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Comparison of HIV Risks among Gay, Lesbian, Bisexual and Heterosexual Homeless Youth

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Abstract

Youth who are homeless and gay, lesbian or bisexual (GLB) are one of the most disenfranchised and marginalized groups in our society. The purpose of this study is to examine and compare HIV in GLB homeless youth with their heterosexual counterparts. Participants for this study included 268 youth involved in treatment outcome studies with substance abusing homeless youth. Results suggest that GLB youth have greater HIV risks and that these risks are greater among bisexual females. In examining the predictors of sexual health risks, survival sex emerged as the most significant. Survival sex was high among females regardless of their sexual orientation and also among gay males. Implications of these findings suggest that a greater emphasis needs to be paid to preventive interventions among this population.

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References

  • Achenbach TM, Edelbrock CS (1982) Manual for the child behavior checklist and child behavior profile. Child Psychiatry, University of Vermont, Burlington, VT

    Google Scholar 

  • Alonso AG (2004) A program design for homeless gay, lesbian, bisexual, and transgender youths. Dissertation Abstr Int: Section B: Sci Eng 64(8-B):4020

    Google Scholar 

  • Ashworth CS, DuRant RH, Newman C, Gaillard G (1992) An evaluation of a school-based AIDS/HIV education program for high school students. J Adolesc Health 13:582–588

    Article  PubMed  Google Scholar 

  • Beck AT, Ward C, Mendelson M, Mock J, Erlbaugh J (1961) An inventory for measuring depression. Arch Gen Psychiatry 4:53–63

    Google Scholar 

  • Bontempo ED, D’Augelli RA (2002) Effects of at-school victimization and sexual orientation on Lesbian, Gay, or Bisexual youths’ health risk behavior. J Adolesc Health 30:364–374

    Article  PubMed  Google Scholar 

  • Busseri MA, Willoughby T, Chalmers H, Bogaert AR (2006) Same-sex attraction and successful adolescent development. J Youth Adolesc 35:561–573

    Article  Google Scholar 

  • Cass V (1979) Homosexual identity formation: A theoretical model. J Homosex 4:219–235

    Article  PubMed  Google Scholar 

  • Cochran B N, Stewart JA, Ginzler JA, Cauce AM (2002) Challenges faced by homeless sexual minorities: Comparison of gay, lesbian, bisexual, and transgender homeless adolescents with their heterosexual counterparts. Am J Public Health 92:773–777

    PubMed  Google Scholar 

  • D’Augelli AR (1989) Lesbians’ and gay men's experiences of discriminationand harassment in a university community. Am J Community Psychol 17:317–321

    Article  PubMed  Google Scholar 

  • Darling N, Palmer RF, Kipke MD (2005) Do street youth's perceptions of their caregivers predict HIV-risk behavior? J Fam Psychol 19:456–464

    Article  PubMed  Google Scholar 

  • DiClemente RJ (1991) Predictors of HIV-preventive sexual behavior in a high-risk adolescent population: The influence of perceived peer norms and sexual communications on incarcerated adolescents’ consistent use of condoms. J Adolesc Health 12:385–390

    Article  PubMed  Google Scholar 

  • Ebner DL, Laviage MM (2003) The parallel universe of homeless and HIV-positive youth. Semin Pediatr Infect Dis 14:32–37

    Article  PubMed  Google Scholar 

  • Faulkner AH, Cranston K (1998) Correlates of same-sex sexual behavior in a random sample of Massachusetts high school students. Am J Public Health 88:262–266

    PubMed  Google Scholar 

  • Fergusson DM, Horwood LJ, Beautrais AL (1999) Is sexual orientation related to mental health problems and suicidality in young people? Arch Gen Psychiatry 56:876–880

    Article  PubMed  Google Scholar 

  • Fishman S, Anderson E (2003) Perception of HIV and safer sexual behaviors among lesbians. Assoc Nurses AIDS Care 14(6):48–55

    Article  Google Scholar 

  • Garofalo R, Wolf CR, Kessel S, Palfrey J, DuRant HR (1998) The association between health risk behaviors and sexual orientation among a school-based sample of adolescents. Pediatrics 101:895–902

    Article  PubMed  Google Scholar 

  • Greene JM, Ringwalt CL (1996) Youth and familial substance use's association with suicide attempts among runaway and homeless youth. Subst Use Misuse 31:1041–1058

    Article  PubMed  Google Scholar 

  • Hetrick E, Martin A (1987) Developmental issues and their resolution for gay and lesbian adolescents. J Homosex 14:25–43

    Article  PubMed  Google Scholar 

  • Hirshfield S, Remien R, Humberstone M, Walavalkar I, Chiasson M (2004) Substance use and high-risk sex among men who have sex with men: A national online study in the USA. AIDS Care 16(8):1036–1047

    Article  PubMed  Google Scholar 

  • Johnson TP, Aschkenasy JR, Herbers MR, Gillenwater SA (1996) Self-reported risk factors for AIDS among homeless youth. AIDS Educ Prev 8:308–322

    PubMed  Google Scholar 

  • Kann L, Anderson JE, Holtzman D, Ross J, Truman BI, Collins J, Kolbe LJ (1991) HIV-related knowledge, beliefs, and behaviors among high school students in the United States: Results from a national survey. J Sch Health 61:397–401

    Article  PubMed  Google Scholar 

  • Kipke MD, Montgomery SB, Simon TR, Iverson EF (1997) Substance abuse disorders among runaways and homeless youth. Subst Use Misuse 32:969–986

    Article  PubMed  Google Scholar 

  • Lemp G, Jones M, Kellogg T, Nieri G et al. (1995) HIV seroprevalence and risk behaviors among lesbians and bisexual women in San Francisco and Berkeley, California. Am J Public Health 11:1549–1552

    Google Scholar 

  • Lock J, Steiner H (1999) Gay, lesbian and bisexual youth risks for emotional, physical, and social problems: Results from a community-based survey. J Am Acad Child Adolesc Psychiatry 38:297–304

    Article  PubMed  Google Scholar 

  • Maxwell BE (1992) Hostility, depression, and self-esteem among troubled and homeless adolescents in crisis. J Youth Adolesc 21(2):139–150

    Article  Google Scholar 

  • Meyer IH (1995) Minority stress and mental health in gay men. J Health Soc Behav 36:38–56

    Article  PubMed  Google Scholar 

  • Miller WR, Marlatt GA (1984) Manual for the comprehensive drinker profile. Psychological Assessment Resources, Odessa, FL

    Google Scholar 

  • Miller WR, Del Boca FK (1994) Measurement of drinking behavior using the Form 90 family of instruments. J Stud Alcohol (suppl) 12:112–118

    Google Scholar 

  • Miner MH (1991) The self-concept of homeless adolescents. J Youth Adolesc 20(5):545-560

    Article  Google Scholar 

  • Molnar BE, Shade SB, Kral AH, Booth RE, Watters JK (1998) Suicidal behavior and sexual/physical abuse among street youth. Child Abuse Negl 22:213–222

    Article  PubMed  Google Scholar 

  • Morrison LL, L’Huereux J (2001) Suicide and gay/lesbian/bisexual youth: Implications for clinicians. J Adolesc 24:39–49

    Article  PubMed  Google Scholar 

  • Noell JW, Ochs LM (2001) Relationship of sexual orientation to substance use, suicidal ideation, suicide attempts, and other factors in a population of homeless adolescents. J Adolesc Health 29:31–36

    Article  PubMed  Google Scholar 

  • Norman WH, Miller IW, Klee SH (1983) Assessment of cognitive distortion in a clinically depressed population. Cogn Therapy Res 7:133–140

    Article  Google Scholar 

  • Perdue T, Hagan H, Thiede H, Valleroy L (2003) Depression and HIV risk behavior among Seattle-area injection drug users and young men who have sex with men. AIDS Educ Prev 15:81–92

    Article  PubMed  Google Scholar 

  • Petersen AC, Sarigiani PA, Kennedy RE (1991) Adolescent depression: Why more girls? J Youth Adolesc 20:247–271

    Article  Google Scholar 

  • Rew L, Whittaker TA, Taylor-Seehafer MA, Smith LR (2005) Sexual health risks and protective resources in gay, lesbian, bisexual, and heterosexual homeless youth. J Specialists Pediatr Nurs 10:11–19

    Article  Google Scholar 

  • Rosario M, Schrimshaw E, Hunter J, Gwadz M (2002) Gay-related stress and emotional distress among gay, lesbian, and bisexual youths: A longitudinal examination. J Consult Clin Psychol 70(4):967–975

    Article  PubMed  Google Scholar 

  • Rotheram-Borus MJ, Koopman C, Ehrhardt AA (1991) Homeless youths and HIV infection. Am Psychol 46:1188–1197

    Article  PubMed  Google Scholar 

  • Rotheram-Borus MJ, Song J, Gwadz M, Lee M, Van Rossem R, Koopman C (2003) Reductions in HIV Risk among runaway youth. Prev Sci 4(3):173–187

    Article  PubMed  Google Scholar 

  • Rush AJ, Giles DE, Schlesser MA, Fulton CL, Weissenburger J, Burns C (1986) The inventory of depressive symptomatology (IDS): Preliminary findings. Psychiatry Res 18:65–87

    Article  PubMed  Google Scholar 

  • Saewyc EM, Bauer GR, Skay CL, Bearinger LH, Resnick MD, Reis E et al (2004) Measuring sexual orientation in adolescent health surveys: Evaluation of eight school-based surveys. J Adolesc Health 35:345.e1–345.e15

    Article  Google Scholar 

  • Savin-Williams RC, Rodriguez RG (1993) A developmental, clinical perspective on lesbian, gay male, and bisexual youths. In: Gullota TP, Adams GR, Montemayor R (eds) Adolescent sexuality: Advances in adolescent development. Sage, Newbury Park, CA

  • Shaffer D (1992) The diagnostic interview schedule for children -2.3 Version. Columbia University, New York

    Google Scholar 

  • Slesnick N, Tonigan JS (2004) Assessment of alcohol and other drugs used by runaway youths: A test-retest study of the Form 90. Alcohol Treat Q 22:21–34

    Article  PubMed  Google Scholar 

  • Sobell LC, Sobell MB (1992) Timeline follow-back. In: Litten R, Allen J (eds), Measuring alcohol consumption. Humana Press, Totowa, NJ, pp 41–72

  • Solorio MR, Milburn NG, Weiss RE, Batterham PJ (2006) Newly homeless youth STD testing patterns over time. J Adolesc Health 39:443.e9–443.e16

    Article  Google Scholar 

  • Stein JA, Rotheram-Borus MJ, Swendeman D, Milburn NG (2005) Predictors of sexual transmission risk behaviors among HIV-positive young men. AIDS Care 17:433–442

    Article  PubMed  Google Scholar 

  • Stevens P, Hall J (2001) Sexuality and safer sex: The issues for lesbians and bisexual women. J Obstet, Gynecol, Neonatal Nurs 30(4):439–447

    Article  Google Scholar 

  • Tonigan JS, Miller WR, Brown JM (1997) The reliability of Form 90: An instrument for assessing alcohol treatment outcome. J Stud Alcohol 58:358–364

    PubMed  Google Scholar 

  • Travers R, Paoletti D (1999) Responding to the support needs of HIV positive lesbian, gay and bisexual youth. Canadian J Hum Sex 8:271–283

    Google Scholar 

  • Troiden R (1989) The formation of homosexual identities. Journal of Homosexuality 17-43-73

  • Tyler KA, Cauce AM (2002) Perpetrators of early physical and sexual abuse among homeless and runaway adolescents. Child Abuse Negl 26:1261–1274

    Article  PubMed  Google Scholar 

  • Washburn-Ormachea JM, Hillman SB, Sawilowsky SS (2004) Gender and gender-role orientation differences on adolescents’ coping with peer stressors. J Youth Adolesc 33:31–40

    Article  Google Scholar 

  • Westerberg VS, Tonigan JS, Miller WR (1998) Reliability of form 90D: An instrument for quantifying drug use. Subst Use 19:179–189

    Google Scholar 

  • Whitbeck LB, Chen X, Hoyt DR, Tyler KA, Johnson KD (2004) Mental disorder, subsistence strategies, and victimization among gay, lesbian, and bisexual homeless and runaway adolescents. J Sex Res 41:329–342

    Article  PubMed  Google Scholar 

  • Whitbeck L, Hoyt D (1999) Nowhere to grow: Homeless and runaway adolescents and their families. Aldine de Gruyter, New York

    Google Scholar 

  • Whitbeck LB, Hoyt DR, Bao WN (2000) Depressive symptoms and co-occurring depressive symptoms, substance abuse, and conduct problems among runaway and homeless adolescents. Child Dev 71:721–732

    Article  PubMed  Google Scholar 

  • Wormer KV, McKinney R (2003) What schools can do to help gay/lesbian/ bisexual youth: A harm reduction approach. Adolescence 38:409–420

    PubMed  Google Scholar 

  • Zera D (1992) Coming of age in a heterosexual world: The development of gay and lesbian adolescents. Adolescence 27(108):849–855

    PubMed  Google Scholar 

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Acknowledgments

This study was supported by funding from NIDA (R01 DA13549) and CSAT (TI12503) to Natasha Slesnick.

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Correspondence to Natasha Slesnick.

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Rashmi Gangamma is a Ph.D student in the Department of Human Development and Family Science at The Ohio State University. She completed her Masters in Social Work at Mangalore University, India, and M.Phil in Psychiatric Social Work from the National Institute of Mental Health and NeuroSciences (NIMHANS), Bangalore, India. Her research interests include qualitative research methodology, family therapy process and GLBT issues.

Natasha Slesnick, Ph.D. is an Associate Professor of Human Development and Family Science at the Ohio State University. She received her Ph.D. in 1996 from the University of New Mexico. Her research and clinical focus is on families and adolescents with issues pertaining to homelessness, substance use, childhood abuse, depression and high risk behaviors. Her current research projects concentrate on the development and evaluation of effective interventions for runaway and homeless youth and their families.

Paula Toviessi is a Ph.D candidate in the Department of Human Development and Family Science at The Ohio State University. She completed her B.S. in Psychology at Norfolk State University and her M.S. in Marriage and Family Therapy at Purdue University, Calumet. She is currently conducting research on family health and the health decision-making process.

Julianne Serovich, Ph.D., is Professor and Chair in the Department of Human Development and Family Science, The Ohio State University. She received her Ph.D. in 1991 from the University of Georgia. Her primary program of research centers on investigating the role of HIV disclosure to family and friends in reducing sexual risk related behaviors in men and mental health outcomes in women. To this end she has conducted 3 major studies investigating HIV disclosure behaviors in gay males, and heterosexual males and females.

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Gangamma, R., Slesnick, N., Toviessi, P. et al. Comparison of HIV Risks among Gay, Lesbian, Bisexual and Heterosexual Homeless Youth. J Youth Adolescence 37, 456–464 (2008). https://doi.org/10.1007/s10964-007-9171-9

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  • DOI: https://doi.org/10.1007/s10964-007-9171-9

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