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01-08-2020 | Opioids | Original Paper

The Relationship Between Housing Status and Substance Use and Sexual Risk Behaviors Among People Currently Seeking or Receiving Services in Substance Use Disorder Treatment Programs

Authors: Yue Pan, Lisa R. Metsch, Weize Wang, Morgan Philbin, Tiffany L. Kyle, Lauren K. Gooden, Daniel J. Feaster

Published in: Journal of Prevention | Issue 4/2020

Abstract

Although HIV risk behaviors such as substance use and condomless sex are prevalent among people currently seeking or receiving services at substance use disorder (SUD) treatment programs, associations with housing status in this population have not been well studied. We examined the associations between housing status, substance use and HIV-related sexual risk behaviors among 1281 participants from 12 US community-based SUD programs. In addition, substance use was examined as a potential mediator of the relationship between housing status and sexual risk behaviors. We conducted Chi-square, univariate and multivariate logistic regression models on data from the National Drug Abuse Treatment Clinical Trials Network HIV Rapid Testing and Counseling study. Path analysis was used to test the mediation and indirect effects. Unstable housing was significantly associated with having multiple concurrent condomless sex partners, condomless sex with non-primary partners, and partners of unknown HIV serostatus. Homelessness was significantly associated with condomless vaginal sex and condomless sex with any substance use. The path between unstable housing and sexual risk behaviors was mediated by problematic drug use, particularly by cocaine, opioids, and marijuana use. Because housing status impacts HIV risk behaviors for individuals in SUD treatment programs, both housing status and substance use behaviors should be assessed upon program entry in order to identify and mitigate risk behaviors.

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Title: The Relationship Between Housing Status and Substance Use and Sexual Risk Behaviors Among People Currently Seeking or Receiving Services in Substance Use Disorder Treatment Programs
Authors: Yue Pan
Lisa R. Metsch
Weize Wang
Morgan Philbin
Tiffany L. Kyle
Lauren K. Gooden
Daniel J. Feaster
Publication date: 01-08-2020
Publisher: Springer US
Keywords: Opioids
Opioids
Human Immunodeficiency Virus
Published in: Journal of Prevention / Issue 4/2020
Print ISSN: 2731-5533
Electronic ISSN: 2731-5541
DOI: https://doi.org/10.1007/s10935-020-00597-x

At a glance: The STEP trials

Springer Medicine

The Relationship Between Housing Status and Substance Use and Sexual Risk Behaviors Among People Currently Seeking or Receiving Services in Substance Use Disorder Treatment Programs

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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