Rates and Correlates of HIV and STI Infection Among Homeless Women
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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.
KeywordsHIV STI Homeless women
- 4.New York City Departments of Health and Mental Hygiene and Homeless Services. The health of homeless adults in New York City. 2005. http://www.nyc.gov/html/dhs/downloads/pdf/homeless_adults_health.pdf. Accessed Nov 2008.
- 6.Adams M. HIV and homeless shelters: policy and practice. American Civil Liberties Union AIDS Project. AIDS Housing of Washington, AIDS Housing Survey, Spring 2003. http://www.aclu.org/hiv/gen/29150pub19991221.html. Accessed Jan 2008.
- 9.Substance Abuse and Mental Health Services Administration. National Research Center on Homelessness and Mental Illness. 2003. http://homeless.samhsa.gov/Resource/View.aspx?id=32511&AspxAutoDetectCookieSupport=1. Accessed Nov 2008.
- 10.Caton CLM, Wilkins C, Anderson J. People who experience long-term homelessness: characteristics and interventions. In: National symposium on homelessness research, September. Washington, DC: USDHHS, USHUD; 2007.Google Scholar
- 11.Lohr SL. Sampling: design and analysis. Pacific Grove: Duxbury Press; 1999.Google Scholar
- 16.Weathers FW, Huska JA, Keane TM. PCL-C for DSM-IV. Boston: National Center for PTSD, Behavioral Science Division; 1991.Google Scholar
- 18.Finkelhor D. Sexually victimized children. New York: The Free Press; 1979.Google Scholar
- 19.Sgroi SM. Handbook of clinical intervention in child sexual abuse. Massachusetts: Lexington Books; 1982.Google Scholar
- 22.Lumley T. Analysis of complex survey samples. J Stat Softw. 2004;9(1):1–19.Google Scholar
- 23.Jiminez-Hernandez IR. Testimony to City Council on Oversight-Housing Provided by HIV/AIDS Services Administration. Oct 2005.Google Scholar
- 24.Ms. Iris Reyes. Personal communication. Feb 2012.Google Scholar
- 25.Kerker BD, Bainbridge J, Kennedy J, Bennani Y, Agerton T, Marder D, Forgione L, Faciano A, Thorpe LE, A population-based assessment of the health of homeless families in New York City, 2001–2003, Am J Public Health. published ahead of print 13 Jan 2011.Google Scholar
- 26.New York City HIV/AIDS Annual Surveillance Statistics. New York: New York City Department of Health and Mental Hygiene. Updated November 2008. http://www.nyc.gov/html/doh/html/ah/hivtables.shtml. Accessed May 2010.
- 27.New York City Department of Health and Mental Hygiene Bureau of Sexually Transmitted Disease Control Quarterly Report Vol. 7, No. 4, Dec 2009.Google Scholar
- 28.Herndon B, Asch SM, Kilbourne AM, Wang M, Lee M, Wenzel SL, Andersen R, Gelberg L. Prevalence and predictors of HIV testing among a probability sample of homeless women in Los Angeles County. Public Health Rep. 2003;18:261–9.Google Scholar