Homelessness and housing assistance among persons with HIV, and associations with HIV care and viral suppression, New York City 2018

被引：10

作者：

Wiewel, Ellen Weiss ^{[1
]}

Zhong, Yaoyu ^{[1
]}

Xia, Qiang ^{[1
]}

Beattie, Christopher M. ^{[1
]}

Brown, Paul A. ^{[1
]}

Farquhar, Pam X. ^{[2
]}

Rojas, John F. ^{[2
]}

机构：

[1] New York City Dept Hlth & Mental Hyg, Long Isl City, NY 11101 USA

[2] New York City Dept Social Serv, New York, NY USA

来源：

PLOS ONE | 2023年 / 18卷 / 05期

关键词：

HEALTH;

D O I：

10.1371/journal.pone.0285765

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

ObjectivesTo measure housing assistance and homelessness among persons living with HIV (PLWH) and their association with health. MethodsExposure categories were: experiencing homelessness (per emergency shelter use or self-report), receiving housing assistance (per housing subsidy) without homelessness, or neither homelessness nor receiving housing assistance. Outcomes were: engagement (>= 1 visit) and retention (>= 2 visits >= 90 days apart) in HIV-related medical care and one-time (latest viral load) and durable (>= 1 viral load test, all suppressed) HIV viral suppression (<200 copies/mL). Among PLWH in New York City (NYC), we calculated and conducted modified Poisson regressions of the four outcomes according to exposure category. ResultsDuring 2018, 45% of NYC's 84,053 PLWH received housing assistance, and 8% experienced homelessness. Relative to homelessness, receipt of assistance without homelessness was associated with 3-7% higher adjusted relative risk (ARR) of engagement and retention in care and 31-64% higher ARR of one-time and durable viral suppression. Relative to not receiving assistance, receipt of assistance without homelessness was associated with 6-18% higher ARR of care and 2-5% lower ARR of viral suppression. ConclusionsPrograms promoting housing stability may support HIV care and viral suppression, particularly if preventing homelessness. These may help improve HIV care and suppression rates.

引用

页数：11

共 27 条

[11] The impact of ancillary HIV services on engagement in medical care in New York City [J].

Messeri, PA ;

Abramson, DM ;

Aidala, AA ;

Lee, F ;

Lee, G .

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2002, 14 :S15-S29

[12]

New York State Department of Health, 2015, 2015 BLUEPR ACH GOAL

[13]

NYC Department of Homeless Services, 2018, NYC HOPE 2018 RES

[14]

Prevention Access Campaign, UND UNTR

[15] MODEL ROBUST CONFIDENCE-INTERVALS USING MAXIMUM-LIKELIHOOD ESTIMATORS [J].

ROYALL, RM .

INTERNATIONAL STATISTICAL REVIEW, 1986, 54 (02) :221-226

[16] Factors associated with engaging socially marginalized HIV-positive persons in primary care [J].

Rumptz, Maureen H. ;

Tobias, Carol ;

Rajabiun, Serena ;

Bradford, Judith ;

Cabral, Howard ;

Young, Robin ;

Cunningham, William E. .

AIDS PATIENT CARE AND STDS, 2007, 21 :S30-S39

[17] Easy SAS calculations for risk or prevalence ratios and differences [J].

Spiegelman, D ;

Hertzmark, E .

AMERICAN JOURNAL OF EPIDEMIOLOGY, 2005, 162 (03) :199-200

[18]

Stewart N., 2016, NEW YORK TIMES, V24, P2016

[19] Effect of HIV Housing Services on Engagement in Care and Treatment, New York City, 2011 [J].

Terzian, Arpi S. ;

Irvine, Mary K. ;

Hollod, Laura M. ;

Lim, Sungwoo ;

Rojas, John ;

Shepard, Colin W. .

AIDS AND BEHAVIOR, 2015, 19 (11) :2087-2096

[20] Striving toward comprehensive HIV/AIDS surveillance: The view from New York City [J].

Torian, Lucia V. ;

Henning, Kelly J. ;

Kellerman, Scott E. ;

Frieden, Thomas R. .

PUBLIC HEALTH REPORTS, 2007, 122 :4-6

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