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Cited by 6Homelessness and Social IssuesHIV, Drug Use, Sexual RiskHIV/AIDS Research and Interventions

Housing First and Unprotected Sex: A Structural Intervention

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Parpouchi, Milad, Moniruzzaman, Akm, McCandless, Lawrence, Patterson, Michelle, Somers, Julian M.·2016·Journal of Health Care for the Poor and Underserved
DOI 10.1353/hpu.2016.0113
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Abstract

UNLABELLED: Elevated prevalence estimates of sexually transmitted infections and sexual risk behaviors have commonly been reported among homeless and precariously housed adults. Research has increasingly recognized the importance and impact of structural factors, such as housing, on risk behaviors. Several researchers have argued that supported housing interventions, such as Housing First (HF), may contribute to reductions in sexual risk behavior. The present study is the first analysis of a randomized controlled trial to examine the effect of HF on unprotected sex among formerly homeless and marginally housed adults with mental illness and complex comorbidities. METHODS: Generalized estimating equations were used to examine between-group differences in unprotected sex. RESULTS: Compared with treatment as usual, no association was found between HF and unprotected sex over the 24 months of follow-up. Several other variables were significantly and independently associated with unprotected sex. CONCLUSION: Results suggest that further interventions are needed to reduce unprotected sex among homeless and unstably housed individuals with mental illness.

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  • In homeless adults with mental illness, HF was not significantly associated with changes in frequency of unprotected sex over 24 months.

    “HF was not significantly associated with changes in frequency of unprotected sex over 24 months”

    From Harm reduction outcomes and practices in Housing First: A mixed-methods systematic review (2021) · cites this paper as Parpouchi et al. (2016)

    The Abstract and Results (sections 3.2–3.3) report no significant association between Housing First and unprotected sex over 24 months among homeless adults with mental illness. However, section 2.5 says the outcome was a yes-or-no report of any unprotected sex in the past month, not the frequency of unprotected sex acts. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

  • Two studies examined sexual health-related outcomes in Housing First, both of which investigated unprotected sexual intercourse.

    “Two studies examined sexual health-related outcomes in Housing First, both of which investigated unprotected sexual intercourse (Henwood et al., 2017; Parpouchi et al., 2016).”

    From Harm reduction outcomes and practices in Housing First: A mixed-methods systematic review (2021) · cites this paper as Parpouchi et al., 2016

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  1. Aidala, A., Cross, J. E., Stall, R., Harre, D., & Sumartojo, E. (2005). Housing status and HIV risk behaviors: Implications for prevention and policy. AIDS & Behavior, 9(3), 251-265.
  2. Allen, D. M., Lehman, J. S., Green, T. A., Lindegren, M. L., Onorato, I. M., & Forrester, W. (1994). HIV infection among homeless adults and runaway youth, United States, 1989-1992. Field services branch. AIDS, 8(11), 1593-1598.
  3. Auerbach, J. (2009). Transforming social structures and environments to help in HIV prevention. Health Affairs, 28(6), 1655-1665.
  4. Barker, S., Barron, N., McFarland, B. H., & Bigelow, D. A. (1994). A community ability scale for chronically mentally ill consumers: Part I. reliability and validity. Community Mental Health Journal, 30(4), 363-383.
  5. Berkman, A., Pilowsky, D. J., Zybert, P. A., Leu, C., Sohler, N., & Susser, E. (2005). The impact of substance dependence on HIV sexual risk-reduction among men with severe mental illness. AIDS Care, 17(5), 635-639.
  6. Blankenship, K. M., Friedman, S. R., Dworkin, S., & Mantell, J. E. (2006). Structural interventions: Concepts, challenges and opportunities for research. Journal of Urban Health, 83(1), 59-72.
  7. Brown, R. A., Kennedy, D. P., Tucker, J. S., Wenzel, S. L., Golinelli, D., Wertheimer, S. R., & Ryan, G. W. (2012). Sex and relationships on the street: How homeless men judge partner risk on skid row. AIDS & Behavior, 16(3), 774-784.
  8. Buchér,J.B., Thomas, K. M., Guzman, D., Riley, E., Dela Cruz, N., & Bangsberg, D. R. (2007). Community-based rapid HIV testing in homeless and marginally housed adults in San Francisco. HIV Medicine, 8(1), 28-31.
  9. Caton, C., El-Bassel, N., Gelman, A., Barrow, S., Herman, D., Hsu, E., . . . Felix, A. (2013). Rates and correlates of HIV and STI infection among homeless women. AIDS & Behavior, 17(3), 856-864.
  10. Cederbaum, J. A., Wenzel, S. L., Gilbert, M. L., & Chereji, E. (2013). The HIV risk reduction needs of homeless women in Los Angeles. Women's Health Issues, 23(3), e167-e172.
  11. Coates, T. J., Richter, L., & Caceres, C. (2008). Behavioural strategies to reduce HIV transmission: How to make them work better. Lancet, 372(9639), 669-684.
  12. Colfax, G., Coates, T. J., Husnik, M. J., Huang, Y., Buchbinder, S., Koblin, B., . . . Vittinghoff, E. (2005). Longitudinal patterns of methamphetamine, popper (amyl nitrite), and cocaine use and high-risk sexual behavior among a cohort of San Francisco men who have sex with men. Journal of Urban Health, 82(1), i62-i70.
  13. Colfax, G., Vittinghoff, E., Husnik, M. J., McKirnan, D., Buchbinder, S., Koblin, B., . . . Coates, T. J. (2004). Substance use and sexual risk: A participant-and episode- level analysis among a cohort of men who have sex with men. American Journal of Epidemiology, 159(10), 1002-1012.
  14. Crosby, R. A., Charnigo, R. A., Weathers, C., Caliendo, A. M., & Shrier, L. A. (2012). Condom effectiveness against non-viral sexually transmitted infections: A prospective study using electronic daily diaries. Sexually Transmitted Infections, 88(7), 484-489.
  15. Culhane, D. P., Gollub, E., Kuhn, R., & Shpaner, M. (2001). The co-occurrence of AIDS and homelessness: Results from the integration of administrative databases for AIDS surveillance and public shelter utilisation in Philadelphia. Journal of Epidemiology & Community Health, 55(7), 515-520.
  16. Dickson-Gomez, J., Hilario, H., Convey, M., Corbett, A. M., Weeks, M., & Martinez, M. (2009). The relationship between housing status and HIV risk among active drug users: A qualitative analysis. Substance use & Misuse, 44(2), 139-162.
  17. Drumright, L. N., Little, S. J., Strathdee, S. A., Slymen, D. J., Araneta, M. R. G., Malcarne, V. L., . . . Gorbach, P. M. (2006). Unprotected anal intercourse and substance use among men who have sex with men with recent HIV infection. Journal of Acquired Immune Deficiency Syndromes (1999), 43(3), 344-350.
  18. Empfield, M., Cournos, F., Meyer, I., McKinnon, K., Horwath, E., Silver, M., . . . Herman, R. (1993). HIV seroprevalence among homeless patients admitted to a psychiatric inpatient unit. The American Journal of Psychiatry, 150(1), 47-52.
  19. Evans, C., Jana, S., & Lambert, H. (2010). What makes a structural intervention? Reducing vulnerability to HIV in community settings, with particular reference to sex work. Global Public Health, 5(5), 449-461.
  20. Forney, J. C., Lombardo, S., & Toro, P. A. (2007). Diagnostic and other correlates of HIV risk behaviors in a probability sample of homeless adults. Psychiatric Services, 58(1), 92-99.
  21. Fournier, A. M., Tyler, R., Iwasko, N., LaLota, M., Shultz, J., & Greer, P. J. (1996). Human immunodeficiency virus among the homeless in Miami: A new direction for the HIV epidemic. The American Journal of Medicine, 100(5), 582-584.
  22. Friedman, M. S., Marshal, M. P., Stall, R., Kidder, D. P., Henny, K. D., Courtenay-Quirk, C., . . . Holtgrave, D. R. (2009). Associations between substance use, sexual risk taking and HIV treatment adherence among homeless people living with HIV. AIDS Care, 21(6), 692-700.
  23. Giannetti, V., & Freyder, P. (1998). HIV risk among the homeless. Journal of Health & Social Policy, 10(2), 27-38.
  24. Goering, P. N., Streiner, D. L., Adair, C., Aubry, T., Barker, J., Distasio, J., . . . Zabkiewicz, D. M. (2011). The At Home/Chez Soi trial protocol: A pragmatic, multi-site, randomised controlled trial of a housing first intervention for homeless individuals with mental illness in five Canadian cities. BMJ Open, 1(2), e000323- e000323.
  25. Grangeiro, A., Holcman, M. M., Onaga, E. T., Alencar, H. D., Placco, A. L., & Teixeira, P. R. (2012). Prevalence and vulnerability of homeless people to HIV infection in Sao Paulo, Brazil. Revista De Saude Publica, 46(4), 674-684.
  26. Halkitis, P. N., Kapadia, F., Siconolfi, D. E., Moeller, R. W., Figueroa, R. P., Barton, S. C., & Blachman-Forshay, J. (2013). Individual, psychosocial, and social correlates of unprotected anal intercourse in a new generation of young men who have sex with men in New York City. American Journal of Public Health, 103(5), 889-895.
  27. Henny, K. D., Kidder, D. P., Stall, R., & Wolitski, R. J. (2007). Physical and sexual abuse among homeless and unstably housed adults living with HIV: Prevalence and associated risks. AIDS & Behavior, 11(6), 842-853.
  28. Holmes, K. K., Levine, R., & Weaver, M. (2004). Effectiveness of condoms in preventing sexually transmitted infections. Bulletin of the World Health Organization, 82(6), 454-461.
  29. Hwang, S. W., Ueng, J. J. M., Chiu, S., Kiss, A., Tolomiczenko, G., Cowan, L., . . . Redelmeier, D. A. (2010). Universal health insurance and health care access for homeless persons. American Journal of Public Health, 100(8), 1454-1461.
  30. Jenness, S. M., Begier, E. M., Neaigus, A., Murrill, C. S., Wendel, T., & Hagan, H. (2011). Unprotected anal intercourse and sexually transmitted diseases in high- risk heterosexual women. American Journal of Public Health, 101(4), 745-750.
  31. Kennedy, D. P., Wenzel, S. L., Brown, R., Tucker, J. S., & Golinelli, D. (2013). Unprotected sex among heterosexually active homeless men: Results from a multi-level dyadic analysis. AIDS & Behavior, 17(5), 1655-1667.
  32. Kennedy, D. P., Wenzel, S. L., Tucker, J. S., Green, H. D.,Jr, Golinelli, D., Ryan, G. W., . . . Zhou, A. (2010). Unprotected sex of homeless women living in Los Angeles County: An investigation of the multiple levels of risk. AIDS & Behavior, 14(4), 960-973.
  33. Khandor, E., Mason, K., Chambers, C., Rossiter, K., Cowan, L., & Hwang, S. W. (2011). Access to primary health care among homeless adults in Toronto, Canada: Results from the street health survey. Open Medicine, 5(2), e94-e103.
  34. Kidder, D. P., Wolitski, R. J., Pals, S. L., & Campsmith, M. L. (2008). Housing status and HIV risk behaviors among homeless and housed persons with HIV. Journal of Acquired Immune Deficiency Syndromes: JAIDS, 49(4), 451-455.
  35. Kilbourne, A. M., Herndon, B., Andersen, R. M., Wenzel, S. L., & Gelberg, L. (2002). Psychiatric symptoms, health services, and HIV risk factors among homeless women. Journal of Health Care for the Poor & Underserved, 13(1), 49-65.
  36. Klinkenberg, W. D., Caslyn, R. J., Morse, G. A., Yonker, R. D., McCudden, S., Ketema, F., & Constantine, N. T. (2003). Prevalence of human immunodeficiency virus, hepatitis B, and hepatitis C among homeless persons with co-occurring severe mental illness and substance use disorders. Comprehensive Psychiatry, 44(4), 293-302.
  37. Krausz, R. M., Clarkson, A. F., Strehlau, V., Torchalla, I., Li, K., & Schuetz, C. G. (2013). Mental disorder, service use, and barriers to care among 500 homeless people in 3 different urban settings. Social Psychiatry and Psychiatric Epidemiology, 48(8), 1235-1243.
  38. Larson, C. O. (2002). Use of the SF-12 instrument for measuring the health of homeless persons. Health Services Research, 37(3), 733-750.
  39. Lippman, S. A., Chinaglia, M., Donini, A. A., Diaz, J., Reingold, A., & Kerrigan, D. L. (2012). Findings from Encontros: A multilevel STI/HIV intervention to increase condom use, reduce STI, and change the social environment among sex workers in Brazil. Sexually Transmitted Diseases, 39(3), 209-216.
  40. Logan, J. L., Frye, A., Pursell, H. O., Anderson-Nathe, M., Scholl, J. E., & Korthuis, P. T. (2013). Correlates of HIV risk behaviors among homeless and unstably housed young adults. Public Health Reports, 128(3), 153-160.
  41. Marsden, J., Gossop, M., Stewart, D., Best, D., Farrell, M., Lehmann, P., . . . Strang, J. (1998). The Maudsley Addiction Profile (MAP): A brief instrument for assessing treatment outcome. Addiction, 93(12), 1857-1867.
  42. McLeroy, K.R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs. Health Education Quarterly, 15(4), 351-377.
  43. Meyer, I., Cournos, F., Empfield, M., Schrage, H., Silver, M., Rubin, M., & Weinstock, A. (1993). HIV seroprevalence and clinical characteristics of severe inpatient mentally ill homeless. Journal of Social Distress & the Homeless, 2(2), 103-116.
  44. Ober, A. J., Iguchi, M. Y., Weiss, R. E., Gorbach, P. M., Heimer, R., Ouellet, L. J., . . . Zule, W. A. (2011). The relative role of perceived partner risks in promoting condom use in a three-city sample of high-risk, low-income women. AIDS & Behavior, 15(7), 1347-1358.
  45. Palepu, A., Gadermann, A., Hubley, A. M., Farrell, S., Gogosis, E., Aubry, T., & Hwang, S. W. (2013). Substance use and access to health care and addiction treatment among homeless and vulnerably housed persons in three Canadian cities. Plos One, 8(10), e75133-e75133.
  46. Palepu, A., Patterson, M. L., Moniruzzaman, A., Frankish, C. J., & Somers, J. (2013). Housing first improves residential stability in homeless adults with concurrent substance dependence and mental disorders. American Journal of Public Health, 103(Suppl. 2), e30-e36.
  47. Patterson, M., Moniruzzaman, A., Palepu, A., Zabkiewicz, D., Frankish, C. J., Krausz, M., & Somers, J. M. (2013). Housing first improves subjective quality of life among homeless adults with mental illness: 12-month findings from a randomized controlled trial in Vancouver, British Columbia. Social Psychiatry and Psychiatric Epidemiology, 48(8), 1245-1259.
  48. Rahav, M., Nuttbrock, L., Rivera, J. J., & Link, B. G. (1998). HIV infection risks among homeless, mentally ill, chemical misusing men. Substance use & Misuse, 33(6), 1407-1426.
  49. Rhodes, T., Singer, M., Bourgois, P., Friedman, S. R., & Strathdee, S. A. (2005). The social structural production of HIV risk among injecting drug users. Social Science & Medicine (1982), 61(5), 1026-1044.
  50. Russolillo, A., Patterson, M., McCandless, L., Moniruzzaman, A., & Somers, J. (2014). Emergency department utilisation among formerly homeless adults with mental disorders after one year of housing first interventions: A randomised controlled trial. International Journal of Housing Policy, 14(1), 79-97.
  51. Ryan, G. W., Stern, S. A., Hilton, L., Tucker, J. S., Kennedy, D. P., Golinelli, D., & Wenzel, S. L. (2009). 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, 61(7-8), 536-553.
  52. Seeley, J., Watts, C. H., Kippax, S., Russell, S., Heise, L., & Whiteside, A. (2012). Addressing the structural drivers of HIV: A luxury or necessity for programmes? Journal of the International AIDS Society, 15(Suppl. 1), 1-4.
  53. Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., . . . Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59(Suppl. 20), 22-33.
  54. Somlai, A. M., Kelly, J. A., Wagstaff, D. A., & Whitson, D. P. (1998). Patterns, predictors, and situational contexts of HIV risk behaviors among homeless men and women. Social Work, 43(1), 7-20.
  55. Steen, R., Wi, T. E., Kamali, A., & Ndowa, F. (2009). Control of sexually transmitted infections and prevention of HIV transmission: Mending a fractured paradigm. Bulletin of the World Health Organization, 87(11), 858-865.
  56. Stein, J. A., Nyamathi, A., Ullman, J. B., & Bentler, P. M. (2007). Impact of marriage on HIV/AIDS risk behaviors among impoverished, at-risk couples: A multilevel latent variable approach. AIDS & Behavior, 11(1), 87-98.
  57. Stein, J. A., Nyamathi, A. M., & Zane, J. I. (2009). Situational, psychosocial, and physical health-related correlates of HIV/AIDS risk behaviors in homeless men. American Journal of Men's Health, 3(1), 25-35.
  58. Stein, J. A., Andersen, R. M., Robertson, M., & Gelberg, L. (2012). Impact of hepatitis B and C infection on health services utilization in homeless adults: A test of the Gelberg-Andersen behavioral model for vulnerable populations. Health Psychology, 31(1), 20-30.
  59. Stein, J. A., Dixon, E. L., & Nyamathi, A. M. (2008). Effects of psychosocial and situational variables on substance abuse among homeless adults. Psychology of Addictive Behaviors, 22(3), 410-416.
  60. Stewart, D. L., Zuckerman, C. J., & Ingle, J. M. (1994). HIV seroprevalence in a chronically mentally ill population. Journal of the National Medical Association, 86(7), 519-523.
  61. Surratt, H. L., & Inciardi, J. A. (2004). HIV risk, seropositivity and predictors of infection among homeless and non-homeless women sex workers in Miami, Florida, USA. AIDS Care, 16(5), 594-604.
  62. Susser, E., Valencia, E., & Conover, S. (1993). Prevalence of HIV infection among psychiatric patients in a New York City men's shelter. American Journal of Public Health, 83(4), 568-570.
  63. Susser, M. (1998). Does risk factor epidemiology put epidemiology at risk? Peering into the future. Journal of Epidemiology and Community Health, 52(10), 608-611.
  64. Towe, V. L., Sifakis, F., Gindi, R. M., Sherman, S. G., Flynn, C., Hauck, H., & Celentano, D. D. (2010). Prevalence of HIV infection and sexual risk behaviors among individuals having heterosexual sex in low income neighborhoods in Baltimore, MD: The BESURE study. JAIDS, 53(4), 522-528.
  65. Tsemberis, S. (1999). From streets to homes: An innovative approach to supported housing for homeless adults with psychiatric disabilities. Journal of Community Psychology, 27(2), 225-241.
  66. Tsemberis, S., & Asmussen, S. (1999). From streets to homes: The pathways to housing consumer preference supported housing model. Alcoholism Treatment Quarterly, 17(1-2), 113-131.
  67. Tucker, J. S., Elliott, M. N., Wenzel, S. L., & Hambarsoomian, K. (2007). Relationship commitment and its implications for unprotected sex among impoverished women living in shelters and low-income housing in Los Angeles county. Health Psychology, 26(5), 644-649.
  68. Tucker, J. S., Wenzel, S. L., Golinelli, D., Kennedy, D. P., Ewing, B., & Wertheimer, S. (2013). Understanding heterosexual condom use among homeless men. AIDS & Behavior, 17(5), 1637-1644.
  69. Tucker, J. S., Wenzel, S. L., Golinelli, D., Ryan, G., Zhou, A., Beckman, R., . . . Green, H. D. (2010). Is substance use a barrier to protected sex among homeless women? Results from between-and within-subjects event analyses. Journal of Studies on Alcohol & Drugs, 71(1), 86-94.
  70. Warner, L., Stone, K. M., Macaluso, M., Buehler, J. W., & Austin, H. D. (2006). Condom use and risk of gonorrhea and chlamydia: A systematic review of design and measurement factors assessed in epidemiologic studies. Sexually Transmitted Diseases, 33(1), 36-51.
  71. Wechsberg, W. M., Lam, W. K. K., Zule, W., Hall, G., Middlesteadt, R., & Edwards, J. (2003). Violence, homelessness, and HIV risk among crack-using African- American women. Substance use & Misuse, 38(3-6), 669-700.
  72. Wenzel, S. L., Rhoades, H., Tucker, J. S., Golinelli, D., Kennedy, D. P., Zhou, A., & Ewing, B. (2012). HIV risk behavior and access to services: What predicts HIV testing among heterosexually active homeless men?. AIDS Education & Prevention, 24(3), 270-279.
  73. Wenzel, S. L., Tucker, J. S., Elliott, M. N., Hambarsoomians, K., Perlman, J., Becker, K., . . . Golinelli, D. (2004). 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. Preventive Medicine, 39(3), 617- 624.
  74. Wenzel, S. L., Tucker, J. S., Elliott, M. N., & Hambarsoomians, K. (2007). Sexual risk among impoverished women: Understanding the role of housing status. AIDS and Behavior, 11(6), 9-20.
  75. Wong, Y. L., & Piliavin, I. (2001). Stressors, resources, and distress among homeless persons: A longitudinal analysis. Social Science & Medicine (1982), 52(7), 1029- 1042.
  76. Zanis, D. A., Cohen, E., Meyers, K., & Cnaan, R. A. (1997). HIV risks among homeless men differentiated by cocaine use and psychiatric distress. Addictive Behaviors, 22(2), 287-292.
  77. Zolopa, A. R., Hahn, J. A., Gorter, R., Miranda, J., Wlodarczyk, D., Peterson, J., . . . Moss, A. R. (1994). HIV and tuberculosis infection in San Francisco's homeless adults: Prevalence and risk factors in a representative sample. JAMA: Journal of the American Medical Association, 272(6), 455-461.

Cited by

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Authors
Parpouchi, M., Moniruzzaman, A., McCandless, L., Patterson, M., & Somers, J. M.
ORCID
Venue
Journal of Health Care for the Poor and Underserved
Publisher
Project MUSE
Published
2016
Volume
27
Issue
3
Pages
1278-1302
ISSN
  • 1049-2089 (ISSN-L)
  • 1548-6869
DOI
10.1353/hpu.2016.0113
OpenAlex
W61228705
Cited by
6
References
8
Citations by year
2023: 1 · 2022: 2 · 2021: 2 · 2017: 1
FWCI
0.62
Type
journal article
Language
en
Open access
Locations
  • Journal of Health Care for the Poor and Underserved (publishedVersion)
  • PubMed (publishedVersion)
  • Summit (Simon Fraser University) (submittedVersion)
  • Project Muse (Johns Hopkins University) (submittedVersion)
Funders
  • Mental Health Commission
  • Simon Fraser University
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
Housing First, unprotected sex, sexual risk behavior, homelessness, housing insecurity, mental illness, structural factors, supported housing, sexually transmitted infections, comorbidities
MeSH terms
Multimorbidity, Adolescent, Adult, Mental Disorders, Canada, Female, Ill-Housed Persons, Humans, Male, Middle Aged, Public Housing, Risk-Taking, Sexually Transmitted Diseases, Social Work, Socioeconomic Factors, Substance-Related Disorders, Unsafe Sex, Young Adult

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