Women, housing, and HIV: The effects of a housing continuum
African-Americans (N=1,063; nmen=533, nwomen=532) were grouped according to whether they lived in their own home (“stably-housed”); with family (“live-with-family”); sexual partner (“live-with-partner”); or other group living arrangement, such as an SRO or homeless shelter (“other-living”).
Of 1,063 respondents, 605 (57%) were stably-housed (65% women, χ2(3)=49.15, p<0.05). Women were more likely to be unemployed than men (χ2(1)=16.5059, p=<0.05), though there were no significant differences between income, education, or healthcare. 531 were HIV-positive (69% stably-housed; p<0.05), 148 STI-positive (49% stably-housed, p=0.061), and 195 maintained concurrent partnerships (53% stably-housed, p=0.455). Women were more likely to be HIV-positive (AOR=1.95, p<0.05), STI-positive (AOR=8.29, p<0.05), and have higher unprotected sex risk than men (IRR=1.72, p=0.024). After controlling for SDH and HIV-risk covariates, models show women in other-living were more likely to be HIV+ (OR=2.23, p=0.036) and have concurrent partnerships (OR=2.18, p=0.088) than men. Also, the risk for unprotected sex for women who live-with-partner was 3.61 times the risk for males who live-with-partner (95%CI: 0.879, 14.86). Interestingly, women in other-living had unprotected sex 64% less often than men in other-living (95%CI: 0.131, 0.996). Additional research, viewing housing along a continuum, must be done to guide interventions and policy.
Learning Areas:Administer health education strategies, interventions and programs
Implementation of health education strategies, interventions and programs
Public health or related public policy
Describe the relationship between gender, housing instability (across a continuum), and sexual risk behaviors
Keyword(s): HIV Risk Behavior, Health Disparities/Inequities
Qualified on the content I am responsible for because: I have completed doctoral research related to housing and HIV and have more than 20 years HIV research experience.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.