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HIV seroprevalence among homeless and marginally housed adults in San Francisco

Author

Listed:
  • Robertson, M.J.
  • Clark, R.A.
  • Charlebois, E.D.
  • Tulsky, J.
  • Long, H.L.
  • Bangsberg, D.R.
  • Moss, A.R.

Abstract

Objectives. We report HIV seroprevalence and risk factors for urban indigent adults. Methods. A total of 2508 adults from shelters, meal programs, and low-cost hotels received interviews, blood tests, and tuberculosis screening. Results. Seroprevalence was 10.5% overall, 29.6% for men reporting sex with men (MSM), 7.7% for non-MSM injection drug users (IDUs), and 5.0% for residual non-MSM/non-IDUs. Risk factors were identified for MSM (sex trade among Whites, non-White race, recent receptive anal sex, syphilis), non-MSM IDUs (syphilis, lower education, prison, syringe sharing, transfusion), and residual subjects (≥5 recent sexual partners, female crack users who gave sex for drugs). Conclusions. HIV seroprevalence was 5 times greater for indigent adults than in San Francisco generally. Sexual behavior predicted HIV infection better than drug use, even among IDUs.

Suggested Citation

  • Robertson, M.J. & Clark, R.A. & Charlebois, E.D. & Tulsky, J. & Long, H.L. & Bangsberg, D.R. & Moss, A.R., 2004. "HIV seroprevalence among homeless and marginally housed adults in San Francisco," American Journal of Public Health, American Public Health Association, vol. 94(7), pages 1207-1217.
    • Handle: RePEc:aph:ajpbhl:2004:94:7:1207-1217_2
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    Cited by:

    1. Alex J Goodell & Priya B Shete & Rick Vreman & Devon McCabe & Travis C Porco & Pennan M Barry & Jennifer Flood & Suzanne M Marks & Andrew Hill & Adithya Cattamanchi & James G Kahn, 2019. "Outlook for tuberculosis elimination in California: An individual-based stochastic model," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-15, April.
    2. Diane Santa Maria & Daphne C. Hernandez & Katherine R. Arlinghaus & Kathryn R. Gallardo & Sarah B. Maness & Darla E. Kendzor & Lorraine R. Reitzel & Michael S. Businelle, 2018. "Current Age, Age at First Sex, Age at First Homelessness, and HIV Risk Perceptions Predict Sexual Risk Behaviors among Sexually Active Homeless Adults," IJERPH, MDPI, vol. 15(2), pages 1-12, January.
    3. Chantelle J Giesbrecht & Norm O’Rourke & Olga Leonova & Verena Strehlau & Karine Paquet & Fidel Vila-Rodriguez & William J Panenka & G William MacEwan & Geoffrey N Smith & Allen E Thornton & William G, 2016. "The Positive and Negative Syndrome Scale (PANSS): A Three-Factor Model of Psychopathology in Marginally Housed Persons with Substance Dependence and Psychiatric Illness," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-14, March.

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