Early Life Psychosocial Stressors and Housing Instability among Young Sexual Minority Men: the P18 Cohort Study

Kristen D. Krause, Farzana Kapadia, Danielle C. Ompad, Paul A. D’Avanzo, Dustin T. Duncan, Perry N. Halkitis

Research output: Contribution to journalArticlepeer-review


Homelessness and housing instability is a significant public health problem among young sexual minority men. While there is a growing body of literature on correlates of homelessness among sexual minority men, there is a lack of literature parsing the different facets of housing instability. The present study examines factors associated with both living and sleeping in unstable housing among n = 600 sexual minority men (ages 18–19). Multivariate models were constructed to examine the extent to which sociodemographic, interpersonal, and behavioral factors as well as adverse childhood experiences explain housing instability. Overall, 13 % of participants reported sleeping in unstable housing and 18 % had lived in unstable housing at some point in the 6 months preceding the assessment. The odds of currently sleeping in unstable housing were greater among those who experienced more frequent lack of basic needs (food, proper hygiene, clothing) during their childhoods. More frequent experiences of childhood physical abuse and a history of arrest were associated with currently living in unstable housing. Current enrollment in school was a protective factor with both living and sleeping in unstable housing. These findings indicate that being unstably housed can be rooted in early life experiences and suggest a point of intervention that may prevent unstable housing among sexual minority men.

Original languageEnglish (US)
Pages (from-to)511-525
Number of pages15
JournalJournal of Urban Health
Issue number3
StatePublished - Jun 1 2016


  • Childhood abuse
  • Homeless
  • Housing instability
  • LGBT youth
  • Sexual debut
  • Sexual minority youth

ASJC Scopus subject areas

  • Health(social science)
  • Urban Studies
  • Public Health, Environmental and Occupational Health


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