Unprotected Sex of Homeless Youth: Results from a Multilevel Dyadic Analysis of Individual, Social Network, and Relationship Factors
Unprotected Sex of Homeless Youth: Results from a Multilevel Dyadic Analysis of Individual, Social Network, and Relationship Factors
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DOI：
10.1007/s10461-012-0195-0
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发表时间：
2012-10-01
影响因子：
4.4
通讯作者：
Ewing, Brett
中科院分区：
文献类型：
--
作者：
Kennedy, David P.;Tucker, Joan S.;Ewing, Brett
无家可归的青少年通过性行为感染艾滋病毒的风险较高。该项目调查了对无家可归青年无保护性行为的多重影响，包括社会网络、个人和伴侣层面的影响。调查结果基于对随机选择的洛杉矶无家可归青年的探索性半结构化访谈（n = 40）和结构化个人网络访谈（n = 240）的分析。以往关于无家可归青少年危险性行为的社会网络研究从非随机样本中收集了有限的社会网络数据，并且没有将性伴侣影响与其他网络影响区分开来。目前的分析已经确定了与无保护的性行为在多个层面上的显著关联，包括个人、伴侣，以及较小程度上的社会网络。分析还区分了在进行无保护措施的性行为时愿意或不愿意使用避孕套的青少年。社会网络为基础的艾滋病毒风险干预与无家可归的青年讨论。
Homeless youth have elevated risk of HIV through sexual behavior. This project investigates the multiple levels of influence on unprotected sex among homeless youth, including social network, individual, and partner level influences. Findings are based on analyses of an exploratory, semi-structured interview (n = 40) and a structured personal network interview (n = 240) with randomly selected homeless youth in Los Angeles. Previous social network studies of risky sex by homeless youth have collected limited social network data from non-random samples and have not distinguished sex partner influences from other network influences. The present analyses have identified significant associations with unprotected sex at multiple levels, including individual, partner, and, to a lesser extent, the social network. Analyses also distinguished between youth who did or did not want to use condoms when they had unprotected sex. Implications for social network based HIV risk interventions with homeless youth are discussed.