scholarly journals Examining HIV Risk and Exchange Sex Among Current and Formerly Homeless Young Adults

2021 ◽  
Author(s):  
Danielle R. Madden ◽  
Sara Semborski ◽  
Eldin Dzubur ◽  
Brian Redline ◽  
Harmony Rhoades ◽  
...  
Keyword(s):  
Young Adults ◽  
Los Angeles ◽  
Hiv Risk ◽  
Risky Sex ◽  
Sexual History ◽  
Sexual Practices ◽  
Exchange Sex ◽  
Homeless Young Adults ◽  
Vaginal Sex ◽  
Formerly Homeless

AbstractThis study investigated HIV risk among homeless and formerly homeless young adults by examining risky sex behaviors (e.g., condomless sex, exchange sex, and sex with multiple persons) using 90-day and daily recall methods. Data came from a sample of young adults (aged 18–27) with current (n = 101) or past (n = 109) homelessness experience in Los Angeles, California, recruited between 2017 and 2019. Baseline surveys queried demographics and sexual history. Daily retrospective surveys queried sexual events. Multiple logistic regressions were used to test the effects of demographic characteristics including homelessness history, relationship status, substance use, and sexual history on risky sex outcomes. In this sample, 26% reported never using a condom during anal or vaginal sex in the past 90 days, 5% reported testing positive for HIV, 82% had limited to no knowledge of preexposure prophylaxis, and 8% reported having had exchange sex during a 7-day measurement period, with those experiencing homelessness more likely to report. The study suggests supportive housing can reduce the occurrence of exchange sex but that HIV prevention services are still needed in homeless and housing programs to promote safe sexual practices.

Mixed-methods study of the feasibility and acceptability of ecological momentary assessment with young adults who are currently or formerly homeless (Preprint)

2021 ◽  
Author(s):  
Sara Semborski ◽  
Benjamin Henwood ◽  
Brian Redline ◽  
Eldin Dzubur ◽  
Tyler Mason ◽  
...  
Keyword(s):  
Young Adults ◽  
Mixed Methods ◽  
Los Angeles ◽  
Ecological Momentary Assessment ◽  
Mixed Methods Study ◽  
Supportive Housing ◽  
Homeless Young Adults ◽  
Formerly Homeless ◽  
Ecological Momentary ◽  
Momentary Assessment

BACKGROUND The use of ecological momentary assessment (EMA) has been utilized with young people experiencing homelessness to gather information on contexts associated with homelessness and risk behavior in real time and has proven feasible with this population. However, the extent to which EMA may impact attitudes or behaviors of currently homeless and formerly young adults residing in supportive housing has not been well investigated. OBJECTIVE This study describes feedback regarding EMA study participation from currently and formerly homeless young adults and examines reactivity to EMA participation and compliance. METHODS This mixed-methods study uses cross-sectional data collected pre- and post-EMA, intensive longitudinal data from a seven-day EMA prompting period and focus groups with currently and formerly homeless young adults in Los Angeles, California between 2017 and 2019. RESULTS Qualitative data confirmed quantitative findings. Differences in the experience of EMA between currently and formerly homeless young adults were found related to stress/anxiety, interference with daily life, difficulty charging, behavior change, and honesty in response. Anxiety and depression symptomatology decreased from pre- to post-EMA, but compliance was not significantly associated with the decrease. CONCLUSIONS Results point to special considerations when administering EMA with currently and formerly homeless young adults. EMA appears to be slightly more burdensome for currently homeless young adults, compared to those residing in supportive housing; nuances to consider in study design. The lack of relationship between study compliance and symptomatology suggests low levels of reactivity.

scholarly journals Risk behaviour and access to HIV/AIDS prevention services among formerly homeless young adults living in housing programmes

AIDS Care ◽  
2019 ◽  
Vol 32 (11) ◽  
pp. 1457-1461
Author(s):  
Benjamin F. Henwood ◽  
Harmony Rhoades ◽  
Brian Redline ◽  
Eldin Dzubur ◽  
Suzanne Wenzel
Keyword(s):  
Young Adults ◽  
Risk Behaviour ◽  
Aids Prevention ◽  
Prevention Services ◽  
Homeless Young Adults ◽  
Formerly Homeless ◽  
Hiv Aids

scholarly journals The intersection of housing and mental well-being: Examining the needs of formerly homeless young adults transitioning to stable housing

2021 ◽  
pp. 100775
Author(s):  
Micaela Mercado ◽  
J. Marisol Marroquín ◽  
Kristin M. Ferguson ◽  
Kimberly Bender ◽  
Jama Shelton ◽  
...  
Keyword(s):  
Young Adults ◽  
Well Being ◽  
Stable Housing ◽  
Homeless Young Adults ◽  
Formerly Homeless ◽  
Mental Well Being

scholarly journals Reliability of Self Reported Sexual Behaviour History

2016 ◽  
Vol 2 (3_suppl) ◽  
pp. 79s-79s
Author(s):  
Eileen O. Dareng ◽  
Sally N. Adebamowo ◽  
Olabimpe Eseyin ◽  
Michael Odutola ◽  
Clement A. Adebamowo
Keyword(s):  
Sexual Behaviour ◽  
Conflicts Of Interest ◽  
Sexual Debut ◽  
Self Report ◽  
Sexual History ◽  
Sexual Practices ◽  
Oral Sex ◽  
Continuous Variables ◽  
Vaginal Sex ◽  
Hiv Women

Abstract 66 Sexual behaviour is an important risk factor for HPV associated cancers, which include nearly all cervical cancers, most anal cancers, and many oropharyngeal, vaginal, vulvar and penile cancers. However, in studies assessing risk of sexual behaviour and disease in low and middle income countries, there are often questions about the validity of self-reported sexual behaviour. In this study, we evaluate the reliability of self-reported sexual history among participants in a cervical cancer and HPV study in Nigeria. We studied 720 participants in a prospective cohort. We collected general sexuality and specific sexual practices information at study entry and administered the same questions at follow up after a mean period of 8.6 months. To assess reliability, we used the root mean squared approach to calculate within-person coefficient of variation(CVw) and calculated the intra-class correlation coefficient (ICC) using a two way, mixed effects model (continuous variables) and κ statistics (discrete variables). Of the 720 participants, 48.1% were HIV+, 49.2% were HIV- and 2.8% were unaware of their status. Agreement was higher for HIV- women than HIV+ women. Agreement for ever engaged in oral sex was moderate for HIV- women (κ = 0.56, 95%CI = 0.49 – 0.70) and fair for HIV+ women (κ = 0.37, 95%CI = 0.24 – 0.54). Similarly, agreement for ever engaging in anal sex was good among HIV- women (κ = 0.61, 95%CI = 0.10 – 0.83) and poor among HIV+ women (κ = 0.19, 95%CI = 0.10 – 0.60). Overall, the within person variability for age at sexual debut for vaginal sex (CVw =10.7, 95%CI = 10.6 – 10.7) and oral sex (CVw= 11.5, 95%CI = 11.5 – 11.6) was low. In contrast, the variability was much higher for lifetime number of partners for vaginal sex (CVw =35.2, 95% CI = 35.1 – 35.3) and oral sex (CVw = 34.0, 95%CI = 34.0– 34.1). We found report of sexual behaviour was more reliable among HIV- women than HIV+ women, and self-report of ever engaged in a sexual practice and age at initiation were more reliable than reports of frequency or number of partners. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST: No COIs from the authors.

scholarly journals 1537. Incidence, Reinfection, and Discrepancy Between Site Positivity and Reported Sexual Practice of Sexually Transmitted Infections in HIV-Positive Adolescents and Young Adults in Atlanta, GA

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S768-S769
Author(s):  
Leah Loerinc ◽  
Amy Scheel ◽  
Sierra L Jordan-Thompson ◽  
Scott Gillespie ◽  
Andres Camacho-Gonzalez
Keyword(s):  
Young Adults ◽  
Sexually Transmitted Infections ◽  
Incidence Rate ◽  
Incidence Rates ◽  
Sexual History ◽  
Adolescents And Young Adults ◽  
Sexual Practices ◽  
Hiv Positive ◽  
Sexually Transmitted ◽  
Exposure History

Abstract Background HIV-positive adolescents and young adults (AYAs) are disproportionately affected by sexually transmitted infections (STIs). Despite national recommendations, STI screening remains low. Incomplete screening in addition to inconsistent reported sexual practices may lead to missed infections. This study aimed to determine the incidence and reinfection rates of co-STIs in HIV-positive AYAs and the discrepancy between site positivity and self-reported sexual history in this group. Methods Retrospective chart review was conducted for all patients aged 13-24 at Grady Ponce and Family Youth Clinic in Atlanta, GA from 2009-2018. Data were collected on demographics and STI events. STIs included gonorrhea (GC), chlamydia (CT), human papillomavirus (HPV), syphilis, trichomonas, herpes simplex virus (HSV), lymphogranuloma venereum (LGV), hepatitis C (HCV), bacterial vaginosis (BV), and chancroid. First STI incidence and incidence of reinfections were calculated by dividing new cases over corresponding person follow-up time. Results 621 sexually active HIV-positive AYAs were included. The mean age at first observation was 18.7 (±3.29) years. 72.1% of patients were male, 92.3% were Black, and 79.7% were horizontally infected. 83.7% of patients had at least one STI during the study period. The overall first STI incidence rate was 35.8 per 100 person-years with HPV, GC, CT, and syphilis as the most common STIs reported (Table 1). The overall recurrent incidence rate was 72.1 per 100 person-years with GC, CT, and syphilis as the most common recurrent infections (Table 1). Of all GC and CT infections, the majority were rectal (48.7% and 49.9%, respectively) (Table 2). Only 65.8% of patients with rectal GC and 68.5% with rectal CT infections reported recent receptive anal sex (Table 3). Table 1: First and recurrent incidence rates of any STI and individual STIs per 100 person-years Table 2: STIs by site, all infections Table 3: Reported exposure history vs. STI site positivity Conclusion Our study demonstrates disproportionately high incidence and reinfection rates of co-STIs in HIV-positive AYAs. Furthermore, many patients did not report exposure at their site of infection. If screening is done based off reported exposure history alone, many infections may be missed. Our data support the urgent need for increased STI screening in this population, including routine extragenital testing for GC and CT even without reported exposure at these sites. Disclosures All Authors: No reported disclosures

scholarly journals Predictors of Retention in an Alcohol and Risky Sex Prevention Program for Homeless Young Adults

2018 ◽  
Vol 19 (4) ◽  
pp. 459-467 ◽  
Author(s):  
Eric R. Pedersen ◽  
Brett A. Ewing ◽  
Elizabeth J. D’Amico ◽  
Jeremy N. V. Miles ◽  
Ann C. Haas ◽  
...  
Keyword(s):  
Young Adults ◽  
Prevention Program ◽  
Risky Sex ◽  
Homeless Young Adults
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