检查当前和以前无家可归的年轻成年人中的 HIV 风险和性交易。

Examining HIV Risk and Exchange Sex Among Current and Formerly Homeless Young Adults.

机构信息

Suzanne Dworak-Peck School of Social Work, University of Southern California, 669 West 34th Street, Los Angeles, CA, 90089, USA.

出版信息

AIDS Behav. 2021 Nov;25(Suppl 2):165-174. doi: 10.1007/s10461-021-03364-z. Epub 2021 Jul 24.

Abstract

This study investigated HIV risk among homeless and formerly homeless young adults by examining risky sex behaviors (e.g., condomless sex, exchange sex, and sex with multiple persons) using 90-day and daily recall methods. Data came from a sample of young adults (aged 18-27) with current (n = 101) or past (n = 109) homelessness experience in Los Angeles, California, recruited between 2017 and 2019. Baseline surveys queried demographics and sexual history. Daily retrospective surveys queried sexual events. Multiple logistic regressions were used to test the effects of demographic characteristics including homelessness history, relationship status, substance use, and sexual history on risky sex outcomes. In this sample, 26% reported never using a condom during anal or vaginal sex in the past 90 days, 5% reported testing positive for HIV, 82% had limited to no knowledge of preexposure prophylaxis, and 8% reported having had exchange sex during a 7-day measurement period, with those experiencing homelessness more likely to report. The study suggests supportive housing can reduce the occurrence of exchange sex but that HIV prevention services are still needed in homeless and housing programs to promote safe sexual practices.

摘要

本研究通过使用 90 天和每日回忆方法,调查了无家可归和以前无家可归的年轻成年人中的 HIV 风险,考察了危险的性行为(例如,无保护措施的性行为、性交易和与多人发生性关系)。数据来自于加利福尼亚州洛杉矶的一组有当前(n=101)或过去(n=109)无家可归经历的年轻成年人(年龄在 18-27 岁之间),他们在 2017 年至 2019 年间被招募。基线调查询问了人口统计学和性史。每日回顾性调查询问了性事件。多变量逻辑回归用于测试人口统计学特征(包括无家可归史、关系状况、物质使用和性史)对危险性行为结果的影响。在这个样本中,26%的人报告在过去 90 天内从未在肛交或阴道性交中使用过避孕套,5%的人报告 HIV 检测呈阳性,82%的人对暴露前预防措施知之甚少,8%的人报告在 7 天的测量期间进行过性交易,经历过无家可归的人更有可能报告。研究表明,保障性住房可以减少性交易的发生,但在无家可归者和住房项目中仍需要提供 HIV 预防服务,以促进安全的性行为。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索