ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
The HIV risk reduction needs of homeless women in Los Angeles.
Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Structural Barriers to Women's Sustained Engagement in HIV Care in Southern California.AIDS and behavior · 2020Article
- HIV Risk and Gender in Jamaica's Homeless Population.AIDS and behavior · 2018Article
- Current Age, Age at First Sex, Age at First Homelessness, and HIV Risk Perceptions Predict Sexual Risk Behaviors among Sexually Active Homeless Adults.International journal of environmental research and public health · 2018Article
- Pilot Test of an Adapted, Evidence-Based HIV Sexual Risk Reduction Intervention for Homeless Women.Prevention science : the official journal of the Society for Prevention Research · 2016Article
- History of Sex Exchange in Women with a History of Incarceration.Journal of health care for the poor and underserved · 2016Article
- Collateral consequences: implications of male incarceration rates, imbalanced sex ratios and partner availability for heterosexual Black women.Culture, health & sexuality · 2015Article
- Adapting an evidence-based intervention for homeless women: engaging the community in shared decision-making.Journal of health care for the poor and underserved · 2014Article
- Dual method use for protection of pregnancy and disease prevention among HIV-infected women in South East Nigeria.BMC women's health · 2014Article
- Personalized Biobehavioral HIV Prevention for Women and Adolescent Girls.Global advances in health and medicine · 2013Article
- Behavioral health and social normative influence: correlates of concurrent sexual partnering among heterosexually-active homeless men.AIDS and behavior · 2012Article
- Understanding Health Needs and Perspectives of Middle-Aged and Older Women Experiencing Homelessness.Public health nursing (Boston, Mass.)Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundSubstance use, housing instability, and transactional sex all contribute to HIV risk engagement among homeless women. Because of the increased risk of HIV among homeless women, this study sought to understand the context of sexual behaviors and condom use among homeless women and elucidate modifiable factors that can be targeted by interventions.
methodsHomeless women (n = 45) participated in focus groups (n = 6) at shelters throughout Los Angeles County. Thematic analyses revealed that similar to other high-risk women, homeless women engage in sex with multiple types of partners (steady, casual, and transactional).
findingsOur findings indicate that, similar to use among other high-risk women, condom use by homeless women varied by type of partner. Substance use also contributed to condom non-use. In a departure from previous research, homeless women reported overarching feelings of hopelessness. Participants spoke of hopelessness contributing to risk engagement, specifically the number of ongoing stressors experienced because of homelessness contributing to despair. Without acknowledgement of this unique quality of homelessness, women felt their risk reduction needs would never truly be understood.
conclusionsInterventions involving homeless women should include self-esteem building, acknowledgment and use of inherent resilience qualities gained during homelessness, respect for current knowledge and skills, and an exploration of when women choose to trust their partners and how they make safer sex choices.
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