Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
AIDS and Behavior
Published in: AIDS and Behavior 7/2012

01-10-2012 | Original Paper

Behavioral Health and Social Normative Influence: Correlates of Concurrent Sexual Partnering Among Heterosexually-Active Homeless Men

Authors: Suzanne L. Wenzel, Harmony Rhoades, Hsun-Ta Hsu, Daniela Golinelli, Joan S. Tucker, David P. Kennedy, Harold D. Green, Brett Ewing

Published in: AIDS and Behavior | Issue 7/2012

Login to get access

Abstract

Sexual concurrency poses significant HIV/STI transmission risk. The correlates of concurrency have not been examined among homeless men. A representative sample of 305 heterosexually active homeless men utilizing meal programs in the Skid Row area of Los Angeles reported on their mental health, substance use, and social network characteristics. Nearly 40% of men reported concurrency with one of their four most recent sex partners. Results indicated that HIV seropositivity (OR = 4.39, CI: 1.10, 17.46; P = 0.04), PTSD (OR = 2.29, CI: 1.05, 5.01; P = 0.04), hard drug use (OR = 2.45, CI: 1.07, 5.58; P = 0.03), and the perception that network alters engage in risky sex (OR = 3.72, CI: 1.49, 9.30; P = 0.01) were associated with increased odds of concurrency. Programs aimed at reducing HIV/STI transmission in this vulnerable population must take into account the roles that behavioral health and social networks may play in sexual concurrency.
Literature
1.
Kim JH, Riolo RL, Koopman JS. HIV transmission by stage of infection and pattern of sexual partnerships. Epidemiology. 2010;21(5):676–84.PubMedCrossRef
2.
3.
Watts CH, May RM. The influence of concurrent partnerships on the dynamics of HIV/AIDS. Math Biosci. 1992;108(1):89–104.PubMedCrossRef
4.
Morris M, Goodreau SM, Moody J. Sexual networks, concurrency, and STD/HIV. In: Holmes KK, editor. Sexual transmitted diseases. 4th ed. New York: McGraw-Hill Medical; 2008.
5.
Witte SS, El-Bassel N, Gilbert L, Wu E, Chang M. Predictors of discordant reports of sexual and HIV/sexually transmitted infection risk behaviors among heterosexual couples. Sex Transm Dis. 2007;34(5):302–8.PubMed
6.
Lenoir CD, Adler NE, Borzekowski DL, Tschann JM, Ellen JM. What you don’t know can hurt you: perceptions of sex-partner concurrency and partner-reported behavior. J Adolesc Health. 2006;38(3):179–85.PubMedCrossRef
7.
Stoner BP, Whittington WL, Aral SO, Hughes JP, Handsfield HH, Holmes KK. Avoiding risky sex partners: perception of partners’ risks v partners’ self reported risks. Sex Transm Infect. 2003;79(3):197–201.PubMedCrossRef
8.
Witte SS, El-Bassel N, Gilbert L, Wu E, Chang M. Lack of awareness of partner STD risk among heterosexual couples. Perspect Sex Reprod Health. 2010;42(1):49–55.PubMedCrossRef
9.
Doherty IA, Schoenbach VJ, Adimora AA. Condom use and duration of concurrent partnerships among men in the United States. Sex Transm Dis. 2009;36(5):265–72.PubMedCrossRef
10.
Eaton A, van Der Straten A. Concurrent sexual partnerships among individuals in HIV sero-discordant heterosexual couples. Int J STD AIDS. 2009;20(10):679–82.PubMedCrossRef
11.
Senn TE, Carey MP, Vanable PA, Coury-Doniger P, Urban M. Sexual partner concurrency among STI clinic patients with a steady partner: correlates and associations with condom use. Sex Transm Infect. 2009;85(5):343–7.PubMedCrossRef
12.
LAHSA. 2009 Greater Los Angeles homeless count report. Los Angeles: Los Angeles Homeless Services Authority 2009.
13.
Carey MP, Senn TE, Seward DX, Vanable PA. Urban African–American men speak out on sexual partner concurrency: findings from a qualitative study. AIDS Behav. 2010;14(1):38–47.PubMedCrossRef
14.
Morris M, Kurth AE, Hamilton DT, Moody J, Wakefield S. Concurrent partnerships and HIV prevalence disparities by race: linking science and public health practice. Am J Public Health. 2009;99(6):1023–31.PubMedCrossRef
15.
Adimora AA, Schoenbach VJ, Doherty IA. HIV and African Americans in the southern United States: sexual networks and social context. Sex Transm Dis. 2006;(7 Suppl):S39–S45.
16.
Adimora AA, Schoenbach VJ, Martinson FE, Donaldson KH, Stancil TR, Fullilove RE. Concurrent partnerships among rural African Americans with recently reported heterosexually transmitted HIV infection. J Acquir Immune Defic Syndr. 2003;34(4):423–9.
17.
National alliance to end homelessness. Fact sheet: homelessness and HIV/AIDS. Washington, DC: National Alliance to End Homelessness; 2006.
18.
Robertson MJ, Clark RA, Charlebois ED, Tulsky J, Long HL, Bangsberg DR, et al. HIV seroprevalence among homeless and marginally housed adults in San Francisco. Am J Public Health. 2004;94(7):1207–17.
19.
Wolch J, Dear M, Blasi G, Flaming D, Tepper P, Koegel P, et al. Ending homelessness in Los Angeles. Los Angeles, CA: Inter-University Consortium Against Homelessness; 2007.
20.
Adimora AA, Schoenbach VJ, Taylor EM, Khan MR, Schwartz RJ. Concurrent partnerships, nonmonogamous partners, and substance use among women in the United States. Am J Public Health. 2011;101(1):128–36.PubMedCrossRef
21.
Wenzel SL, Tucker JS, Elliott MN, Hambarsoomians K. Sexual risk among impoverished women: understanding the role of housing status. AIDS Behav. 2007;11(6 Suppl):9–20.PubMedCrossRef
22.
Khan MR, Kaufman JS, Pence BW, Gaynes BN, Adimora AA, Weir SS, et al. Depression, sexually transmitted infection, and sexual risk behavior among young adults in the United States. Arch Pediatr Adolesc Med. 2009;163(7):644–52.
23.
Cavanaugh CE, Hansen NB, Sullivan TP. HIV sexual risk behavior among low-income women experiencing intimate partner violence: the role of posttraumatic stress disorder. AIDS Behav. 2010;14(2):318–27.PubMedCrossRef
24.
Nunnink SE, Goldwaser G, Afari N, Nievergelt CM, Baker DG. The role of emotional numbing in sexual functioning among veterans of the Iraq and Afghanistan wars. Mil Med. 2010;175(6):424–8.PubMed
25.
Christensen RC, Hodgkins CC, Garces LK, Estlund KL, Miller MD, Touchton R. Homeless, mentally ill and addicted: the need for abuse and trauma services. J Health Care Poor Underserved. 2005;16(4):615–22.PubMedCrossRef
26.
Goodman L, Saxe L, Harvey M. Homelessness as psychological trauma. Broadening perspectives. American Psychologist. 1991;46(11):1219–25.
27.
Kim M, Ford J. Trauma and post-traumatic stress among homeless men: a review of current research. J Aggression Maltreat Trauma. 2006;13(2):1–22.
28.
Berkowitz A. An overview of the social norms approach. In: Lederman L, Stewart L, editors. Changing the culture of college drinking: a socially situated health communication campaign. Cresskill: Hampton Press, Inc.; 2005.
29.
Berkowitz A. Applications of social norms theory to other health and social justice issues. In: Perkins H, editor. The social norms approach to preventing school and college age substance abuse: a handbook for educators, counselors, and clinicians. San Francisco: Jossey-Bass; 2003.
30.
Martens MP, Page JC, Mowry ES, Damann KM, Taylor KK, Cimini MD. Differences between actual and perceived student norms: an examination of alcohol use, drug use, and sexual behavior. J Am Coll Health. 2006;54(5):295–300.
31.
Scholly K, Katz AR, Gascoigne J, Holck PS. Using social norms theory to explain perceptions and sexual health behaviors of undergraduate college students: an exploratory study. J Am Coll Health. 2005;53(4):159–66.
32.
Huebner DM, Neilands TB, Rebchook GM, Kegeles SM. Sorting through chickens and eggs: a longitudinal examination of the associations between attitudes, norms, and sexual risk behavior. Health Psychol. 2011;30(1):110–8.PubMedCrossRef
33.
El-Bassel N, Gilbert L, Wu E, Chang M. A social network profile and HIV risk among men on methadone: do social networks matter? J Urban Health. 2006;83(4):602–13.
34.
Neblett RC, Davey-Rothwell M, Chander G, Latkin CA. Social network characteristics and HIV sexual risk behavior among urban African American women. J Urban Health. 2011;88(1):54–65.PubMedCrossRef
35.
Latkin CA, Mandell W, Vlahov D. The relationship between risk networks’ patterns of crack cocaine and alcohol consumption and HIV-related sexual behaviors among adult injection drug users: a prospective study. Drug Alcohol Depend. 1996;42(3):175–81.PubMedCrossRef
36.
Latkin CA, Mandell W, Vlahov D, Knowlton A, Oziemkowska M, Celentano D. Personal network characteristics as antecedents to needle-sharing and shooting gallery attendance. Soc Networks. 1995;17:219–28.CrossRef
37.
Latkin CA, Forman V, Knowlton A, Sherman S. Norms, social networks, and HIV-related risk behaviors among urban disadvantaged drug users. Soc Sci Med. 2003;56(3):465–76.PubMedCrossRef
38.
Centers for disease control and prevention. HIV Surveillance Report, 2009:CDC2011.
39.
Elliott MN, Golinelli D, Hambarsoomian K, Perlman J, Wenzel S. Sampling with field burden constraints: an application to sheltered homeless and low income housed women. Field Methods. 2006;18:43–58.CrossRef
40.
Rhoades H, Wenzel SL, Golinelli D, Tucker JS, Kennedy DP, Green HD, et al. The social context of homeless men’s substance use. Drug Alcohol Depend. 2011.
41.
Wenzel SL, Green HD, Jr., Tucker JS, Golinelli D, Kennedy DP, Ryan G, et al. The social context of homeless women’s alcohol and drug use. Drug Alcohol Depend. 2009;105(1–2):16–23.
42.
Marks G, Crepaz N, Senterfitt JW, Janssen RS. Meta-analysis of high-risk sexual behavior in persons aware and unaware they are infected with HIV in the United States: implications for HIV prevention programs. J Acquir Immune Defic Syndr. 2005;39(4):446–53.
43.
van Kesteren NM, Hospers HJ, Kok G. Sexual risk behavior among HIV-positive men who have sex with men: a literature review. Patient Educ Couns. 2007;65(1):5–20.PubMedCrossRef
44.
Williamson LM, Dodds JP, Mercey DE, Hart GJ, Johnson AM. Sexual risk behaviour and knowledge of HIV status among community samples of gay men in the UK. AIDS. 2008;22(9):1063–70.
45.
Tucker JS, Wenzel SL, Elliott MN, Hambarsoomian K, Golinelli D. Patterns and correlates of HIV testing among sheltered and low-income housed women in Los Angeles County. J Acquir Immune Defic Syndr. 2003;34(4):415–22.
46.
Rost K, Burnam A, Smith G. Development of screeners for depressive disorders and substance disorder history. Med Care. 1993;31(3):189–200.PubMedCrossRef
47.
Kessler S. Psychiatric implications of presymptomatic testing for Huntington’s disease. Am J Orthopsychiatry. 1987;57(2):212–9.PubMedCrossRef
48.
Von Korff M, Shapiro S, Burke JD, Teitlebaum M, Skinner EA, German P, et al. Anxiety and depression in a primary care clinic. Comparison of diagnostic interview schedule, general health questionnaire, and practitioner assessments. Arch Gen Psychiatry. 1987;44(2):152–6.
49.
Radloff LS. The CES-D scale. A self-report depression scale for research on the general population. Appl Psychol Meas. 1977;1.
50.
Tucker JS, Kennedy D, Ryan G, Wenzel SL, Golinelli D, Zazzali J. Homeless women’s personal networks: implications for understanding risk behavior. Human Org. 2009;68(2):129–40.
51.
Rayburn NR, Wenzel SL, Elliott MN, Hambarsoomians K, Marshall GN, Tucker JS. Trauma, depression, coping, and mental health service seeking among impoverished women. J Consult Clin Psychol. 2005;73(4):667–77.PubMedCrossRef
52.
Prins A, Ouimette P, Kimerling R, Cameron R, Hugelshofer D, Shaw-Hegwar J, et al. The primary care PTSD screen (PC–PTSD): development and operating characteristics. Prim Care Psychiatry. 2003;9:9–14.CrossRef
53.
Calhoun PS, McDonald SD, Guerra VS, Eggleston AM, Beckham JC, Straits-Troster K. Clinical utility of the Primary Care–PTSD screen among U.S. veterans who served since September 11, 2001. Psychiatry Res. 2010;178(2):330–5.
54.
National Institute on Alcohol Abuse and Alcoholism TFoRAQ. National Council on Alcohol Abuse and Alcoholism Recommended Sets of Alcohol Consumption Questions: National Institute on Alcohol Abuse and Alcoholism. 2003.
55.
Wenzel SL, Green HD Jr, Tucker JS, Golinelli D, Kennedy D, Ryan G, et al. The social context of homeless women’s alcohol and drug use. Drug Alcohol Depend. 2009;105:16–23.PubMedCrossRef
56.
McCarty C. Measuring structure in personal networks. J Soc Struct. 2002;3(1).
57.
McCarty C, Bernard H, Killworth P, Johnsen E, Shelley G. Eliciting Representative samples of personal networks. Soc Networks. 1997;19:303–23.
58.
Mehra A, Kilduff M, Brass D. The social networks of high and low self-monitors: Implications for workplace performance. Adm Sci Q. 2001;46(1):121–46.CrossRef
59.
McCarty C, Killworth P. Impact of methods for reducing respondent burden on personal network structural measures. Soc Networks. 2007;29:300–15.CrossRef
60.
Hosmer D, Lemeshow S. Applied logistic regression. New York: Wiley-Interscience; 1989.
61.
Kim MM, Arnold EM. Stressful life events and trauma among substance-abusing homeless men. J Soc Work Pract Addict. 2004;4(2):3–19.CrossRef
62.
North CS, Smith EM. Posttraumatic stress disorder among homeless men and women. Hosp Community Psychiatry. 1992;43(10):1010–6.PubMed
63.
Koegel P, Sullivan G, Burnam A, Morton SC, Wenzel S. Utilization of mental health and substance abuse services among homeless adults in Los Angeles. Med Care. 1999;37(3):306–17.PubMedCrossRef
64.
Zerger S. Substance abuse treatment: What works for homeless people? A review of the literature: National Health Care for the Homeless Council 2002.
65.
Tucker JS, Wenzel SL. Telephone survey of agencies providing services to homeless adults in Los Angeles County. 2010.
66.
Cederbaum J, Wenzel SL, Tucker JS, Gilbert ML, Cheriji E. The HIV risk reduction needs of homeless women in Los Angeles. (under review).
67.
Rice E, Milburn NG, Rotheram-Borus MJ. Pro-social and problematic social network influences on HIV/AIDS risk behaviours among newly homeless youth in Los Angeles. AIDS Care. 2007;19(5):697–704.PubMedCrossRef
68.
Aidala A, Cross JE, Stall R, Harre D, Sumartojo E. Housing status and HIV risk behaviors: implications for prevention and policy. AIDS Behav. 2005;9(3):251–65.PubMedCrossRef
69.
70.
White House Office of National AIDS Policy. National HIV/AIDS Strategy for the United States. Washington, D.C. 2010.
Metadata
Title
Behavioral Health and Social Normative Influence: Correlates of Concurrent Sexual Partnering Among Heterosexually-Active Homeless Men
Authors
Suzanne L. Wenzel
Harmony Rhoades
Hsun-Ta Hsu
Daniela Golinelli
Joan S. Tucker
David P. Kennedy
Harold D. Green
Brett Ewing
Publication date
01-10-2012
Publisher
Springer US
Published in
AIDS and Behavior / Issue 7/2012
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-011-0066-0

Other articles of this Issue 7/2012

AIDS and Behavior 7/2012 Go to the issue

Original Paper

HIV Incidence Among Non-Pregnant Women Living in Selected Rural, Semi-Rural and Urban Areas in Kwazulu-Natal, South Africa

Original Paper

Prevalence and Correlates of Female Condom Use and Interest Among Injection Drug-Using Female Sex Workers in Two Mexico–US Border Cities

Original Paper

Cognitive, Psychosocial, and Sociodemographic Predictors of Willingness to Use HIV Pre-Exposure Prophylaxis Among Chinese Men Who Have Sex with Men

Original Paper

HIV Testing Among Men Who Have Sex with Men in China: A Systematic Review and Meta-Analysis

Original Paper

Use of a Rapid HIV Home Test Prevents HIV Exposure in a High Risk Sample of Men Who Have Sex With Men

Original Paper

Predicting Product Adherence in a Topical Microbicide Safety Trial in Pune, India
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

Read more

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Pediatric Cardiology Video

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

Cardiopulmonary Comorbidity Video

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Valvular Heart Disease Video

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

Watch now

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits