Background: A total of 1.7 million youth are homeless in America and nearly half are lesbian, gay, bisexual, or transgender. The purpose of this study is to investigate survival strategies, anxiety, and self-esteem among male homeless adolescents. Objectives: This study tested two hypotheses: (a) Survival strategies of homeless adolescents differ by sexual orientation/gender identity. (b) There is a relationship between survival strategies and sexual orientation/gender identity, amount of time homeless, self-esteem, and state/trait anxiety. Design: A comparative-descriptive study was conducted in six large cities. Seventy 16- to 20-year-old homeless male adolescents were recruited. Results: Survival strategies did not significantly vary by sexual orientation; however, some differences may be of clinical relevance. Conclusions: Homeless youth of all sexual orientations/gender identities were using diverse strategies to survive. Psychiatric nurses are in a unique position to assist these youth.
BaileyJ. M. (1996). Gender identity. In Savin-WilliamsR. C.CohenK. M. (Eds.), The lives of lesbians, gays and bisexuals: Children to adults (pp. 71-93). Orlando, FL: Harcourt.
3.
BarryD. T.GriloC. M. (2003). Cultural, self-esteem, and demographic correlates of perception of personal and group discrimination among East Asian immigrants. American Journal of Orthopsychiatry, 73, 223-229.
4.
Benoit-BryanJ. (2008). National Runaway Switchboard 2008 reporter’s source book on runaway and homeless youth. Chicago, IL: National Runaway Switchboard.
5.
ColemanE. (1989). The development of male prostitution activity among gay and bisexual adolescents. Journal of Homosexuality, 17, 131-150.
6.
DeRosaC. J.MontgomeryS. B.KipkeM. D.IversonE.JoanneL.UngerJ. B. (1999). Service utilization among homeless and runaway youth in Los Angeles, California: Rates and reasons. Journal of Adolescent Health, 24, 449-458.
7.
DohrenwendB. S. (1978). Social stress and community psychology. American Journal of Community Psychology, 6(1), 1-14.
8.
DuRantL. E.CareyM. P. (2000). Self-administered questionnaires versus face-to-face interviews in assessing sexual behavior in young women. Archives of Sexual Behavior, 29, 309-322.
9.
EnsignJ.GittlesohnJ. (1998). Health and access to care: Perspectives of homeless youth in Baltimore City, USA. Social Science & Medicine, 47, 2087-2099.
GoodmanL.SaxeL.HarveyM. (1991). Homelessness as psychological trauma: Broadening perspectives. American Psychologist, 46, 1219-1225.
12.
GreeneJ. M.EnnettS. T.RingwaltC. L. (1999). Prevalence and correlates of survival sex among runaway and homeless youth. American Journal of Public Health, 89, 1406-1409.
13.
HammerH.FinkelhorD.SedlakA. J. (2002). Runaway/thrownaway children: National estimates and characteristics. Washington, DC: U.S. Department of Justice.
14.
HeinL. C. (2010). Where did you sleep last night? Homeless male adolescents: Gay, bisexual, transgender and heterosexual compared. Southern Online Journal of Nursing Research, 10(1), Article 9. Retrieved from http://snrs.org/publications/SOJNR_articles2/Vo110Num01Art09.pdf
15.
HerekG. M.KimmelD. C.AmaroH.MeltonG. B. (1991). Avoiding heterosexist bias in psychological research. American Psychologist, 46, 957-963.
16.
HetrickE. S.MartinA. D. (1987). Developmental issues and their resolution for gay and lesbian adolescents. Journal of Homosexuality, 14, 25-43.
17.
KennedyM. R. (1991). Homeless and runaway youth mental health issues: No access to the system. Journal of Adolescent Health, 12, 576-579.
18.
KimM. J.TajimaE. A.HerrenkohlT. I.HuangB. (2009). Early child maltreatment, runaway youths, and risk of delinquency and victimization in adolescence: A mediational model. Social Work Research, 33(1), 19-28.
19.
KinseyA. C.PomeroyW. B.MartinC. E. (1948). Sexual behavior in the human male. Philadelphia, PA: W. B. Saunders.
20.
KipkeM. D.O’ConnorS.PalmerR.MacKenzieR. G. (1995). Street youth in Los Angeles: Profile of a group at high risk for human immunodeficiency virus infection. Archives of Pediatrics & Adolescent Medicine, 149, 513-519.
21.
KipkeM. D.SimonT. F.MontgomeryS. B.UngerJ. B.IversonE. F. (1997). Homeless youth and their exposure to and involvement in violence while living on the streets. Journal of Adolescent Health, 20, 360-367.
22.
KleinJ. D.WoodsA. H.WilsonK. M.ProsperoM.GreeneJ.RingwaltC. (2000). Homeless and runaway youths’ access to health care. Journal of Adolescent Health, 5, 331-339.
23.
KufeldtK. (1991). Social policy and runaways. Journal of Health & Social Policy, 2(4), 37-49.
24.
LinkB. G.SusserE.StueveA.PhelanJ.MooreR. E.StueningE. (1994). Lifetime and five-year prevalence of homelessness in the United States. American Journal of Public Health, 84, 1907-1912.
25.
LucasB.HackettL. (1995). Street youth: On their own in Indianapolis. Indianapolis, IN: Health Foundation of Greater Indianapolis.
26.
O’ConnellJ. J. (1999). Utilization and costs of medical services by homeless persons: A review of the literature and implications for the future. Nashville, TN: National Health Care for the Homeless Council.
27.
PowersJ. L.EckenrodeJ.JaklitschB. (1990). Maltreatment among runaway and homeless youth. Child Abuse & Neglect, 14, 87-98.
28.
RadkowskyM.SiegelL. J. (1997). The gay adolescent: Stressors, adaptations, and psychosocial interventions. Clinical Psychology Review, 17, 191-216.
29.
RewL.WhittakerT. A.Taylor SeehaferM. A.SmithL. R. (2005). Sexual health risks and protective resources in gay, lesbian, bisexual, and heterosexual homeless youth. Journal for Specialists in Pediatric Nursing, 10, 11-19.
30.
RogersB.GrimmK.HornerN. (2008). Deaths among homeless residents of Davidson county, TN, 2004-2006. Nashville, TN: Metro Public Health Department, Division of Epidemiology.
31.
RosenbergM. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
32.
Rotheram-BorusM. J.MahlerK. A.RosarioM. (1995). AIDS prevention with adolescents. AIDS Education and Prevention, 7, 320-336.
33.
RoyÉ.HaleyN.BoudreauJ. F.LeclercP.BoivinJ. F. (2009). The challenge of understanding mortality changes among street youth. Journal of Urban Health, 87, 95-101.
34.
RoyÉ.HaleyN.LeclercP.SochanskiB.BoudreauJ. F.BoivinJ. F. (2004). Mortality in a cohort of street youth in Montreal. Journal of the American Medical Association, 292, 569-574.
SedlackA. J.FinkelhorD.HammerH.SchultzD. J. (2002). National estimates of missing children: An overview. Washington, DC: U.S. Department of Justice. Retrieved from http://www.ncjrs.gov/html/ojjdp/nismart/01/index.html
37.
SimonsR. L.WhitbeckL. B. (1991). Running away during adolescence as a precursor to adult homelessness. Social Service Review, 65, 224-247.
38.
SpielbergerC. D. (1983). State-Trait Anxiety Inventory, Form Y: Sampler set, manual, test, scoring key. Redwood City, CA: Mind Garden.
39.
StephensT. T.BraithwaiteR.LubinJ.CarnR. H.ColbertS. (2000). Homelessness and hunger as HIV risk factors for African American male commercial sex workers. Journal of African American Men, 5, 3-12.
40.
SullivanT. R. (1996). The challenge of HIV prevention among high-risk adolescents. Health & Social Work, 21, 58-65.
TaylorS. E. (1983). Adjustment to threatening events: A theory of cognitive adaptation. American Psychologist, 38, 1161-1172.
43.
ThompsonS. J.SafyerA. W.PoliioD. E. (2001). Differences and predictors of family reunification among subgroups of runaway youths using shelter services. Social Work Research, 25, 163-179.
44.
UngerJ. B.KipkeM. D.SimonT. R.JohnsonC. J.MontgomeryS. B.IversonE. (1998). Stress, coping, and social support among homeless youth. Journal of Adolescent Research, 13, 134-157.
45.
WallsN. E.HancockP.WisneskiH. (2007). Differentiating the social service needs of homeless sexual minority youths from those of non-homeless sexual minority youths. Journal of Children & Poverty, 13, 177-205.
46.
WhitbeckL. B.ChenX.HoytD. R.TylerK. A.JohnsonK. D. (2004). Mental disorder, subsistence strategies, and victimization among gay, lesbian, and bisexual homeless and runaway adolescents. Journal of Sex Research, 41, 329-342.
47.
WhitbeckL. B.HoytD. R.JohnsonK. D.ChenX. (2007). Victimization and posttraumatic stress disorder among runaway and homeless adolescents. Violence and Victims, 22, 721-734.
48.
WhitbeckL. B.SimonsR. L. (1993). A comparison of adaptive strategies and patterns of victimization among homeless adolescents and adults. Violence and Victims, 8, 135-152.
