Evidence map›Paper›PMID 25636862›Full record

ArticleBMC public health2015

Risk evaluations and condom use decisions of homeless youth: a multi-level qualitative investigation.

David P Kennedy, Ryan A Brown, Penelope Morrison, Loryana Vie, Gery W Ryan, Joan S Tucker

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.8field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

David P KennedyRAND Health, RAND Corporation, P.O. Box 2138, 1776 Main Street, Santa Monica, CA, 90407, USA. davidk@rand.org.
Ryan A BrownRAND Health, RAND Corporation, P.O. Box 2138, 1776 Main Street, Santa Monica, CA, 90407, USA. rbrown@rand.org.
Penelope MorrisonThe RAND-University of Pittsburgh Health Institute, Pittsburgh, PA, USA. morrisonpk@upmc.edu.
Loryana VieThe Department of Psychology, University of Pennsylvania, Philadelphia, PA, USA. lvie001@ucr.edu.
Gery W RyanRAND Health, RAND Corporation, P.O. Box 2138, 1776 Main Street, Santa Monica, CA, 90407, USA. gery@rand.org.
Joan S TuckerRAND Health, RAND Corporation, P.O. Box 2138, 1776 Main Street, Santa Monica, CA, 90407, USA. jtucker@rand.org.
RAND Corporation · USUniversity of Pennsylvania · USUniversity of Pittsburgh · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
DRUG USE, SOCIAL CONTEXT, AND HIV RISK IN HOMELESS YOUTHR01DA020351 · NIDA · RAND CORPORATION · PI TUCKER, JOAN S · 2007 to 2010
$3.1M
Building an Inter-Disciplinary Network on Culture and HIV Risk PerceptionR24MD008818 · NIMHD · RAND CORPORATION · PI KENNEDY, DAVID PATRICK · 2013 to 2014
$500k
NCATS NIH HHS UL1 TR000005NIDA NIH HHS R01 DA020351NIDA NIH HHS R01DA020351NIMHD NIH HHS R24 MD008818NIMHD NIH HHS R24MD008818-01
6 · The paper itself

Abstract

backgroundHomeless youth are at higher risk for sexually transmitted infections and unwanted pregnancy than non-homeless youth. However, little is known about how they evaluate risk within the context of their sexual relationships. It is important to understand homeless youths' condom use decisions in light of their sexual relationships because condom use decisions are influenced by relationship dynamics in addition to individual attitudes and event circumstances. It is also important to understand how relationship level factors, sexual event circumstances, and individual characteristics compare and intersect.

methodsTo explore these issues, we conducted semi-structured interviews with 37 homeless youth in Los Angeles County in 2011 concerning their recent sexual relationships and analyzed the data using systematic methods of team-based qualitative data analysis.

resultsWe identified themes of risk-related evaluations and decisions at the relationship/partner, event, and individual level. We also identified three different risk profiles that emerged from analyzing how different levels of risk intersected across individual respondents. The three profiles included 1) Risk Takers, who consistently engage in risk and have low concern about consequences of risk behavior, 2) Risk Avoiders, who consistently show high concern about protection and consistently avoid risk, and 3) Risk Reactors, those who are inconsistent in their concerns about risk and protection and mainly take risks in reaction to relationship and event circumstances.

conclusionsInterventions targeting homeless youth should reflect multiple levels of risk behavior and evaluation in order to address the diversity of risk profiles. Relationship/partner-, event-, and individual-level factors are all important but have different levels of importance for different homeless youth. Interventions should be tailored to address the most important factor contributing to homeless youth reproductive needs.

Indexed as

AdolescentCondomsFemaleHomeless YouthHumansLos AngelesMalePregnancyRisk AssessmentRisk-TakingSexual BehaviorSexually Transmitted DiseasesSexual PartnersSocioeconomic FactorsYoung Adult

Identifiers

PMID25636862
PMCPMC4324882
OpenAlexW1993893411

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.