AIDS and Behavior

, Volume 17, Issue 3, pp 856–864

Rates and Correlates of HIV and STI Infection Among Homeless Women

  • Carol L. M. Caton
  • Nabila El-Bassel
  • Andrew Gelman
  • Susan Barrow
  • Daniel Herman
  • Eustace Hsu
  • Ana Z. Tochterman
  • Karen Johnson
  • Alan Felix
Original Paper


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.


HIV STI Homeless women 


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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Carol L. M. Caton
    • 1
    • 4
  • Nabila El-Bassel
    • 2
  • Andrew Gelman
    • 3
  • Susan Barrow
    • 7
  • Daniel Herman
    • 5
  • Eustace Hsu
    • 6
  • Ana Z. Tochterman
    • 8
  • Karen Johnson
    • 2
  • Alan Felix
    • 1
  1. 1.Department of PsychiatryColumbia UniversityNew YorkUSA
  2. 2.School of Social WorkColumbia UniversityNew YorkUSA
  3. 3.Department of StatisticsColumbia UniversityNew YorkUSA
  4. 4.Division of Clinical PhenomenologyNew York State Psychiatric InstituteNew YorkUSA
  5. 5.Silberman School of Social WorkHunter CollegeNew YorkUSA
  6. 6.Department of PsychologyUniversity of Southern CaliforniaLos AngelesUSA
  7. 7.Division of EpidemiologyNew York State Psychiatric InstituteNew YorkUSA
  8. 8.Division of Mental Health Services and Policy ResearchNew York State Psychiatric InstituteNew YorkUSA

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