When, Where, Why and with Whom Homeless Women Engage in Risky Sexual Behaviors: A Framework for Understanding Complex and Varied Decision-Making Processes

被引：42

作者：

Ryan, Gery W. ^{[1
]}

Stern, Stefanie A. ^{[1
]}

Hilton, Lara ^{[1
]}

Tucker, Joan S. ^{[1
]}

Kennedy, David P. ^{[1
]}

Golinelli, Daniela ^{[1
]}

Wenzel, Suzanne L. ^{[1
,2
]}

机构：

[1] RAND Corp, Santa Monica, CA 90407 USA

[2] Univ So Calif, Sch Social Work, Los Angeles, CA 90089 USA

来源：

SEX ROLES | 2009年 / 61卷 / 7-8期

关键词：

Homeless women; Risky sexual behavior; Decision-making; Alcohol and drug use; Condom use; CONDOM USE; LOW-INCOME; AFRICAN-AMERICAN; ALCOHOL MYOPIA; SUBSTANCE USE; LOS-ANGELES; HIV-INFECTION; COCAINE USE; DRUG; PREVENTION;

D O I：

10.1007/s11199-009-9610-z

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

Impoverished women worldwide are at high risk for contracting HIV/AIDS. This study explores how homeless women make risky sex decisions and the role that alcohol and drugs play in this process. We analyze 56 in-depth qualitative descriptions of recent sexual episodes among 28 women living in shelters in Los Angeles, California, USA. The sample (age 18-63) was 46% African American, 21% Hispanic/Latina, and 21% White. Findings suggest that: (1) homeless women engage in multiple types of relationships and sexual behaviors; (2) emotion and attachment play critical roles in women's risky sex choices; and (3) the role of alcohol and drugs on such choices varies across relationship commitment. Understanding the complexity of sexual decision-making among this population has implications for developing successful risk reduction interventions.

引用

页码：536 / 553

页数：18