Housing status and associated differences in HIV risk behaviors among young injection drug users (IDUs)
Housing status and associated differences in HIV risk behaviors among young injection drug users (IDUs)
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DOI：
10.1007/s10461-007-9248-1
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发表时间：
2007-11-01
影响因子：
4.4
通讯作者：
Garfein, Richard S.
中科院分区：
文献类型：
--
作者：
Coady, Micaela H.;Latka, Mary H.;Garfein, Richard S.
通过横断面分析，我们检查了参加HIV预防试验的3266名年轻注射吸毒者的居住状况和HIV风险行为的相关差异。根据对两个评估无家可归的主观和客观标准的问题的回答，定义了三个级别的结果（无家可归者（37%），模棱两可的住房（17%），有住房（46%））：“模棱两可的住房”参与者在这些措施上不一致。在多变量分析中，无家可归的前因是住在家庭外，被赶出家庭或在少年拘留所，并经历过童年虐待；相关因素包括从其他和非法来源获得收入、至少每天饮酒或使用甲基苯丙胺、使用射击场、吸毒和性工作。这些变量的一个子集与被模糊地安置有关。艾滋病毒风险因住房状况而异，无家可归的注射吸毒者风险最高。针对注射吸毒者的规划应利用更具体的居住状态定义来针对需要干预的注射吸毒者。
Using cross-sectional analysis we examined residential status and associated differences in HIV risk behaviors among 3266 young IDUs enrolled in an HIV prevention trial. A three-level outcome (homeless (37%), equivocally housed (17%), housed (46%)) was defined based on responses to two questions assessing subjective and objective criteria for homelessness: "equivocally housed" participants were discordant on these measures. In multivariate analysis, antecedents of homelessness were having lived in an out-of-home placement, been thrown out of the home or in juvenile detention, and experienced childhood abuse; while correlates included receiving income from other and illegal sources, drinking alcohol or using methamphetamine at least daily, using shooting galleries, backloading, and sex work. A subset of these variables was associated with being equivocally housed. HIV risk varies by housing status, with homeless IDUs at highest risk. Programs for IDUs should utilize a more specific definition of residential status to target IDUs needing intervention.