Rates and correlates of HIV and STI infection among homeless women
Open accessAbstract
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.
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Poor health status among homeless people is exacerbated by poor access to health care and challenges in adhering to medication.
“Poor health status is exacerbated by poor access to health care63-65 and challenges in adherence to medication.66,67”
From The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations (2014) · cites this paper as [67]
The citation placement attributes the poor-access-to-health-care point to this source; medication adherence has separate citations. The Introduction reports higher morbidity and mortality among homeless people, and the Discussion recommends offering HIV/STI services, but neither passage says that poor access exacerbates health status. Searches for poor access to health care and medication adherence found no passage establishing those links (pages unavailable in our copy). (LLM, conf=0.74)
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Understanding risk environments in permanent supportive housing for formerly homeless adults
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Do HIV risk and prevention behaviors change over time among adults in permanent supportive housing?
Wenzel, S. L., Rhoades, H., La Motte-Kerr, W., Duan, L., Harris, T., Rice, E., & Henwood, B. F. (2019) · AIDS Care · doi:10.1080/09540121.2019.1576849 · Cited by 11 · see citing works
- Authors
- Caton, C. L. M., El-Bassel, N., Gelman, A., Barrow, S., Herman, D., Hsu, E., Tochterman, A. Z., Johnson, K., & Felix, A.
- Affiliations
- New York State Psychiatric Institute (US)
- Columbia University (US)
- Hunter College (US)
- University of Southern California (US)
- Corresponding author
- Caton, Carol L. M.
- Venue
- AIDS and Behavior
- Published
- 2012-05-19
- Volume
- 17
- Issue
- 3
- Pages
- 856-864
- ISSN
- 1090-7165 (ISSN-L)
- 1573-3254
- PMC
- PMC12440152
- OpenAlex
- W1977435986
- Cited by
- 40
- References
- 23
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 5 · 2021: 3 · 2020: 1 · 2019: 2 · 2018: 5 · 2017: 5 · 2016: 4 · 2015: 5 · 2014: 4 · 2013: 1
- FWCI
- 5.68
- Type
- journal article
- Language
- en
- Open access
- green
- pmc.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- AIDS and Behavior (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- Funders
- National Center for PTSD, U.S. Department of Veterans Affairs
- National Institute on Drug Abuse (R01DA019399)
- Topics
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- HIV infection, sexually transmitted infections, homeless women, chlamydia, gonorrhea, HIV prevalence, risk factors, child sexual abuse, arrest history, psychotic symptoms, substance use disorders, homeless shelters, HIV testing, New York City
- MeSH terms
- Adult, Chlamydia Infections, Female, Gonorrhea, Ill-Housed Persons, Humans, Middle Aged, New York City, Risk Factors, Sexually Transmitted Diseases, Bacterial, HIV Infections, Prevalence, Substance-Related Disorders
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