Rates and Correlates of HIV and STI Infection Among Homeless Women

被引:28
作者
Caton, Carol L. M. [1 ,2 ]
El-Bassel, Nabila [3 ]
Gelman, Andrew [4 ]
Barrow, Susan [5 ]
Herman, Daniel [6 ]
Hsu, Eustace [7 ]
Tochterman, Ana Z. [8 ]
Johnson, Karen [3 ]
Felix, Alan [1 ]
机构
[1] Columbia Univ, Dept Psychiat, New York, NY USA
[2] New York State Psychiat Inst & Hosp, Div Clin Phenomenol, New York, NY 10032 USA
[3] Columbia Univ, Sch Social Work, New York, NY USA
[4] Columbia Univ, Dept Stat, New York, NY USA
[5] New York State Psychiat Inst & Hosp, Div Epidemiol, New York, NY 10032 USA
[6] CUNY Hunter Coll, Silberman Sch Social Work, New York, NY 10021 USA
[7] Univ So Calif, Dept Psychol, Los Angeles, CA 90089 USA
[8] New York State Psychiat Inst & Hosp, Div Mental Hlth Serv & Policy Res, New York, NY 10032 USA
关键词
HIV; STI; Homeless women; PROBABILITY SAMPLE; PARTNER VIOLENCE; RISK; PREVALENCE;
D O I
10.1007/s10461-012-0198-x
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We studied the prevalence of biologically confirmed HIV, Chlamydia, and gonorrhea in a randomly selected sample of sheltered homeless women in New York City, and explored their association with demographic, homeless history, and clinical risk factors. 329 women were randomly selected from 28 family and single adult shelters. The estimated prevalence of HIV in the study sample is 0.6 % (+/- 0.3 %); for Chlamydia it is 6.7 % (+/- 2.2 %); for gonorrhea it is 0.9 % (+/- 0.04 %). A history of childhood sexual abuse, arrest history, current psychotic symptoms, and substance use disorder placed women at greater risk of infection. We consider contextual factors that may yield underestimates of HIV prevalence in our sample and discuss how a more comprehensive prevalence estimate might be constructed. Findings underscore the importance of offering HIV/STI testing, counseling, and HIV risk prevention interventions to homeless women and suggest that interventions should be tailored to the needs of specific subgroups of homeless women.
引用
收藏
页码:856 / 864
页数:9
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