无家可归和住房不稳定的年轻成年人中与 HIV 风险行为相关的因素。
Correlates of HIV risk behaviors among homeless and unstably housed young adults.
机构信息
Oregon Health & Science University, Department of Public Health & Preventive Medicine, Portland, OR 97239, USA.
出版信息
Public Health Rep. 2013 May-Jun;128(3):153-60. doi: 10.1177/003335491312800305.
OBJECTIVES
Homeless young adults are exposed to multiple risk factors for HIV infection. We identified HIV risk behaviors and their correlates among homeless young adults in Portland, Oregon.
METHODS
We conducted a community-based, cross-sectional survey of HIV risk behaviors among homeless young adults aged 18-25 years in 2010. Participants completed three study components: (1) an interviewer-administered survey of HIV risk behaviors; (2) a brief, client-centered HIV risk-based counseling session; and (3) rapid HIV testing.
RESULTS
Among 208 participants, 45.8% identified as racial/ethnic minority groups, 63.8% were male, and 35.7% self-identified as nonheterosexual. Six participants, all from sexual minority groups, had positive HIV screening results (two newly identified, four previously known) for a seropositivity rate of 2.9%. Female sex, belonging to a sexual minority group, frequent traveling between cities, depression, and alcohol use to intoxication were significantly associated with unprotected sex in univariate analysis. Female sex and high perceived risk of HIV were significantly associated with unprotected sex in multivariate analysis.
CONCLUSIONS
Our findings support the need for enhanced HIV prevention interventions for homeless young adults.
目的
无家可归的年轻成年人面临着多种感染 HIV 的风险因素。我们确定了俄勒冈州波特兰市无家可归的年轻成年人中的 HIV 风险行为及其相关因素。
方法
我们于 2010 年对年龄在 18-25 岁之间的无家可归的年轻成年人进行了一项基于社区的 HIV 风险行为横断面调查。参与者完成了三个研究部分：（1）对 HIV 风险行为进行访谈者管理的调查；（2）简短的、以客户为中心的基于 HIV 风险的咨询会议；和（3）快速 HIV 检测。
结果
在 208 名参与者中，45.8%为种族/族裔少数群体，63.8%为男性，35.7%自我认同为非异性恋。六名参与者均来自性少数群体，HIV 筛查结果呈阳性（其中两人新发现，四人以前已知），阳性率为 2.9%。在单变量分析中，女性、属于性少数群体、频繁在城市之间旅行、抑郁和饮酒至醉酒与无保护性行为显著相关。在多变量分析中，女性和高 HIV 风险感知与无保护性行为显著相关。
结论
我们的研究结果支持为无家可归的年轻成年人加强 HIV 预防干预的必要性。
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