HIV risks in a homeless population

Int J STD AIDS. 2000 Aug;11(8):509-15. doi: 10.1258/0956462001916416.

Abstract

Homeless people are one of the most vulnerable with regard to HIV transmission. However, most research on this population has been carried out on samples from health clinics. We surveyed 390 homeless people in Houston at a day shelter with regard to their HIV/AIDS knowledge and risk behaviours. The sample was 76% African-American, 11% Euro-American, with small numbers of Latin-Americans, Native-Americans and Asian-Americans: half were born in Texas, and 92% were male. Data indicated that HIV/AIDS knowledge was higher in those who were at higher behavioural risk, although the direction of causality in these cross-sectional data cannot be inferred. African-Americans were at slightly higher risk. Compared with previous clinic samples, this sample was older and a higher number (one-third) slept the last night outside. Eighty per cent had had an HIV test. Condom use was low with both males and females most commonly not reporting using condoms although more than half had had sexual contact in the past month. Multivariate analysis indicated that ethnicity and HIV/AIDS knowledge were independent predictors of risk behaviour. Lifetime risks included one-third who had injected drugs (and shared needles), and nearly 10% had had sex with someone they knew to be HIV seropositive. Lack of future time perspective rather than level of knowledge may be a barrier to reducing HIV risks, and the data are discussed in terms of policy implications and homelessness.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Attitude to Health* / ethnology
  • Black or African American / education
  • Black or African American / psychology*
  • Cross-Sectional Studies
  • Female
  • HIV Infections / ethnology
  • HIV Infections / etiology*
  • HIV Infections / prevention & control
  • HIV Infections / transmission
  • Health Behavior* / ethnology
  • Health Knowledge, Attitudes, Practice*
  • Hispanic or Latino / education
  • Hispanic or Latino / psychology*
  • Humans
  • Ill-Housed Persons / education
  • Ill-Housed Persons / psychology*
  • Ill-Housed Persons / statistics & numerical data*
  • Logistic Models
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Risk Factors
  • Risk-Taking*
  • Sexual Behavior / ethnology
  • Sexual Behavior / psychology
  • Sexual Behavior / statistics & numerical data
  • Substance Abuse, Intravenous / complications
  • Surveys and Questionnaires
  • Texas / epidemiology
  • Urban Health / statistics & numerical data
  • White People / education
  • White People / psychology*