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Abstract
In this study, we used a mixed methods approach to explore the determinants of relationship patterns and risky sex among homeless men living in downtown Los Angeles. This involved analysis of qualitative interviews focused on gender ideology and sexual events (n = 30) as well as structured interviews (n = 305) focused on homeless men’s sexual partners, sexual behaviors, and social networks. We found that men valued committed relationships but were frustrated by their lack of access to female partners (accentuated by the stigma attached to homeless males) and also by structural and logistical barriers to relationships. Some men reported monogamous relationships; such relationships were less likely with homeless or substance-using partners and more likely with partners central to men’s social networks.
Keywords homeless, HIV/AIDS, risk behavior, relationships, masculinity
References
Section:
|
Adam, B. D., Sears, A. (1994). Negotiating sexual relationships after testing HIV-positive. Medical Anthropology, 16(1-4), 63-77. Google Scholar | Crossref | Medline | |
|
Alonzo, A. A., Reynolds, N. R. (1995). Stigma, HIV and AIDS: An exploration and elaboration of a stigma trajectory. Social Science & Medicine, 41, 303-315. Google Scholar | Crossref | Medline | ISI | |
|
Bernardi, L., Keim, S., von der Lippe, H. (2007). Social influences on fertility. Journal of Mixed Methods Research, 1(1), 23-47. Google Scholar | SAGE Journals | ISI | |
|
Bourgois, P. (1998). The moral economies of homeless heroin addicts: Confronting ethnography, HIV risk, and everyday violence in San Francisco shooting encampments. Substance Use & Misuse, 33, 2323-2351. Google Scholar | Crossref | Medline | ISI | |
|
Bowen, A. M., Williams, M., McCoy, H. V., McCoy, C. B. (2001). Crack smokers’ intention to use condoms with loved partners: Intervention development using the theory of reasoned action, condom beliefs, and processes of change. AIDS Care, 13, 579-594. Google Scholar | Crossref | Medline | ISI | |
|
Brown, R., Kennedy, D., Tucker, J., Wenzel, S., Golinelli, D., Wertheimer, S., Ryan, G. (2012). Sex and relationships on the street: How homeless men judge partner risk on Skid Row. AIDS and Behavior, 16, 774-784. Google Scholar | Crossref | Medline | ISI | |
|
Buss, D. M., Schmitt, D. P. (1993). Sexual strategies theory: An evolutionary perspective on human mating. Psychological Review, 100, 204-232. Google Scholar | Crossref | Medline | ISI | |
|
Campbell, K. E., Lee, B. A. (1991). Name generators in surveys of personal networks. Social Networks, 13, 203-221. Google Scholar | Crossref | ISI | |
|
Centers for Disease Control and Prevention . (2008). HIV/AIDS in the United States. CDC HIV/AIDS fact sheet. Retrieved from http://www.cdc.gov/hiv/resources/factsheets/us.htm Google Scholar | |
|
Courtenay, W. H. (2000). Constructions of masculinity and their influence on men’s well-being: A theory of gender and health. Social Science & Medicine, 50, 1385-1401. Google Scholar | Crossref | Medline | ISI | |
|
Creswell, J. W., Tashakkori, A. (2007). Differing perspectives on mixed methods research. Journal of Mixed Methods Research, 1(4), 303-308. Google Scholar | SAGE Journals | ISI | |
|
Dalky, H. F. (2011). Mental illness stigma reduction interventions: Review of intervention trials. Western Journal of Nursing Research, 34, 520-547. Google Scholar | SAGE Journals | ISI | |
|
Drigotas, S. M., Rusbult, C. E. (1992). Should I stay or should I go? A dependence model of breakups. Journal of Personality and Social Psychology, 62(1), 62-87. Google Scholar | Crossref | ISI | |
|
Dworkin, S. L., Fullilove, R. E., Peacock, D. (2009). Are HIV/AIDS prevention interventions for heterosexually active men in the United States gender-specific? American Journal of Public Health, 99, 981-984. Google Scholar | Crossref | Medline | ISI | |
|
Ezzati, M., Lopez, A. D., Rodgers, A., Vander Hoorn, S., Murray, C. J. L. (2002). Selected major risk factors and global and regional burden of disease. Lancet, 360, 1347-1360. Google Scholar | Crossref | Medline | ISI | |
|
Handwerker, W. P. (2002). The construct validity of cultures: Cultural diversity, culture theory, and a method for ethnography. American Anthropologist, 104, 106-122. Google Scholar | Crossref | ISI | |
|
Jemmott, L. S., Jemmott, J. B. (1991). Applying the theory of reasoned action to AIDS risk behavior: Condom use among Black women. Nursing Research, 40, 228-234. Google Scholar | Crossref | Medline | ISI | |
|
Johnson, R. B., Onwuegbuzie, A. J., Turner, L. A. (2007). Toward a definition of mixed methods research. Journal of Mixed Methods Research, 1(2), 112-133. Google Scholar | SAGE Journals | ISI | |
|
Kaufman, M. R., Shefer, T., Crawford, M., Simbayi, L. C., Kalichman, S. C. (2008). Gender attitudes, sexual power, HIV risk: A model for understanding HIV risk behavior of South African men. AIDS Care-Psychological and Socio-Medical Aspects of AIDS/HIV, 20, 434-441. Google Scholar | Crossref | Medline | ISI | |
|
Kennedy, D. P., Brown, R. A., Golinelli, D., Wenzel, S. L., Tucker, J. S., Wertheimer, S. R. (2012). Masculinity and HIV risk among homeless men in Los Angeles. Psychology of Men & Masculinity. Advance online publication. doi:10.1037/a0027570 Google Scholar | Crossref | ISI | |
|
Kennedy, D. P., Tucker, J., Green, H., Golinelli, D., Ewing, B. (2012). Unprotected sex of homeless youth: Results from a multilevel dyadic analysis of individual, social network, and relationship factors. AIDS and Behavior, 16, 2015-2032. Google Scholar | Crossref | Medline | ISI | |
|
Kennedy, D. P., Wenzel, S. L., Brown, R. A., Tucker, J. S., Golinelli, D. (2012). Unprotected sex among heterosexually active homeless men: Results from a multi-level dyadic analysis. AIDS and Behavior. Advance online publication. doi:10.1007/s10461-012-0366-z Google Scholar | Crossref | ISI | |
|
Kenny, D. A., Kashy, D. A., Cook, W. L. (2006). Dyadic data analysis. New York, NY: Guilford Press Google Scholar | |
|
Lee, B. A., Price-Spratlen, T. (2004). The geography of homelessness in American communities. Concentration or dispersion? City & Community, 3(1), 3-27. Google Scholar | Crossref | |
|
Mahajan, A. P., Sayles, J. N., Patel, V. A., Remien, R. H., Sawires, S. R., Ortiz, D. J., . . . Coates, T. J. (2008). Stigma in the HIV/AIDS epidemic: A review of the literature and recommendations for the way forward. AIDS, 22, S67-S79. Google Scholar | Crossref | Medline | ISI | |
|
McCarty, C., Bernard, H. R., Killworth, P. D., Shelley, G. A., Johnsen, E. C. (1997). Eliciting representative samples of personal networks. Social Networks, 19, 303-323. Google Scholar | Crossref | ISI | |
|
Mutchler, M., Bogart, L., Elliott, M., McKay, T., Suttorp, M., Schuster, M. (2008). Psychosocial correlates of unprotected sex without disclosure of HIV-positivity among African-American, Latino, and White men who have sex with men and women. Archives of Sexual Behavior, 37, 736-747. Google Scholar | Crossref | Medline | ISI | |
|
Orr, D. P., Langefeld, C. D., Katz, B. P., Caine, V. A. (1996). Behavioral intervention to increase condom use among high-risk female adolescents. Journal of Pediatrics, 128, 288-295. Google Scholar | Crossref | Medline | ISI | |
|
Poehlman, J. (2008). Masculine identity and HIV/AIDS risk behavior among African-American men. Practicing Anthropology, 30(1), 12-17. Google Scholar | Crossref | |
|
Power, R., French, R., Connelly, J., George, S., Hawes, D., Hinton, T., . . . Warner, D. (1999). Health, health promotion, and homelessness. British Medical Journal, 318, 590-592. Google Scholar | Crossref | Medline | |
|
Prins, A., Ouimette, P., Kimerling, R., Camerond, R. P., Hugelshofer, D. S., Shaw-Hegwer, J., . . . Sheikh, J. I. (2004). The primary care PTSD screen (PC-PTSD): Development and operating characteristics. Primary Care Psychiatry, 9(1), 9-14. Google Scholar | Crossref | |
|
Robertson, M. J., Clark, R. A., Charlebois, E. D., Tulsky, J., Long, H. L., Bangsberg, D. R., Moss, A. R. (2004). HIV seroprevalence among homeless and marginally housed adults in San Francisco. American Journal of Public Health, 94, 1207-1217. Google Scholar | Crossref | Medline | ISI | |
|
Romney, A. K., Weller, S. C., Batchelder, W. H. (1986). Culture as consensus: A theory of culture and informant accuracy. American Anthropologist, 88, 313-338. Google Scholar | Crossref | ISI | |
|
Ryan, G. W., Bernard, H. R. (2003). Techniques to identify themes. Field Methods, 15(1), 85-109. Google Scholar | SAGE Journals | |
|
Ryan, G. W., Stern, S. A., Hilton, L., Tucker, J. S., Kennedy, D. P., Golinelli, D., Wenzel, S. L. (2009). When, where, why and with whom homeless women engage in risky sexual behaviors: A framework for understanding complex and varied decision-making processes. Sex Roles, 61, 536-553. Google Scholar | Crossref | Medline | ISI | |
|
Sallis, J. F., Owen, N., Fisher, E. B. (2008). Ecological models of health behavior. In Glanz, K., Rimer, B. K., Viswanath, K. (Eds.), Health behavior and health education: Theory, research, and practice (4th ed., pp. 465-485). San Francisco, CA: Jossey-Bass. Google Scholar | |
|
Takahashi, L. M. (1997). The socio-spatial stigmatization of homelessness and HIV/AIDS: Toward an explanation of the NIMBY syndrome. Social Science & Medicine, 45, 903-914. Google Scholar | Crossref | Medline | ISI | |
|
Treas, J., Giesen, D. (2000). Sexual infidelity among married and cohabiting Americans. Journal of Marriage and the Family, 62, 48-60. Google Scholar | Crossref | ISI | |
|
Tucker, J., Wenzel, S., Golinelli, D., Kennedy, D., Ewing, B., Wertheimer, S. (2012). Understanding heterosexual condom use among homeless men. AIDS and Behavior. Advance online publication. doi:10.1007/s10461-012-0165-6 Google Scholar | Crossref | ISI | |
|
U.S. Department of Housing and Urban Development . (2007). Toward understanding homelessness: The 2007 National Symposium on Homelessness Research. Retrieved from http://www.huduser.org/portal/publications/homeless/homeless_symp_07.html Google Scholar | |
|
Ware, J. E. J., Sherbourne, C. D. (1992). The MOS 36-ltem short-form health survey (SF-36): I. Conceptual framework and item selection. Medical Care, 30, 473-483. Google Scholar | Crossref | Medline | ISI | |
|
Ware, N. C., Wyatt, M. A., Tugenberg, T. (2006). Social relationships, stigma and adherence to antiretroviral therapy for HIV/AIDS. AIDS Care, 18, 904-910. Google Scholar | Crossref | Medline | ISI | |
|
Wasserman, S., Faust, K. (1994). Social network analysis: Methods and applications. New York, NY: Cambridge University Press. Google Scholar | Crossref | |
|
Weller, S. C. (2007). Cultural consensus theory: Applications and frequently asked questions. Field Methods, 19, 339-368. Google Scholar | SAGE Journals | ISI | |
|
Wenzel, S., Rhoades, H., Hsu, H.-T., Golinelli, D., Tucker, J., Kennedy, D., . . . Ewing, B. (2012). Behavioral health and social normative influence: Correlates of concurrent sexual partnering among heterosexually-active homeless men. AIDS and Behavior, 16, 2042-2050. Google Scholar | Crossref | Medline | ISI |
