Uncovering patterns of HIV risk through multiple housing measures.

Uncovering patterns of HIV risk through multiple housing measures.
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通过多种住房措施揭示艾滋病毒风险模式。

DOI:
10.1007/s10461-007-9284-x
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发表时间:
2007
期刊:
影响因子:
4.4
通讯作者:
Stark,MichaelJ
Stark,MichaelJ
中科院分区:
医学2区
文献类型:
--
作者:
Weir,BrianW;Bard,RondaS;O'Brien,Kerth;Casciato,CarolJ;Stark,MichaelJ

文献摘要

相似文献

对住房与艾滋病毒之间关系的理解受到了限制,因为它依赖于基于当前生活安排的单一住房指标(例如,稳定、不稳定或无家可归)。本文研究了五个住房指标之间的横截面和纵向关系(客观住房稳定性、主观住房稳定性、支持性住房、最近6个月居住次数和住房服务需求)和四种艾滋病毒风险行为(硬毒品使用,共用针头,性交换,和无保护的性交)中的妇女在艾滋病毒的风险和最近的刑事司法系统的参与(n= 493)。在横断面分析中,每一种风险行为都与多个不良住房指标相关,并且相关模式因风险行为而异。在纵向分析中,风险行为的变化与自上次评估以来住房状况的变化相关。这些指标反映了住房的不同方面,并与不同的风险行为有着独特的联系。住房和艾滋病毒风险之间的关系很复杂,必须认识到这两个概念都是多层面的。
Understanding the relationships between housing and HIV has been limited by reliance on a single housing indicator based on current living arrangements (e.g., stable, unstable, or homeless). This paper examines the cross-sectional and longitudinal relationships between five housing indicators (objective housing stability, subjective housing stability, supportive housing, number of residences in the last 6 months, and housing services needs) and four HIV risk behaviors (hard drug use, needle sharing, sex exchange, and unprotected intercourse) among women at-risk for HIV and with recent criminal justice system involvement (n= 493). In cross-sectional analyses, each risk behavior was associated with multiple indicators of poor housing, and the patterns of association varied by risk behavior. In the longitudinal analyses, changes in risk behavior were associated with changes in housing status since the previous assessment. These indicators reflect different aspects of housing and are uniquely associated with different risk behaviors. The relationships between housing and HIV risk are complex, and both constructs must be recognized as multidimensional.