Abstract
Research was conducted to identify subcultural peer groups within a homeless youth population and determine whether these groups differ with respect to drug use patterns and HIV risk. Using systematic sampling methods, 309 homeless youth (ages 13–23 years) were recruited from street and service sites. Drug use patterns and HIV risk profiles were found to vary according to group affiliation. Respondents in the punks and gay/bisexual groups were more likely to have a substance abuse disorder. Respondents in the “punker” group also were at increased risk for having unprotected sex and sharing needles. Respondents in the “gay/bisexual” and “hustler” groups were at increased risk for having survival sex. Yet, unlike the “gay/bisexual group,” the “hustler” group was more likely to report being tested for HIV. These findings suggest that outreach and intervention strategies may need to be tailored to the specific norms, values, and behavioral risk profiles of each peer group.
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REFERENCES
Anderson, J., Pennbridge, J., and Freese T. (1994). Sexual risk behavior and condom use among street youth in Hollywood. Family Planning Perspectives, 26, 22–25.
Biglan, A., Metzler, C. W., Wirt, R., Ary, D., Noell, J., Ocs, L., French, C., and Hood, D. (1990). Social and behavioral factors associated with high-risk sexual behavior among adolescents. Journal of Behavioral Medicine, 13, 253–261. ia]Centers for Disease Control and Prevention. (1995a). AIDS Daily Summary, January 31. ia]Centers for Disease Control and Prevention. (1995b). AIDS Daily Summary, February 3.
Cliff, N. (1988). The eigenvalues-greater-than-one rule and the reliability of components. Psychological Bulletin, 103, 276–279. ia]Council on Scientific Affairs. (1990). Health status of detained and incarcerated youth. Journal of the American Medical Association, 263, 987–991. ia]Department of Health and Human Services. (1983). Runaway and homeless youth: National program inspection, US.
Dinges, M. M., and Oetting, E. R. (1993). Similarity in drug use patterns between adolescents and their friends. Adolescence, 28, 253–266.
Dolcini, M. M., and Adler, N. E. (1994). Perceived competencies, peer group affiliation, and risk behavior among early adolescents. Health Psychology, 13, 496–506.
Dwyer, J. H. (1983). Statistical models for the social and behavioral sciences. New York: Oxford University Press.
Elliott, D. S., Ageton, S. S., Huizinga, D., Knowles, B. A., and Canter, R. J. (1983). The prevalence and incidence of delinquent behavior: 1976–1980. National estimates of delinquent behavior by sex, race, social class and other selected variables. Behavioral Research Institute. Boulder, CO.
Ennett, S. T., and Bauman, K. E. (1993). Peer group structure and adolescent cigarette smoking: A social network analysis. Journal of Health and Social Behavior, 34, 226–236.
Fullilove, M. T., Golden, E., Fullilove, R. E., Lennon, R., Porterfield, D., Schwarcz, S., and Bolan, G. (1993). Crack cocaine use and high-risk behaviors among sexually active black adolescents. Journal of Adolescent Health, 14, 295–300.
Gable, R. S. (1993). Toward a comparative overview of dependence potential and acute toxicity of psychoactive substances used nonmedically. American Journal of Drug and Alcohol Abuse, 19, 263–281.
Hein, K. (1989). AIDS in adolescence: The next wave of the HIV epidemic. Journal of Pediatrics, 114, 114–119.
Huba, G. J., & Harlow, L. L. (1987). Robust structural equation models: Implications for developmental psychology. Child Development, 58, 147–166. ia]Institute of Medicine. (1989). Research on children and adolescents with mental, behavioral, and developmental disorders: Mobilizing a national initiative. Washington, DC: National Academy Press.
Jessor, R., Chase, J. A., and Donovan, J. E. (1980). Psychosocial correlates of marijuana use and problem drinking in a national sample of adolescents. American Journal of Public Health, 70, 604–613.
Jessor, R., and Jessor, S. L. (1977). Problem behavior and psychosocial development: A longitudinal study of youth. New York: Academic Press.
Kelly, J. A., St. Lawrence, J. S., Diaz, Y. E., Stevenson, L. Y., Hauth, A., Brasfield, T. L., Kalichman, S. C., Smith, J. E., and Andrew, M. E. (1991). HIV risk behavior reduction following interention with key opinion leaders of population: An experimental analysis. American Journal of Public Health, 81, 168–171.
Kelly, J. A., St. Lawrence, J. S., Stevenson, L. Y., Hauth, A. C., Kalichman, S. C., Diaz, Y. E., Brasfield, T. L., Koob, J. J., and Morgan, M. G. (1992). Community AIDS/HIV risk reduction: The effects of endorsements by popular people in three cities. American Journal of Public Health, 82, 1483–1489.
Kennedy, M. G., Greenberg, J., Clatts, M., Kipke, M. D., and Mills, S. (1994). Patterns and correlates of high-risk behavior among street youth. Presented at the Annual Meeting of the American Public Health Association, Washington, DC.
Kipke, M. D., Clatts, M., Mills, S., Palmer, R., Anderson, J., and Seeman, M. (1995a). Substance use and injection drug use behaviors among street youth in four US cities. Presented at the Annual Meetings of the American Public Health Association, San Diego, CA.
Kipke, M. D., Montgomery, S. B., and MacKenzie, R. G. (1993a). Substance use among youth seen at a community-based health clinic. Journal of Adolescent Health, 14, 289–294.
Kipke, M. D., O'Connor, S., Palmer, R., and LaFrance, S. (1993b). Street youth and HIV: Meeting the challenge in two communities. Presented at the Annual Meetings of the American Public Health Assocation, Washington, DC.
Kipke, M. D., O'Connor, S., Palmer, R., and MacKenzie, R. G. (1995). Street youth in Los Angeles: Profile of a group at high risk for human immunodeficiency virus infection. Archives of Pediatric and Adolescent Medicine, 149, 513–519.
Kipke, M. D., Palmer, R. F., LaFrance, S., and O'Connor, S. (1997). Homeless youths' descriptions of their parents' childrearing practices. Youth and Society, 28, 415–431.
Kipke, M. D., Unger, J., O'Connor, S., Palmer, R. F., and LaFrance, S. (in press). Street youth, their peer group affiliation and differences according to residential status, subsistence patterns and use of services. Adolescence.
LaFrance, S. R., Pennbridge J., and Casey, C. C. (1993). A service provider's typology of street youth at risk for HIV in Los Angeles, California. Unpublished manuscript.
Mislevy, R. J. (1986). Recent developments in the factor analysis of categorial variables. Journal of Educational Statistics, 11, 3–31.
Mosbach, P., and Leventhal, H. (1988). Peer group identification and smoking: Implications for intervention. Journal of Abnormal Psychology, 97, 238–245.
Newcomb, M. D., and Bentler, P. M. (1989). Substance use and abuse among children and teenagers. American Psychologist, 44, 242–248.
Oetting, E. R., and Beauvais, F. (1987). Peer cluster theory, socialization characteristics, and adolescent drug use: A path analysis. Journal of Counseling Psychology, 34, 205–213.
Robertson, M. J. (1989). Homeless youth: Patterns of alcohol use. Berkeley, CA: Alcohol Research Group, School of Public Health, University of California at Berkeley.
Robertson, M. J., and Greenblatt, M. (1992). Homelessness: A national perspective. New York: Plenum Press.
Robins, L. N., and Cottler, L. B. (1990). Composite International Diagnostic Interview—Expanded Substance Abuse Module (CIDI—SAM). St. Louis, MO: Robins, Cottler and Babor.
Rotheram-Borus, M. J., Meyer-Bahlburg, H. F. L., Rosario, M., Koopman, C., Haignere, C. S., Exner, T. M., Matthieu, M., Henderson, R., and Gruen, R. S. (1992). Lifetime sexual behaviors among predominantly minority male runaways and gay/bisexual adolescents in New York City. AIDS Education and Prevention (Fall Supplement), 1992, 34–42. ia]SAS Institute, Inc. (1989). SAS/STAT User's Guide, Version 6, Fourth Edition, Volume 2, Cary, NC: SAS Institute, Inc.
Stefanidis, N., Pennbridge, J., MacKenzie, R. G., and Pottharst, K. (1992). Runaway and homeless youth: The effects of attachment history on stabilization. American Journal of Orthopsychiatry, 62, 442–446.
Sussman, S., Dent, C. W., McAdams, L. A., Stacy, A. W., Burton, D., and Flay, B. R. (1994). Group self-identification and adolescent cigarette smoking: A 1-year prospective study. Journal of Abnormal Psychology, 103, 576–580.
Sussman, S., Dent, C. W., Stacy, A. W., Burciaga, C., Raynor, A., Turner, G. E., Charlin, V., Craig, S., Hansen, W. B., and Burton, D. (1990). Peer-group association and adolescent tobacco use. Journal of Abnormal Psychology, 99, 349–352.
Yates, G. L., MacKenzie, R., Pennbridge, J., and Cohen, E. (1988). A risk profile comparison of runaway and non-runaway youth. American Journal of Public Health, 81, 208–210.
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Kipke, M.D., Montgomery, S.B., Simon, T.R. et al. Homeless Youth: Drug Use Patterns and HIV Risk Profiles According to Peer Group Affiliation. AIDS Behav 1, 247–259 (1997). https://doi.org/10.1023/A:1026279402791
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DOI: https://doi.org/10.1023/A:1026279402791