Effect of HIV Housing Services on Engagement in Care and Treatment, New York City, 2011

被引:0
作者
Arpi S. Terzian
Mary K. Irvine
Laura M. Hollod
Sungwoo Lim
John Rojas
Colin W. Shepard
机构
[1] New York City Department of Health and Mental Hygiene,
来源
AIDS and Behavior | 2015年 / 19卷
关键词
Public health surveillance; Housing; Epidemiology; HIV infection/prevention and control; Engagement in care;
D O I
暂无
中图分类号
学科分类号
摘要
The federal Housing Opportunities for Persons with AIDS (HOPWA) program addresses housing needs of low-income persons living with HIV/AIDS (PLWHA). The New York City (NYC) Department of Health and Mental Hygiene oversees 22 HOPWA contracts for over 2,400 clients, and manages the NYC HIV Registry. HOPWA clients (N = 1,357) were matched to a random 20 % sample of other PLWHA (N = 13,489). Groups were compared on HIV care retention, viral suppression, and rebound. HOPWA clients were, on average, 3 years younger and more likely to be concurrently diagnosed with HIV and AIDS. While HOPWA clients were more likely to be retained in care (94 vs. 82 %; mOR = 2.97, 95 % CI 2.35–3.74), they were no more likely to achieve suppression (84 vs. 86 %; mOR = 0.85, 95 % 0.70–1.03) and were more likely to rebound (11 vs. 7 %; mOR = 1.45; 95 % CI 1.10–1.91). HIV care retention does not fully translate to virologic suppression in this low-income service population.
引用
收藏
页码:2087 / 2096
页数:9
相关论文
共 71 条
[1]  
Kidder DP(2007)Access to housing as a structural intervention for homeless and unstably housed people living with HIV: rationale, methods, and implementation of the housing and health study AIDS Behav 11 149-161
[2]  
Wolitski RJ(2011)Vital signs: HIV prevention through care and treatment—United States MMWR 60 1618-1623
[3]  
Royal S(2014)Antiretroviral therapy for the prevention of HIV transmission: what will it take? Clin Infect Dis. 58 1003-1011
[4]  
McNairy ML(2014)Antiretroviral Therapy Cohort Collaboration. Impact of risk factors for specific causes of death in the first and subsequent years of antiretroviral therapy among HIV-infected patients Clin Infect Dis 59 287-297
[5]  
El-Sadr WM(2013)Service priorities and unmet service needs among people living with HIV/AIDS: results from a nationwide interview of HIV/AIDS housing organizations AIDS Care. 25 1083-1091
[6]  
Ingle SM(2007)Health status, health care use, medication use, and medication adherence among homeless and housed people living with HIV/AIDS Am J Public Health 97 2238-2245
[7]  
May MT(2009)Factors associated with adherence to highly active antiretroviral therapy in homeless or unstably housed adults living with HIV AIDS Care. 21 448-455
[8]  
Gill MJ(2004)HCSUS Consortium. Disparities in HIV treatment and physician attitudes about delaying protease inhibitors for nonadherent patients J Gen Intern Med 19 366-374
[9]  
Lennon CJ(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 Behav 14 12-S29
[10]  
Pellowski JA(2002)The impact of ancillary HIV services on engagement in medical care in New York City AIDS Care. 14 S15-37