Department of Psychology, Weiss Hall, 1701 N. 13th Street, Philadelphia, PA, 19122, United States.
Department of Psychology, Weiss Hall, 1701 N. 13th Street, Philadelphia, PA, 19122, United States.
Drug Alcohol Depend. 2021 Apr 1;221:108560. doi: 10.1016/j.drugalcdep.2021.108560. Epub 2021 Feb 9.
There is a dearth of literature that explicitly examines associations between housing and HIV testing among people who inject drugs (PWID). Thus, the present study investigated the links between housing status and HIV testing for PWID.
Respondent-driven sampling recruited 382 HIV-negative PWID, who completed structured interviews in San Francisco. Logistic regression determined whether housing statuses in the past 12 months ([1] owned/rented, [2] single-room occupancy hotels [SROs], [3] living with friends/family/partners, [4] shelters, [5] outdoors) were associated with getting HIV tested in the past 12 months while adjusting for sociodemographics and receptive sharing of injection paraphernalia in the past 12 months.
PWID who lived in SROs had greater odds of being tested for HIV than PWID who did not live in SROs (aOR = 1.95, CI: 1.06-3.60) while adjusting for covariates. Although bivariable analyses indicated that receptively sharing syringes was more common for PWID who lived with others (χ[3] = 7.94, p = 0.047) or lived outdoors (χ[3] = 9.50, p = 0.023) than those who did not, respectively, PWID who lived with others (aOR = 1.72, CI = 0.95-3.14) or lived outdoors (aOR = 1.37, CI = 0.74-2.53) did not show greater odds of HIV testing in multivariable analyses.
PWID who lived in SROs had greater odds of HIV testing than PWID who did not live in SROs. Although PWID who lived with others or outdoors showed greater HIV risk, they did not show greater odds of HIV testing. Public health efforts may be reaching PWID in SROs, but more work is needed to reach PWID who live with other people or outdoors.
目前文献中鲜有明确探讨住房与注射吸毒者（IDU）HIV 检测之间关联的内容。因此，本研究调查了 IDU 过去 12 个月的住房状况与 HIV 检测之间的联系。
采用应答驱动抽样法招募了 382 名 HIV 阴性 IDU，他们在旧金山完成了结构化访谈。Logistic 回归确定了过去 12 个月内的住房状况（[1]自有/租赁房，[2]单人房间出租旅馆（SRO），[3]与朋友/家人/伴侣同住，[4]收容所，[5]室外）与过去 12 个月内接受 HIV 检测之间的关系，同时调整了社会人口统计学因素和过去 12 个月内接受注射用具共享情况。
在调整了协变量后，居住在 SRO 的 IDU 接受 HIV 检测的可能性大于未居住在 SRO 的 IDU（调整优势比[aOR] = 1.95，95%置信区间[CI]：1.06-3.60）。尽管单变量分析表明，与未与他人同住或居住在室外的 IDU 相比，与他人同住（χ[3] = 7.94，p = 0.047）或居住在室外（χ[3] = 9.50，p = 0.023）的 IDU 更常接受共用注射器，但多变量分析并未显示与他人同住（aOR = 1.72，95%CI = 0.95-3.14）或居住在室外（aOR = 1.37，95%CI = 0.74-2.53）的 IDU 接受 HIV 检测的可能性更高。
居住在 SRO 的 IDU 接受 HIV 检测的可能性大于未居住在 SRO 的 IDU。尽管与他人同住或居住在室外的 IDU 表现出更高的 HIV 风险，但他们接受 HIV 检测的可能性并没有更高。公共卫生工作可能已经接触到了居住在 SRO 的 IDU，但还需要做更多工作来接触与他人同住或居住在室外的 IDU。
