Risky sexual behavior and STI testing among teens experiencing homelessness

McKenna Halverson; Danielle R. Hatchimonji; Dan Treglia; Claire A. Flatley; Janette E. Herbers; J. J. Cutuli

doi:10.1016/j.childyouth.2022.106538

Risky sexual behavior and STI testing among teens experiencing homelessness

McKenna Halverson, Danielle R. Hatchimonji, Dan Treglia, Claire A. Flatley, Janette E. Herbers, J. J. Cutuli

Research output: Contribution to journal › Article › peer-review

Abstract

Teens who experience homelessness are more likely to engage in risky sexual behavior, though less is reliably known about sexually transmitted infection (STI) testing rates in this group. We tested for differences in sexual behaviors and STI/HIV testing based on student homelessness and intersecting factors using data from the 2019 Youth Risk Behavior Survey administered in 7 states and 3 school districts. Students who experienced homelessness were more likely to report risky sexual behavior. Race moderated this link, suggesting that Asian students who experienced homelessness were at greater risk. Homelessness was linked to a greater likelihood of having been tested for STIs/HIV among those who seemed to be in groups recommended for testing. Student sex and lesbian, gay, and bisexual (LGB) identity did not moderate associations between homelessness and risky sexual behavior or STI/HIV testing. The overall sample demonstrated low STI testing rates, indicating a continued need to improve testing rates for all youth at risk for STIs/HIV.

Original language	English (US)
Article number	106538
Journal	Children and Youth Services Review
Volume	139
DOIs	https://doi.org/10.1016/j.childyouth.2022.106538
State	Published - Aug 2022
Externally published	Yes

All Science Journal Classification (ASJC) codes

Education
Developmental and Educational Psychology
Sociology and Political Science

Keywords

HIV testing
STI testing
Sexual behavior
Sexual risk taking
Student homelessness

Access to Document

10.1016/j.childyouth.2022.106538

Cite this

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title = "Risky sexual behavior and STI testing among teens experiencing homelessness",

abstract = "Teens who experience homelessness are more likely to engage in risky sexual behavior, though less is reliably known about sexually transmitted infection (STI) testing rates in this group. We tested for differences in sexual behaviors and STI/HIV testing based on student homelessness and intersecting factors using data from the 2019 Youth Risk Behavior Survey administered in 7 states and 3 school districts. Students who experienced homelessness were more likely to report risky sexual behavior. Race moderated this link, suggesting that Asian students who experienced homelessness were at greater risk. Homelessness was linked to a greater likelihood of having been tested for STIs/HIV among those who seemed to be in groups recommended for testing. Student sex and lesbian, gay, and bisexual (LGB) identity did not moderate associations between homelessness and risky sexual behavior or STI/HIV testing. The overall sample demonstrated low STI testing rates, indicating a continued need to improve testing rates for all youth at risk for STIs/HIV.",

keywords = "HIV testing, STI testing, Sexual behavior, Sexual risk taking, Student homelessness",

author = "McKenna Halverson and Hatchimonji, {Danielle R.} and Dan Treglia and Flatley, {Claire A.} and Herbers, {Janette E.} and Cutuli, {J. J.}",

note = "Funding Information: We are grateful for help, guidance, and encouragement from many in preparing this manuscript, especially Lisa Whittle and colleagues at the Centers for Disease Control and Prevention, Amanda Lewis at the Nemours Center for Healthcare Delivery Science, John McLaughlin of the U. S. Department of Education, Joe Willard of People's Emergency Center, and Patricia Julianelle of SchoolHouse Connection. We are also thankful for the assistance of the state and local district education liaisons who identify, serve, and advocate on behalf of students experiencing homelessness every day. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Publisher Copyright: {\textcopyright} 2022 Elsevier Ltd",

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doi = "10.1016/j.childyouth.2022.106538",

language = "English (US)",

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journal = "Children and Youth Services Review",

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AU - Cutuli, J. J.

N1 - Funding Information: We are grateful for help, guidance, and encouragement from many in preparing this manuscript, especially Lisa Whittle and colleagues at the Centers for Disease Control and Prevention, Amanda Lewis at the Nemours Center for Healthcare Delivery Science, John McLaughlin of the U. S. Department of Education, Joe Willard of People's Emergency Center, and Patricia Julianelle of SchoolHouse Connection. We are also thankful for the assistance of the state and local district education liaisons who identify, serve, and advocate on behalf of students experiencing homelessness every day. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Publisher Copyright: © 2022 Elsevier Ltd

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N2 - Teens who experience homelessness are more likely to engage in risky sexual behavior, though less is reliably known about sexually transmitted infection (STI) testing rates in this group. We tested for differences in sexual behaviors and STI/HIV testing based on student homelessness and intersecting factors using data from the 2019 Youth Risk Behavior Survey administered in 7 states and 3 school districts. Students who experienced homelessness were more likely to report risky sexual behavior. Race moderated this link, suggesting that Asian students who experienced homelessness were at greater risk. Homelessness was linked to a greater likelihood of having been tested for STIs/HIV among those who seemed to be in groups recommended for testing. Student sex and lesbian, gay, and bisexual (LGB) identity did not moderate associations between homelessness and risky sexual behavior or STI/HIV testing. The overall sample demonstrated low STI testing rates, indicating a continued need to improve testing rates for all youth at risk for STIs/HIV.

AB - Teens who experience homelessness are more likely to engage in risky sexual behavior, though less is reliably known about sexually transmitted infection (STI) testing rates in this group. We tested for differences in sexual behaviors and STI/HIV testing based on student homelessness and intersecting factors using data from the 2019 Youth Risk Behavior Survey administered in 7 states and 3 school districts. Students who experienced homelessness were more likely to report risky sexual behavior. Race moderated this link, suggesting that Asian students who experienced homelessness were at greater risk. Homelessness was linked to a greater likelihood of having been tested for STIs/HIV among those who seemed to be in groups recommended for testing. Student sex and lesbian, gay, and bisexual (LGB) identity did not moderate associations between homelessness and risky sexual behavior or STI/HIV testing. The overall sample demonstrated low STI testing rates, indicating a continued need to improve testing rates for all youth at risk for STIs/HIV.

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Risky sexual behavior and STI testing among teens experiencing homelessness

Abstract

All Science Journal Classification (ASJC) codes

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