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The Miami, Florida, Young Men’s Survey: HIV prevalence and risk behaviors among urban young men who have sex with men who have ever runaway

Journal of Urban Health volume 82, pages 327–338 (2005)Cite this article

Abstract

Youth in urban areas with a history of running away from home often have special needs. Importantly, risk factors for HIV/AIDS might be associated with such a history. We assessed the association between having a history of running away from home and the occurrence of HIV infection and risk behavior among young men who have sex with men (YMSM), aged 15–22 years. A cross-sectional epidemiologic and behavioral survey was conducted between 1995 and 1996 in Miami, Florida, as part of a national Young Men’s Survey. Of 488 YMSM, the prevalence of HIV infection among those with a history of running away from home was 10.5% (adjusted odds ratio=3.4; 95% Cl 1.5–7.8). YMSM who had ever run away were more likely to be HIV infected, be out of school, and have ever had vaginal or anal sex with females, been forced to have sex, injected drugs, and used needles for self-tattooing or body piercing. The prevalence of HIV infection and associated risk behaviors among runaways was high, highlighting the ongoing need for prevention and social support services for youth with a history of running away from home.

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References

  1. U.S Government Printing Office. The Administration for Children and Families (ACF): Youth Programs. Washington, DC: U.S. Government Printing Office, U.S. Department of Health and Human Service; 2000.

    Google Scholar 

  2. Ringwalt CL, Greene JM, Robertson M, et al. The prevalence of homelessness among adolescents in the United States. Am J Public Health. 1998;88:1325–1329.

    CAS  PubMed Central  PubMed  Article  Google Scholar 

  3. Florida Department of Community Affairs. State of Florida Consolidated Plan, Federal Fiscal Years 2000–2004. Tallahassee, FL: Florida Department of Community Affairs; 2000.

    Google Scholar 

  4. Sweeney P, Lindergren ML, Buehler JW, et al. Teenagers at risk of Human Immunodeficiency Virus type 1 infection. Arch Pediatr Adolesc Med 1995;149:521–528.

    CAS  PubMed  Article  Google Scholar 

  5. Greene JM, Ennett ST, Ringwalt CL. Prevalence and correlates of survival sex among runaway and homoless youth. Am J Public Health. 1999;89;1406–1409.

    CAS  PubMed Central  PubMed  Article  Google Scholar 

  6. Huba GJ, Melchior LA, Panter AT et al. Risk factors and characteristics of youth living with, or at high risk for, HIV. AIDS Educ Prev. 2000;12:557–575.

    CAS  PubMed  Google Scholar 

  7. MacKellar DA, Valleroy LA, Hoffman JP, et al. Gender differences in sexual behaviors and factors associated with non-use of condoms among homeless and runaway youth: implications for HIV prevention services. AIDS Educ Prev. 2000;12:477–491.

    CAS  PubMed  Google Scholar 

  8. Rotheram-Borus MJ, Koopman C. Sexual risk behaviors, AIDS knowledge, and beliefs about AIDS among runaways. Am J Public Health. 1991;81:208–210.

    CAS  PubMed Central  PubMed  Article  Google Scholar 

  9. Koopman C, Rotheran-Borus MJ, Dobbs L, et al. Beliefs and behavioral intentions regarding human immunodeficiency virus testing among New York City runaways. J Adolesc Health. 1992;13:576–581.

    CAS  PubMed  Article  Google Scholar 

  10. Koopman C, Rosario M, Rotheram-Borus MJ. Alcohol and drug use and sexual behaviors placing runaways at risk for HIV infection. Addict Behav. 1994;19:95–103.

    CAS  PubMed  Article  Google Scholar 

  11. Kipke MD, O’Connor S, Palmer R, et al. Street youth in Los Angeles: profile of a group at high risk for human immunodeficiency virus infection. Arch Pediatr Adolesc Med. 1995;149:513–519.

    CAS  PubMed  Article  Google Scholar 

  12. Pfeifer RW, Oliver J. A study of HIV seroprevalence in a group of homeless youth in Hollywood, California. J Adolesc Health. 1997;20:339–342.

    CAS  PubMed  Article  Google Scholar 

  13. Martinez TE, Gleghorn A, Marx R, et al. Psychosocial histories, social environment, and HIV risk behaviors of injection and noninjection drug using homeless youths. J Psychoactive Drugs. 1998;30:1–10.

    CAS  PubMed  Article  Google Scholar 

  14. Ennett ST, Federman EB, Bailey SL, et al. HIV-risk behaviors associated with homelessness characteristics in youth. J Adolesc Health. 1999;25:344–353.

    CAS  PubMed  Article  Google Scholar 

  15. Moon MW, McFarland W, Kellogg T, et al. HIV-risk behavior of runaway youth in San Francisco: age of onset and relation to sexual orientation. Youth & Society. 2000; 32:184–201.

    Article  Google Scholar 

  16. Schultz JM, Greer PJ, LaLota M, et al. HIV seroprevalence and risk behaviors among clients attending a clinic for the homeless in Miami/Dade County, Florida, 1990–1996. Popul Res Policy Rev. 1999;18:357–372.

    Article  Google Scholar 

  17. Valleroy LA, MacKellar DA, Karon JM, et al. HIV prevalence and associated risks in young men who have sex with men. JAMA. 2000;284:198–204.

    CAS  PubMed  Article  Google Scholar 

  18. MacKellar D, Valleroy L, Karon J, et al. The Young Men’s Survey: methods for estimating HIV seroprevalence and risk factors among young men who have sex with men. Public Health Rep. 1996;111:138–144.

    PubMed Central  PubMed  Google Scholar 

  19. Ascher DP, Roberts C. Determination of etiology of serconversion in HIV testing by antibody fingerprinting. J Acquir Immune Defic Syndr 1993;6:241–244.

    CAS  PubMed  Google Scholar 

  20. Unger TF, Strauss A. Individual-specific antibody profiles as a means of newborn infant identification. J Perinatol. 1995;15:152–154.

    CAS  PubMed  Google Scholar 

  21. Hosmer DW, Lemeshow, S. Applied Logistic Regression. New York, NY: John Wiley & Sons; 1989.

    Google Scholar 

  22. Williams LA, Klausner JD, Whittington WLH, et al. Elimination and reintroduction of primary and secondary syphilis. Am J Public health. 1999;89:1093–1097.

    CAS  PubMed Central  PubMed  Article  Google Scholar 

  23. Fox KK, del Rio C, Holmes KK, et al. Gonorrhea in the HIV era: a reversal in trends among men who have sex with men. Am J Public Health. 2001;91:959–964.

    CAS  PubMed Central  PubMed  Article  Google Scholar 

  24. National Center for HIV. STD, TB Prevention. Taking Action to Combat Increases in STDs and HIV Risk Among Men Who Have Sex With Men. Atlanta, GA: Centers for Disease Control and Prevention; 2001.

    Google Scholar 

  25. Rogers AS, Lindsey JC, Futterman DC, et al. Serologic examination of hepatitis B infection and immunization in HIV-positive youth and associated risks. AIDS Patient Care STDS. 2000;14:651–657.

    CAS  PubMed  Article  Google Scholar 

  26. Fleming D, Wasserheit J. From epidemiological synergy to public health policy and practice: the contribution of other sexually transmitted diseases to sexual transmission of HIV infection. Sex Transm Infect 1999;75:3–17.

    CAS  PubMed Central  PubMed  Article  Google Scholar 

  27. Centers for Disease Control and Prevention. HIV prevention through early detection and treatment of other sexually transmitted disease — United States. Recommendations of the Advisory Committee for HIV and STD prevention. MMWR Recomm Rep. 1998;47:1–24.

    Google Scholar 

  28. Institute of Medicine National Academy of Sciences. No Time to Lose: Getting More from HIV Prevention. Washington, DC: National Academy Press; 2000.

    Google Scholar 

  29. National Center for HIV, STD, and TB Prevention. The Role of STD Detection and Treatment in HIV Prevention. Atlanta, GA: Centers for Disease Control and Prevention; 2001.

    Google Scholar 

  30. Heckman TG, Kelly JA, Bogart LM, et al. HIV risk differences between African-American and white men who have sex with men. J Natl Med Assoc. 1999;91:92–100.

    CAS  PubMed Central  PubMed  Google Scholar 

  31. Centers for Disease Control and Prevention. HIV and AIDS — United States, 1981–2000. MMWR Morb Mortal Wkly Rep. 2001;50:430–434.

    Google Scholar 

  32. Centers for Disease Control and Prevention. HIV/STD risks in young men who have sex with men who do not disclose their sexual orientation — six U.S. cities, 1994–2000. MMWR Morb Mortal Wkly Rep 2003;52:81–86.

    Google Scholar 

  33. Athey J. HIV infection and homeless adolescents. Child Welfare. 1991;70:517–528.

    CAS  PubMed  Google Scholar 

  34. Johnson TP, Aschkenasy JR, Herbers MR, et al. Self-reported risk factors for AIDS among homeless youth. AIDS Educ Prev. 1996;8:308–322.

    CAS  PubMed  Google Scholar 

  35. Denning PH, Jones JL, Ward JW. Recent trends in the HIV epidemic in adolescent and young adult gay and bisexual men. J Acquir Immune Defic Syndr Hum Retrovirol. 1997;16:374–379.

    CAS  PubMed  Article  Google Scholar 

  36. Sullivan PS, Chu SY, Fleming PL, et al. Changes in AIDS incidence for men who have sex with men, United States 1990–1995. AIDS. 1997;11:1641–1646.

    CAS  PubMed  Article  Google Scholar 

  37. Catania JA, Osmond D, Stall RD, et al. The continuing HIV epidemic among men who have sex with men. Am J Public Health. 2001;91:907–914.

    CAS  PubMed Central  PubMed  Article  Google Scholar 

  38. Wolitski RJ, Valdiserri RO, Denning PH, et al. Are we headed for a resurgence of the HIV epidemic among men who have sex with men? Am J Public Health. 2001;91:883–888.

    CAS  PubMed Central  PubMed  Article  Google Scholar 

  39. Centers for Disease Control and Prevention. HIV incidence among young men who have sex with men — seven U.S. cities, 1994–2000. MMWR Morb Mortal Wkly Rep. 2001;50:440–444.

    Google Scholar 

  40. Stall RD, Hays RB, Waldo CR, et al. The gay ’90s: a review of research in the 1990s on sexual behavior and HIV risk among men who have sex with men. AIDS. 2000;14:S101-S114.

    PubMed  Article  Google Scholar 

  41. Blake S, Ledsky R, Lehman T, et al. Preventing sexual risk behaviors among gay, lesbian, and bisexual adolescents: the benefits of gay-sensitive HIV instruction in schools. Am J Public Health. 2001;91:940–946.

    CAS  PubMed Central  PubMed  Article  Google Scholar 

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Affiliations

  1. Early Intervention Section Administrator, Florida Department of Health, 4052 Bald Cypress Way, Bin A09, 32399-1715, Tallahassee, FL

    Marlene LaLota, Bonnie W. Kwan, Melinda Waters, Leticia E. Hernandez & Thomas M. Liberti

Authors
  1. Marlene LaLota
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  2. Bonnie W. Kwan
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  3. Melinda Waters
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  4. Leticia E. Hernandez
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  5. Thomas M. Liberti
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Correspondence to Marlene LaLota.

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LaLota, M., Kwan, B.W., Waters, M. et al. The Miami, Florida, Young Men’s Survey: HIV prevalence and risk behaviors among urban young men who have sex with men who have ever runaway. J Urban Health 82, 327–338 (2005). https://doi.org/10.1093/jurban/jti056

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  • DOI: https://doi.org/10.1093/jurban/jti056

Keywords

  • HIV
  • Risk factor
  • Runaway
  • STD
  • Young men who have sex with men