Sexual Risk among Impoverished Women: Understanding the Role of Housing Status

Wenzel, Suzanne L.; Tucker, Joan S.; Elliott, Marc N.; Hambarsoomians, Katrin

doi:10.1007/s10461-006-9193-4

Cited by 61 publications

(57 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…36 Another study found that women who received federal housing support were half as likely as homeless women of similar economic status to engage in risky sexual behavior. 37 Although most of the data mentioned so far come from the United States, they are substantiated by other studies in Canada, 43 South Africa, 44 and India. 45 These data, along with cost-effectiveness and threshold analyses, suggest that providing stable housing to people living with or most vulnerable to HIV infec- tion is an effective strategy to prevent and mitigate HIV and AIDS.…”

Section: Stable Housingmentioning

confidence: 78%

“…[33][34][35] Emerging evidence demonstrates that improvements in housing status also contribute to reductions in HIV-related risk behaviors. [36][37][38][39][40][41][42] One study of more than 2,000 people found that at baseline, recent drug use, needle use, and "transactional" sex-exchanging sex for money, drugs, or other resources-were more common in homeless or marginally housed people than in those with stable housing. At six-to-nine-month follow-up, those who experienced an improvement in their housing status decreased their frequency of drug use, needle use, needle sharing, and unprotected sexual intercourse compared with people whose housing did not change.…”

Section: Stable Housingmentioning

confidence: 99%

See 1 more Smart Citation

Transforming Social Structures And Environments To Help In HIV Prevention

Auerbach

2009

Health Affairs

View full text Add to dashboard Cite

Interest in social and structural interventions for HIV prevention is growing.Such approaches modify social norms, institutions, laws, and policies to reduce vulnerability and create environments in which individuals can protect themselves against HIV infection. Examples include expanding access to sterile syringes for injecting drug users and subsidizing stable housing for low-income people. Evidence of the effectiveness of such interventions is emerging despite scientific and political obstacles to their development, implementation, and evaluation. The U.S. government can help build the evidence base for such interventions. It can also implement those with demonstrated or promising results as part of a cost-effective HIV prevention strategy domestically and globally. [Health Aff (Millwood). 2009;28(6):1655-65]

show abstract

Section: Stable Housingmentioning

confidence: 78%

Section: Stable Housingmentioning

confidence: 99%

Transforming Social Structures And Environments To Help In HIV Prevention

Auerbach

2009

Health Affairs

View full text Add to dashboard Cite

show abstract

“…19,20 From the wide spectrum of possible residential status, homelessness, the most severe form of precarious housing status, has received considerable attention, particularly in the literature on HIV risk behaviors. [21][22][23][24][25][26] Evidence seems to point towards homelessness as a factor that facilitates engagement in risk behaviors which, in turn, increases the likelihood of infectious disease transmission. 27 Beyond homelessness, the complexity of housing concept and its importance in health research have been recognized by several researchers.…”

Section: Introductionmentioning

confidence: 99%

Residential Trajectory and HIV High-Risk Behaviors among Montréal Street Youth—A Reciprocal Relationship

et al. 2011

View full text Add to dashboard Cite

Evidence has linked residential instability and engagement in high-risk behaviors. This paper longitudinally examines the relationship between changes in residential stability and changes in HIV risk behaviors among Montréal street youth (SY). Between April 2006 and May 2007, 419 SY (18-25 years old) were recruited in a cohort study. SY (using Montréal street youth agencies services) were eligible if they had had at least one 24-hour episode of homelessness in the previous 30 days. Baseline and follow-up interviews, carried out every 3 months, included completion of a questionnaire (based on Life History Calendar Technique) assessing daily sleeping arrangements since the last interview, and monthly sexual and drug use behaviors. Using mixed-effects logistic regression method, we examined the association between various risk behaviors and residential stability, reached when a youth resided in any of the following settings for a whole month: own place; friends'/partner's/parent's place; any types of housing service (excluding emergency shelters). Analyses were carried out controlling for gender, age, education level, lifetime duration of homelessness, childhood sexual trauma, and lifetime mental health disorders. This calls for more integrated services combining both individual and structural-level interventions to improve the health of street youth.

show abstract

“…Housing instability has previously been associated with HIV risk behaviors, 40,41 while improved housing conditions have been associated with reductions in risky drug and sexual behaviors. 42 New York City is one of the most expensive cities in the United States to live.…”

Section: Discussionmentioning

confidence: 99%

High HIV Prevalence Among Low-Income, Black Women in New York City with Self-Reported HIV Negative and Unknown Status

Reilly

Neaigus

Jenness

et al. 2013

Journal of Women's Health

View full text Add to dashboard Cite

Background: Black women are disproportionally affected by human immunodeficiency virus (HIV). This study investigates factors associated with newly identified HIV infection among previously self-reported HIV negative or unknown status black women living in high risk areas (HRAs) of New York City (NYC). Methods: Heterosexuals residing in or socially connected to NYC HRAs were recruited using respondent driven sampling for participation in the United States Centers for Disease Control-sponsored National HIV Behavioral Surveillance System in 2010. Eligible individuals were interviewed and offered an HIV test. The analysis reported here focused on black women with valid HIV results who did not report being HIV positive, and examined factors related to HIV infection in this group. Results: Of 153 black women who did not report being HIV positive at enrollment, 15 (9.8%) tested HIV positive. Age ‡ 40 years, ever injected drugs, and in the last 12 months had unprotected vaginal sex, exchange sex, last sex partner used crack, non-injection crack use, and non-injection heroin use were significantly associated with HIV infection ( p < 0.05). Only ever injected drugs (prevalence ratio: 5.1; 95% confidence interval: 2.0, 12.9) was retained in the final model. Conclusions: Black women who had reported being either HIV negative or unaware of their serostatus had high HIV prevalence. Efforts to identify and treat HIV positive black women in HRAs should target those with a history of injection drug use. Frequent testing for HIV should be promoted in HRAs.

show abstract

Sexual Risk among Impoverished Women: Understanding the Role of Housing Status

Cited by 61 publications

References 57 publications

Transforming Social Structures And Environments To Help In HIV Prevention

Transforming Social Structures And Environments To Help In HIV Prevention

Residential Trajectory and HIV High-Risk Behaviors among Montréal Street Youth—A Reciprocal Relationship

High HIV Prevalence Among Low-Income, Black Women in New York City with Self-Reported HIV Negative and Unknown Status

Contact Info

Product

Resources

About