Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Typ-2-Diabetes und Adipositas Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Häufige urologisch-sexualmedizinische Themen in der Praxis sind das Thema des MMW-Webinars am 5. Juni von 17.30 bis 19 Uhr. Konkret geht es um die Frage, wann bei Harnwegsinfektionen auf Antibiotika verzichtet werden kann, und um ein Update zur Therapie von Libido- und Potenzstörungen des Mannes. Der dritte Vortrag behandelt sexuell übertragbare Krankheiten. Stellen Sie Ihre Fragen an die Experten und sammeln Sie 2 CME-Punkte. Jetzt gleich anmelden!
Erweiterte Suche
Anmelden
nach oben
AIDS and Behavior
Erschienen in: AIDS and Behavior 4/2010

01.08.2010 | Original Paper

Unprotected Sex of Homeless Women Living in Los Angeles County: An Investigation of the Multiple Levels of Risk

verfasst von: David P. Kennedy, Suzanne L. Wenzel, Joan S. Tucker, Harold D. Green Jr., Daniela Golinelli, Gery W. Ryan, Robin Beckman, Annie Zhou

Erschienen in: AIDS and Behavior | Ausgabe 4/2010

Einloggen, um Zugang zu erhalten

Abstract

This research uses multi-level modeling to investigate the context of unprotected sex of homeless women. Based on interviews with 429 randomly selected women living in temporary shelter settings in Los Angeles, this project investigates multiple levels of influence on unprotected sex with particular partners. Previous studies have investigated condom use of homeless women primarily at the individual level. This project investigates unprotected sex at the level of the partnership, the individual woman, and her social network. Homeless women who believe in the efficacy of condoms to prevent HIV infection, believe that they have low susceptibility to HIV and have a greater proportion of their non-sex partner social network ties with whom they speak about HIV are less likely to engage in unprotected sex. Women are more likely to engage in risky sexual behavior in relationships in which they have high commitment to their partner and experience physical violence.
Literatur
1.
Centers for Disease Control and Prevention. HIV/AIDS surveillance report, 2005, vol. 17. Atlanta: US Department of Health and Human Services, CDC; 2007. (Rev. ed).
2.
Forney JC, Lombardo S, Toro PA. Diagnostic and other correlates of HIV risk behaviors in a probability sample of homeless adults. Psychiatr Serv. 2007;58(1):92–9.CrossRefPubMed
3.
Kilbourne AM, Herndon B, Andersen RM, Wenzel SL, Gelberg L. Psychiatric symptoms, health services, and HIV risk factors among homeless women. J Health Care Poor Underserved. 2002;13(1):49–65.PubMed
4.
Centers for Disease Control and Prevention. HIV/AIDS in the United States. Atlanta: Centers for Disease Control and Prevention; 2008.
5.
Tortu S, McMahon JM, Hamid R, Neaigus A. Drug-using women’s sexual risk: an event analysis. AIDS Behav. 2000;4:329–40.CrossRef
6.
McDonnell KA, Gielen AC, O’Campo P. Does HIV status make a difference in the experience of lifetime abuse? Descriptions of lifetime abuse and its context among low-income urban women. J Urban Health. 2003;80(3):494–509.PubMed
7.
Nyamathi A. Health promotion among homeless women at risk of AIDS. Rockville: National Institute of Mental Health; 1994.
8.
Sikkema KJ, Heckman TG, Kelly JA, Anderson ES, Winett RA, Solomon LJ, et al. HIV risk behaviors among women living in low-income, inner-city housing developments. Am J Public Health. 1996;86(8):1123–8.CrossRefPubMed
9.
Wenzel SL, Tucker JS, Elliott MN, Hambarsoomians K, Perlman J, Becker K, et al. Prevalence and co-occurrence of violence, substance use and disorder, and HIV risk behavior: a comparison of sheltered and low-income housed women in Los Angeles County. Prev Med. 2004;39(3):617–24.CrossRefPubMed
10.
Seal DW, Ehrhardt AA. HIV-prevention-related sexual health promotion for heterosexual men in the United States: pitfalls and recommendations. Arch Sex Behav. 2004;33(3):211–22.CrossRefPubMed
11.
Sheeran P, Abraham C, Orbell S. Psychosocial correlates of heterosexual condom use: a meta-analysis. Psychol Bull. 1999;125(1):90–132.CrossRefPubMed
12.
Hader SL, Smith DK, Moore JS, Holmberg SD. HIV infection in women in the United States—status at the millennium. JAMA. 2001;285(9):1186–92.CrossRefPubMed
13.
Snelling D, Omariba DWR, Hong S, Georgiades K, Racine Y, Boyle MH. HIV/AIDS knowledge, women’s education, epidemic severity and protective sexual behaviour in low- and middle-income countries. J Biosoc Sci. 2007;39(3):421–42.CrossRefPubMed
14.
Cooper ML. Alcohol use and risky sexual behavior among college students and youth: evaluating the evidence. J Stud Alcohol. 2002:101–17.
15.
Fromme K, D’Amico EJ, Katz EC. Intoxicated sexual risk taking: an expectancy or cognitive impairment explanation? J Stud Alcohol. 1999;60(1):54–63.PubMed
16.
Macaluso M, Cheng H, Akers R. Birth control method choice and use of barrier methods for sexually transmitted disease prevention among low-income African-American women. Contraception. 2000;62(1):5–13.CrossRefPubMed
17.
MacDonald TK, MacDonald G, Zanna MP, Fong GT. Alcohol, sexual arousal, and intentions to use condoms in young men: applying alcohol myopia theory to risky sexual behavior. Health Psychol. 2000;19(3):290–8.CrossRefPubMed
18.
Dermen KH, Cooper ML, Agocha VB. Sex-related alcohol expectancies as moderators of the relationship between alcohol use and risky sex in adolescents. J Stud Alcohol. 1998;59(1):71–7.PubMed
19.
McKirnan DJ, Vanable PA, Ostrow DG, Hope B. Expectancies of sexual “escape” and sexual risk among drug and alcohol-involved gay and bisexual men. J Subst Abuse. 2001;13(1–2):137–54.CrossRefPubMed
20.
National Institute on Alcohol Abuse and Alcoholism. Alcohol and HIV. Alcohol Alert. 2002;57:1–4.
21.
Dermen KH, Cooper ML. Inhibition conflict and alcohol expectancy as moderators of alcohol’s relationship to condom use. Exp Clin Psychopharmacol. 2000;8(2):198–206.CrossRefPubMed
22.
George WH, Stoner SA, Norris J, Lopez PA, Lehman GL. Alcohol expectancies and sexuality: a self-fulfilling prophecy analysis of dyadic perceptions and behavior. J Stud Alcohol. 2000;61(1):168–76.PubMed
23.
Fortenberry JD, Orr DP, Katz BP, Brizendine EJ, Blythe MJ. Sex under the influence—a diary self-report study of substance use and sexual behavior among adolescent women. Sex Transm Dis. 1997;24(6):313–9.CrossRefPubMed
24.
Leigh BC, Stall R. Substance use and risky sexual-behavior for exposure to HIV—issues in methodology, interpretation, and prevention. Am Psychol. 1993;48(10):1035–45.CrossRefPubMed
25.
Weinhardt LS, Carey MP, Carey KB, Maisto SA, Gordon CM. The relation of alcohol use to HIV-risk sexual behavior among adults with a severe and persistent mental illness. J Consult Clin Psychol. 2001;69(1):77–84.CrossRefPubMed
26.
Latkin C, Forman V, Knowlton A, Sherman S. Norms, social networks, and HIV-related risk behaviors among urban disadvantaged drug users. Soc Sci Med. 2003;56(3):465–76.CrossRefPubMed
27.
Morrill AC, Ickovics JR, Golubchikov VV, Beren SE, Rodin J. Safer sex: social and psychological predictors of behavioral maintenance and change among heterosexual women. J Consult Clin Psychol. 1996;64(4):819–28.CrossRefPubMed
28.
Macaluso M, Demand MJ, Artz LM, Hook EW. Partner type and condom use. AIDS. 2000;14(5):537–46.CrossRefPubMed
29.
Tucker JS, Elliott MN, Wenzel SL, Hambarsoomian K. Relationship commitment and its implications for unprotected sex among impoverished women living in shelters and low-income housing in Los Angeles County. Health Psychol. 2007;26(5):644–9.CrossRefPubMed
30.
Kalichman SC, Williams EA, Cherry C, Belcher L, Nachimson D. Sexual coercion, domestic violence, and negotiating condom use among low-income African American women. J Womens Health. 1998;7(3):371–8.CrossRefPubMed
31.
Cabral RJ, Pulley L, Artz L, Brill I, Macaluso M. Women at risk of HIV/STD: the importance of male partners as barriers to condom use. AIDS Behav. 1998;2(1):75–85.CrossRef
32.
Jones R, Oliver M. Young urban women’s patterns of unprotected sex with men engaging in HIV risk behaviors. AIDS Behav. 2007;11(6):812–21.CrossRefPubMed
33.
Misovich SJ, Fisher JD, Fisher WA. Close relationships and elevated HIV risk behavior: evidence and possible underlying psychological processes. Rev Gen Psychol. 1997;1(1):72–107.CrossRef
34.
Kenny DA, Kashy DA, Cook WL. Dyadic data analysis. New York: The Guilford Press; 2006.
35.
Sherman SG, Latkin CA. Intimate relationship characteristics associated with condom use among drug users and their sex partners: a multilevel analysis. Drug Alcohol Depend. 2001;64(1):97–104.CrossRefPubMed
36.
McCarty C. Measuring structure in personal networks. JoSS. 2002;3(1).
37.
Snijders T, Spreen M, Zwaagstra R. The use of multilevel modeling for analysing personal networks: networks of cocaine users in an urban area. J Quant Anthropol. 1995;5(2):85–105.
38.
Wenzel SL, Tucker JS, Elliott MN, Hambarsoomians K. Sexual risk among impoverished women: understanding the role of housing status. AIDS Behav. 2007;11(6):S9–20.CrossRef
39.
Sobo EJ. Finance, romance, social support, and condom use among impoverished inner-city women. Hum Organ. 1995;54(2):115–28.
40.
Marin BV, Tschann JM, Gomez CA, Gregorich S. Self-efficacy to use condoms in unmarried Latino adults. Am J Community Psychol. 1998;26(1):53–71.CrossRefPubMed
41.
St Lawrence JS, Eldridge GD, Reitman D, Little CE, Shelby MC, Brasfield TL. Factors influencing condom use among African American women: implications for risk reduction interventions. Am J Community Psychol. 1998;26(1):7–28.CrossRefPubMed
42.
Williams M, Ross MW, Bowen AM, Timpson S, McCoy HV, Perkins K, et al. An investigation of condom use by frequency of sex. Sex Transm Infect. 2001;77(6):433–5.CrossRefPubMed
43.
Wenzel SL. Alcohol use and HIV risk among impoverished women (R01 AA015301). Bethesda: National Institute on Alcohol Abuse and Alcoholism; 2005.
44.
Burt M. Homelessness, definitions and estimates. In: Levinson D, editor. Encyclopedia of homelessness. Thousand Oaks: Sage; 2004.
45.
Fisher JD. Possible effects of reference group-based social influence on AIDS risk behavior and AIDS prevention. Am Psychol. 1988;43(11):914–20.CrossRefPubMed
46.
Latkin C, Mandell W, Oziemkowska M, Celentano D, Vlahov D, Ensminger M, et al. Using social network analysis to study patterns of drug use among urban drug users at high risk for HIV/AIDS. Drug Alcohol Depend. 1995;38(1):1–9.CrossRefPubMed
47.
Mitchell JC. The concept and use of social networks. In: Mitchell JC, editor. Social networks in urban situations. Manchester: Manchester University Press; 1969. p. 1–50.
48.
Scott J. Social network analysis: a handbook. London: Sage; 1991.
49.
Wasserman S, Galaskiewicz J, editors. Advances in social network analysis: research in the social and behavioral sciences. Thousand Oaks: Sage; 1994.
50.
Campbell KE, Lee BA. Name generators in surveys of personal networks. Soc Networks. 1991;13(3):203–21.CrossRef
51.
McCarty C, Bernard HR, Killworth PD, Shelley GA, Johnsen EC. Eliciting representative samples of personal networks. Soc Networks. 1997;19(4):303–23.CrossRef
52.
Golinelli D, Ryan G, Green HD, Kennedy DP, Tucker JS, Wenzel SL. Sampling to reduce respondent burden in personal network studies. Field Methods. 2009 (accepted for publication).
53.
McCarty C, Killworth PD, Rennell J. Impact of methods for reducing respondent burden on personal network structural measures. Soc Networks. 2007;29(2):300–15.CrossRef
54.
55.
Koegel P, Burnam MA. Course of homelessness among the seriously mentally ill. Bethesda: National Institute of Mental Health; 1991.
56.
Wenzel SL. Drug abuse, violence, and HIV/AIDS in impoverished women (R01 DA 11370). Bethesda: National Institute on Drug Abuse; 1999.
57.
Castañeda D. The close relationship context and HIV/AIDS risk reduction among Mexican Americans. Sex Roles. 2000;42(7–8):551–80.CrossRef
58.
Drigotas SM, Rusbult CE. Should I stay or should I go—a dependence model of breakups. J Pers Soc Psychol. 1992;62(1):62–87.CrossRef
59.
Rusbult CE, Johnson DJ, Morrow GD. Predicting satisfaction and commitment in adult romantic involvements—an assessment of the generalizability of the investment model. Soc Psychol Q. 1986;49(1):81–9.CrossRef
60.
Straus MA, Hamby SL, BoneyMcCoy S, Sugarman DB. The revised Conflict Tactics Scales (CTS2)—development and preliminary psychometric data. J Fam Issues. 1996;17(3):283–316.CrossRef
61.
Tolman RM. The validation of the psychological maltreatment of women inventory. Violence Vict. 1999;14(1):25–37.PubMed
62.
Morokoff PJ, Quina K, Harlow LL, Whitmire L, Grimley DM, Gibson PR, et al. Sexual assertiveness scale (SAS) for women: development and validation. J Pers Soc Psychol. 1997;73(4):790–804.CrossRefPubMed
63.
Bogart LM, Kral AH, Scott A, Anderson R, Flynn N, Gilbert ML, et al. Condom attitudes and behaviors among injection drug users participating in California syringe exchange programs. AIDS Behav. 2005;9(4):423–32.CrossRefPubMed
64.
Brown IS. Development of a scale to measure attitude toward the condom as a method of birth-control. J Sex Res. 1984;20(3):255–63.CrossRef
65.
Gibson DR, Lovelle-Drache J, Young MT, Chesney M. HIV risk linked to psychopathology in IV drug users. Int Conf AIDS, Amsterdam. 1992.
66.
StataCorp LP. Stata statistical software. Release 9.2 ed. College Station: StataCorp LP; 2007.
67.
Morrill AC, Noland C. Interpersonal issues surrounding HIV counseling and testing, and the phenomenon of “testing by proxy’’. J Health Commun. 2006;11(2):183–98.CrossRefPubMed
68.
Ryan GW, Stern SA, Hilton L, Tucker JS, Kennedy DP, Golinelli D, et al. When, where, why and with whom homeless women engage in risky sexual behaviors: a framework for understanding complex and varied decision-making processes. Sex Roles. 2009;61(7–8):536–53.CrossRefPubMed
69.
Martin JJ, Pryce JG, Leper JD. Avoidance coping and HIV risk behavior among gay men. Health Soc Work. 2005;3(3):193–201.
70.
Tuten M, Jones HE, Svikis DS. Comparing homeless and domiciled pregnant substance dependent women on psychosocial characteristics and treatment outcomes. Drug Alcohol Depend. 2003;69(1):95–9.CrossRefPubMed
71.
Padgett DK, Hawkins RL, Abrams C, Davis A. In their own words: trauma and substance abuse in the lives of formerly homeless women with serious mental illness. Am J Orthopsychiatry. 2006;76(4):461–7.CrossRefPubMed
72.
American Psychiatric Association. Diagnostic and statistical manual of psychiatric disorders. 4th ed. Washington, DC: American Psychiatric Association; 1994.
73.
Browne A. Family violence and homelessness—the relevance of trauma histories in the lives of homeless women. Am J Orthopsychiatry. 1993;63(3):370–84.CrossRefPubMed
74.
Browne A, Bassuk SS. Intimate violence in the lives of homeless and poor housed women: prevalence and patterns in an ethnically diverse sample. Am J Orthopsychiatry. 1997;67(2):261–78.CrossRefPubMed
75.
Banyard VL. Childhood maltreatment and the mental health of low-income women. Am J Orthopsychiatry. 1999;69(2):161–71.CrossRefPubMed
76.
Stein JA, Leslie MB, Nyamathi A. Relative contributions of parent substance use and childhood maltreatment to chronic homelessness, depression, and substance abuse problems among homeless women: mediating roles of self-esteem and abuse in adulthood. Child Abuse Negl. 2002;26(10):1011–27.CrossRefPubMed
77.
Rayburn NR, Wenzel SL, Elliott MN, Hambarsoomians K, Marshall GN, Tucker JS. Trauma, depression, coping, and mental health service seeking among impoverished women. J Consult Clin Psychol. 2005;73(4):667–77.CrossRefPubMed
78.
Shapiro DL, Levendosky AA. Adolescent survivors of childhood sexual abuse: the mediating role of attachment style and coping in psychological and interpersonal functioning. Child Abuse Negl. 1999;23(11):1175–91.CrossRefPubMed
79.
Anderson DG, Rayens MK. Factors influencing homelessness in women. Public Health Nurs. 2004;21(1):12–23.CrossRefPubMed
80.
Wright MO, Emily C, Sebastian K. Positive resolution of childhood sexual abuse experiences: the role of coping, benefit-finding and meaning-making. J Fam Violence. 2007;22(7):597–608.CrossRef
81.
Hazan C, Shaver PR. Romantic love conceptualized as an attachment process. J Pers Soc Psychol. 1987;52(33):511–24.PubMed
82.
Feeney JA, Kelly L, Gallois C, Peterson C, Terry DJ. Attachment style, assertive communication, and safer-sex behavior. J Appl Soc Psychol. 1999;29(9):1964–83.CrossRef
83.
Hammer JC, Fisher JD, Fitzgerald P, Fisher WA. When two heads aren’t better than one: AIDS risk behavior in college-age couples. J Appl Soc Psychol. 1996;26(5):375–97.CrossRef
84.
El-Bassel N, Gilbert L, Wu E, Go H, Hill J. HIV and intimate partner violence among methadone-maintained women in New York City. Soc Sci Med. 2005;61(1):171–83.CrossRefPubMed
85.
Blankenship KM, Smoyer AB, Bray SJ, Mattocks K. Black–White disparities in HIV/AIDS: the role of drug policy and the corrections system. J Health Care Poor Underserved. 2005;16(4):140–56.CrossRefPubMed
Metadaten
Titel
Unprotected Sex of Homeless Women Living in Los Angeles County: An Investigation of the Multiple Levels of Risk
verfasst von
David P. Kennedy
Suzanne L. Wenzel
Joan S. Tucker
Harold D. Green Jr.
Daniela Golinelli
Gery W. Ryan
Robin Beckman
Annie Zhou
Publikationsdatum
01.08.2010
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 4/2010
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-009-9621-3

Weitere Artikel der Ausgabe 4/2010

AIDS and Behavior 4/2010 Zur Ausgabe

Original Paper

Importance of Dose Timing to Achieving Undetectable Viral Loads

Original Paper

Alcohol and Risky Sexual Behavior Among Heavy Drinking College Students

Original Paper

Needle and Syringe Sharing Practices Among Injecting Drug Users in Tehran: A Comparison of Two Neighborhoods, One with and One Without a Needle and Syringe Program

Original Paper

Correlates of HIV/STD Testing and Willingness to Test among Rural-to-Urban Migrants in China

Original Research

Prevalence of HIV Infection and Prior HIV Testing among Young Men Who have Sex with Men. The Baltimore Young Men’s Survey

Original Research

Transportation Costs Impede Sustained Adherence and Access to HAART in a Clinic Population in Southwestern Uganda: A Qualitative Study

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

Positiver FIT: Die Ursache liegt nicht immer im Dickdarm

27.05.2024 Blut im Stuhl Nachrichten

Immunchemischer Stuhltest positiv, Koloskopie negativ – in solchen Fällen kann die Blutungsquelle auch weiter proximal sitzen. Ein Forschungsteam hat nachgesehen, wie häufig und in welchen Lokalisationen das der Fall ist.

GLP-1-Agonisten können Fortschreiten diabetischer Retinopathie begünstigen

24.05.2024 Diabetische Retinopathie Nachrichten

Möglicherweise hängt es von der Art der Diabetesmedikamente ab, wie hoch das Risiko der Betroffenen ist, dass sich sehkraftgefährdende Komplikationen verschlimmern.

Mehr Lebenszeit mit Abemaciclib bei fortgeschrittenem Brustkrebs?

24.05.2024 Mammakarzinom Nachrichten

In der MONARCHE-3-Studie lebten Frauen mit fortgeschrittenem Hormonrezeptor-positivem, HER2-negativem Brustkrebs länger, wenn sie zusätzlich zu einem nicht steroidalen Aromatasehemmer mit Abemaciclib behandelt wurden; allerdings verfehlte der numerische Zugewinn die statistische Signifikanz.

ADT zur Radiatio nach Prostatektomie: Wenn, dann wohl länger

24.05.2024 Prostatakarzinom Nachrichten

Welchen Nutzen es trägt, wenn die Strahlentherapie nach radikaler Prostatektomie um eine Androgendeprivation ergänzt wird, hat die RADICALS-HD-Studie untersucht. Nun liegen die Ergebnisse vor. Sie sprechen für länger dauernden Hormonentzug.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise