Cited by 190Homelessness and Social IssuesHIV, Drug Use, Sexual RiskHIV/AIDS Research and Interventions

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The Health Impact of Supportive Housing for HIV-Positive Homeless Patients: A Randomized Controlled Trial

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Buchanan, David, Kee, Romina, Sadowski, Laura S., Garcia, Diana·2009·American Journal of Public Health

DOI 10.2105/ajph.2008.137810PMC PMC2774195

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Abstract

OBJECTIVES: We assessed the health impact of a housing and case management program, the Chicago Housing for Health Partnership, for homeless people with HIV. METHODS: HIV-positive homeless inpatients at a public hospital (n = 105) were randomized to usual care or permanent housing with intensive case management. The primary outcome was survival with intact immunity, defined as CD4 count > or = 200 and viral load < 100,000. Secondary outcomes were viral loads, undetectable viral loads, and CD4 counts. RESULTS: Outcomes were available for 94 of 105 enrollees (90%). Of 54 intervention participants, 35 (65%) reached permanent housing in program housing agencies. After 1 year, 55% of the intervention and 34% of the usual care groups were alive and had intact immunity (P = .04). Seventeen intervention (36%) and 9 usual care (19%) participants had undetectable viral loads (P = .051). Median viral loads were 0.89 log lower in the intervention group (P = .03). There were no statistical differences in CD4 counts. CONCLUSIONS: Homelessness is a strong predictor of poor health outcomes and complicates the medical management of HIV. This housing intervention improved the health of HIV-positive homeless people.

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Authors: Buchanan, D., Kee, R., Sadowski, L. S., & Garcia, D.
Affiliations: John H. Stroger, Jr. Hospital of Cook County (US)
ORCID: Kee, Romina
Sadowski, Laura S.
Venue: American Journal of Public Health
Publisher: American Public Health Association
Published: 2009-11
Volume: 99
Issue: S3
Pages: S675-S680
ISSN: 0090-0036 (ISSN-L)
1541-0048
DOI: 10.2105/ajph.2008.137810
PMC: PMC2774195
OpenAlex: W1976900967
Cited by: 190
References: 28
Citations by year: 2026: 8 · 2025: 2 · 2024: 4 · 2023: 5 · 2022: 13 · 2021: 24 · 2020: 19 · 2019: 24 · 2018: 9 · 2017: 15 · 2016: 12 · 2015: 14 · 2014: 7 · 2013: 6 · 2012: 12
FWCI: 16.86
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: American Journal of Public Health (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: Michael Reese Health Trust
Topics: Social Sciences › Sociology and Political Science › Homelessness and Social Issues
Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Keywords: HIV, homelessness, supported housing, case management, viral load, CD4 count, HIV survival
MeSH terms: Adult, Chicago, Female, Health Status, HIV Seropositivity, Ill-Housed Persons, Humans, Male, Middle Aged, Public Housing, Residential Facilities, Social Support

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The Health Impact of Supportive Housing for HIV-Positive Homeless Patients: A Randomized Controlled Trial

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