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Key Messages and Implications for Health Promotion

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Homeless Youth of Pakistan

Part of the book series: SpringerBriefs in Public Health ((BRIEFSPUBLIC))

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Abstract

This final chapter describes the key contributions of the study and implications for policy and practice. The use of the theory of capital and social practice has enabled an analysis of homeless young people’s (HYP’s) agency. It helped to unveil that HYP’s homelessness was not simply produced through a cause-and-effect phenomenon. Indeed, HYP took informed decisions – they recognised unfavourable conditions within family homes and entered peer groups that provided them with a balance of benefits (i.e. financial, social, and emotional support) and risks (i.e. violence, illegal sex work, and HIV and other sexually transmitted infections (STIs)). Based on the findings, I suggest that an integrated approach to health promotion that goes beyond the health sector may help to reduce young people’s risk of homelessness and HIV/STIs.

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References

  • Ali, M., Shahab, S., Ushijima, S., & de Muynck, A. (2004). Street children in Pakistan: A situational analysis of social conditions and nutritional status. Social Science & Medicine, 59, 1707–1717.

    Article  Google Scholar 

  • Alizai, A., Doneys, P., & Doane, D. L. (2017). Impact of gender binarism on Hijras’ life course and their access to fundamental human rights in Pakistan. Journal of Homosexuality, 64(9), 1214–1240.

    Article  Google Scholar 

  • Allahqoli, L., Fallahi, A., Rahmani, A., & Higgs, P. (2018). The prevalence of human immunodeficiency virus infection and the perceptions of sexually transmitted infections among homeless women. Nursing & Midwifery Studies, 7(4), 186–191.

    Article  Google Scholar 

  • Ashraf, M. A. (2017). Poverty and its alleviation: The case of Pakistan. In G. L. Staicu (Ed.), Poverty, inequality and policy.

    Google Scholar 

  • Bahr, H. M., & Caplow, T. (1968). Homelessness, affiliation, and occupational mobility. Social Forces, 47(1), 28–33.

    Article  Google Scholar 

  • Barrera-Osorio, F., Bertrand, M., Linden, L. L., & Perez-Calle, F. (2011). Improving the design of conditional transfer programs: Evidence from a randomized education experiment in Colombia. American Economic Journal: Applied Economics, 3(2), 167–195.

    Google Scholar 

  • Blais, M., Côté, P. B., Manseau, H., Martel, M., & Provencher, M. A. (2012). Love without a home: a portrait of romantic and couple relationships among street-involved young adults in Montreal. Journal of Youth Studies, 15(4), 403–420.

    Article  Google Scholar 

  • Bourdieu, P. (1984 [1979]). Distinction: A social critique of the judgment of taste. Cambridge: Harvard University Press.

    Google Scholar 

  • Bourdieu, P. (1986). The forms of capital. In J. G. Richardson (Ed.), Handbook of theory and research for the sociology (pp. 241–258). Greenwood.

    Google Scholar 

  • Braitstein, P., Ayuku, D., DeLong, A., Makori, D., Sang, E., Tarus, E., … Wachira, J. (2018). HIV prevalence in young people and children living on the streets, Kenya. Bulletin of the World Health Organization, 97, 33–41.

    Article  Google Scholar 

  • Busza, J. R., Balakireva, O. M., Teltschik, A., Bondar, T. V., Sereda, Y. V., Meynell, C., & Sakovych, O. (2011). Street-based adolescents at high risk of HIV in Ukraine. Journal of Epidemiology and Community Health, 65(12), 1166–1170.

    Article  Google Scholar 

  • Cheema, I., Asia, M. G., Hunt, S., Javeed, S., Lone, T., & O’Leary, S. (2016). Benazir income support programme evaluation of the Waseela-e-Taleem conditional cash transfer. Retrieved from Islamabad:

    Google Scholar 

  • Edward, S., & Crane, C. (1998). Oral sex and the transmission if viral STIs. Sexually Transmitted Infections, 74(1), 6–10.

    Article  Google Scholar 

  • Embleton, L., Wachira, J., Kamanda, A., Naanyu, V., Ayuku, D., & Braitstein, P. (2016). Eating sweets without the wrapper: perceptions of HIV and sexually transmitted infections among street youth in western Kenya. Culture, Health & Sexuality, 18(3), 337–348.

    Article  Google Scholar 

  • Emmanuel, F., Iqbal, F., & Khan , N. (2005). Street children in Pakistan: a group at risk of HIV/AIDS. Retrieved from Pakistan:

    Google Scholar 

  • Emmanuel, F., Thompson, L. H., Athar, U., Salim, S., Sonia, A., Akhtar, N., & Blanchard, J. F. (2013). The organisation, operational dynamics and structure of female sex work in Pakistan. Sexually Transmitted Infections, 89, ii29–ii33.

    Article  Google Scholar 

  • Haider, Z. (2017). Pakistan issues landmark transgender passport; fight for rights goes on.

    Google Scholar 

  • Hawkins, D. A. (2001). Oral sex and HIV transmission. Sexually Transmitted Infections, 77(5), 307–308.

    Article  CAS  Google Scholar 

  • Hazarika, G., & Bedi, A. (2003). Schooling costs and child work in rural Pakistan. The Journal of Development Studies, 39(5), 29–64.

    Article  Google Scholar 

  • Khan, F. A. (2014). Khwaja Sira: Culture, identity politics, and "transgender" activism in Pakistan. .

    Google Scholar 

  • Kruks, G. (1991). Gay and lesbian homeless/street youth: special issues and concern. Journal of Adolescent Health, 12(7), 515–518.

    Article  CAS  Google Scholar 

  • MacPhail, C., Khoza, N., Selin, A., Julien, A., Twine, R., Wagner, R. G., … Pettifor, A. (2018). Cash transfer for HIV prevention: What do young women spend it on? Mixed methods findings from HPTN 068. BMC Public Health, 18(1), 10.

    Article  Google Scholar 

  • National Education Policy Framework. (2018). National education policy framework. Retrieved from http://aserpakistan.org/document/2018/National_Eductaion_Policy_Framework_2018_Final.pdf

  • Persson, A. (2013). Notes on the concepts of ‘serodiscordance’ and ‘risk’ in couples with mixed HIV status. Global Public Health, 8(2), 209–220. https://doi.org/10.1080/17441692.2012.729219

    Article  PubMed  Google Scholar 

  • Prieur, A. (1990). Norwegian gay men: Reasons for continued practice of unsafe sex. AIDS Education and Prevention, 2(2), 109–115.

    CAS  PubMed  Google Scholar 

  • Rajabali, A., Khan, S., Warraich, H. J., Khanani, M. R., & Ali, S. H. (2008). HIV and homosexuality in Pakistan. Infectious Diseases, 8(8), 511–515.

    PubMed  Google Scholar 

  • Ronis, K. A., & Nishtar, S. (2007). Community health promotion in Pakistan: A policy development perspective. Promotion & Education, 14(2), 98–99.

    Article  CAS  Google Scholar 

  • Sherman, S. S., Plitt, S., ul Hassan, S, Cheng, Y., & Zafar, T. (2005). Drug use, street survival, and risk behaviors among street children in Lahore Pakistan. Journal of Urban Health, 82(Suppl 4), iv113–iv124.

    PubMed  Google Scholar 

  • Skyers, N., Jarrett, S., McFarland, W., Cole, D., & Atkinson, U. (2018). HIV risk and gender in Jamaica’s homeless population. AIDS and Behavior, 22, S65–S69.

    Article  Google Scholar 

  • Tadele, G. (2010). “Boundaries of Sexual Safety”: Men who have sex with men (MSM) and HIV/AIDS in Addis Ababa. Journal of HIV/AIDS & Social Services, 9(3), 261–280.

    Article  Google Scholar 

  • Talpur, A. A., & Khowaja, A. R. (2012). Awareness and attitude towards sex health education and sexual health services among youngsters in rural and urban settings of Sindh, Pakistan. The Journal of the Pakistan Medical Association, 62(7), 708–712.

    PubMed  Google Scholar 

  • The Express Tribune. (2019). Pakistan’s first public school for transgender persons opens doors in Lodhran. Retrieved from https://tribune.com.pk/story/1917540/1-pakistans-first-public-school-transgender-persons-opens-doors-lodhran/

  • Towe, V. L., Wiewel, E. W., Zhong, Y., Linnemayr, S., Johnson, R., & Rojass, J. (2019). A randomized controlled trial of a rapid re-housing intervention for homeless persons living with HIV/AIDS: Impact on housing and HIV medical outcomes. AIDS and Behavior, 23, 2315.

    Article  Google Scholar 

  • Transgender Persons (Protection of Rights) act. (2018). Retrieved from http://www.na.gov.pk/uploads/documents/1526547582_234.pdf

  • UNESCO. (2015). World TVET database Pakistan. Retrieved from https://unevoc.unesco.org/wtdb/worldtvetdatabase_pak_en.pdf

  • Varghese, B., Maher, J. E., Peterman, T. A., Branson, B. M., & Steketee, W. (2001). Reducing the risk of sexual HIV transmission. quantifying the per-act risk for HIV on the basis of choice of partner, sex act, and condom use. Sexually Transmitted Diseases, 29(1), 38–43.

    Article  Google Scholar 

  • Watson, J. (2011). Understanding survival sex: young women, homelessness and intimate relationships. Journal of Youth Studies, 14(6), 639–655.

    Article  Google Scholar 

  • WHO (Producer). (1986). The Ottawa charter for health promotion. Retrieved from https://www.who.int/healthpromotion/conferences/previous/ottawa/en/index1.html

  • Yunus, M. (2004). Grameen bank, microcredit, and Millennium Development Goals. Economic and Political Weekly, 39(36), 4077–4080.

    Google Scholar 

  • Zhu, N., Allen, E., Kearns, A., Caglia, J., & Atun, R. (2014). Lady health workers in Pakistan, Improving access to health care for rural women and families. Retrieved from

    Google Scholar 

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Authors and Affiliations

  1. Pathology & Laboratory Medicine, The Aga Khan University, Karachi, Pakistan

    Muhammad Naveed Noor

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  1. Muhammad Naveed Noor
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Noor, M.N. (2021). Key Messages and Implications for Health Promotion. In: Homeless Youth of Pakistan. SpringerBriefs in Public Health. Springer, Cham. https://doi.org/10.1007/978-3-030-79305-0_9

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  • DOI: https://doi.org/10.1007/978-3-030-79305-0_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-79304-3

  • Online ISBN: 978-3-030-79305-0

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