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Current Age, Age at First Sex, Age at First Homelessness, and HIV Risk Perceptions Predict Sexual Risk Behaviors among Sexually Active Homeless Adults

While HIV disproportionately impacts homeless individuals, little is known about the prevalence of HIV risk behaviors in the southwest and how age factors and HIV risk perceptions influence sexual risk behaviors. We conducted a secondary data analysis (n = 460) on sexually active homeless adults fro...

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Autores principales: Santa Maria, Diane, Hernandez, Daphne C., Arlinghaus, Katherine R., Gallardo, Kathryn R., Maness, Sarah B., Kendzor, Darla E., Reitzel, Lorraine R., Businelle, Michael S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5858287/
https://www.ncbi.nlm.nih.gov/pubmed/29373568
http://dx.doi.org/10.3390/ijerph15020218
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author Santa Maria, Diane
Hernandez, Daphne C.
Arlinghaus, Katherine R.
Gallardo, Kathryn R.
Maness, Sarah B.
Kendzor, Darla E.
Reitzel, Lorraine R.
Businelle, Michael S.
author_facet Santa Maria, Diane
Hernandez, Daphne C.
Arlinghaus, Katherine R.
Gallardo, Kathryn R.
Maness, Sarah B.
Kendzor, Darla E.
Reitzel, Lorraine R.
Businelle, Michael S.
author_sort Santa Maria, Diane
collection PubMed
description While HIV disproportionately impacts homeless individuals, little is known about the prevalence of HIV risk behaviors in the southwest and how age factors and HIV risk perceptions influence sexual risk behaviors. We conducted a secondary data analysis (n = 460) on sexually active homeless adults from a cross-sectional study of participants (n = 610) recruited from homeless service locations, such as shelters and drop-in centers, in an understudied region of the southwest. Covariate-adjusted logistic regressions were used to assess the impact of age at homelessness onset, current age, age at first sex, and HIV risk perceptions on having condomless sex, new sexual partner(s), and multiple sexual partners (≥4 sexual partners) in the past 12 months. Individuals who first experienced homelessness by age 24 were significantly more likely to report condomless sex and multiple sexual partners in the past year than those who had a later onset of their first episode of homelessness. Individuals who were currently 24 years or younger were more likely to have had condomless sex, new sexual partners, and multiple sexual partners in the past 12 months than those who were 25 years or older. Those who had low perceived HIV risk had lower odds of all three sexual risk behaviors. Social service and healthcare providers should consider a younger age at homelessness onset when targeting HIV prevention services to youth experiencing homelessness.
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spelling pubmed-58582872018-03-19 Current Age, Age at First Sex, Age at First Homelessness, and HIV Risk Perceptions Predict Sexual Risk Behaviors among Sexually Active Homeless Adults Santa Maria, Diane Hernandez, Daphne C. Arlinghaus, Katherine R. Gallardo, Kathryn R. Maness, Sarah B. Kendzor, Darla E. Reitzel, Lorraine R. Businelle, Michael S. Int J Environ Res Public Health Article While HIV disproportionately impacts homeless individuals, little is known about the prevalence of HIV risk behaviors in the southwest and how age factors and HIV risk perceptions influence sexual risk behaviors. We conducted a secondary data analysis (n = 460) on sexually active homeless adults from a cross-sectional study of participants (n = 610) recruited from homeless service locations, such as shelters and drop-in centers, in an understudied region of the southwest. Covariate-adjusted logistic regressions were used to assess the impact of age at homelessness onset, current age, age at first sex, and HIV risk perceptions on having condomless sex, new sexual partner(s), and multiple sexual partners (≥4 sexual partners) in the past 12 months. Individuals who first experienced homelessness by age 24 were significantly more likely to report condomless sex and multiple sexual partners in the past year than those who had a later onset of their first episode of homelessness. Individuals who were currently 24 years or younger were more likely to have had condomless sex, new sexual partners, and multiple sexual partners in the past 12 months than those who were 25 years or older. Those who had low perceived HIV risk had lower odds of all three sexual risk behaviors. Social service and healthcare providers should consider a younger age at homelessness onset when targeting HIV prevention services to youth experiencing homelessness. MDPI 2018-01-26 2018-02 /pmc/articles/PMC5858287/ /pubmed/29373568 http://dx.doi.org/10.3390/ijerph15020218 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Santa Maria, Diane
Hernandez, Daphne C.
Arlinghaus, Katherine R.
Gallardo, Kathryn R.
Maness, Sarah B.
Kendzor, Darla E.
Reitzel, Lorraine R.
Businelle, Michael S.
Current Age, Age at First Sex, Age at First Homelessness, and HIV Risk Perceptions Predict Sexual Risk Behaviors among Sexually Active Homeless Adults
title Current Age, Age at First Sex, Age at First Homelessness, and HIV Risk Perceptions Predict Sexual Risk Behaviors among Sexually Active Homeless Adults
title_full Current Age, Age at First Sex, Age at First Homelessness, and HIV Risk Perceptions Predict Sexual Risk Behaviors among Sexually Active Homeless Adults
title_fullStr Current Age, Age at First Sex, Age at First Homelessness, and HIV Risk Perceptions Predict Sexual Risk Behaviors among Sexually Active Homeless Adults
title_full_unstemmed Current Age, Age at First Sex, Age at First Homelessness, and HIV Risk Perceptions Predict Sexual Risk Behaviors among Sexually Active Homeless Adults
title_short Current Age, Age at First Sex, Age at First Homelessness, and HIV Risk Perceptions Predict Sexual Risk Behaviors among Sexually Active Homeless Adults
title_sort current age, age at first sex, age at first homelessness, and hiv risk perceptions predict sexual risk behaviors among sexually active homeless adults
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5858287/
https://www.ncbi.nlm.nih.gov/pubmed/29373568
http://dx.doi.org/10.3390/ijerph15020218
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