Homelessness and unstable housing associated with an increased risk of HIV and STI transmission among street-involved youth

Brandon D.L. Marshall, Thomas Kerr, Jean A. Shoveller, Thomas L. Patterson, Jane A. Buxton, Evan Wood

Research output: Contribution to journalArticlepeer-review

113 Citations (Scopus)

Abstract

The role that environmental factors play in driving HIV and STI transmission risk among street-involved youth has not been well examined. We examined factors associated with number of sex partners using quasi-Poisson regression and consistent condom use using logistic regression among participants enroled in the At Risk Youth Study (ARYS). Among 529 participants, 253 (47.8%) reported multiple partners while only 127 (24.0%) reported consistent condom use in the past 6 months. Homelessness was inversely associated with consistent condom use (adjusted odds ratio [aOR]=0.47, p=0.008), while unstable housing was positively associated with greater numbers of sex partners (adjusted incidence rate ratio [aIRR]=1.44, p=0.010). These findings indicate the need for interventions which modify environmental factors that drive risk among young street-involved populations.

Original languageEnglish
Pages (from-to)783-790
Number of pages8
JournalHealth and Place
Volume15
Issue number3
DOIs
Publication statusPublished - Sept 2009
Externally publishedYes

Bibliographical note

Funding Information:
The study was supported by the US National Institutes of Health (NIH) grant R01 DA011591 and Canadian Institutes of Health Research (CIHR) grant HHP-67262. Thomas Kerr is supported by a New Investigator Award from CIHR and a Scholar Award from the Michael Smith Foundation for Health Research (MSFHR). Jean Shoveller is supported by a Senior Scholar Award from MSFHR and a Public Health Chair in Improving Youth Sexual Health from CIHR. Brandon Marshall is supported by a Canada Graduate Scholarship from CIHR and a Junior Graduate Trainee Award from MSFHR.

ASJC Scopus Subject Areas

  • Health(social science)
  • Sociology and Political Science
  • Life-span and Life-course Studies

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