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Randomized trial of the effects of housing assistance on the health and risk behaviors of homeless and unstably housed people living with HIV.
AIDS Behav. 2010 Jun; 14(3):493-503.AB

Abstract

Homelessness affects HIV risk and health, but little is known about the longitudinal effects of rental assistance on the housing status and health of homeless and unstably housed people living with HIV/AIDS. Homeless/unstably housed people living with HIV/AIDS (N = 630) were randomly assigned to immediate Housing Opportunities for People with AIDS (HOPWA) rental assistance or customary care. Self-reported data, CD4, and HIV viral load were collected at baseline, 6, 12, and 18 months. Results showed that housing status improved in both groups, with greater improvement occurring in the treatment group. At 18 months, 51% of the comparison group had their own housing, limiting statistical power. Intent-to-treat analyses demonstrated significant reductions in medical care utilization and improvements in self-reported physical and mental health; significant differential change benefiting the treatment group was observed for depression and perceived stress. Significant differences between homeless and stably housed participants were found in as-treated analyses for health care utilization, mental health, and physical health. HOPWA rental assistance improves housing status and, in some cases, health outcomes of homeless and unstably housed people living with HIV/AIDS.

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Authors+Show Affiliations

Wolitski RJ
Division of HIV/AIDS Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton RD NE (E-35), Atlanta, GA, USA. RWolitski@cdc.gov
Kidder DP
No affiliation info available
Pals SL
No affiliation info available
Royal S
No affiliation info available
Aidala A
No affiliation info available
Stall R
No affiliation info available
Holtgrave DR
No affiliation info available
Harre D
No affiliation info available
Courtenay-Quirk C
No affiliation info available
Housing and Health Study Team
No affiliation info available

MeSH

AdolescentAdultFemaleHIV InfectionsHealth ServicesHealth Services AccessibilityHealth StatusHomeless PersonsHousingHumansMaleMiddle AgedPublic AssistanceRisk-TakingSexual BehaviorTreatment OutcomeYoung Adult

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

19949848

Clinical Trial Links

Helping Poor Smokers Quit

Citation

Wolitski, Richard J., et al. "Randomized Trial of the Effects of Housing Assistance On the Health and Risk Behaviors of Homeless and Unstably Housed People Living With HIV." AIDS and Behavior, vol. 14, no. 3, 2010, pp. 493-503.
Wolitski RJ, Kidder DP, Pals SL, et al. Randomized trial of the effects of housing assistance on the health and risk behaviors of homeless and unstably housed people living with HIV. AIDS Behav. 2010;14(3):493-503.
Wolitski, R. J., Kidder, D. P., Pals, S. L., Royal, S., Aidala, A., Stall, R., Holtgrave, D. R., Harre, D., & Courtenay-Quirk, C. (2010). Randomized trial of the effects of housing assistance on the health and risk behaviors of homeless and unstably housed people living with HIV. AIDS and Behavior, 14(3), 493-503. https://doi.org/10.1007/s10461-009-9643-x
Wolitski RJ, et al. Randomized Trial of the Effects of Housing Assistance On the Health and Risk Behaviors of Homeless and Unstably Housed People Living With HIV. AIDS Behav. 2010;14(3):493-503. PubMed PMID: 19949848.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Randomized trial of the effects of housing assistance on the health and risk behaviors of homeless and unstably housed people living with HIV. AU - Wolitski,Richard J, AU - Kidder,Daniel P, AU - Pals,Sherri L, AU - Royal,Scott, AU - Aidala,Angela, AU - Stall,Ron, AU - Holtgrave,David R, AU - Harre,David, AU - Courtenay-Quirk,Cari, AU - ,, PY - 2009/12/2/entrez PY - 2009/12/2/pubmed PY - 2010/8/24/medline SP - 493 EP - 503 JF - AIDS and behavior JO - AIDS Behav VL - 14 IS - 3 N2 - Homelessness affects HIV risk and health, but little is known about the longitudinal effects of rental assistance on the housing status and health of homeless and unstably housed people living with HIV/AIDS. Homeless/unstably housed people living with HIV/AIDS (N = 630) were randomly assigned to immediate Housing Opportunities for People with AIDS (HOPWA) rental assistance or customary care. Self-reported data, CD4, and HIV viral load were collected at baseline, 6, 12, and 18 months. Results showed that housing status improved in both groups, with greater improvement occurring in the treatment group. At 18 months, 51% of the comparison group had their own housing, limiting statistical power. Intent-to-treat analyses demonstrated significant reductions in medical care utilization and improvements in self-reported physical and mental health; significant differential change benefiting the treatment group was observed for depression and perceived stress. Significant differences between homeless and stably housed participants were found in as-treated analyses for health care utilization, mental health, and physical health. HOPWA rental assistance improves housing status and, in some cases, health outcomes of homeless and unstably housed people living with HIV/AIDS. SN - 1573-3254 UR - https://www.unboundmedicine.com/medline/citation/19949848/Randomized_trial_of_the_effects_of_housing_assistance_on_the_health_and_risk_behaviors_of_homeless_and_unstably_housed_people_living_with_HIV_ L2 - https://doi.org/10.1007/s10461-009-9643-x DB - PRIME DP - Unbound Medicine ER -