Foster care, syndemic health disparities and associations with HIV/STI diagnoses among young adult substance users.
Foster care, syndemic health disparities and associations with HIV/STI diagnoses among young adult substance users.
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DOI：
10.1136/sextrans-2017-053490
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发表时间：
2019-05
影响因子：
3.6
通讯作者：
Kurtz SP
中科院分区：
文献类型：
--
作者：
Buttram ME;Pagano ME;Kurtz SP
Foster care history is associated with many health and social problems, including sexual risk behaviours, HIV and other sexually transmitted infections (STIs). This cross-sectional study compares sexual risk behaviours among a sample of young adult substance users in Miami (N=602) with and without foster care histories. Participants completed a comprehensive assessment which included sections on foster care, sexual risk behaviors, and related health and social problems. Logistic regression was used to examine the relationship between foster care history, associated syndemic vulnerabilities and increased likelihood of having a prior HIV/STI diagnosis. Bivariate analyses indicated that foster care alumni were more likely to report a prior HIV/STI diagnosis, higher condomless sex frequencies, being high on alcohol or drugs during sex, sexual victimisation, and a history of homelessness compared to other participants in the sample (p < 0.05). Multivariate analyses revealed that foster care history, sexual victimisation, and group sex participation are associated with a prior HIV/STI diagnosis (p<.05). Group sex participation doubled the odds of a prior HIV/STI diagnosis for foster care alumni, compared to other participants (p<0.5). This exploratory study identifies characteristics that distinguish foster care alumni from non-alumni and signals the need to better serve the sexual and related health needs of individuals with foster care histories. Clinicians and healthcare providers should provide foster care alumni with detailed HIV/STI risk reduction information and resources and services to address related syndemic vulnerabilities (e.g., victimisation and homelessness).
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影响因子：
1.5
作者：
Thompson RG Jr;Auslander WF
通讯作者：
Auslander WF
影响因子：
2
作者：
Flannery JE;Beauchamp KG;Fisher PA
通讯作者：
Fisher PA
DOI：
10.1097/qai.0b013e3181893f31
发表时间：
2008-12-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Friedman SR;Bolyard M;Khan M;Maslow C;Sandoval M;Mateu-Gelabert P;Krauss B;Aral SO
通讯作者：
Aral SO
影响因子：
5.1
作者：
Taussig, H N;Talmi, A
通讯作者：
Talmi, A
影响因子：
12.7
作者：
Dworsky, Amy;Napolitano, Laura;Courtney, Mark
通讯作者：
Courtney, Mark