The study described here examined the prevalence of HIV infection as a function of place of residence and high-risk behaviors in six subpopulations of out-of-treatment drug injectors and crack cocaine users who participated in the National Institute on Drug Abuse (NIDA) Cooperative Agreement project.
The subpopulations were blacks, Hispanics, and non-Hispanic whites sampled separately by gender.
The research asked three questions :
(a) Is the HIV infection rate higher among the on-the-street homeless than among those in other places of residence ? (b) Do high-risk drug-related behaviors differ by housing status ? and (c) What are the joint effects of high-risk drug-related behaviors and housing status on the probability of HIV infection ?
Overall, on-the-street homeless had a significantly higher HIV+rate (19.0%) than the study population as a whole (11.2%). Rates differed by gender and race, with exceptionally high HIV+rates for on-the-street homeless Hispanic males (29%) and females (32%) and for on-the-street homeless black females (38%). Having used drug works previously used by a HIV-infected person was a strong predictor of HIV+status, as was frequency of drug injections and crack use.
Having multiple sex partners was also a significant risk behavior.
Findings argue against considering on-the-street homelessness as equivalent to shelter dwelling or aggregated homelessness for purposes of the AIDS epidemic. (...)
Mots-clés Pascal : Toxicomanie, Voie intraveineuse, Sans domicile fixe, Prise risque, SIDA, Virose, Infection, Contexte, Prévalence, Epidémiologie, Etats Unis, Amérique du Nord, Amérique, Homme, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : Drug addiction, Intravenous administration, Homeless, Risk taking, AIDS, Viral disease, Infection, Context, Prevalence, Epidemiology, United States, North America, America, Human, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0408546
Code Inist : 002B18C05A. Création : 25/01/1999.