Abstract
The purpose of this study was to examine the relationship between homeless youths’ HIV risk behaviors with strangers and risk and protective characteristics of their social networks. Data were from the Social Network and Homeless Youth Project. A total of 249 youth aged 14–21 years were interviewed over 15 months in three Midwestern cities in the United States using a systematic sampling strategy. Multivariate results revealed that homeless youth with a greater average number of network members who engaged in more drug risk behaviors and who pressured them into precarious behaviors at least once were more likely to have participated in a greater number of HIV risk behaviors with strangers compared to homeless youth without such network characteristics. Additionally, 19–21 year olds, gay, lesbian, bisexual, and transgendered youth, and those who have run away from home more frequently, participated in more HIV risk behaviors with strangers than 14–18 year olds, heterosexual youth, and those who have run away less often. The final model explained 43 % of the variance in homeless youths’ HIV risk behaviors with strangers. It is important to identify network characteristics that are harmful to homeless youth because continued exposure to such networks and participation in dangerous behaviors may result in detrimental outcomes, including contraction of sexually transmitted infections and potentially HIV.
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Allen, D. M., Lehman, S., Green, T. A., Lindegren, M. L., Onorato, I. M., Forrester, W., & the Field Services Branch. (1994). HIV infection among homeless adults and runaway youth, United States, 1989–1992. AIDS, 8, 1593–1598.
Anderson, J. E., Freese, T. E., & Pennbridge, J. N. (1994). Sexual risk behavior and condom use among street youth in Hollywood. Family Planning Perspective, 26, 22–25.
Bauman, K. E., & Ennett, S. T. (1996). On the importance of peer influence for adolescent drug use: Commonly neglected considerations. Addictions, 91, 185–198.
Beaford, R. D., Gongaware, T. B., & Valadez, D. L. (2000). Social networks. In E. F. Borgatta & R. J. V. Montgomery (Eds.), Encyclopedia of sociology (2nd ed., pp. 2727–2735). New York: MacMillan Reference.
Beech, B. M., Myers, L., & Beech, D. J. (2002). Hepatitis B and C infections among homeless adolescents. Family Community Health, 25, 28–36.
Cairns, R. B., Leung, M. C., & Cairns, B. D. (1995). Social networks over time and space in adolescence. In L. J. Crockett & A. C. Crouter (Eds.), Pathways through adolescence: Individual development in relation to social contexts (pp. 35–56). Mahwah, NJ: Lawrence Erlbaum Associates.
Cauce, A. M., Morgan, C. J., Wagner, V., Moore, E., Sy, J., Wurzbacher, K., et al. (1994). Effectiveness of intensive case management for homeless adolescents: Results of a 3-month follow-up. Journal of Emotional and Behavioral Disorders, 2, 219–227.
Center for American Progress. (2010). Gay and transgender youth homelessness by the numbers. http://www.americanprogress.org/issues/lgbt/news/2010/06/21/7980/gay-and-transgender-youth-homelessness-by-the-numbers/. Accessed 25 Jan 2013.
Centers for Disease Control and Prevention. (2011a). HIV among women. http://www.cdc.gov/hiv/topics/women/index.htm. Accessed 25 Jan 2013.
Centers for Disease Control and Prevention. (2011b). HIV among youth. http://www.cdc.gov/hiv/youth/pdf/youth.pdf. Accessed 25 Jan 2013.
Clatts, M. C., & Davis, W. R. (1999). A demographic and behavioral profile of homeless youth in New York City: Implications for AIDS outreach and prevention. Medical Anthropology Quarterly, 13, 365–374.
Cotterell, J. (2007). Social networks in youth and adolescence (2nd ed.). New York: Routledge Taylor & Francis Group.
Ennett, S. T., Bailey, S. L., & Federman, E. B. (1999). Social network characteristics associated with risky behaviors among homeless and runaway youth. Journal of Health and Social Behavior, 40, 63–78.
Ennett, S. T., & Bauman, K. E. (1994). The contribution of influence and selection to adolescent peer group homogeneity: The case of adolescent cigarette smoking. Journal of Personality and Social Psychology, 67, 653–663.
Fisher, J. D. (1988). Possible effects of reference group-based social influence on AIDS-risk behavior and AIDS prevention. American Psychologist, 43, 914–920.
Hagan, J., & McCarthy, B. (1997). Mean streets: Youth crime and homelessness. New York: Cambridge University Press.
Haynie, D. L., & Osgood, D. W. (2005). Reconsidering peers and delinquency: How do peers matter? Social Forces, 84, 1109–1130.
Johnson, K. D., Whitbeck, L. B., & Hoyt, D. R. (2005). Predictors of social network composition among homeless and runaway adolescents. Journal of Adolescence, 28, 231–248.
Kaiser Family Foundation. (2007). HIV/AIDS policy fact sheet. http://www.kff.org/hivaids/upload/3029-071.pdf. Accessed 5 May 2012.
Kipke, M. D., O’Connor, S., Palmer, R., & MacKenzie, R. G. (1995). Street youth in Los Angeles: Profile of a group at high risk for HIV. Archives of Pediatric and Adolescent Medicine, 149, 513–519.
Kipke, M. D., Unger, J. B., Palmer, R. F., Iverson, E., & O’Connor, S. (1998). Association between self identified peer-group affiliation and HIV risk behaviors among street youth. In J. B. Greenberg & M. S. Neumann (Eds.), What we have learned from the AIDS evaluation of street outreach projects (pp. 61–82). Atlanta, GA: Centers for Disease Control.
Kral, A. H., Molnar, B. E., Booth, R. E., & Watters, J. K. (1997). Prevalence of sexual risk behavior and substance use among runaway and homeless adolescents in San Francisco, Denver, and New York City. International Journal of STD and AIDS, 8, 109–117.
Lambda Legal Defense & Education Fund. (n.d.). Facts: Gay and lesbian youth in schools. http://data.lambdalegal.org/pdf/158.pdf. Accessed 25 Jan 2013.
Martinez, T. E., Gleghorn, A., Marx, R., Clements, K., Boman, M., & Katz, M. H. (1998). Psychosocial histories, social environment, and HIV risk behaviors of injection and noninjection drug using homeless youths. Journal of Psychoactive Drugs, 30, 1–10.
McCaskill, P. A., Toro, P. A., & Wolfe, S. M. (1998). Homeless and matched housed adolescents: A comparative study of psychopathology. Journal of Clinical Child Psychology, 27, 306–319.
McPherson, M., Smith-Lovin, L., & Cook, J. M. (2001). Birds of a feather: Homophily in social networks. Annual Review of Sociology, 27, 415–444.
Milburn, N. G., Rotheram-Borus, M. J., Batterham, P., Brumback, B., Rosenthal, D., & Mallett, S. (2005). Predictors of close family relationships over one year among homeless young people. Journal of Adolescence, 28, 263–275.
Molina, E. (2000). Informal non-kin networks among homeless Latino and African American men: Form and functions. American Behavioral Scientist, 43, 663–685.
Moon, M. W., McFarland, W., Kellogg, T., Baxter, M., Katz, M. H., MacKellar, D., et al. (2000). HIV risk behavior of runaway youth in San Francisco: Age of onset and relation to sexual orientation. Youth & Society, 32, 184–201.
National Coalition for the Homeless. (2009). Fact Sheet: LGBT Homeless. Retrieved from http://www.nationalhomeless.org/factsheets/lgbtq.html.
Office of National AIDS Policy. Youth and HIV/AIDS 2000: A new American agenda. http://www.thebody.com/content/art38.html.
Owen, G., Heineman, J., Minton, C., Lloyd, B., Larsen, P., & Zierman, C. (1998). Minnesota statewide survey of persons without permanent shelter: Vol. II, Unaccompanied youth. St. Paul, MN: Wilder Foundation.
Pfeifer, R. W., & Oliver, J. (1997). A study of HIV seroprevalence in a group of homeless youth in Hollywood, California. Journal of Adolescent Health, 20, 339–342.
Rak, C., & Patterson, L. (1996). Promoting resilience in at-risk children. Journal of Counseling and Development, 74, 368–373.
Rice, E., Milburn, N. G., & Monro, W. (2011). Social networking technology, social network composition, and reductions in substance use among homeless adolescents. Prevention Scientist, 12, 80–88.
Rice, E., Milburn, N. G., Rotheram-Borus, M. J., Mallet, S., & Rosenthal, D. (2005). The effects of peer group network properties on drug use among homeless youth. American Behavioral Scientist, 48, 1102–1123.
Smith, H. (2008). Searching for kinship: The creation of street families among homeless youth. American Behavioral Scientist, 51, 756–771.
Tyler, K. A. (2008). Social network characteristics and risky sexual and drug related behaviors among homeless young adults. Social Science Research, 37, 673–685.
Tyler, K. A., Hoyt, D. R., & Whitbeck, L. B. (2000a). The effects of early sexual abuse on later sexual victimization among female homeless and runaway youth. Journal of Interpersonal Violence, 15, 235–250.
Tyler, K. A., & Johnson, K. A. (2006a). Pathways in and out of substance use among homeless-emerging adults. Journal of Adolescent Research, 21, 133–157.
Tyler, K. A., & Johnson, K. A. (2006b). Trading sex: Voluntary or coerced? The experiences of homeless youth. Journal of Sex Research, 43, 208–216.
Tyler, K. A., & Whitbeck, L. B. (2004). Lost childhoods: Risk and resiliency among runaway and homeless adolescents. In P. Allen-Meares & M. W. Fraser (Eds.), Intervention with children and adolescents: An interdisciplinary perspective (pp. 378–397). Boston, MA: Pearson Education.
Tyler, K. A., Whitbeck, L. B., Hoyt, D. R., & Yoder, K. A. (2000b). Predictors of self-reported sexually transmitted diseases among homeless and runaway adolescents. Journal of Sex Research, 37, 369–377.
Unger, J. B., Kipke, M. D., Simon, T. R., Johnson, C. J., Montgomery, S. B., & Iverson, E. (1998). Stress, coping, and social support among homeless youth. Journal of Adolescent Research, 13, 134–157.
Woods, E. R., Samples, C. L., Melchiono, M. W., Keenan, P. M., Fox, D. J., & Harris, S. K. (2002). Initiation of services in the Boston HAPPENS Program: Human immunodeficiency virus-positive, homeless, and at-risk youth can access services. AIDS Patient Care and STDs, 16, 497–510. the Boston HAPPENS Program Collaborators.
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This article is based on research supported by a grant from the National Institute on Drug Abuse (DA021079), Dr. Kimberly A. Tyler, PI.
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Tyler, K.A. Homeless Youths’ HIV Risk Behaviors with Strangers: Investigating the Importance of Social Networks. Arch Sex Behav 42, 1583–1591 (2013). https://doi.org/10.1007/s10508-013-0091-3
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DOI: https://doi.org/10.1007/s10508-013-0091-3