Homeless youths are likely to engage in risky sexual behavior such as unprotected sex, sex trading, and multiple partners. This behavior exposes them to sexually transmitted diseases and infections as well as early unwanted pregnancies. It also increases the vulnerability of engaging in risky sexual behavior. Homeless youth are more likely to abuse controlled substances including drugs and alcohol. Substance use is a risk factor for sexually transmitted illnesses such as Human Immunodeficiency Virus. It has a positive relationship with the sex trade, unprotected sex, and sharing of non-disinfected needles. Hence, homeless youth have a high risk of engaging in risky sexual behavior due to the uncontrolled environment.
Youths and Sexually Transmitted Diseases
Living conditions in the streets push homeless youth into risky activities that are sometimes inevitable. According to Asante, Meyer-Weitz, and Inge (2016), homeless youth are susceptible to various mental conditions, which contribute to sexual promiscuity and other risky behavior. Asante et al. (2016) argued that risky behavior among homeless youth focuses on survival strategies in the streets. Young people are more likely to engage in any activity for survival. Kennedy, Tucker, Green, Golinelli, and Ewing (2012) argued that homeless youth are at a higher risk of contracting sexually transmitted infections compared to the non-homeless group. Substance use, poor living conditions, and survival strategies increase the probability of homeless young people to engage in risky sexual activities. Kennedy et al. (2012) suggest that sharing of needles for injection of substances is likely to spread diseases. Though homeless youth may engage in safe sex and the context of substance use, the probability of indulging in risky sexual behavior is high.
Intervention measures for sexual promiscuity among homeless youth include increasing accessibility to condoms and education programs. However, being homeless is one of the risk factors for sexual promiscuity and substance use. The group lacks a central location where they can access services since most of them move from one town to another. They are most likely to be out of reach for the available intervention measures. As a result, the strategies are not valid because the possibility of reaching the target population is highly unlikely. According to Naranbhai, Abdool Karim, and Meyer-Weitz (2013), psychosocial and contextual factors that cause risky behavior also act as the main limitation for the implementation of various intervention measures. It is also difficult to communicate the purpose of the strategies as the youth may not welcome interventions due to ignorance. Holes shelters are temporary residences whose occupants changes frequently. Studies on the effectiveness of the intervention measures also produce ambiguous results. Hence, it is difficult to establish the best alternative for intervention.
Applying Ethical Decision Making and Critical Analysis to the Youth Homelessness
The primary professional responsibility of every nurse is to th
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