American Indians with HIV/AIDS: Health and Social Service Needs, Barriers to Care, and Staisfaction with Services Among A Western Tribe

The Effects of Housing Status on Health-Related Outcomes in People living with HIV: A Systematic Review of the Literature

“…Indeed, a burgeoning literature indicates that the need for stable housing circumstances is highly prevalent among people living with HIV, particularly among homeless and injection drug using populations (Andia et al, 2001;Bonuck, 2001;Crane, Quirk, & van der Straten, 2002;Goiceochea-Balbona, Barnaby, Ellis, & Foxworth, 2000;Hendriks & Leckie, 1993;Piette, Fleishman, Stein, Mor, & Mayer, 1993;Reilly & Woo, 2003a;Reilly et al, 2003b;Schrooten et al,2002). In addition to issues of AIDS human rights abuses (Leech 2003), AIDS stigma and discrimination have also been notable barriers to the maintenance and access to stable housing circumstances for people living with HIV, particularly for women (Gielen et al, 2000) and Native American populations in the United States (Duran et al, 2000). Policy that integrates affordable and stable housing as integral to the holistic model of care and treatment, across federal, state and local service delivery systems may best address the complete care of the individual living with HIV and overall community health.…”

Barriers to healthcare for American Indians experiencing homelessness

“…For AI populations in general, there is a high proportion of unmet physical and mental health needs (Duran et al, 2000; Beals et al, 2005; Whitbeck, Johnson, Hoyt, & Walls, 2006; Indian Health Service, 2014). AI/AN were more likely to report discrimination as a barrier to care than other racial/ethnic minority groups (Johansson, Jacobsen, & Buchwald, 2005).…”

“…These barriers included discrimination, access, and transportation difficulties (Call et al, 2006). Sixty-eight percent of participants from a Western tribe stated that they had no transportation to get to their appointments (Duran et al, 2000). Even when individuals can physically access Indian Health Services (IHS), their needs may not be met.…”

American Indian Women, HIV/AIDS, and Health Disparity

“…When averaging the poverty rate and number of poor, between 1998 and 2000, American Indians were found to have a Vernon higher rate than other U.S. races (U.S. Census Bureau, 2001). In several recent studies on American Indians and HIV/AIDS, the respondents' demographics indicated that most had monthly incomes less than $500 (Duran et al, 2000;Stevens et al, 2000). Poverty prevents or inhibits people from obtaining health education, having access to quality health care, and receiving proper medical treatment.…”