Correlates of Hepatitis B Virus and HIV Knowledge Among Gay and Bisexual Homeless Young Adults in Hollywood

Homeless gay and bisexual (G/B) young men have multiple risk factors that increase their risk of contracting hepatitis B virus (HBV) and human immunodeficiency virus (HIV). This study used baseline information from structured instruments to assess correlates of knowledge to HIV and HBV infection fro...

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Main Authors: Adeline Nyamathi ANP, PhD, FAAN, Benissa Salem RN, MSN, PHN, CNL, Cathy J. Reback PhD, Steven Shoptaw PhD, Catherine M. Branson MPH, Faith E. Idemundia BA, Barbara Kennedy ND, APRN, FNP-BC, ACRN, CNE, PhD, Farinaz Khalilifard MA, Mary Marfisee MD, MPH, Yihang Liu MD
Format: Article
Language:English
Published: SAGE Publishing 2013-01-01
Series:American Journal of Men's Health
Online Access:https://doi.org/10.1177/1557988312456068
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author Adeline Nyamathi ANP, PhD, FAAN
Benissa Salem RN, MSN, PHN, CNL
Cathy J. Reback PhD
Steven Shoptaw PhD
Catherine M. Branson MPH
Faith E. Idemundia BA
Barbara Kennedy ND, APRN, FNP-BC, ACRN, CNE, PhD
Farinaz Khalilifard MA
Mary Marfisee MD, MPH
Yihang Liu MD
author_facet Adeline Nyamathi ANP, PhD, FAAN
Benissa Salem RN, MSN, PHN, CNL
Cathy J. Reback PhD
Steven Shoptaw PhD
Catherine M. Branson MPH
Faith E. Idemundia BA
Barbara Kennedy ND, APRN, FNP-BC, ACRN, CNE, PhD
Farinaz Khalilifard MA
Mary Marfisee MD, MPH
Yihang Liu MD
author_sort Adeline Nyamathi ANP, PhD, FAAN
collection DOAJ
description Homeless gay and bisexual (G/B) young men have multiple risk factors that increase their risk of contracting hepatitis B virus (HBV) and human immunodeficiency virus (HIV). This study used baseline information from structured instruments to assess correlates of knowledge to HIV and HBV infection from 267 young (18-39 year old) G/B active methamphetamine, cocaine, and crack-using homeless men enrolled in a longitudinal trial. The study is designed to reduce drug use and improve knowledge of hepatitis and HIV/AIDS in a community center in Hollywood, California. Regression modeling revealed that previous hepatitis education delivered to G/B men was associated with higher levels of HIV/AIDS and hepatitis knowledge. Moreover, higher HIV/AIDS knowledge was associated with combining sex and drinking alcohol. Associations with hepatitis B knowledge was found among G/B men who were engaging in sex while under the influence of marijuana, who were receiving support from non–drug users, and who had been homeless in the last 4 months. Although being informed about HIV/AIDS and hepatitis did not preclude risky sexual and drug use behavior, knowledge about the dangers of concurrent sex with substance use is important. As higher levels of knowledge of hepatitis was associated with more moderate drug use, early access to testing and teaching harm reduction strategies remain critical to reduce exposure and infection of HBV and HIV in this population.
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spelling doaj.art-cab47d739c22471f8138a015c51fa6012022-12-21T18:30:17ZengSAGE PublishingAmerican Journal of Men's Health1557-98831557-98912013-01-01710.1177/1557988312456068Correlates of Hepatitis B Virus and HIV Knowledge Among Gay and Bisexual Homeless Young Adults in HollywoodAdeline Nyamathi ANP, PhD, FAAN0Benissa Salem RN, MSN, PHN, CNL1Cathy J. Reback PhD2Steven Shoptaw PhD3Catherine M. Branson MPH4Faith E. Idemundia BA5Barbara Kennedy ND, APRN, FNP-BC, ACRN, CNE, PhD6Farinaz Khalilifard MA7Mary Marfisee MD, MPH8Yihang Liu MD9University of California, Los Angeles, Los Angeles, CA, USAUniversity of California, Los Angeles, Los Angeles, CA, USAUCLA, Semel Institute for Neuroscience and Human BehaviorUniversity of California, Los Angeles, Los Angeles, CA, USAUniversity of California, Los Angeles, Los Angeles, CA, USAUniversity of California, Los Angeles, Los Angeles, CA, USACalifornia State University, Dominguez Hills, Carson, CA, USAUniversity of California, Los Angeles, Los Angeles, CA, USAUniversity of California, Los Angeles, Los Angeles, CA, USAUniversity of California, Los Angeles, Los Angeles, CA, USAHomeless gay and bisexual (G/B) young men have multiple risk factors that increase their risk of contracting hepatitis B virus (HBV) and human immunodeficiency virus (HIV). This study used baseline information from structured instruments to assess correlates of knowledge to HIV and HBV infection from 267 young (18-39 year old) G/B active methamphetamine, cocaine, and crack-using homeless men enrolled in a longitudinal trial. The study is designed to reduce drug use and improve knowledge of hepatitis and HIV/AIDS in a community center in Hollywood, California. Regression modeling revealed that previous hepatitis education delivered to G/B men was associated with higher levels of HIV/AIDS and hepatitis knowledge. Moreover, higher HIV/AIDS knowledge was associated with combining sex and drinking alcohol. Associations with hepatitis B knowledge was found among G/B men who were engaging in sex while under the influence of marijuana, who were receiving support from non–drug users, and who had been homeless in the last 4 months. Although being informed about HIV/AIDS and hepatitis did not preclude risky sexual and drug use behavior, knowledge about the dangers of concurrent sex with substance use is important. As higher levels of knowledge of hepatitis was associated with more moderate drug use, early access to testing and teaching harm reduction strategies remain critical to reduce exposure and infection of HBV and HIV in this population.https://doi.org/10.1177/1557988312456068
spellingShingle Adeline Nyamathi ANP, PhD, FAAN
Benissa Salem RN, MSN, PHN, CNL
Cathy J. Reback PhD
Steven Shoptaw PhD
Catherine M. Branson MPH
Faith E. Idemundia BA
Barbara Kennedy ND, APRN, FNP-BC, ACRN, CNE, PhD
Farinaz Khalilifard MA
Mary Marfisee MD, MPH
Yihang Liu MD
Correlates of Hepatitis B Virus and HIV Knowledge Among Gay and Bisexual Homeless Young Adults in Hollywood
American Journal of Men's Health
title Correlates of Hepatitis B Virus and HIV Knowledge Among Gay and Bisexual Homeless Young Adults in Hollywood
title_full Correlates of Hepatitis B Virus and HIV Knowledge Among Gay and Bisexual Homeless Young Adults in Hollywood
title_fullStr Correlates of Hepatitis B Virus and HIV Knowledge Among Gay and Bisexual Homeless Young Adults in Hollywood
title_full_unstemmed Correlates of Hepatitis B Virus and HIV Knowledge Among Gay and Bisexual Homeless Young Adults in Hollywood
title_short Correlates of Hepatitis B Virus and HIV Knowledge Among Gay and Bisexual Homeless Young Adults in Hollywood
title_sort correlates of hepatitis b virus and hiv knowledge among gay and bisexual homeless young adults in hollywood
url https://doi.org/10.1177/1557988312456068
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