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Socioeconomic, Behavioral, and Clinical Characteristics of Persons Living with HIV Who Experience Homelessness in the United States, 2015-2016.
AIDS Behav 2019AB

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. 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.

Authors+Show Affiliations

College of Public Health and Health Professions, University of Florida, Gainesville, FL, USA. Office of the Director, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd. NE, MS-E46, Atlanta, GA, 30329, USA. LBeer@cdc.gov.Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd. NE, MS-E46, Atlanta, GA, 30329, USA.Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd. NE, MS-E46, Atlanta, GA, 30329, USA.Office of the Director, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31628555

Citation

Wainwright, Jacob J., et al. "Socioeconomic, Behavioral, and Clinical Characteristics of Persons Living With HIV Who Experience Homelessness in the United States, 2015-2016." AIDS and Behavior, 2019.
Wainwright JJ, Beer L, Tie Y, et al. Socioeconomic, Behavioral, and Clinical Characteristics of Persons Living with HIV Who Experience Homelessness in the United States, 2015-2016. AIDS Behav. 2019.
Wainwright, J. J., Beer, L., Tie, Y., Fagan, J. L., & Dean, H. D. (2019). Socioeconomic, Behavioral, and Clinical Characteristics of Persons Living with HIV Who Experience Homelessness in the United States, 2015-2016. AIDS and Behavior, doi:10.1007/s10461-019-02704-4.
Wainwright JJ, et al. Socioeconomic, Behavioral, and Clinical Characteristics of Persons Living With HIV Who Experience Homelessness in the United States, 2015-2016. AIDS Behav. 2019 Oct 18; PubMed PMID: 31628555.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Socioeconomic, Behavioral, and Clinical Characteristics of Persons Living with HIV Who Experience Homelessness in the United States, 2015-2016. AU - Wainwright,Jacob J, AU - Beer,Linda, AU - Tie,Yunfeng, AU - Fagan,Jennifer L, AU - Dean,Hazel D, AU - ,, Y1 - 2019/10/18/ PY - 2019/10/20/entrez KW - HIV KW - Health risk behaviors KW - Homeless persons KW - Housing KW - Sustained virologic response JF - AIDS and behavior JO - AIDS Behav N2 - 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. SN - 1573-3254 UR - https://www.unboundmedicine.com/medline/citation/31628555/Socioeconomic,_Behavioral,_and_Clinical_Characteristics_of_Persons_Living_with_HIV_Who_Experience_Homelessness_in_the_United_States,_2015-2016 L2 - https://doi.org/10.1007/s10461-019-02704-4 DB - PRIME DP - Unbound Medicine ER -