HIV-risk behaviors associated with homelessness characteristics in youth
HIV-risk behaviors associated with homelessness characteristics in youth
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DOI：
10.1016/s1054-139x(99)00043-9
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发表时间：
1999-11-01
影响因子：
7.6
通讯作者：
Hubbard, ML
中科院分区：
文献类型：
--
作者：
Ennett, ST;Federman, EB;Hubbard, ML
目的：探讨青少年无家可归与人类免疫缺陷病毒(HIV)危险行为相关的特征。方法：样本包括288名14-21岁的华盛顿特区无家可归或离家出走的青少年。测量方法包括自我报告的无家可归特征、不安全的性行为、注射毒品和背景特征。结果：男性(n=140)和女性(n=148)的不安全性行为发生率较高，但注射吸毒率较低。在双变量分析中，艾滋病毒风险与无家可归的严重程度(即在公共场所或与陌生人一起过夜、挨饿、参与街头经济活动)、无家可归的持续时间(即无家可归的次数较多、当前无家可归的时间较长)以及无家可归的具体原因(即被抛弃)显著相关。此外，性侵害和年龄较大与艾滋病毒风险增加有关。在多变量模型中，这些无家可归特征中的一小部分仍然是显著的独立相关因素，并解释了男性和女性艾滋病毒风险指数的大量差异。结论：该结果有助于从理论上更好地理解这一青年弱势群体中无家可归者与艾滋病毒感染风险增加相关的特征。无家可归特征与艾滋病毒风险之间的联系表明，艾滋病毒预防工作需要直接侧重于改善青年的无家可归情况。(C)青少年医学学会，1999年。
Purpose: To examine characteristics of youth homelessness associated with engaging in risk behaviors for human immunodeficiency virus (HIV).Methods: The sample included 288 currently homeless or runaway Washington, DC youth aged 14-21 years. Measures were self-reported homelessness characteristics, unsafe sexual behavior, injection drug use, and background characteristics. Bivariate and multivariable analyses of the relationships between homelessness characteristics and HIV risk behaviors were conducted.Results: Both male (n = 140) and female (n = 148) participants reported high rates of unsafe sexual behaviors, but low rates of injection drug use. HIV risk was significantly associated in bivariate analyses with severity of homelessness circumstances (i.e., spending the night in public place or with strangers, going hungry, and participating in the street economy), the duration of homelessness (i.e, greater number of episodes of homelessness, longer time length of current episode), and specific reasons for being homeless (i.e., thrown out). In addition, sexual victimization and older age were associated with increased HIV risk. In multivariable models, a smaller set of these homelessness characteristics remained significant independent correlates and explained a substantial amount of the variation in the HIV risk indices for both males and females.Conclusions: The results contribute to greater theoretical understanding of the characteristics of homelessness associated with increased risk of HIV infection within this vulnerable population of youth. The associations between homelessness characteristics and HIV risk suggest the need for HIV prevention efforts to focus directly on ameliorating the homelessness circumstances of youth. (C) Society far Adolescent Medicine, 1999.