Why Housing?

Aidala, Angela A.; Sumartojo, Esther

doi:10.1007/s10461-007-9302-z

Cited by 72 publications

(70 citation statements)

References 54 publications

(40 reference statements)

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“…Research shows that housing or lack of housing and HIV are powerfully linked. 24 Among individuals who engage in HIV risk behaviors, high rates of depression have been found. 25,26 We found that while older age was associated with having fewer sexual partners, it increased the odds of having a risky sexual partner.…”

Section: Discussionmentioning

confidence: 99%

Social Network Characteristics and HIV Sexual Risk Behavior among Urban African American Women

et al. 2011

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HIV/AIDS has emerged as a significant health threat for African American women with well-documented disparities. The purpose of this study was to assess the association between social network characteristics and high-risk sexual behaviors among a sample of urban African American women at risk of heterosexually acquired HIV/STIs. We performed a cross-sectional study of baseline data collected from the CHAT study, a randomized HIV-prevention trial targeting urban HIV-at-risk women in Baltimore, MD. Our primary outcomes were risky sexual behaviors defined as either (a) two or more sexual partners or (b) having a risky sex partner within the past 90 days. Bivariable and multivariable logistic regression examining the associations between individual and social network factors and our two outcomes of interest were conducted. The study population included 513 sexually active African American women with a mean age of 41.1 years. High levels of unemployment (89.5%), depressive symptoms (60.0%), and drug use (68.8%) were present among this high-risk urban cohort. Controlling for individual factors including participant drug use, age, and depression, having two or more sex partners within the past 90 days was associated with having a larger personal network (OR=1.11; 95% CI, 1.06 and 1.17); more network members who pitched in to help (OR=1.22; 95% CI, 1.04 and 1.44), provided financial support (OR=1.33; 95% CI, 1.11 and 1.60), or used heroin or cocaine (OR=1.26; 95% CI,

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Section: Discussionmentioning

confidence: 99%

Social Network Characteristics and HIV Sexual Risk Behavior among Urban African American Women

et al. 2011

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“…Homeless persons are at increased risk of HIV infection and homelessness negatively affects the health of PLWHA (Aidala and Sumartojo 2007;Kidder et al in press;2007a;Shubert and Bernstine 2007;Wolitski et al 2007). Homeless and unstably housed PLWHA may be more likely to experience HIV-related stigma, but little is known about how different subgroups of PLWHA experience HIV stigma.…”

Section: Introductionmentioning

confidence: 99%

The Effects of HIV Stigma on Health, Disclosure of HIV Status, and Risk Behavior of Homeless and Unstably Housed Persons Living with HIV

et al. 2008

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HIV-related stigma negatively affects the lives of persons living with HIV/AIDS (PLWHA). Homeless/unstably housed PLWHA experience myriad challenges and may be particularly vulnerable to the effects of HIV-related stigma. Homeless/unstably housed PLWHA from 3 U.S. cities (N = 637) completed computer-assisted interviews that measured demographics, self-assessed physical and mental health, medical utilization, adherence, HIV disclosure, and risk behaviors. Internal and perceived external HIV stigma were assessed and combined for a total stigma score. Higher levels of stigma were experienced by women, homeless participants, those with a high school education or less, and those more recently diagnosed with HIV. Stigma was strongly associated with poorer self-assessed physical and mental health, and perceived external stigma was associated with recent non-adherence to HIV treatment. Perceived external stigma was associated with decreased HIV disclosure to social network members, and internal stigma was associated with drug use and non-disclosure to sex partners. Interventions are needed to reduce HIV-related stigma and its effects on the health of homeless/unstably housed PLWHA.

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“…A major focus of past research regarding sexual risk behaviours has been on individual-level characteristics (Aidala & Sumartojo, 2007;Sumartojo, 2000), or what Susser (1998) and Aidala and Sumartojo (2007) call the black box paradigm and risky person paradigm, respectively. In the context of sexual risk behaviours, the risky person paradigm involves investigating individual-level characteristics that are associated with risk behaviours, which may then lead to acquiring STIs and homelessness.…”

Section: From Individual To Structural Determinantsmentioning

confidence: 99%

“…In recent years, however, increasing attention has been given to the importance of structural factors that impact sexual risk behaviours (Aidala et al, 2005;Auerbach, 2009;Evans, Jana, & Lambert, 2010;Lippman et al, 2012;Seeley et al, 2012;Steen, Wi, Kamali, & Ndowa, 2009 (Sumartojo, 2000, p. S3) that are mostly outside of the individual's immediate control (Aidala & Sumartojo, 2007;Blankenship, Friedman, Dworkin, & Mantell, 2006). …”

Section: From Individual To Structural Determinantsmentioning

confidence: 99%

“…In the meantime, it is important to test structural interventions, such as housing, on their effects in reducing sexual risk behaviours, like unprotected sex, by altering the environment from a constraining (Blankenship et al, 2006) to an enabling one (Steen et al, 2009). Based on the accumulated evidence thus far among various homeless populations, several researchers have argued for the potential effect of stable housing and permanent supportive or supported housing on reducing sexual and other risk behaviours associated with HIV, many of which share common risk factors with other STIs (Aidala et al, 2005;Aidala & Sumartojo, 2007;Dickson-Gomez, McAuliffe, Convey, Weeks, & Owczarzak, 2011;Elifson, Sterk, & Theall, 2007;Forney, Lombardo, & Toro, 2007;Kennedy, Wenzel, Brown, Tucker, & Golinelli, 2013;Stein, Nyamathi, & Zane, 2009). …”

Section: Homelessness As a Barrier To Condom Usementioning

confidence: 99%

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Housing First and Unprotected Sex: A Structural Intervention

Parpouchi¹,

Moniruzzaman²,

McCandless³

et al. 2016

Journal of Health Care for the Poor and Underserved

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Previous studies have found a high prevalence of sexually transmitted infections and associated risk behaviours among homeless and marginally housed adults. Although individual-level characteristics and their association with risk behaviours have traditionally been a major focus of research, the importance of structural factors, such as housing, that impact these behaviours have received increasing attention. Supported housing interventions like Housing First (HF) have been argued to potentially contribute to reductions in sexual risk behaviours. Using an experimental design, the present study investigated the effect of HF on unprotected sex among homeless adults with mental illness with a treatment as usual (TAU) comparison group. Over the 24 months of followup, no association was found between HF and unprotected sex when compared to TAU.Several other variables were independently associated with unprotected sex. Results indicate that in conjunction with HF, additional interventions are needed to reduce unprotected sex among homeless individuals with mental illness.

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Why Housing?

Cited by 72 publications

References 54 publications

Social Network Characteristics and HIV Sexual Risk Behavior among Urban African American Women

Social Network Characteristics and HIV Sexual Risk Behavior among Urban African American Women

The Effects of HIV Stigma on Health, Disclosure of HIV Status, and Risk Behavior of Homeless and Unstably Housed Persons Living with HIV

Housing First and Unprotected Sex: A Structural Intervention

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