The Effects of Housing Status, Stability and the Social Contexts of Housing on Drug and Sexual Risk Behaviors.
The Effects of Housing Status, Stability and the Social Contexts of Housing on Drug and Sexual Risk Behaviors.
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DOI：
10.1007/s10461-017-1738-1
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发表时间：
2017-07
影响因子：
4.4
通讯作者：
Quinn K
中科院分区：
文献类型：
--
作者：
Dickson-Gomez J;McAuliffe T;Quinn K
关于住房不稳定性与艾滋病毒风险之间关系的研究往往集中在两种不同的稳定性概念上。在一个概念中，住房稳定性是根据实际位置来定义的，无家可归者或住房不稳定的个人被定义为居住在非人类居住场所或紧急避难所的人。另一种概念将住房稳定性定义为个人的短暂性程度，通常是指一个人在特定时间内搬家或被驱逐的次数。对生活环境的社会背景研究较少，例如与其他吸毒者住在一起，生活费用冲突，或者为了留下来而不得不发生性行为。本文使用来自康涅狄格州哈特福德市392名低收入居民的数据来探索不同住房情况下的人们（包括那些有住房和无家可归的人）如何体验住房稳定性、家庭安全感以及住房的社会背景。然后，我们探讨了这些不同的住房环境如何影响吸毒频率和性风险。结果显示，从搬家次数和搬家的负面原因来看，无家可归者的总体住房不稳定性更高。那些与家人或朋友住在一起的人更有可能在家庭开支上发生冲突，更有可能与吸毒者住在一起。在无家可归者和被收容者中，强烈的毒品使用与他们所居住的地方遭受暴力有关，认为住房更稳定，因为积极的原因而搬家，加倍，无家可归的时间更长，而搬家次数和更长的监禁时间预示着性风险。在被安置者中，与其他吸毒者住在一起与更严重的毒品使用有关，而为家庭开支提供资金与较少的严重毒品使用有关。两个重要的相互作用与被关在一起的人的性风险有关。与吸毒者同住的刑期较长的人有更多的性伴侣，与吸毒者同住的刑期较长的人有更多的性伴侣。本研究的结果表明，在文献中不经常考虑的住房状况措施，如住房的社会背景，对艾滋病毒风险有显著影响。
Research on the relationship between housing instability and HIV risk has often focused on two different conceptions of stability. In one conceptualization, housing stability is defined according to physical location with homeless or unstably housed individuals defined as those who reside in places not meant for human habitation or in emergency shelters. The other conceptualization has defined housing stability as individuals’ degree of transience, often operationalized as the number of moves or evictions a person has had within a specified amount of time. Less studied has been the social context of living situation, e.g. living with other drug users, conflict over living expenses, or having to have sex in order to stay. This paper uses data from 392 low-income residents in Hartford, CT to explore how people in different housing situations—including those who are housed and homeless—experience housing stability, feelings of security in their homes, and the social context of their housing. We then explore how these varied measures of housing context affect drug use frequency and sexual risk. Results show that participants who are homeless feel more overall housing instability in terms of number of moves and negative reasons for moving. Those who were doubled up with family or friends were more likely to experience conflict over household expenses and more likely to live with drug users. Among homeless and housed, hard drug use was associated with experiencing violence in the place where they lived, perceiving greater housing stability, having moved for a positive reason, doubling up, and longer periods of homelessness, while number of moves and longer prison sentence predicted sexual risk. Among the housed, living with other drug users was associated with more hard drug use, while contributing money toward household expenses was associated with less hard drug use. Two significant interactions were associated with sexual risk among the housed. Those with longer prison sentences who lived with drug users had more sexual partners, and those with longer prison sentences who doubled up had more sex partners. Results of this study indicate that measures of housing status not often considered in the literature such as the social context of housing have significant effects on HIV risk.