ReviewSexually transmitted diseases2017
Narrative Review: Sexually Transmitted Diseases and Homeless Youth-What Do We Know About Sexually Transmitted Disease Prevalence and Risk?
Review in Sexually transmitted diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.
- Sexually Transmitted Infection Prevalence among Homeless Adults in the United States: A Systematic Literature Review.Sexually transmitted diseases · 2018Pooled it
- A randomized controlled trial of a brief motivational interviewing-based group intervention for emerging adults experiencing homelessness: 12-Month effects on substance use and sexual risk behavior.Journal of substance use and addiction treatment · 2023Trial
- Exploring Sexually Transmitted and Bloodborne Infection Rates in Florida After Implementation of Syringe Services Programs: A Quasi-Experimental Study.AJPM focus · 2026Article
- Couch-Surfing and HIV Risk Behavior Among Young Adults Experiencing Homelessness.AIDS and behavior · 2026Article
- Including the excluded: an evaluation of a sexual health promotion capacity building intervention among specialist homelessness services in New South Wales.International journal for equity in health · 2026Article
- Cervical Cancer Screening Rates and Associated Sociodemographic and Behavioral Factors among People Experiencing Homelessness in Indiana.Research square · 2026Article
- Intersecting Risk Factors Associated With High Syphilis Seroprevalence Among a Street-Involved Population in Canada.Open forum infectious diseases · 2025Article
- What We (Don't) Know About the Infectious Disease Burden Among Youth Experiencing Homelessness in the United States and Canada.The Journal of infectious diseases · 2025Review
- Sexual and Reproductive Health Care Utilization for Youth Experiencing Homelessness.Clinical pediatrics · 2025Article
- Comparative treatment of homeless persons with an infectious disease in the US emergency department setting: a retrospective approach.Journal of epidemiology and community health · 2024Article
- "I Need to Get My Culture Back": Youth and Provider Perspectives on Integrating Culturally Based Approaches into Sexual and Reproductive Health Programs for Native Hawaiian and Pacific Islander Youth Experiencing Homelessness.Prevention science : the official journal of the Society for Prevention Research · 2023Article
- Cancer risk factors and access to cancer prevention services for people experiencing homelessness: a scoping review protocol.BMJ open · 2023Article
- Socioeconomic inequality, health inequity and well-being of transgender people during the COVID-19 pandemic in Nigeria.BMC public health · 2023Article
- Secondary Outcomes of a Brief Group Alcohol and Risky Sex Intervention for Emerging Adults Experiencing Homelessness.Emerging adulthood (Print) · 2023Article
- Self-reported sexually transmitted infections among adolescent girls and young women in Mali: analysis of prevalence and predictors.BMJ open · 2023Article
- Serosurvey of anti-Toxocara canis antibodies in people experiencing homelessness and shelter workers from São Paulo, Brazil.Parasites & vectors · 2022Article
- Access to Healthcare and the Utilization of Sexually Transmitted Infections Among Homeless Medicaid Patients 15 to 44 Years of Age.Journal of community health · 2022Article
- Counter-Narratives of Structural Oppressions, Stigma and Resistance, and Reproductive and Sexual Health Among Youth Experiencing Homelessness.Qualitative health research · 2022Article
- Prevalence ofBMJ open · 2022Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundHomelessness affects an estimated 1.6 million US youth annually. Compared with housed youth, homeless youth are more likely to engage in high-risk behaviors, including inconsistent condom use, multiple sex partners, survival sex, and alcohol/drug use, putting them at increased sexually transmitted disease (STD) risk. However, there is no national estimate of STD prevalence among this population.
methodsWe identified 10 peer-reviewed articles (9 unique studies) reporting STD prevalence among homeless US youth (2000-2015). Descriptive and qualitative analyses identified STD prevalence ranges and risk factors among youth.
resultsEight studies reported specific STD prevalence estimates, mainly chlamydia, gonorrhea, and syphilis. Overall STD prevalence among homeless youth ranged from 6% to 32%. STD rates for girls varied from 16.7% to 46%, and from 9% to 13.1% in boys. Most studies were conducted in the Western United States, with no studies from the Southeast or Northeast. Youths who experienced longer periods of homelessness were more likely to engage in high-risk sexual behaviors. Girls had lower rates of condom use and higher rates of STDs; boys were more likely to engage in anal and anonymous sex. Additionally, peer social networks contributed to protective effects on individual sexual risk behavior.
conclusionsSexually transmitted disease prevalence estimates among homeless youth fluctuated greatly by study. Sexually transmitted disease risk behaviors are associated with unmet survival needs, length of homelessness, and influence of social networks. To promote sexual health and reduce STD rates, we need better estimates of STD prevalence, more geographic diversity of studies, and interventions addressing the behavioral associations identified in our review.
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What OpenQuestion holds
Registered trials
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.