Homelessness and unstable housing associated with an increased risk of HIV and STI transmission among street-involved youth
Homelessness and unstable housing associated with an increased risk of HIV and STI transmission among street-involved youth
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DOI：
10.1016/j.healthplace.2008.12.005
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发表时间：
2009-09-01
期刊：
影响因子：
4.8
通讯作者：
Wood, Evan
中科院分区：
文献类型：
--
作者：
Marshall, Brandon D. L.;Kerr, Thomas;Wood, Evan
环境因素在推动街头青年艾滋病毒和性传播感染风险方面所起的作用尚未得到充分研究。我们采用准泊松回归分析和逻辑回归分析对参加高危青年研究（阿里斯）的参与者进行了与性伴侣数量相关的因素分析。在529名参与者中，253名（47.8%）报告有多名性伴，而只有127名（24.0%）报告在过去6个月内一直使用安全套。无家可归与持续使用避孕套呈负相关（调整后的比值比[aOR] = 0.47，p = 0.008）。而不稳定的居住环境与性伴侣的数量呈正相关（校正后的发病率比[alRR] = 1.44，p = 0.010）。这些研究结果表明，有必要采取干预措施，改变导致年轻街头人口风险的环境因素。(C)2008爱思唯尔有限公司保留所有权利。
The role that environmental factors play in driving HIV and STI transmission risk among street-involved youth has not been well examined. We examined factors associated with number of sex partners using quasi-Poisson regression and consistent condom use using logistic regression among participants enroled in the At Risk Youth Study (ARYS). Among 529 participants, 253 (47.8%) reported multiple partners while only 127 (24.0%) reported consistent condom use in the past 6 months. Homelessness was inversely associated with consistent condom use (adjusted odds ratio [aOR] = 0.47, p = 0.008). while unstable housing was positively associated with greater numbers of sex partners (adjusted incidence rate ratio [alRR] = 1.44, p = 0.010). These findings indicate the need for interventions which modify environmental factors that drive risk among young street-involved populations. (C) 2008 Elsevier Ltd. All rights reserved.