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Sexual risk classes among youth experiencing homelessness: Relation to childhood adversities, current mental symptoms, substance use, and HIV testing

The aim of this study was to determine whether there are meaningful subgroups with different types of sexual risk behaviors among youth experiencing homelessness and examine the associations between potential classes and other risk variables. A latent class analysis was used to identify classes of y...

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Autores principales: Santa Maria, Diane, Daundasekara, Saumali S., Hernandez, Daphne C., Zhang, Wei, Narendorf, Sarah C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6941897/
https://www.ncbi.nlm.nih.gov/pubmed/31899781
http://dx.doi.org/10.1371/journal.pone.0227331
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author Santa Maria, Diane
Daundasekara, Saumali S.
Hernandez, Daphne C.
Zhang, Wei
Narendorf, Sarah C.
author_facet Santa Maria, Diane
Daundasekara, Saumali S.
Hernandez, Daphne C.
Zhang, Wei
Narendorf, Sarah C.
author_sort Santa Maria, Diane
collection PubMed
description The aim of this study was to determine whether there are meaningful subgroups with different types of sexual risk behaviors among youth experiencing homelessness and examine the associations between potential classes and other risk variables. A latent class analysis was used to identify classes of youth according to sexual risk behaviors and sexual assault. A two-class solution was found to be the best fit for the data–Lower and Higher Risk groups. The Higher Risk class had significantly higher levels of synthetic marijuana and alcohol use, mental health diagnoses, and were more likely to have been tested for HIV than the Lower Risk group. Youth were more likely to be in the Higher Risk group if they were cisgender female or lesbian, gay, bisexual, or questioning (LGBQ). Nearly all youth (10/11) who reported having HIV infection were in the Higher Risk group. The Lower Risk group were sexually active but had lower rates of risk behaviors and sexual assault. Youth who were not sexually active had the lowest rates of marijuana and alcohol use as well as HIV testing. Health and social service providers should be aware of the added risks for stress, mental distress, mental health diagnoses, and substance use among youth who also report higher risk sexual behaviors and treat as needed.
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spelling pubmed-69418972020-01-10 Sexual risk classes among youth experiencing homelessness: Relation to childhood adversities, current mental symptoms, substance use, and HIV testing Santa Maria, Diane Daundasekara, Saumali S. Hernandez, Daphne C. Zhang, Wei Narendorf, Sarah C. PLoS One Research Article The aim of this study was to determine whether there are meaningful subgroups with different types of sexual risk behaviors among youth experiencing homelessness and examine the associations between potential classes and other risk variables. A latent class analysis was used to identify classes of youth according to sexual risk behaviors and sexual assault. A two-class solution was found to be the best fit for the data–Lower and Higher Risk groups. The Higher Risk class had significantly higher levels of synthetic marijuana and alcohol use, mental health diagnoses, and were more likely to have been tested for HIV than the Lower Risk group. Youth were more likely to be in the Higher Risk group if they were cisgender female or lesbian, gay, bisexual, or questioning (LGBQ). Nearly all youth (10/11) who reported having HIV infection were in the Higher Risk group. The Lower Risk group were sexually active but had lower rates of risk behaviors and sexual assault. Youth who were not sexually active had the lowest rates of marijuana and alcohol use as well as HIV testing. Health and social service providers should be aware of the added risks for stress, mental distress, mental health diagnoses, and substance use among youth who also report higher risk sexual behaviors and treat as needed. Public Library of Science 2020-01-03 /pmc/articles/PMC6941897/ /pubmed/31899781 http://dx.doi.org/10.1371/journal.pone.0227331 Text en © 2020 Santa Maria et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Santa Maria, Diane
Daundasekara, Saumali S.
Hernandez, Daphne C.
Zhang, Wei
Narendorf, Sarah C.
Sexual risk classes among youth experiencing homelessness: Relation to childhood adversities, current mental symptoms, substance use, and HIV testing
title Sexual risk classes among youth experiencing homelessness: Relation to childhood adversities, current mental symptoms, substance use, and HIV testing
title_full Sexual risk classes among youth experiencing homelessness: Relation to childhood adversities, current mental symptoms, substance use, and HIV testing
title_fullStr Sexual risk classes among youth experiencing homelessness: Relation to childhood adversities, current mental symptoms, substance use, and HIV testing
title_full_unstemmed Sexual risk classes among youth experiencing homelessness: Relation to childhood adversities, current mental symptoms, substance use, and HIV testing
title_short Sexual risk classes among youth experiencing homelessness: Relation to childhood adversities, current mental symptoms, substance use, and HIV testing
title_sort sexual risk classes among youth experiencing homelessness: relation to childhood adversities, current mental symptoms, substance use, and hiv testing
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6941897/
https://www.ncbi.nlm.nih.gov/pubmed/31899781
http://dx.doi.org/10.1371/journal.pone.0227331
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