AIDS and Behavior

, Volume 11, Issue 6, pp 854–863

Housing Status and Associated Differences in HIV Risk Behaviors Among Young Injection Drug Users (IDUs)

  • Micaela H. Coady
  • Mary H. Latka
  • Hanne Thiede
  • Elizabeth T. Golub
  • Larry Ouellet
  • Sharon M. Hudson
  • Farzana Kapadia
  • Richard S. Garfein
Original Paper

DOI: 10.1007/s10461-007-9248-1

Cite this article as:
Coady, M.H., Latka, M.H., Thiede, H. et al. AIDS Behav (2007) 11: 854. doi:10.1007/s10461-007-9248-1

Abstract

Using cross-sectional analysis we examined residential status and associated differences in HIV risk behaviors among 3266 young IDUs enrolled in an HIV prevention trial. A three-level outcome (homeless (37%), equivocally housed (17%), housed (46%)) was defined based on responses to two questions assessing subjective and objective criteria for homelessness: “equivocally housed” participants were discordant on these measures. In multivariate analysis, antecedents of homelessness were having lived in an out-of-home placement, been thrown out of the home or in juvenile detention, and experienced childhood abuse; while correlates included receiving income from other and illegal sources, drinking alcohol or using methamphetamine at least daily, using shooting galleries, backloading, and sex work. A subset of these variables was associated with being equivocally housed. HIV risk varies by housing status, with homeless IDUs at highest risk. Programs for IDUs should utilize a more specific definition of residential status to target IDUs needing intervention.

Keywords

Injection drug userHIVHomelessHousing statusRisk behavior

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Micaela H. Coady
    • 1
  • Mary H. Latka
    • 1
    • 2
  • Hanne Thiede
    • 3
  • Elizabeth T. Golub
    • 4
  • Larry Ouellet
    • 5
  • Sharon M. Hudson
    • 6
  • Farzana Kapadia
    • 1
    • 7
  • Richard S. Garfein
    • 8
  1. 1.Center for Urban Epidemiologic StudiesNew York Academy of MedicineNew YorkUSA
  2. 2.Aurum Institute for Health ResearchJohannesburgSouth Africa
  3. 3.HIV/AIDS EpidemiologyPublic Health-Seattle & King CountySeattleUSA
  4. 4.Department of EpidemiologyJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  5. 5.Division of Epidemiology and Biostatistics, School of Public HealthUniversity of Illinois, ChicagoChicagoUSA
  6. 6.Health Research AssociationLos AngelesUSA
  7. 7.Guttmacher InstituteNew YorkUSA
  8. 8.Division of International Health and Cross Cultural MedicineUniversity of California San Diego School of MedicineSan DiegoUSA