Socioeconomic, Behavioral, and Clinical Characteristics of Persons Living with HIV Who Experience Homelessness in the United States, 2015–2016
Homelessness is a substantial barrier to consistent, recommended HIV care, access and adherence to antiretroviral therapy (ART), and sustained viral suppression, thus increasing the risk for morbidity and transmission. We used data from the Medical Monitoring Project for June 1, 2015–May 31, 2017 to...
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| Veröffentlicht in: | AIDS and behavior 2020-06, Vol.24 (6), p.1701-1708 |
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| creator | Wainwright, Jacob J. Beer, Linda Tie, Yunfeng Fagan, Jennifer L. Dean, Hazel D. |
| description | Homelessness is a substantial barrier to consistent, recommended HIV care, access and adherence to antiretroviral therapy (ART), and sustained viral suppression, thus increasing the risk for morbidity and transmission. We used data from the Medical Monitoring Project for June 1, 2015–May 31, 2017 to estimate the weighted prevalence of homelessness among persons with diagnosed HIV (PWH) (N = 7665) overall and by selected sociodemographic, behavioral, and clinical characteristics. Prevalence of homelessness was 8.5%. PWH experiencing homelessness were > 3 times as likely to have needed and not received shelter or housing services (32% vs. 10%), > 4 times as likely to inject drugs (9% vs. 2%), and > 7 times as likely to engage in exchange sex (10% vs. 1%), respectively, compared with PWH who did not experience homelessness. Homelessness was associated with lower HIV care retention, ART dose adherence, and sustained viral suppression. This analysis demonstrates substantial need for enhanced treatment, care, and service delivery for PWH experiencing homelessness. Research has demonstrated that housing assistance programs improve HIV-related outcomes and diminish HIV risk behaviors; therefore, housing assistance for PWH should be prioritized in public health policies and practice. |
| doi_str_mv | 10.1007/s10461-019-02704-4 |
| format | Article |
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We used data from the Medical Monitoring Project for June 1, 2015–May 31, 2017 to estimate the weighted prevalence of homelessness among persons with diagnosed HIV (PWH) (N = 7665) overall and by selected sociodemographic, behavioral, and clinical characteristics. Prevalence of homelessness was 8.5%. PWH experiencing homelessness were > 3 times as likely to have needed and not received shelter or housing services (32% vs. 10%), > 4 times as likely to inject drugs (9% vs. 2%), and > 7 times as likely to engage in exchange sex (10% vs. 1%), respectively, compared with PWH who did not experience homelessness. Homelessness was associated with lower HIV care retention, ART dose adherence, and sustained viral suppression. This analysis demonstrates substantial need for enhanced treatment, care, and service delivery for PWH experiencing homelessness. 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Research has demonstrated that housing assistance programs improve HIV-related outcomes and diminish HIV risk behaviors; therefore, housing assistance for PWH should be prioritized in public health policies and practice.</description><subject>Access</subject><subject>Adult</subject><subject>Anti-HIV Agents - therapeutic use</subject><subject>Antiretroviral agents</subject><subject>Antiretroviral drugs</subject><subject>Antiretroviral therapy</subject><subject>Continuity of Patient Care</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Health behavior</subject><subject>Health policy</subject><subject>Health Psychology</subject><subject>Health risk assessment</subject><subject>Health Risk Behaviors</subject><subject>Health risks</subject><subject>HIV</subject><subject>HIV Infections - drug therapy</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - psychology</subject><subject>Homeless people</subject><subject>Homelessness</subject><subject>Housing</subject><subject>Housing policy</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Ill-Housed Persons - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>AIDS and behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wainwright, Jacob J.</au><au>Beer, Linda</au><au>Tie, Yunfeng</au><au>Fagan, Jennifer L.</au><au>Dean, Hazel D.</au><aucorp>Medical Monitoring Project</aucorp><aucorp>Medical Monitoring Project</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Socioeconomic, Behavioral, and Clinical Characteristics of Persons Living with HIV Who Experience Homelessness in the United States, 2015–2016</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2020-06-01</date><risdate>2020</risdate><volume>24</volume><issue>6</issue><spage>1701</spage><epage>1708</epage><pages>1701-1708</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><abstract>Homelessness is a substantial barrier to consistent, recommended HIV care, access and adherence to antiretroviral therapy (ART), and sustained viral suppression, thus increasing the risk for morbidity and transmission. We used data from the Medical Monitoring Project for June 1, 2015–May 31, 2017 to estimate the weighted prevalence of homelessness among persons with diagnosed HIV (PWH) (N = 7665) overall and by selected sociodemographic, behavioral, and clinical characteristics. Prevalence of homelessness was 8.5%. PWH experiencing homelessness were > 3 times as likely to have needed and not received shelter or housing services (32% vs. 10%), > 4 times as likely to inject drugs (9% vs. 2%), and > 7 times as likely to engage in exchange sex (10% vs. 1%), respectively, compared with PWH who did not experience homelessness. Homelessness was associated with lower HIV care retention, ART dose adherence, and sustained viral suppression. This analysis demonstrates substantial need for enhanced treatment, care, and service delivery for PWH experiencing homelessness. 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| ispartof | AIDS and behavior, 2020-06, Vol.24 (6), p.1701-1708 |
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| subjects | Access Adult Anti-HIV Agents - therapeutic use Antiretroviral agents Antiretroviral drugs Antiretroviral therapy Continuity of Patient Care Cross-Sectional Studies Female Health behavior Health policy Health Psychology Health risk assessment Health Risk Behaviors Health risks HIV HIV Infections - drug therapy HIV Infections - epidemiology HIV Infections - psychology Homeless people Homelessness Housing Housing policy Human immunodeficiency virus Humans Ill-Housed Persons - psychology Ill-Housed Persons - statistics & numerical data Infectious Diseases Male Medication Adherence Medicine Medicine & Public Health Middle Aged Morbidity Original Paper Prevalence Public Health Retention in Care Risk behavior Risk taking Sexually transmitted diseases Social services Socioeconomic Factors STD Sustained Virologic Response United States - epidemiology Viral Load |
| title | Socioeconomic, Behavioral, and Clinical Characteristics of Persons Living with HIV Who Experience Homelessness in the United States, 2015–2016 |
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