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Condomless Sex and Psychiatric Comorbidity in the Context of Constrained Survival Choices: A Longitudinal Study Among Homeless and Unstably Housed Women.
AIDS Behav. 2019 Mar; 23(3):802-812.AB

Abstract

We sought to identify the prevalence and independent correlates of condomless sex within a cohort of community-recruited homeless and unstably housed cisgender adult women who were followed biannually for 3 years (N = 143 HIV+ , N = 139 HIV-). Nearly half (44%) of participants reported condomless sex in the 6 months before baseline, which increased to 65% throughout the study period. After adjusting for having a primary partner, longitudinal odds of condomless sex among women with HIV were significantly higher among those reporting < daily use of alcohol or cannabis (AOR = 2.09, p =.002, and 1.88, p =.005, respectively) and PTSD (AOR = 1.66, p =.034). Among women without HIV, adjusted longitudinal odds of condomless sex were significantly higher for those reporting < daily methamphetamine use (AOR = 2.02, p =.012), panic attack (AOR = 1.74, p =.029), and homelessness (AOR = 1.67, p = .006). Associations were slightly attenuated when adjusting for sex exchange. Targeted HIV/STI programs for unstably housed women should address anxiety and trauma disorders, infrequent substance use, and housing challenges.

Authors+Show Affiliations

Department of Psychiatry and Weill Institute for Neurosciences, University of California San Francisco, San Francisco, CA, USA. meredith.meacham@ucsf.edu. Division of HIV, ID & Global Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA. meredith.meacham@ucsf.edu.Department of Psychiatry and Weill Institute for Neurosciences, University of California San Francisco, San Francisco, CA, USA.Department of Psychiatry and Weill Institute for Neurosciences, University of California San Francisco, San Francisco, CA, USA.Division of HIV, ID & Global Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.Division of HIV, ID & Global Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30267368

Citation

Meacham, Meredith C., et al. "Condomless Sex and Psychiatric Comorbidity in the Context of Constrained Survival Choices: a Longitudinal Study Among Homeless and Unstably Housed Women." AIDS and Behavior, vol. 23, no. 3, 2019, pp. 802-812.
Meacham MC, Bahorik AL, Shumway M, et al. Condomless Sex and Psychiatric Comorbidity in the Context of Constrained Survival Choices: A Longitudinal Study Among Homeless and Unstably Housed Women. AIDS Behav. 2019;23(3):802-812.
Meacham, M. C., Bahorik, A. L., Shumway, M., Marquez, C., & Riley, E. D. (2019). Condomless Sex and Psychiatric Comorbidity in the Context of Constrained Survival Choices: A Longitudinal Study Among Homeless and Unstably Housed Women. AIDS and Behavior, 23(3), 802-812. https://doi.org/10.1007/s10461-018-2280-5
Meacham MC, et al. Condomless Sex and Psychiatric Comorbidity in the Context of Constrained Survival Choices: a Longitudinal Study Among Homeless and Unstably Housed Women. AIDS Behav. 2019;23(3):802-812. PubMed PMID: 30267368.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Condomless Sex and Psychiatric Comorbidity in the Context of Constrained Survival Choices: A Longitudinal Study Among Homeless and Unstably Housed Women. AU - Meacham,Meredith C, AU - Bahorik,Amber L, AU - Shumway,Martha, AU - Marquez,Carina, AU - Riley,Elise D, PY - 2018/9/30/pubmed PY - 2019/4/17/medline PY - 2018/9/30/entrez KW - Anxiety KW - Condomless sex KW - Housing KW - Substance use KW - Trauma KW - Unprotected sex SP - 802 EP - 812 JF - AIDS and behavior JO - AIDS Behav VL - 23 IS - 3 N2 - We sought to identify the prevalence and independent correlates of condomless sex within a cohort of community-recruited homeless and unstably housed cisgender adult women who were followed biannually for 3 years (N = 143 HIV+ , N = 139 HIV-). Nearly half (44%) of participants reported condomless sex in the 6 months before baseline, which increased to 65% throughout the study period. After adjusting for having a primary partner, longitudinal odds of condomless sex among women with HIV were significantly higher among those reporting < daily use of alcohol or cannabis (AOR = 2.09, p =.002, and 1.88, p =.005, respectively) and PTSD (AOR = 1.66, p =.034). Among women without HIV, adjusted longitudinal odds of condomless sex were significantly higher for those reporting < daily methamphetamine use (AOR = 2.02, p =.012), panic attack (AOR = 1.74, p =.029), and homelessness (AOR = 1.67, p = .006). Associations were slightly attenuated when adjusting for sex exchange. Targeted HIV/STI programs for unstably housed women should address anxiety and trauma disorders, infrequent substance use, and housing challenges. SN - 1573-3254 UR - https://www.unboundmedicine.com/medline/citation/30267368/Condomless_Sex_and_Psychiatric_Comorbidity_in_the_Context_of_Constrained_Survival_Choices:_A_Longitudinal_Study_Among_Homeless_and_Unstably_Housed_Women_ L2 - https://doi.org/10.1007/s10461-018-2280-5 DB - PRIME DP - Unbound Medicine ER -