HIV seroprevalence among homeless and marginally housed adults in San Francisco

M.J. Robertson, R.A. Clark, E.D. Charlebois, J. Tulsky, H.L. Long, D.R. Bangsberg and A.R. Moss

American Journal of Public Health, 2004, vol. 94, issue 7, 1207-1217

Abstract: Objectives. We report HIV seroprevalence and risk factors for urban indigent adults. Methods. A total of 2508 adults from shelters, meal programs, and low-cost hotels received interviews, blood tests, and tuberculosis screening. Results. Seroprevalence was 10.5% overall, 29.6% for men reporting sex with men (MSM), 7.7% for non-MSM injection drug users (IDUs), and 5.0% for residual non-MSM/non-IDUs. Risk factors were identified for MSM (sex trade among Whites, non-White race, recent receptive anal sex, syphilis), non-MSM IDUs (syphilis, lower education, prison, syringe sharing, transfusion), and residual subjects (≥5 recent sexual partners, female crack users who gave sex for drugs). Conclusions. HIV seroprevalence was 5 times greater for indigent adults than in San Francisco generally. Sexual behavior predicted HIV infection better than drug use, even among IDUs.

Date: 2004
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