Sexual risk classes among youth experiencing homelessness: Relation to childhood adversities, current mental symptoms, substance use, and HIV testing

Autoři: Diane Santa Maria aff001;  Saumali S. Daundasekara aff002;  Daphne C. Hernandez aff001;  Wei Zhang aff003;  Sarah C. Narendorf aff004
Působiště autorů: Department of Research, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, TX, United States of America aff001;  Department of Health and Human Performance, University of Houston, Houston, TX, United States of America aff002;  Department of Biostatistics and Data Science, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, United States of America aff003;  University of Houston, Graduate College of Social Work, Houston, TX, United States of America aff004
Vyšlo v časopise: PLoS ONE 15(1)
Kategorie: Research Article
doi: 10.1371/journal.pone.0227331


The aim of this study was to determine whether there are meaningful subgroups with different types of sexual risk behaviors among youth experiencing homelessness and examine the associations between potential classes and other risk variables. A latent class analysis was used to identify classes of youth according to sexual risk behaviors and sexual assault. A two-class solution was found to be the best fit for the data–Lower and Higher Risk groups. The Higher Risk class had significantly higher levels of synthetic marijuana and alcohol use, mental health diagnoses, and were more likely to have been tested for HIV than the Lower Risk group. Youth were more likely to be in the Higher Risk group if they were cisgender female or lesbian, gay, bisexual, or questioning (LGBQ). Nearly all youth (10/11) who reported having HIV infection were in the Higher Risk group. The Lower Risk group were sexually active but had lower rates of risk behaviors and sexual assault. Youth who were not sexually active had the lowest rates of marijuana and alcohol use as well as HIV testing. Health and social service providers should be aware of the added risks for stress, mental distress, mental health diagnoses, and substance use among youth who also report higher risk sexual behaviors and treat as needed.

Klíčová slova:

Depression – HIV diagnosis and management – HIV infections – Human sexual behavior – Marijuana – Mental health and psychiatry – Post-traumatic stress disorder – HIV


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