Street youth are a hard-to-reach population. They are often excluded from residence- or school-based surveys due to their unstable living conditions and their limited interaction with the education system. They are economically and socially marginalized because of their age, homeless status and lack of education and job skills.1 Street youth may be more preoccupied with meeting their basic daily needs than with health risks. Their lifestyle may also predispose them to engage in high-risk behaviours1 such as unprotected sex, sex with high-risk partners and injecting drug use – behaviours that increase their risk of contracting and transmitting sexually transmitted infections (STIs) and blood-borne infections (BBIs).
The information presented in this overview is based on data from Enhanced Surveillance of Canadian Street Youth (E-SYS). E-SYS is a sentinel surveillance system that monitors rates of STIs and BBIs, risk behaviours and health determinants in the Canadian street youth population. The data presented below are from the 1999, 2001, and 2003 cycles of E-SYS data collection.
As depicted in Table 1,
“E-SYS is a collaboration between the Public Health Agency of Canada’s Surveillance and Epidemiology Unit (Community Acquired Infections Division, Centre for Infectious Disease Prevention and Control), Health Canada’s Office of Research and Surveillance (Drug Strategy and Controlled Substances Program), participating surveillance sites and the youth who provide the data and samples collected.” |
Table 2 shows that
|
1999 |
2001 |
2003 |
Gender (%) |
|
|
|
Male |
61.7 |
56.6 |
62.9 |
Female |
38.3 |
43.4 |
37.1 |
Age group (years) |
|
|
|
15–19 |
63.5 |
68.0 |
56.9 |
20–24 |
36.5 |
32.0 |
43.1 |
Mean age (years) |
18.9 |
19.0 |
19.7 |
Place of birth (%) |
|
|
|
In Canada |
92.2 |
92.9 |
91.9 |
Outside Canada |
7.8 |
7.1 |
8.1 |
Ethnic origin* (%) |
|
|
|
Aboriginal |
27.7 |
33.6 |
36.3 |
Caucasian |
63.3 |
60.1 |
59.5 |
African /Black |
4.3 |
4.2 |
5.3 |
Other |
8.5 |
8.5 |
7.0 |
* Youth were allowed to report more than one ethnic origin; therefore, percentages may total more than 100. |
|
1999 |
2001 |
2003 |
Interaction with the legal system (%) |
|
|
|
Ever been in jail/detention |
|
|
|
Yes |
55.5 |
54.3 |
61.9 |
No |
44.5 |
45.7 |
38.1 |
Ever had a probation officer |
|
|
|
Yes |
49.4 |
47.7 |
56.0 |
No |
50.6 |
52.3 |
44.0 |
Interaction with the social service system (%) |
|
|
|
Ever had a social worker |
|
|
|
Yes |
64.8 |
70.4 |
70.4 |
No |
35.2 |
29.6 |
29.6 |
Ever been in foster care |
|
|
|
Yes |
35.7 |
39.5 |
42.2 |
No |
64.3 |
60.5 |
57.8 |
Ever been in a group home |
|
|
|
Yes |
39.8 |
44.4 |
46.7 |
No |
60.2 |
55.6 |
53.3 |
Sources of income (%) |
|
|
|
Social welfare |
21.8 |
22.0 |
25.0 |
Regular work |
15.2 |
18.1 |
13.9 |
Family |
14.5 |
14.3 |
13.3 |
Occasional work |
7.9 |
8.3 |
11.0 |
Selling drugs |
5.6 |
5.4 |
7.7 |
Panhandling |
8.0 |
7.8 |
7.6 |
Youth centre |
7.8 |
6.9 |
7.5 |
Stealing |
3.0 |
3.2 |
4.6 |
Friends |
3.5 |
3.1 |
4.5 |
Prostitution |
4.3 |
2.9 |
2.4 |
Squeegee |
4.7 |
1.0 |
2.4 |
Figure 1 presents circumstances that surveyed
youth faced before they began living on the streets. These
situations are not conducive to their well-being and may have
predisposed them to take to the streets or influenced their
decision to do so. Several studies on street youth have highlighted
the fact that family violence and unstable conditions are major
contributing factors to youth leaving home.2
Findings from E-SYS have significant implications for intervention in the street youth population. Street youth require both basic care and ongoing support if they are to remove themselves from their current situation and to have a chance of fulfilling life goals. Intervening in schools or partnering with the education system and youth-connected organizations to identify youth at risk of becoming streetinvolved may be a step in the right direction. A comprehensive approach involving foster care agencies, social workers, homeless youth services, the juvenile justice system, and integrating health programs and interventions are needed to improve the quality of life of street youth in Canada.
For further information please contact:
Surveillance and Epidemiology Section
Community Acquired Infections Division (CAID)
Centre for Infectious Disease Prevention and Control (CIDPC)
Public Health Agency of Canada (PHAC)
AL 0603B
Ottawa, ON K1A 0K9
Tel. 613-946-8637
Fax. 613-946-3902
www.publichealth.gc.ca/sti
www.santepublique.gc.ca/its
[Hepatitis C and STI Surveillance & Epi]
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