German Danielle, Davey Melissa A, Latkin Carl A
Department of Health, Behavior and Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA.
AIDS Behav. 2007 Nov;11(6 Suppl):21-30. doi: 10.1007/s10461-007-9238-3. Epub 2007 May 8.
Housing instability has been linked to HIV risk behaviors. Many studies have focused on the implications of one's housing structure or lack thereof. This study focuses on residential transience as an additional dimension of housing instability. Specifically, we assessed the associations between transience and four HIV risk behaviors. Transience was defined as moving twice or more in the past six months. Multivariate analyses of a sample of current injectors (n = 807) indicated that transience had an independent effect on HIV risk behaviors. Transient individuals were more likely to share needles and go to a shooting gallery than non-transient individuals. Transience was not associated with exchanging sex or having multiple sex partners when homelessness was included in the models. Further examination of the association between housing and HIV should consider the role of transience. Interventions that promote housing stability among IDUs and address HIV risk during times of instability are needed.
住房不稳定与艾滋病毒风险行为有关。许多研究都集中在一个人的住房结构或缺乏住房结构的影响上。本研究将居住流动性作为住房不稳定的一个额外维度进行重点关注。具体而言，我们评估了居住流动性与四种艾滋病毒风险行为之间的关联。居住流动性被定义为在过去六个月内搬家两次或更多次。对当前注射吸毒者样本（n = 807）进行的多变量分析表明，居住流动性对艾滋病毒风险行为有独立影响。与非流动个体相比，流动个体更有可能共用针头并前往射击场所。当模型中纳入无家可归因素时，居住流动性与性交易或有多个性伴侣无关。进一步研究住房与艾滋病毒之间的关联时应考虑居住流动性的作用。需要采取干预措施，促进注射吸毒者的住房稳定，并在不稳定时期应对艾滋病毒风险。
