The Influence of Housing Status on the HIV Continuum of Care: Results From a Multisite Study of Patient Navigation Models to Build a Medical Home for People Living With HIV Experiencing Homelessness
Objectives. To examine the effect of patient navigation models on changes in housing status and its subsequent effects on HIV outcomes for 700 people living with HIV (PLWH) who were unstably housed with co-occurring substance use and psychiatric disorders across 9 demonstration sites in the United S...
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| Veröffentlicht in: | American journal of public health (1971) 2018-12, Vol.108 (S7), p.S539-S545 |
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| container_title | American journal of public health (1971) |
| container_volume | 108 |
| creator | Rajabiun, Serena Tryon, Janell Feaster, Matt Pan, Amy McKeithan, Lisa Fortu, Karen Cabral, Howard J. Borne, Deborah Altice, Frederick L. |
| description | Objectives. To examine the effect of patient navigation models on changes in housing status and its subsequent effects on HIV outcomes for 700 people living with HIV (PLWH) who were unstably housed with co-occurring substance use and psychiatric disorders across 9 demonstration sites in the United States between the years of 2013 and 2017.
Methods. Self-reported housing status was collected at baseline, and at 6 and 12 months during the intervention. HIV outcomes included linkage and retention in care, antiretroviral therapy prescription, and viral suppression collected via chart review.
Results. In the 12 months after the intervention, 59.6% transitioned to more stable housing. Compared with those who became or remained unstably housed, participants with greater stability achieved significantly higher rates of retention (adjusted odds ratio [AOR] = 2.12; 95% confidence interval [CI] = 1.11, 4.05), were more likely to be prescribed antiretroviral therapy (AOR = 2.06; 95% CI = 1.62, 2.63), and had higher rates of viral suppression (AOR = 1.62; 95% CI = 1.03, 2.55).
Conclusions. The use of patient navigators to create a network of services for PLWH who are unstably housed can improve housing stability and lead to improvements in HIV-related outcomes. |
| doi_str_mv | 10.2105/AJPH.2018.304736 |
| format | Article |
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Methods. Self-reported housing status was collected at baseline, and at 6 and 12 months during the intervention. HIV outcomes included linkage and retention in care, antiretroviral therapy prescription, and viral suppression collected via chart review.
Results. In the 12 months after the intervention, 59.6% transitioned to more stable housing. Compared with those who became or remained unstably housed, participants with greater stability achieved significantly higher rates of retention (adjusted odds ratio [AOR] = 2.12; 95% confidence interval [CI] = 1.11, 4.05), were more likely to be prescribed antiretroviral therapy (AOR = 2.06; 95% CI = 1.62, 2.63), and had higher rates of viral suppression (AOR = 1.62; 95% CI = 1.03, 2.55).
Conclusions. The use of patient navigators to create a network of services for PLWH who are unstably housed can improve housing stability and lead to improvements in HIV-related outcomes.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.2018.304736</identifier><identifier>PMID: 32941777</identifier><language>eng</language><publisher>Washington: American Public Health Association</publisher><subject>Acquired immune deficiency syndrome ; AIDS ; AJPH Open-Themed Research ; Antiretroviral agents ; Antiretroviral therapy ; Behavior ; Drug therapy ; Drug use ; Enrollments ; Health facilities ; Health Service Delivery ; HIV ; HIV/AIDS ; Homeless people ; Homelessness ; Housing ; Housing authorities ; Human immunodeficiency virus ; Intervention ; Interviews ; Medical treatment ; Medicine ; Mental disorders ; Mental health care ; Mental health services ; Navigation ; Navigators ; Patients ; Prescription drugs ; Primary care ; Public health ; Retention ; Stability ; Substance abuse ; Substance use</subject><ispartof>American journal of public health (1971), 2018-12, Vol.108 (S7), p.S539-S545</ispartof><rights>Copyright American Public Health Association Dec 2018</rights><rights>American Public Health Association 2018 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c401t-7df24cf6f09a3ec0b38c6c0cc07df32d4aab46b41eb99a9956875b11f6757c8e3</citedby><cites>FETCH-LOGICAL-c401t-7df24cf6f09a3ec0b38c6c0cc07df32d4aab46b41eb99a9956875b11f6757c8e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290582/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290582/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27344,27866,27924,27925,33774,53791,53793</link.rule.ids></links><search><creatorcontrib>Rajabiun, Serena</creatorcontrib><creatorcontrib>Tryon, Janell</creatorcontrib><creatorcontrib>Feaster, Matt</creatorcontrib><creatorcontrib>Pan, Amy</creatorcontrib><creatorcontrib>McKeithan, Lisa</creatorcontrib><creatorcontrib>Fortu, Karen</creatorcontrib><creatorcontrib>Cabral, Howard J.</creatorcontrib><creatorcontrib>Borne, Deborah</creatorcontrib><creatorcontrib>Altice, Frederick L.</creatorcontrib><title>The Influence of Housing Status on the HIV Continuum of Care: Results From a Multisite Study of Patient Navigation Models to Build a Medical Home for People Living With HIV Experiencing Homelessness</title><title>American journal of public health (1971)</title><description>Objectives. To examine the effect of patient navigation models on changes in housing status and its subsequent effects on HIV outcomes for 700 people living with HIV (PLWH) who were unstably housed with co-occurring substance use and psychiatric disorders across 9 demonstration sites in the United States between the years of 2013 and 2017.
Methods. Self-reported housing status was collected at baseline, and at 6 and 12 months during the intervention. HIV outcomes included linkage and retention in care, antiretroviral therapy prescription, and viral suppression collected via chart review.
Results. In the 12 months after the intervention, 59.6% transitioned to more stable housing. Compared with those who became or remained unstably housed, participants with greater stability achieved significantly higher rates of retention (adjusted odds ratio [AOR] = 2.12; 95% confidence interval [CI] = 1.11, 4.05), were more likely to be prescribed antiretroviral therapy (AOR = 2.06; 95% CI = 1.62, 2.63), and had higher rates of viral suppression (AOR = 1.62; 95% CI = 1.03, 2.55).
Conclusions. The use of patient navigators to create a network of services for PLWH who are unstably housed can improve housing stability and lead to improvements in HIV-related outcomes.</description><subject>Acquired immune deficiency syndrome</subject><subject>AIDS</subject><subject>AJPH Open-Themed Research</subject><subject>Antiretroviral agents</subject><subject>Antiretroviral therapy</subject><subject>Behavior</subject><subject>Drug therapy</subject><subject>Drug use</subject><subject>Enrollments</subject><subject>Health facilities</subject><subject>Health Service Delivery</subject><subject>HIV</subject><subject>HIV/AIDS</subject><subject>Homeless people</subject><subject>Homelessness</subject><subject>Housing</subject><subject>Housing authorities</subject><subject>Human immunodeficiency virus</subject><subject>Intervention</subject><subject>Interviews</subject><subject>Medical treatment</subject><subject>Medicine</subject><subject>Mental disorders</subject><subject>Mental health 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Influence of Housing Status on the HIV Continuum of Care: Results From a Multisite Study of Patient Navigation Models to Build a Medical Home for People Living With HIV Experiencing Homelessness</title><author>Rajabiun, Serena ; Tryon, Janell ; Feaster, Matt ; Pan, Amy ; McKeithan, Lisa ; Fortu, Karen ; Cabral, Howard J. ; Borne, Deborah ; Altice, Frederick L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c401t-7df24cf6f09a3ec0b38c6c0cc07df32d4aab46b41eb99a9956875b11f6757c8e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>AIDS</topic><topic>AJPH Open-Themed Research</topic><topic>Antiretroviral agents</topic><topic>Antiretroviral therapy</topic><topic>Behavior</topic><topic>Drug therapy</topic><topic>Drug use</topic><topic>Enrollments</topic><topic>Health facilities</topic><topic>Health Service 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titles)</collection><jtitle>American journal of public health (1971)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rajabiun, Serena</au><au>Tryon, Janell</au><au>Feaster, Matt</au><au>Pan, Amy</au><au>McKeithan, Lisa</au><au>Fortu, Karen</au><au>Cabral, Howard J.</au><au>Borne, Deborah</au><au>Altice, Frederick L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Influence of Housing Status on the HIV Continuum of Care: Results From a Multisite Study of Patient Navigation Models to Build a Medical Home for People Living With HIV Experiencing Homelessness</atitle><jtitle>American journal of public health (1971)</jtitle><date>2018-12-01</date><risdate>2018</risdate><volume>108</volume><issue>S7</issue><spage>S539</spage><epage>S545</epage><pages>S539-S545</pages><issn>0090-0036</issn><eissn>1541-0048</eissn><abstract>Objectives. To examine the effect of patient navigation models on changes in housing status and its subsequent effects on HIV outcomes for 700 people living with HIV (PLWH) who were unstably housed with co-occurring substance use and psychiatric disorders across 9 demonstration sites in the United States between the years of 2013 and 2017.
Methods. Self-reported housing status was collected at baseline, and at 6 and 12 months during the intervention. HIV outcomes included linkage and retention in care, antiretroviral therapy prescription, and viral suppression collected via chart review.
Results. In the 12 months after the intervention, 59.6% transitioned to more stable housing. Compared with those who became or remained unstably housed, participants with greater stability achieved significantly higher rates of retention (adjusted odds ratio [AOR] = 2.12; 95% confidence interval [CI] = 1.11, 4.05), were more likely to be prescribed antiretroviral therapy (AOR = 2.06; 95% CI = 1.62, 2.63), and had higher rates of viral suppression (AOR = 1.62; 95% CI = 1.03, 2.55).
Conclusions. The use of patient navigators to create a network of services for PLWH who are unstably housed can improve housing stability and lead to improvements in HIV-related outcomes.</abstract><cop>Washington</cop><pub>American Public Health Association</pub><pmid>32941777</pmid><doi>10.2105/AJPH.2018.304736</doi><oa>free_for_read</oa></addata></record> |
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| source | PAIS Index; Sociological Abstracts; EBSCOhost Business Source Complete; EBSCOhost Education Source; PubMed Central; Alma/SFX Local Collection |
| subjects | Acquired immune deficiency syndrome AIDS AJPH Open-Themed Research Antiretroviral agents Antiretroviral therapy Behavior Drug therapy Drug use Enrollments Health facilities Health Service Delivery HIV HIV/AIDS Homeless people Homelessness Housing Housing authorities Human immunodeficiency virus Intervention Interviews Medical treatment Medicine Mental disorders Mental health care Mental health services Navigation Navigators Patients Prescription drugs Primary care Public health Retention Stability Substance abuse Substance use |
| title | The Influence of Housing Status on the HIV Continuum of Care: Results From a Multisite Study of Patient Navigation Models to Build a Medical Home for People Living With HIV Experiencing Homelessness |
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