in Experiences of Homelessness

Cited by 14 publications

References 19 publications

Housing instability among young men who have sex with men in a US national sample

Housing instability among young men who have sex with men in a US national sample

Epidemiologic Characteristics of Mpox Infections among People Experiencing Homelessness, Los Angeles County, California, USA, 2022

Unaccompanied unstable housing among racially, ethnically, sexually, and gender diverse youth: Intersecting identities bearing the greatest burden.

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