The prevalence of homelessness among injection drug users with and without HIV infection
The prevalence of homelessness among injection drug users with and without HIV infection
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感染和未感染艾滋病毒的注射吸毒者中无家可归者的比例
DOI：
10.1007/bf02344031
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发表时间：
2000-12-01
影响因子：
6.6
通讯作者：
Celentano, DD
中科院分区：
文献类型：
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作者：
Song, JY;Safaeian, M;Celentano, DD
对无家可归者的横断面调查有许多潜在的偏见。对1988-1989年在马里兰州的巴尔的摩招募的有注射吸毒史的2,452名居民进行纵向队列研究，分析其数据以确定无家可归的程度和决定因素。曾经经历过无家可归的比例进行了比较注射吸毒者（IDUs）谁是人类免疫缺陷病毒（HIV）阴性，HIV阳性，和I-IN血清转换的亚组。Logistic回归确定了无家可归的独立预测因子。在该队列中，1，144名（46.7%）参与者在研究过程中经历了无家可归。不同血清状态的无家可归者患病率存在差异：42.4%（n = 621）的HIV阴性参与者曾经无家可归，而50.6%（n = 346）的HIV感染者和58.9%（n = 178）的研究期间血清转化者曾经无家可归（P <0.001）。在随访期间始终否认主动注射毒品使用的参与者不太可能经历无家可归（19%）。无家可归的独立预测因素是男性、HIV血清阳性率和HN血清转换。随着时间的推移，跟踪参与者比横断面研究更能捕捉无家可归的经历，并更准确地识别风险特征。我们的数据表明，无家可归是注射吸毒者，特别是艾滋病毒/艾滋病患者中的一个重大问题。
Cross-sectional investigations of homelessness have many potential biases. Data from 2,452 individuals enrolled in a longitudinal cohort study of Baltimore, Maryland, residents recruited in 1988-1989 with a history of injection drug use were analyzed to identify the extent and determinants of homelessness. Proportions having ever experienced homelessness were compared across subgroups of injection drug users (IDUs) who were human immunodeficiency virus (HIV) negative, HIV positive, and I-IN seroconverting. Logistic regression identified independent predictors of homelessness. In the cohort, 1,144 (46.7%) participants experienced homelessness during the course of the study. There were differences in prevalence of homelessness by serostatus: 42.4% (n = 621) of participants who remained HIV negative were ever homeless, while 50.6% (n = 346) of HIV-infected individuals and 58.9% (n = 178) of those who seroconverted during the study were ever homeless (P < .001). Participants who consistently denied active injection drug use during follow-up were unlikely to experience homelessness (19%). independent predictors of homelessness were male sex, HIV seroprevalence, and HN seroconversion. Following participants over time captures more experiences of homelessness than cross-sectional studies and more accurately identifies risk characteristics. Our data suggest that homelessness is a significant problem among IDUs, especially those with HIV/AIDS.