Homelessness and HIV risk behaviors among drug injectors in Puerto Rico.
Homelessness and HIV risk behaviors among drug injectors in Puerto Rico.
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波多黎各注射吸毒者的无家可归和艾滋病毒危险行为。
DOI：
10.1093/jurban/jti073
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Shepard,ElizabethW
中科院分区：
文献类型：
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作者：
Reyes,JuanC;Robles,RafaelaR;Colon,HectorM;Matos,TomasD;Finlinson,HAnn;Marrero,CAmalia;Shepard,ElizabethW
本报告探讨了无家可归和艾滋病毒的危险行为之间的关联注射吸毒者（IDUs）在波多黎各。研究样本由557名未接受治疗的注射吸毒者组成，招募自北方地铁卫生保健区的内城社区。受试者按居住状态（过去30天）分为三组：住房、过渡住房（与朋友、家人或其他人住在一起，但认为自己无家可归）和街头无家可归者（住在街上或收容所）。在调整社会人口和药物使用相关协变量后，拟合多元逻辑回归模型来评估居住状况对每种艾滋病毒风险行为的影响。过渡性住房和街头无家可归者占总样本的16%。街头无家可归的注射吸毒者比临时安置和安置的注射吸毒者更有可能艾滋病毒检测呈阳性。在调整后的分析中，街头流浪者受试者比其他两组更有可能共用针头，共用冲洗水，并练习背部负重。性风险行为（最近30天）与调整后的居住状况无显著相关。这项研究的结果对药物治疗和艾滋病毒预防和治疗方案提出了额外的挑战，以提供服务，满足遭受无家可归压力的吸毒者的额外需求。
This report examines associations between homelessness and HIV risk behaviors among injection drug users (IDUs) in Puerto Rico. The study sample consisted of 557 IDUs who were not in treatment, recruited in inner-city neighborhoods of the North Metro Health Care Region. Subjects were categorized into three groups by residential status (last 30 days): housed, transitionally housed (living with friends, family, or others but considering themselves homeless), and on-the-street homeless (living on the street or in a shelter). Multiple logistic regression models were fitted to assess effects of residential status on each HIV risk behavior after adjusting for sociodemographic and drug-use related covariates. Transitionally housed and on-the-street homeless subjects made up 16% of the total sample. On-the-street homeless IDUs were more likely to test positive for HIV than were transitionally housed and housed IDUs. In the adjusted analysis, on-the-street homeless subjects were significantly more likely to share needles, share rinse water, and practice back loading than the other two groups. Sexual risk behaviors (last 30 days) were not significantly associated with residential status after adjustment. Findings from this study present an added challenge to drug treatment and HIV prevention and treatment programs, to provide services that can address the additional needs of drug users suffering the stressors of homelessness.