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Related Experiment Videos

Newly homeless youth STD testing patterns over time.

M Rosa Solorio1, Norweeta G Milburn, Robert E Weiss

  • 1Department of Family Medicine, David Geffen School of Medicine at UCLA, University of California, Los Angeles, Los Angeles, California 90024-4142, USA. rsolorio@mednet.ucla.edu

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
|August 22, 2006
PubMed
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Newly homeless youth require targeted interventions to increase sexually transmitted disease (STD) testing. Factors like race, sexual orientation, and substance use influence testing rates, highlighting a need for tailored public health strategies.

Area of Science:

  • Public Health
  • Epidemiology
  • Sociology

Background:

  • Homeless youth face significant health disparities, including higher risks for sexually transmitted diseases (STDs).
  • Understanding the factors influencing STD testing among this vulnerable population is crucial for effective intervention.
  • The Behavioral Model for Vulnerable Populations provides a framework to analyze predisposing and need characteristics affecting healthcare access.

Purpose of the Study:

  • To apply the Behavioral Model for Vulnerable Populations to identify characteristics associated with STD testing in newly homeless youth.
  • To examine longitudinal trends in STD testing rates over a 24-month period.
  • To inform the development of targeted interventions for this population.

Main Methods:

  • A longitudinal cohort study followed 261 newly homeless youth (ages 12-20) in Los Angeles County for 24 months.

Related Experiment Videos

  • Data were collected through interviews at baseline and at 3, 6, 12, 18, and 24 months.
  • Logistic random effects models were used to analyze associations between demographic, psychosocial, and behavioral factors and STD testing.

    • Main Results:

    • Time in study, older age at baseline, African-American and mixed race/ethnic identification, and identifying as gay/bisexual male or heterosexual female were associated with higher STD testing rates.
    • Amphetamine use and a history of pregnancy were also linked to increased STD testing.
    • Living in an apartment was associated with lower STD testing rates, while sexual risk behaviors were not significant predictors.

    Conclusions:

    • Interventions are needed to increase STD testing among newly homeless youth, particularly those engaging in high-risk sexual behaviors.
    • Addressing specific demographic and psychosocial factors can improve STD testing uptake.
    • Increased STD testing can help reduce the risk of HIV infection and other STDs in this population.