Metraux Stephen, Metzger David S, Culhane Dennis P
Graduate Program in Health Policy, University of the Sciences in Philadelphia, 600 South 43rd Street, Philadelphia, PA 19104-4495, USA.
J Urban Health. 2004 Dec;81(4):618-29. doi: 10.1093/jurban/jth145.
This article uses data from an 8-year study of injection drug users to examine whether homelessness independently influenced the likelihood of engaging in human immunodeficiency virus (HIV) risk behaviors. Fixed effects regression analyses are used to estimate the associations between four different housing contexts and four different behaviors related to transmitting HIV infections. Results showed that 16% of the study group experienced homelessness at some point during the study, and that homelessness was significantly associated with a higher likelihood of frequenting shooting galleries (odds ratio = 2.05), but did not have a significant effect on sharing syringes, sharing other injection drug paraphernalia, or participating in paid sex. These results provide limited support for positing homelessness as independently associated with increased levels of HIV-related risk behavior among injection drug users and highlights the need for more research that examines the housing dynamics among this population.
本文使用了一项针对注射吸毒者的为期8年的研究数据，以检验无家可归状况是否独立影响了参与人类免疫缺陷病毒（HIV）风险行为的可能性。采用固定效应回归分析来估计四种不同住房状况与四种与传播HIV感染相关行为之间的关联。结果显示，16%的研究组在研究期间的某个时间点经历过无家可归，且无家可归与频繁光顾射击场的可能性显著相关（优势比=2.05），但对共用注射器、共用其他注射吸毒用具或参与有偿性行为没有显著影响。这些结果为认定无家可归与注射吸毒者中与HIV相关的风险行为水平升高独立相关提供了有限支持，并凸显了开展更多研究以考察该人群住房动态的必要性。
