Identifying Patterns of Social and Economic Hardship Among Structurally Vulnerable Women: A Latent Class Analysis of HIV/STI Risk
Identifying Patterns of Social and Economic Hardship Among Structurally Vulnerable Women: A Latent Class Analysis of HIV/STI Risk
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DOI：
10.1007/s10461-017-1673-1
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发表时间：
2017-10-01
影响因子：
4.4
通讯作者：
Sherman, Susan G.
中科院分区：
文献类型：
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作者：
Brantley, Meredith L.;Kerrigan, Deanna;Sherman, Susan G.
结构脆弱的妇女感染艾滋病毒/性传播感染的风险更高。确定驱动艾滋病毒/性传播感染风险行为的结构性脆弱性类型对于理解妇女风险的性质至关重要。潜类分析（LCA）被用来分类异国情调的舞者（n = 117）到亚组的基础上的响应模式的四个脆弱性指标。潜类回归模型测试是否性和毒品相关的风险行为不同的脆弱性亚组。脆弱性指标的流行率在住房不稳定（39%），财务不安全（39%），受教育程度有限（67%）和逮捕史（36%）方面各不相同。LCA产生了一个两类模型的解决方案，32%的参与者预计属于“高脆弱性”的亚组。高脆弱性亚组中的舞者更有可能报告性交换（OR = 8.1，95% CI，1.9-34.4），多个性伴侣（OR = 6.4，95% CI，1.9-21.5）和非法药物使用（OR = 17.4，95% CI，2.5-123.1）。研究结果强调了解决导致艾滋病毒/性传播感染风险的相互关联的结构性因素的重要性。
Women who are structurally vulnerable are at heightened risk for HIV/STIs. Identifying typologies of structural vulnerability that drive HIV/STI risk behavior is critical to understanding the nature of women's risk. Latent class analysis (LCA) was used to classify exotic dancers (n = 117) into subgroups based on response patterns of four vulnerability indicators. Latent class regression models tested whether sex- and drug-related risk behavior differed by vulnerability subgroup. Prevalence of vulnerability indicators varied across housing instability (39%), financial insecurity (39%), limited education (67%), and arrest history (36%). LCA yielded a two-class model solution, with 32% of participants expected to belong to a "high vulnerability" subgroup. Dancers in the high vulnerability subgroup were more likely to report sex exchange (OR = 8.1, 95% CI, 1.9-34.4), multiple sex partnerships (OR = 6.4, 95% CI, 1.9-21.5), and illicit drug use (OR = 17.4, 95% CI, 2.5-123.1). Findings underscore the importance of addressing inter-related structural factors contributing to HIV/STI risk.