Condomless Sex and Psychiatric Comorbidity in the Context of Constrained Survival Choices: A Longitudinal Study Among Homeless and Unstably Housed Women

摘要

We sought to identify the prevalence and independent correlates of condomless sex within a cohort of community-recruited homeless and unstablyhoused cisgender adult women who were followed biannually for 3years (N=143 HIV+, N=139 HIV-). Nearly half (44%) of participants reported condomless sex in the 6months before baseline, which increased to 65% throughout the study period. After adjusting for having a primary partner, longitudinal odds of condomless sex among women with HIV were significantly higher among those reporting