The 130th Annual Meeting of APHA

Abstract #42257

Jason C. Forney¹, Paul A. Toro, PhD², and Sylvie Lombardo, PhD². (1) Research Group on Homelessness & Poverty/Department of Psychology, Wayne State University, 51 W. Warren, Detroit, MI 48202, 313-577-1149, jcforney@oakland.edu, (2) Department of Psychology, Wayne State University, 71 W. Warren, Detroit, MI 48202

This study assessed predictors of HIV-risk behaviors in a probability sample of homeless adults. Here we report on findings from a preliminary sample of 158 (at the APHA Meeting, findings will be based on the final sample of over 200). In a structured interview, a detailed set of questions on various behaviors that put people at risk for HIV infection was used to construct a total risk score. This score was then correlated with a wide range of other factors. Homeless individuals engaging in more HIV-risk behaviors were significantly (p<.05) more likely to be diagnosed with both alcohol abuse/dependence and drug abuse/dependence (based on the DIS), to have a criminal record, and to have been homeless longer. Those with higher risk scores also reported more symptoms associated with depression, interpersonal sensitivity, hostility, paranoid ideation, and psychoticism (on the Brief Symptom Inventory). They also had less positive home environments when growing up and higher levels of verbal aggression in recent romantic relationships. Those with higher risk scores also reported significantly different service needs and access. Those who engaged in more HIV-risk behaviors rated affordable housing, free meals, temporary housing, transportation, drug and alcohol treatment, life skills training and medical/dental services as more important to them. They also reported significantly more difficulty obtaining access to many resources and services, including affordable housing, medical and dental services, information on health care and other services, and ensuring their physical safety. Implications of these findings for service providers and policy makers will be presented.

Learning Objectives:

• 3. Learn about the unique problems, needs, and backgrounds of homeless individuals who engage in HIV risk behaviors.
  6. Apply this knowledge to interactions with homeless individuals.
  9. Develop programs tailored to the needs of homeless people who engage HIV risk behavior.

Keywords: Homelessness, HIV Risk Behavior

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.