Risky sexual behavior and STI testing among teens experiencing homelessness

Halverson, McKenna M.; Hatchimonji, Danielle R.; Treglia, Dan; Flatley, Claire A; Herbers, Janette E.; Cutuli, J. J.

doi:10.1016/j.childyouth.2022.106538

Cited by 9 publications

(4 citation statements)

References 55 publications

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“…However, unlike other studies, this study did not find an elevated risk for experiencing unstable housing among Hispanic students relative to their White peers ( 6 ). Furthermore, the higher prevalence of certain risk behaviors and experiences among youths who were unstably versus stably housed documented in the 2021 YRBS data were consistent with previous reports ( 2 – 4 , 9 ). Although youths who were unstably housed were more likely to be currently sexually active and use alcohol or other substances before last sex, they were also more likely to have ever been tested for HIV or any other STD in the past year.…”

Section: Discussionsupporting

confidence: 89%

Experiences of Unstable Housing Among High School Students — Youth Risk Behavior Survey, United States, 2021

McKinnon¹,

Krause²,

Robin³

et al. 2023

MMWR Suppl.

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Youths experiencing unstable housing face higher risks for poor physical, mental, and sexual health outcomes and increased risk for suicide compared with their peers experiencing stable housing. In addition, youths of color and sexual minority youths are disproportionately more likely to experience homelessness. For the first time, in 2021, the nationally representative Youth Risk Behavior Survey included an item assessing housing stability, or nighttime residence among students in grades 9–12 in the United States. During 2021, 2.7% of U.S. high school students experienced unstable housing. Among racial and ethnic subgroups, Native Hawaiian or other Pacific Islander youths were most likely to experience unstable housing, followed by American Indian or Alaska Native and Black youths. Sexual minority (lesbian, gay, bisexual, and questioning or other) youths were more likely to experience unstable housing compared with their heterosexual peers. Compared with students who were stably housed, students who were unstably housed were more likely to engage in risky sexual behaviors, substance use, and suicide ideation and attempts, and to experience violence. These findings highlight which adverse health risks and behaviors are elevated among youths experiencing housing insecurity. Focused public health interventions are required to address the disproportionate burden of health risks prevalent among youths who are unstably housed.

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Section: Discussionsupporting

confidence: 89%

Experiences of Unstable Housing Among High School Students — Youth Risk Behavior Survey, United States, 2021

McKinnon¹,

Krause²,

Robin³

et al. 2023

MMWR Suppl.

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show abstract

“…This could be related to intersectionality and sexual and gender minority identification because youth who identify as SGM typically experience more bullying and victimization from peers and others 11,22 . Participating in sex work, a risk factor for STI, is also highly correlated with trauma and housing instability among youth in the literature and our findings support this 4,14 . Youth who experience housing instability and particularly SGM youth experiencing housing instability who have sex with men are a marginalized population with multiple intersecting stigmas, including housing related stigma 24,25 .…”

Section: Discussionsupporting

confidence: 84%

“…The unpredictable nature of the lives of youth experiencing housing instability often leads to inconsistent or non-existent health care and preventive follow up. Unhoused youth are less likely to have access to condoms and STI testing and may engage in condomless sex, which puts them at a higher risk for STI 14 . Relatedly, LGBTQ+ youth experiencing housing instability often engage in sex work or sex trade in order to barter for food, housing, and other basic needs.…”

Section: Introductionmentioning

confidence: 99%

Housing instability among young men who have sex with men in a US national sample

Sisselman-Borgia,

Patel,

Grov

2024

Preprint

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Background: Youth, including those experiencing housing instability, are among the fastest growing groups of individuals with new STI diagnoses, including HIV. The unpredictable nature of the lives of youth experiencing housing instability often leads to inconsistent or non-existent health care and preventive follow up, leaving gaps in our knowledge about the most prominent needs for intervention. Methods: Using data from the Together 5000 (T5K) study, we examined factors associated with housing instability in a sample of 2,228 youth between the ages of 16-24 who identified as sexual and gender minority (SGM) men having sex with men. Logistic regression was used to assess the most prominent factors associated with housing instability. The model included seven significant factors - former peer victimization, gender, age, sex work, IPV, social support, and health insurance status. Findings: Participants who reported more behavioral risk factors for STI and those who reported sex work in the last three months were more likely to experience housing instability (OR = 2.5 and 2.76 respectively). Youth with higher levels of reported social support, health insurance, and older age were more likely to report stable housing (OR = .98, 1.61, and 1.13 respectively). Surprisingly, youth with stable housing were more likely to report intimate partner violence than those experiencing housing instability (OR = .89). Discussion: Implications for addressing STIs among adolescent SGM men having sex with men are discussed including bolstering support systems and addressing basic needs deficits and trauma associated with sex work and behavioral risk factors for STI.

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“…This study found that religion was not significantly correlated with sexual behavior in young men and that faith was significantly associated with multiple sexual partners in young women [13]. This study concluded that religion did not play an essential role in reducing high-risk sexual behavior among young men [14]. However, this association was only moderately effective in preventing risky sexual behavior in women [12].…”

Section: The Influence Of Culture Mass Media and Religious Observance...mentioning

confidence: 99%

HIV/AIDS Risky Behavior Model for LGBT Youth in the Gorontalo Province

Irwan,

Boekoesoe,

Katili

et al. 2023

TOPHJ

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Context: The behavior model for preventing HIV/AIDS transmission in lesbian, gay, bisexual, and transgender (LGBT) youth can contain HIV/AIDS information in this population. Objective: According to Planned Behavior Theory (PBT), human growth within different social environments may gain further information on various issues. This information can be the basis of their behavioral beliefs, social demands of essential others (normative beliefs), and obstacles that can prevent them from showing certain behaviors (control beliefs). These factors can influence intention and behavior. This study aims to develop a model for HIV/AIDS risk-related behavior among LGBT youth based on PBT. Methods: This was an observational study using a cross-sectional approach. The modeling used the Structural Equation Model (SEM) pathway through the AMOS 8.50 software application. The variables in this study are internal factors, such as religious obedience, knowledge, beliefs, intention, and risky behavior. Participants: This study occurred in Gorontalo Province with 200 LGBT youths with risky behaviors. Results: Risk behavior modeling results of LGBT youths in Gorontalo; Religious adherence affects risk behavior through intention. Overall, research results from the study using the PBT approach emphasize that religious obedience does not directly affect the behavioral variables but rather beliefs and intentions. Conclusion: HIV/AIDS prevention programs for LGBT youth should focus on religious activities.

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Risky sexual behavior and STI testing among teens experiencing homelessness

Cited by 9 publications

References 55 publications

Experiences of Unstable Housing Among High School Students — Youth Risk Behavior Survey, United States, 2021

Experiences of Unstable Housing Among High School Students — Youth Risk Behavior Survey, United States, 2021

Housing instability among young men who have sex with men in a US national sample

HIV/AIDS Risky Behavior Model for LGBT Youth in the Gorontalo Province

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