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Residential Transience and HIV Risk Behaviors Among Injection Drug Users

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Abstract

Housing instability has been linked to HIV risk behaviors. Many studies have focused on the implications of one’s housing structure or lack thereof. This study focuses on residential transience as an additional dimension of housing instability. Specifically, we assessed the associations between transience and four HIV risk behaviors. Transience was defined as moving twice or more in the past six months. Multivariate analyses of a sample of current injectors (n = 807) indicated that transience had an independent effect on HIV risk behaviors. Transient individuals were more likely to share needles and go to a shooting gallery than non-transient individuals. Transience was not associated with exchanging sex or having multiple sex partners when homelessness was included in the models. Further examination of the association between housing and HIV should consider the role of transience. Interventions that promote housing stability among IDUs and address HIV risk during times of instability are needed.

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References

  • Aidala, A., Cross, J. E., Stall, R., Harre, D., & Sumartojo, E. (2005). Housing status and HIV risk behaviors: Implications for prevention and policy. AIDS and Behavior, 9, 251–265.

    Article  PubMed  Google Scholar 

  • Bartlett, S. (1996). The significance of relocation for chronically poor families in the USA. Environment and Urbanization, 9, 121–130.

    Article  Google Scholar 

  • Bolan, M. (1997). The mobility experience and neighborhood attachment. Demography, 34, 225–237.

    Article  PubMed  CAS  Google Scholar 

  • Bouhnik, A. D., Chesney, M., Carrieri, P., Gallais, H., Moreau, J., Moatti, J. P. et al. (2002). Nonadherence among HIV-infected injecting drug users: The impact of social instability. Journal of Acquired Immune Deficiency Syndromes, 31(3), S149–S153.

    Google Scholar 

  • Browning, C. R., & Cagney, K. A. (2002). Neighborhood structural disadvantage, collective efficacy, and self-rated physical health in an urban setting. Journal of Health and Social Behavior, 43, 383–398.

    Article  PubMed  Google Scholar 

  • Browning, C. R., & Cagney, K. (2003). Moving beyond poverty: Neighborhood structure, social processes, and health. Journal of Health and Social Behavior, 44, 552–571.

    Article  PubMed  Google Scholar 

  • Carlisle-Frank, P. L. (1992). The relocation experience: Analysis of factors thought to inflluence adjustment to transition. Psychological Reports, 70, 835–838.

    Article  Google Scholar 

  • Corneil, T. A., Kuyper, L. M., Shoveller, J., Hogg, R. S., Li, K., Spittal, P. M., et al. (2006). Unstable housing, associated risk behaviour, and increased risk for HIV infection among injection drug users. Health & Place, 12, 79–85.

    Article  Google Scholar 

  • Cottler, L. B., Compton, W. M. III, Ben Abdallah, A., Horne, M., & Claverie, D. (1996). Achieving a 96.6 percent follow-up rate in a longitudinal study of drug abusers. Drug and Alcohol Dependence, 41, 209–217.

    Article  PubMed  CAS  Google Scholar 

  • Evans, J. L., Hahn, J. A., Page-Shafer, K., Lum, P. J., Stein, E. S., Davidson, P. J., et al. (2003). Gender differences in sexual and injection risk behavior among active young injection drug users in San Francisco (the UFO Study). Journal of Urban Health, 80, 137–146.

    Article  PubMed  Google Scholar 

  • Herdt G. (Eds.). (1997). Sexual cultures and migration in the era of AIDS. Anthropological and demographic perspectives. New York: Oxford University Press.

    Google Scholar 

  • Institute of Medicine. (1999). Supporting adolescents with social institutions. In M. D. Kipke (Eds.), Risks and Opportunities: Synthesis of Studies on Adolescence (pp. 18–29). Washington, D.C. National Academy Press.

  • Latkin, C. A., Mandell, W., Knowlton, A. R., Vlahov, D., & Hawkins, W. (1998). Personal network correlates and predictors of homelessness for injection drug users in Baltimore, Maryland. Journal of Social Distress and the Homeless, 7, 263–278.

    Article  Google Scholar 

  • Macalino, G. E., Celentano, D. D., Latkin, C. A., Strathdee, S. A., & Vlahov, D. (2002). Risk behaviors by audio computer-assisted self-interviews among HIV-seropositive and HIV-seronegative injection drug users. AIDS Education and Prevention, 14, 367–378.

    Article  PubMed  Google Scholar 

  • Mehta, S. H., Thomas, D. L., Sulkowski, M. S., Safaein, M., Vlahov, D., & Strathdee, S. A. (2005). A framework for understanding factors that affect access and utilization of treatment for hepatitis C virus infection among HCV-mono-infected and HIV/HCV-co-infected injection drug users. AIDS, 19(3), S179–S189.

  • Messiah, A., Navaline, H., Davis-Vogel, A., Tobin-Fiore, D., & Metzger, D. (2003). Sociodemographic and behavioral characteristics associated with timeliness and retention in a 6-month follow-up study of high-risk injection drug users. American Journal of Epidemiology, 157, 930–939.

    Article  PubMed  Google Scholar 

  • Metraux, S., Metzger, D. S., & Culhane, D. P. (2004). Homelessness and HIV risk behaviors among injection drug users. Journal of Urban Health, 81, 618–629.

    PubMed  Google Scholar 

  • Paris, N. M., East, R. T., & Toomey, K. E. (1996). HIV seroprevalence among Atlanta’s homeless. Journal of Health Care for the Poor and Underserved, 7, 83–93.

    PubMed  CAS  Google Scholar 

  • Parker, R. G., Easton, D., & Klein, C. H. (2000). Structural barriers and facilitators in HIV prevention: A review of international research. AIDS, 14(S1), S22–S32.

    Article  PubMed  Google Scholar 

  • Patrick, D. M., Strathdee, S. A., Archibald, C. P., Ofner, M., Craib, K. J., Cornelisse, P. G., et al. (1997). Determinants of HIV seroconversion in injection drug users during a period of rising prevalence in Vancouver. International Journal of STD and AIDS, 8, 437–445.

    Article  PubMed  CAS  Google Scholar 

  • Rhodes, T., Kimber, J., Small, W., Fitzgerald, J., Kerr, T., Hickman, M., & Holloway, G. (2006). Public injecting and the need for ‘safer environment interventions’ in the reduction of drug-related harm. Addiction, 101(10), 1384–1393.

    Article  PubMed  Google Scholar 

  • Rhodes, T., Singer, M., Bourgois, P., Friedman, S. E., & Strathdee, S. A. (2005). The social structural production of HIV risk among injecting drug users. Social Science & Medicine, 61, 1026–1044.

    Article  Google Scholar 

  • Shlay, J. C., Blackburn, D., O’Keefe, K., Raevsky, C., Evans, M., & Cohn, D. L. (1996). Human immunodeficiency virus seroprevalence and risk assessment of a homeless population in Denver. Sexually Transmitted Diseases, 23, 304–311.

    Article  PubMed  CAS  Google Scholar 

  • Shumaker, S. A., & Stokols, D. (1982). Residential mobility as a social issue and research topic (USA). Journal of Social Issues, 38, 1–19.

    Google Scholar 

  • Sluzki, C. E. (1992). Disruption and reconstruction of networks following migration/relocation. Family Systems Medicine, 10, 359–363.

    Article  Google Scholar 

  • Smereck, G. A., & Hockman, E. M. (1998). Prevalence of HIV infection and HIV risk behaviors associated with living place: on-the-street homeless drug users as a special target population for public health intervention. The American Journal of Drug and Alcohol Abuse, 24, 299–319.

    Article  PubMed  CAS  Google Scholar 

  • Sosin, M., Piliavin, I., & Westerfelt, H. (1990). Toward a longitudinal analysis of homelessness. Journal of Social Issues, 46, 157–174.

    Google Scholar 

  • Stokols, D., & Shumaker, S. A. (1982). The psychological context of residential mobility and well-being. Journal of Social Issues, 38, 149–171.

    Google Scholar 

  • Tomas, A., & Dittmar, H. (1995). The experience of homeless women: an exploration of housing histories and the meaning of home. Housing Studies, 10, 493–515.

    Article  Google Scholar 

  • Waltermaurer, E., McNutt, L.-A, & Mattingly, M. J. (2006) Examining the effect of residential change on intimate partner violence risk. Journal of Epidemiology and Community Health, 60(11), 1214–1222.

    Article  Google Scholar 

  • Weitzman, B., Knickman, J., & Shinn, M. (1990). Pathways to homelessness among New York City families. Journal of Social Issues, 46, 125–140.

    Article  Google Scholar 

  • Winstanley, A., Thorns, D. C., & Perkins, H. V. (2002). Moving house, creating home: Exploring residential mobility. Housing Studies, 17, 813–832.

    Article  Google Scholar 

  • Zolopa, A. R., Hahn, J. A., Gorter, R., Miranda, J., Wlodarczyk, D., Peterson, J., et al. (1994). HIV and tuberculosis infection in San Francisco’s homeless adults. Prevalence and risk factors in a representative sample. JAMA, 272, 455–461.

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

This work was funded by the National Institute on Drug Abuse, grant# 1RO1 DA016555).

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Correspondence to Melissa A. Davey.

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German, D., Davey, M.A. & Latkin, C.A. Residential Transience and HIV Risk Behaviors Among Injection Drug Users. AIDS Behav 11 (Suppl 2), 21–30 (2007). https://doi.org/10.1007/s10461-007-9238-3

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  • DOI: https://doi.org/10.1007/s10461-007-9238-3

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