Social networks and sexual risk factor differences between cisgender heterosexual and cisgender LGBQ homeless youths

ABSTRACT Cisgender lesbian, gay, bisexual, and queer/questioning (LGBQ) homeless youths are more likely to engage in sexual risk behaviors relative to cisgender heterosexual homeless youths. Homeless youths (N = 1,046) were recruited and surveyed from three drop-in centers in Los Angeles, California. This study assessed differences in demographics, background experiences, and perceived social network norms in order to understand the disparities in rates of unprotected sex and concurrent sex between these two subgroups. Results indicate significant differences in engagement in risk factors as well as social network norms. Findings provide support for tailored sexual risk-reduction interventions that cater specifically to LGBQ homeless youths.

[1]  K. Ethier,et al.  Youth Risk Behavior Surveillance — United States, 2017 , 2018, Morbidity and mortality weekly report. Surveillance summaries.

[2]  A. Chandra,et al.  Sexual Behavior, Sexual Attraction, and Sexual Orientation Among Adults Aged 18-44 in the United States: Data From the 2011-2013 National Survey of Family Growth. , 2016, National health statistics reports.

[3]  G. Gates,et al.  Serving Our Youth 2015: The Needs and Experiences of Lesbian, Gay, Bisexual, Transgender, and Questioning Youth Experiencing Homelessness , 2015 .

[4]  Bianca D. M. Wilson,et al.  Sexual and Gender Minority Youth in Foster Care: Assessing Disproportionality and Disparities in Los Angeles , 2014 .

[5]  Annie M Valente,et al.  Gender differences in sexual risk and sexually transmitted infections correlate with gender differences in social networks among San Francisco homeless youth. , 2013, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[6]  J. Bauermeister,et al.  Creating Comprehensive, Youth Centered, Culturally Appropriate Sex Education: What Do Young Gay, Bisexual, and Questioning Men Want? , 2013, Sexuality research & social policy : journal of NSRC : SR & SP.

[7]  J. Stein,et al.  The Mediating Roles of Stress and Maladaptive Behaviors on Self-Harm and Suicide Attempts Among Runaway and Homeless Youth , 2013, Journal of youth and adolescence.

[8]  E. Rice,et al.  Homelessness experiences, sexual orientation, and sexual risk taking among high school students in Los Angeles. , 2013, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[9]  I. Zablotska,et al.  Understanding of Norms Regarding Sexual Practices Among Gay Men: Literature Review , 2013, AIDS and Behavior.

[10]  Kimberly A. Tyler Homeless Youths’ HIV Risk Behaviors with Strangers: Investigating the Importance of Social Networks , 2013, Archives of Sexual Behavior.

[11]  Jill R. Glassman,et al.  Estimating population size and demographic characteristics of lesbian, gay, bisexual, and transgender youth in middle school. , 2013, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[12]  J. Tucker,et al.  Social network and individual correlates of sexual risk behavior among homeless young men who have sex with men. , 2012, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[13]  G. Gates,et al.  Serving Our Youth: Findings from a National Survey of Services Providers Working with Lesbian, Gay, Bisexual and Transgender Youth Who Are Homeless or At Risk of Becoming Homeless , 2012 .

[14]  C. Fisher,et al.  Adapting the Information–Motivation–Behavioral Skills Model , 2012, Health education & behavior : the official publication of the Society for Public Health Education.

[15]  J. Tucker,et al.  Unprotected Sex of Homeless Youth: Results from a Multilevel Dyadic Analysis of Individual, Social Network, and Relationship Factors , 2012, AIDS and Behavior.

[16]  I. Holloway,et al.  Social Networks of Homeless Youth in Emerging Adulthood , 2012, Journal of youth and adolescence.

[17]  Steven C Martino,et al.  Increased Substance Use and Risky Sexual Behavior Among Migratory Homeless Youth: Exploring the Role of Social Network Composition , 2011, Journal of youth and adolescence.

[18]  C. Latkin,et al.  Social Norms, Social Networks, and HIV Risk Behavior Among Injection Drug Users , 2010, AIDS and Behavior.

[19]  Eric Rice,et al.  Online Social Networking Technologies, HIV Knowledge, and Sexual Risk and Testing Behaviors Among Homeless Youth , 2010, AIDS and Behavior.

[20]  Kimberly A. Tyler,et al.  The High-Risk Environment of Homeless Young Adults: Consequences for Physical and Sexual Victimization , 2010, Violence and Victims.

[21]  Heather L. Corliss,et al.  Sexual risk in "mostly heterosexual" young women: influence of social support and caregiver mental health. , 2009, Journal of women's health.

[22]  B. Marshall,et al.  Survival Sex Work and Increased HIV Risk Among Sexual Minority Street-Involved Youth , 2009, Journal of acquired immune deficiency syndromes.

[23]  V. Silenzio,et al.  Connecting the invisible dots: reaching lesbian, gay, and bisexual adolescents and young adults at risk for suicide through online social networks. , 2009, Social science & medicine.

[24]  C. Latkin,et al.  Talking the talk, walking the walk: social network norms, communication patterns, and condom use among the male partners of female sex workers in La Romana, Dominican Republic. , 2009, Social science & medicine.

[25]  Kimberly A. Tyler A Comparison of Risk Factors for Sexual Victimization Among Gay, Lesbian, Bisexual, and Heterosexual Homeless Young Adults , 2008, Violence and Victims.

[26]  K. Tyler,et al.  Social network characteristics and risky sexual and drug related behaviors among homeless young adults. , 2008, Social science research.

[27]  R. Fouladi,et al.  Outcomes of a Brief Sexual Health Intervention for Homeless Youth , 2007, Journal of health psychology.

[28]  C. Latkin,et al.  Gender Differences in Social Network Influence among Injection Drug Users: Perceived Norms and Needle Sharing , 2007, Journal of Urban Health.

[29]  N. Milburn,et al.  Pro-social and problematic social network influences on HIV/AIDS risk behaviours among newly homeless youth in Los Angeles , 2007, AIDS care.

[30]  Gary Marks,et al.  Meta-analytic Examination of Online Sex-Seeking and Sexual Risk Behavior Among Men Who Have Sex With Men , 2006, Sexually transmitted diseases.

[31]  Eric Rice,et al.  Cross-National Variations in Behavioral Profiles Among Homeless Youth , 2006, American journal of community psychology.

[32]  Kevin Real,et al.  Moving Toward a Theory of Normative Influences: How Perceived Benefits and Similarity Moderate the Impact of Descriptive Norms on Behaviors , 2005, Journal of health communication.

[33]  H. Perkins,et al.  Misperceiving the college drinking norm and related problems: a nationwide study of exposure to prevention information, perceived norms and student alcohol misuse. , 2005, Journal of studies on alcohol.

[34]  L. Whitbeck,et al.  Mental disorder, subsistence strategies, and victimization among gay, lesbian, and bisexual homeless and runaway adolescents , 2004, Journal of sex research.

[35]  Kerstin E. E. Schroder,et al.  Methodological challenges in research on sexual risk behavior: II. Accuracy of self-reports , 2003, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[36]  Carl A Latkin,et al.  Norms, social networks, and HIV-related risk behaviors among urban disadvantaged drug users. , 2003, Social science & medicine.

[37]  K. Tyler,et al.  Perpetrators of early physical and sexual abuse among homeless and runaway adolescents. , 2002, Child abuse & neglect.

[38]  J. Ginzler,et al.  Challenges faced by homeless sexual minorities: comparison of gay, lesbian, bisexual, and transgender homeless adolescents with their heterosexual counterparts. , 2002, American journal of public health.

[39]  M. Rotheram-Borus,et al.  Sex-Specific Predictors of Suicidality Among Runaway Youth , 2002, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[40]  L. Whitbeck,et al.  Familial and "on-the-street" risk factors associated with alcohol use among homeless and runaway adolescents. , 2002, Journal of studies on alcohol.

[41]  J. Noell,et al.  Relationship of sexual orientation to substance use, suicidal ideation, suicide attempts, and other factors in a population of homeless adolescents. , 2001, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[42]  M. Katz,et al.  Hiv Risk Behavior of Runaway Youth in San Francisco , 2000 .

[43]  S. Maguen,et al.  Prevalence of unprotected sex and HIV‐antibody testing among gay, lesbian, and bisexual youth , 2000 .

[44]  S. Ennett,et al.  Social network characteristics associated with risky behaviors among runaway and homeless youth. , 1999, Journal of health and social behavior.

[45]  P J Bush,et al.  Perceived vs. actual friends' use of alcohol, cigarettes, marijuana, and cocaine: Which has the most influence? , 1992, Journal of youth and adolescence.

[46]  Carl A. Kallgren,et al.  A focus theory of normative conduct: Recycling the concept of norms to reduce littering in public places. , 1990 .

[47]  Michele L. Ybarra,et al.  Online social support as a buffer against online and offline peer and sexual victimization among U.S. LGBT and non-LGBT youth. , 2015, Child abuse & neglect.

[48]  N. Milburn,et al.  Position-specific HIV risk in a large network of homeless youths. , 2012, American journal of public health.

[49]  M. Rosario,et al.  Risk Factors for Homelessness Among Lesbian, Gay, and Bisexual Youths: A Developmental Milestone Approach. , 2012, Children and youth services review.

[50]  D. Apter,et al.  [Unprotected sex]. , 2011, Duodecim; laaketieteellinen aikakauskirja.

[51]  N. Slesnick,et al.  Comparison of HIV Risks among Gay, Lesbian, Bisexual and Heterosexual Homeless Youth , 2008, Journal of youth and adolescence.

[52]  P. Fowler,et al.  6-Homeless Youth in the United States : Recent Research Findings and Intervention Approaches , 2008 .

[53]  R. Fouladi,et al.  Attachment and sexual health behaviors in homeless youth. , 2007, Journal for specialists in pediatric nursing : JSPN.

[54]  Julia Serano,et al.  Whipping Girl: A Transsexual Woman on Sexism and the Scapegoating of Femininity , 2007 .

[55]  V. Willson,et al.  Effects of Nonnormal Data on Parameter Estimates and Fit Indices for a Model with Latent and Manifest Variables: An Empirical Study. , 1996 .