在无家可归的年轻成年人中沙发冲浪和艾滋病风险行为
Laura Petry1,2, Laura Onasch-Vera3, Phebe Vayanos4
1University of Southern California Suzanne Dworak-Peck School of Social Work, California, Los Angeles, USA. laurapetry@berkeley.edu.
AIDS and behavior
|January 27, 2026
概括
经历无家可归的沙发冲浪的年轻人面临更高的艾滋病毒风险. 他们的住房状况,不仅仅是社会支持,显著增加了参与风险性行为,如交易性行为.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 网络分析 网络分析
背景情况:
- 与住房同龄人相比,无家可归的年轻人 (YAEH) 呈现出更高的与艾滋病毒风险相关的性行为率.
- 社会支持网络是YAEH中性风险行为的已知影响者.
- 沙发冲浪是一种普遍的生存策略,涉及临时住房,它与YAEH的艾滋病毒风险行为有关,仍未得到充分研究.
研究的目的:
- 为了调查艾滋病毒风险和预防行为在YAEH谁是沙发冲浪.
- 通过自我中心网络分析,检查沙发冲浪,社会支持来源和艾滋病毒风险行为之间的联系.
- 测试社会支持对沙发冲浪和性风险行为之间的关系的缓和效果.
主要方法:
- 调查数据收集自洛杉矶461名YAEH访问下降服务的调查数据 (2016年9月 - 2018年10月).
- 以自我为中心的网络分析来评估住房状况,社会支持和艾滋病毒风险行为之间的关系.
- 统计建模以评估沙发冲浪和社会支持对性风险行为的影响.
主要成果:
- 与街头/避难所的年轻人相比,沙发冲浪YAEH报告了最近交易性 (18.0%) 和并发/连续合作伙伴 (38.2%) 的最高比例.
- 沙发冲浪与最近交易性行为的几率翻了一番 (OR=2.52) 相关,无家可归的生活也增加了几率 (OR=2.06).
- 社会支持显示了个人与一些风险行为的关联,但最终被无家可归情况的影响所掩盖.
结论:
- 在YAEH中,沙发冲浪与与艾滋病毒风险相关的性行为,特别是交易性行为的参与度增加密切相关.
- 不稳定的住房状况的类型 (沙发冲浪或无家可归) 是性风险的更强有力的预测因素,而不是社会支持.
- 干预措施必须解决个人和结构因素,重点关注沙发冲浪YAEH独特的社会环境背景.
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