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. 2009 Sep;15(3):753-60.
doi: 10.1016/j.healthplace.2008.12.005. Epub 2009 Jan 8.

Homelessness and unstable housing associated with an increased risk of HIV and STI transmission among street-involved youth

Brandon D L Marshall  1 , Thomas Kerr, Jean A Shoveller, Thomas L Patterson, Jane A Buxton, Evan Wood
Affiliations

Homelessness and unstable housing associated with an increased risk of HIV and STI transmission among street-involved youth

Brandon D L Marshall et al. Health Place. 2009 Sep.

Abstract

The role that environmental factors play in driving HIV and STI transmission risk among street-involved youth has not been well examined. We examined factors associated with number of sex partners using quasi-Poisson regression and consistent condom use using logistic regression among participants enroled in the At Risk Youth Study (ARYS). Among 529 participants, 253 (47.8%) reported multiple partners while only 127 (24.0%) reported consistent condom use in the past 6 months. Homelessness was inversely associated with consistent condom use (adjusted odds ratio [aOR]=0.47, p=0.008), while unstable housing was positively associated with greater numbers of sex partners (adjusted incidence rate ratio [aIRR]=1.44, p=0.010). These findings indicate the need for interventions which modify environmental factors that drive risk among young street-involved populations.

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