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Homelessness and drug abuse among young men who have sex with men in New York City: a preliminary epidemiological trajectory
- Authors:
- CLATTS Michael C., et al
- Journal article citation:
- Journal of Adolescence, 28(2), April 2005, pp.201-214.
- Publisher:
- Academic Press
Profiles the role of homelessness in drug and sexual risk in a population of young men who have sex with men (YMSM). A cross-sectional survey of 569 respondents was collected between 2000 and 2001 in New York City with the goal of examining the import of homelessness in increased risk for the onset of drug and sexual risk. Three subgroups were compared and contrasted: (1) YMSM with no history of homelessness, (2) YMSM with a past history of homelessness but who were not homeless at the time of the interview, and (3) YMSM who were currently homeless. For each group, the prevalence of a broad range of stressful life events (including foster care and runaway episodes, involvement in the criminal justice system, etc.) was described. As well as selected mental health problems (including past suicide attempts, current depression, and selected help-seeking variables). Additionally, the prevalence of selected drug and sexual risk, including exposure to a broad range of illegal substances, current use of illegal drugs, and prevalence of lifetime exposure to sex work was detailed. Finally, an event history analysis approach was used to examine the timing of negative life experiences and homelessness relative to the onset of drug and sexual risk. Results show that high levels of background negative life experiences and manifest mental health distress are seen in all three groups.