Supportive housing promotes AIDS-free survival for chronically homeless HIV positive persons with behavioral health conditions
Abstract
We assessed the influence of supportive housing, incarceration, and health service use on markers of HIV infection for people living with HIV and serious mental illness or substance use disorder (SUD) participating in a New York City supportive housing program (NY III). Using matched administrative data from 2007 to 2014, we compared survivor time without AIDS, achievement of undetectable viral load, and maintenance of viral suppression between NY III tenants (n = 696), applicants placed in other supportive housing programs (n = 333), and applicants not placed in supportive housing (n = 268). Inverse probability of treatment weights were applied to Cox proportional hazards regression models to account for confounding of observed variables. Individuals not placed in supportive housing had a significantly greater risk of death or AIDS diagnosis than NY III tenants [adjusted hazard ratio = 1.84 (1.40, 2.44), p < 0.001]. Incarceration and outpatient SUD treatment were significantly associated with negative short-term outcomes (time to undetectable viral load) but positive long-term outcomes (time to death or AIDS diagnosis). Supportive housing, SUD treatment, and incarceration were associated with prolonged survival without AIDS among supportive housing applicants living with HIV.
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The generally positive effects of Housing First on viral health outcomes from five studies in this review are consistent with findings from broader research on permanent supportive housing.
“Caution is warranted in drawing inferences from these studies, though the generally positive effects of Housing First on viral health outcomes from five studies in this review are consistent with findings from broader research on permanent supportive housing (e.g., Buchanan et al., 2009; Hall et al., 2019; Wenzel et al., 2019), providing a degree of assurance.”
From Harm reduction outcomes and practices in Housing First: A mixed-methods systematic review (2021) · cites this paper as Hall et al., 2019
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A POPULAÇÃO EM SITUAÇÃO DE RUA E O HIV: UMA REVISÃO INTEGRATIVA
Julião, R. C., SCHNEIDER, B. H., IZAKI, E. Y., Duffeck, L. L., Amanda Almeida Da, L. U. Z., Knauber, L., Bellani, W. A. G. D. O., Cássio, Z. I. N. I., ZAHDI, J. O. R., & Perotta, B. (2022) · REVISTA MÉDICA DO PARANÁ · doi:10.55684/79.2.1641
- Authors
- Hall, G., Singh, T., & Lim, S. W.
- Affiliations
- New York City Department of Health and Mental Hygiene (US)
- Corresponding author
- Hall, Gerod
- ORCID
- Hall, Gerod
- Venue
- AIDS and Behavior
- Published
- 2019-01-25
- Volume
- 23
- Issue
- 3
- Pages
- 776-783
- ISSN
- 1090-7165 (ISSN-L)
- 1573-3254
- OpenAlex
- W2914650615
- Cited by
- 17
- References
- 43
- Citations by year
- 2024: 1 · 2023: 3 · 2022: 3 · 2021: 5 · 2020: 3 · 2019: 2
- FWCI
- 4.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- AIDS and Behavior (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- supported housing, HIV, AIDS-free survival, chronic homelessness, severe mental illness, substance use disorders, incarceration, viral suppression, undetectable viral load, health care utilization
- MeSH terms
- Acquired Immunodeficiency Syndrome, Adult, Mental Disorders, Female, Ill-Housed Persons, Housing, Humans, Male, Middle Aged, New York City, Public Housing, Survival, HIV Infections, Viral Load, Substance-Related Disorders
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