Predictors of Sexually Transmitted Infection Testing Among Sexually Active Homeless Youth

Solorio, M. Rosa; Milburn, Norweeta G.; Higgins, Chandra; Gelberg, Lillian

doi:10.1007/s10461-005-9044-8

Cited by 26 publications

(20 citation statements)

References 18 publications

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“…Although our overall rate of LPI was within the range documented by other studies, 8,9,[20][21][22][23] LPI rates for males and for females with certain risky sexual behaviors were higher than those previously reported. For example, the rates of LPI among females with histories of sex exchange (76%) and STI (61%) observed in our assessment are higher than rates from previous reports (2-43% and 6-45%, respectively).…”

Section: Discussionsupporting

confidence: 65%

“…22,23 Furthermore, most of the earlier research exploring LPI among street and homeless youth has been conducted among females only. 18,20,22,23,28 Although three studies have included males, 8,9,21 the only one to report LPI separately by gender found 10% LPI in a small sample of 50 males. 9 We found a higher prevalence of LPI in our sample of 706 male street youth (24%), which is likely an underestimate given that male knowledge of partner pregnancy may be incomplete, especially in the setting of multiple partners.…”

Section: Discussionmentioning

confidence: 99%

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Multi-City Assessment of Lifetime Pregnancy Involvement among Street Youth, Ukraine

et al. 2011

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Although street youth are at increased risk of lifetime pregnancy involvement (LPI), or ever becoming or getting someone pregnant, no reports to date describe the epidemiology of LPI among systematically sampled street youth from multiple cities outside of North America. The purpose of our assessment was to describe the prevalence of and risk factors associated with LPI among street youth from three Ukrainian cities. We used modified time-location sampling to conduct a cross-sectional assessment in Odesa, Kyiv, and Donetsk that included citywide mapping of 91 public venue locations frequented by street youth, random selection of 74 sites, and interviewing all eligible and consenting street youth aged 15-24 years found at sampled sites (n=929). Characteristics of youth and prevalence of LPI overall and by demographic, social, sexual, and substance use risk factors, were estimated separately for males and females. Adjusted odds ratios (AORs) were calculated with multivariable logistic regression and effect modification by gender was examined. Most (96.6%) eligible youth consented to participate. LPI was reported for 41.7% of females (93/223) and 23.5% of males (166/706). For females, LPI was significantly elevated and highest (970%) among those initiating sexual activity at ≤12 years and for those reporting lifetime anal sex and exchanging sex for goods. For males, LPI was significantly elevated and highest (940%) among those who reported lifetime anal sex and history of a sexually transmitted infection. Overall, risk factors associated with LPI were similar for females and males. Among the total sample (females and males combined), significant independent risk factors with AORs ≥2.5 included female gender, being aged 20-24 years, having five to six total adverse childhood experiences, initiating sex at age ≤12 or 13-14 years, lifetime anal sex, most recent sex act unprotected, and lifetime exchange of sex for goods. Among street youth with LPI (n=259), the most recent LPI event was reported to be unintended by 63.3% and to have ended in abortion by 43.2%. In conclusion, our assessment documented high rates of LPI among Ukrainian street youth who, given the potential for negative outcomes and the challenges of raising a child on the streets, are in need of community-based pregnancy prevention programs and services. Promising preventive strategies are discussed, which are likely applicable to other urban populations of street-based youth as well.

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Section: Discussionsupporting

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Multi-City Assessment of Lifetime Pregnancy Involvement among Street Youth, Ukraine

et al. 2011

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“…Researchers studying homeless youth have examined correlates of non-condom use 10 and HIV or STI testing, 14,17 and have focused on STI as one of many dependent variables associated with numerous outcomes such as sexual risk or depression. 9,18 Others have looked at the frequency of risky behaviors including STI but many of these studies are descriptive and have not gone beyond correlates and means tests; 12,13,19 therefore, very few studies have focused specifically on risk factors associated with contracting STI among homeless youth.…”

Section: Introductionmentioning

confidence: 99%

Sexual health of homeless youth: prevalence and correlates of sexually transmissible infections

et al. 2007

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Background: The study examined risk factors for having ever contracted sexually transmissible infections (STI) among a high-risk sample in midwestern USA. Methods: A cross sectional survey was conducted among 428 homeless youth aged 16–19 years. Assessed correlates included child maltreatment, street exposure, sexual histories, street experiences and substance use. Results: Multivariate analyses revealed that males were 86% less likely to have had STI compared with females (adjusted odds ratio [AOR] = 0.14; 95% confidence interval [CI] = 0.06–0.31). Blacks were almost four times more likely (AOR = 3.71; 95% CI = 1.80–7.63) and other races were over two times more likely (AOR = 2.25; 95% CI = 1.08–4.67) to have had STI compared with whites. For every one unit increase in the number of times youth ran away, there was a 3% increase in the likelihood of ever having had an STI (AOR = 1.03; 95% CI = 1.01–1.06). For every one unit increase in frequency of condom use there was a 61% decrease in the likelihood of an STI (AOR = 1.39; 95% CI = 1.10–1.76). Finally, youth who traded sex were approximately 2.5 times more likely to have had STI compared with youth who did not trade sex (AOR = 2.36; 95% CI = 1.04–5.34). None of the remaining correlates approached multivariate significance. Conclusions: The amount of time youth spend on the street, their sexual practices, and their subsistence strategies are important correlates of STI and females and non-whites are particularly vulnerable among this high-risk population.

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“…Thirty-five percent of women and 40% of men aged 25-44 reported ever having heterosexual anal sex (HAS) (Mosher, Chandra, Jones, & Division of Vital Statistics, 2002). Anal sex carries a greater risk for women than vaginal intercourse (Misegades et al 2001;Voeller, 1991) with respect to HIV transmission, yet research has found that women underestimate the risks of anal sex (Halperin, 1999), and are less likely to use condoms during anal intercourse than vaginal intercourse (Misegades & Page-Shafer, 2001;Solorio, Milburn, Rotheram-Borus, Higgins, & Gelberg, 2006). In fact, seven times more women than homosexual men engage in unprotected receptive anal sex (Halperin).…”

Section: Introductionmentioning

confidence: 99%

Heterosexual Anal Sex Among Female Drug Users: U.S. National Compared to Local Long Beach, California Data

2007

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Receptive anal sex is a well-studied Human Immunodeficiency Virus (HIV) high-risk behavior among gay and bisexual men, yet previous research indicates that more women than men may be at risk from heterosexual anal sex (HAS). 1991-1996 data from the National Institute on Drug Abuse (NIDA) Cooperative Agreement (CA) were analyzed to model risk for women who reported having had HAS in the 30 days prior to interview. This model was then tested on recent data (2001-2006) collected on women in Long Beach, California. The multivariate model predicting anal sex in the NIDA CA dataset included sex trading; risk perception for HIV; ever had gonorrhea; sex while high; and drugs used in the last 30 days. African American race/ethnicity and older age were inversely associated with HAS. Risk factors common to both samples of women were number of days used amphetamine in the last month and risk perception for HIV.

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Predictors of Sexually Transmitted Infection Testing Among Sexually Active Homeless Youth

Cited by 26 publications

References 18 publications

Multi-City Assessment of Lifetime Pregnancy Involvement among Street Youth, Ukraine

Multi-City Assessment of Lifetime Pregnancy Involvement among Street Youth, Ukraine

Sexual health of homeless youth: prevalence and correlates of sexually transmissible infections

Heterosexual Anal Sex Among Female Drug Users: U.S. National Compared to Local Long Beach, California Data

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