ArticleBMC public health2016
Substance use patterns and unprotected sex among street-involved youth in a Canadian setting: a prospective cohort study.
Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Primary Prevention Interventions for Problematic Substance Use in Adolescents: A Scoping Review.Journal of prevention (2022) · 2026Review
- Substance Misuse Pattern and Sexual Risk Behavior among Street Adolescents in Central Java, Indonesia.Journal of research in health sciences · 2025Article
- Intersecting Risk Factors Associated With High Syphilis Seroprevalence Among a Street-Involved Population in Canada.Open forum infectious diseases · 2025Article
- Risk factors of sexual and reproductive health problems, service utilization, and its challenges among street youths in East Gojjam zone, North West Ethiopia: exploratory qualitative study.BMC public health · 2025Article
- Factors associated with unintended pregnancy and contraceptive practices in justice-involved adolescent girls in Australia.PloS one · 2024Article
- Retail demand for emergency contraception in United States following New Year holiday: time series study.BMJ (Clinical research ed.) · 2023Article
- Alcohol Use as a Predictor of Risky Sexual Behaviour among Young Adults in the Western Cape Province of South Africa.International journal of environmental research and public health · 2023Article
- Analyzing risky behaviors among different minority and majority race in teenagers in the USA using latent classes.Frontiers in behavioral neuroscience · 2023Article
- Predictors of consistent condom use among young psychoactive substance users in Kampala's informal settlements, Uganda.Dialogues in health · 2022Article
- Article
- Miscarriage and Abortion Among Women Attending Harm Reduction Services in Philadelphia: Correlations With Individual, Interpersonal, and Structural Factors.Substance use & misuse · 2022Article
- HIV Prevalence and Associated Risks in a Respondent-Driven Sample of Illicit Stimulant Users in a Southern United States City.AIDS and behavior · 2020Article
- Prevalence and correlates of HIV infection among people who use drugs in Cambodia: a cross-sectional survey using respondent driven sampling method.BMC infectious diseases · 2019Article
- Natural language processing and machine learning to identify alcohol misuse from the electronic health record in trauma patients: development and internal validation.Journal of the American Medical Informatics Association : JAMIA · 2019Observational
- Clinical and functional characteristics of young adults living in single room occupancy housing: preliminary findings from a 10-year longitudinal study.Canadian journal of public health = Revue canadienne de sante publique · 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
- Perspectives on HIV Testing Among WIC-Enrolled Postpartum Women: Implications for Intervention Development.AIDS education and prevention : official publication of the International Society for AIDS Education · 2017Article
- A comparison of psychotic symptoms in subjects with methamphetamine versus cocaine dependence.Psychopharmacology · 2017Article
- Unsafe sexual behaviour associated with hazardous alcohol use among street-involved youth.AIDS care · 2017Article
- Eviction and loss of income assistance among street-involved youth in Canada.Journal of public health policy · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundRates of sexually transmitted infections (STI) and unplanned pregnancy are high among youth. While the intersection between drug and alcohol use and unprotected sex is well recognized, few studies have examined the relationship between substance use patterns and unprotected sex among high risk-populations such as street-involved youth.
methodsData were derived from the At-Risk Youth Study (ARYS), a prospective cohort of street-involved youth from Vancouver, Canada. Generalized estimating equations (GEE) were used to examine substance use patterns that were independently associated with unprotected sex, defined as (vaginal or anal) sexual intercourse without consistent condom use.
resultsBetween September 2005 and May 2013, 1,026 youth were recruited into the ARYS cohort and 75% (n = 766) reported engaging in recent unprotected sex at some point during the study period. In a multivariable analysis, female gender (adjusted odds ratio [AOR] = 1.46, 95% confidence interval [CI]: 1.18-1.81), Caucasian ancestry (AOR = 1.38, 95% CI: 1.13-1.68), being in a stable relationship (AOR = 4.64, 95% CI: 3.82-5.65), having multiple sex partners (AOR = 2.60, 95% CI: 2.18-3.10) and the following substance use patterns were all independently associated with recent unprotected sex: injection or non-injection crystal methamphetamine use (AOR = 1.21, 95% CI: 1.03-1.43), injection or non-injection cocaine use (AOR = 1.20, 95% CI: 1.02-1.41), marijuana use (AOR = 1.23, 95% CI: 1.02-1.49), ecstasy use (AOR = 1.23, 95% CI: 1.01-1.48) and alcohol use (AOR = 1.31, 95% CI: 1.11-1.55) (all p < 0.05).
conclusionsUnprotected sex was prevalent among street-involved youth in this setting, and independently associated with female gender and a wide range of substance use patterns. Evidence-based and gender-informed sexual health interventions are needed in addition to increased access to youth-centered addiction treatment services. STI testing and linkages to healthcare professionals remain important priorities for street-involved youth, and should be integrated across all health and social services.
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