title: Alcohol and drug use and sexual behaviors placing runaways at risk for HIV infection.
abstract: Lifetime and current alcohol and drug use and sexual risk acts were examined among 154 male and 148 female runaways, aged 11-19, predominantly Black and Hispanic, residing at four residential shelters in the New York City area. Most runaways reported alcohol (71%) and drug use (46%), with about a quarter (27%) using either alcohol or drugs at least once a week during the past 3 months. Physical symptoms of substance abuse were reported by 47%; 17% reported addiction. Current substance use was higher among males and Hispanics, and increased with age. Substance use was significantly related to reporting more sexual partners and less frequent condom use. The results suggest that HIV/AIDS prevention programs must target the reduction of alcohol and drug use as well as sexual risk acts.
authors.affiliation: Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, CA 94305-5544.
authors.forename: C
authors.initials: C
authors.lastname: Koopman
authors.forename: M
authors.initials: M
authors.lastname: Rosario
authors.forename: M J
authors.initials: MJ
authors.lastname: Rotheram-Borus
mesh_terms: D000293:Adolescent; D000428:Alcohol Drinking / Q000009:adverse effects* / Q000453:epidemiology; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000517:prevention & control / Q000635:transmission*; D007722:Health Knowledge, Attitudes, Practice; D006703:Ill-Housed Persons / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D008297:Male; D009519:New York City / Q000453:epidemiology; D012307:Risk Factors; D012419:Runaway Behavior; D012725:Sexual Behavior; D012931:Social Environment; D019966:Substance-Related Disorders / Q000150:complications* / Q000453:epidemiology; D014505:Urban Population / Q000706:statistics & numerical data