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

Leaver, Chad; Bargh, Gordon J.M.; Dunn, James R.; Hwang, Stephen W.

doi:10.1007/s10461-007-9246-3

Cited by 203 publications

(143 citation statements)

References 36 publications

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“…They can become more effective if they are integrated to health promotion and social support and inclusion actions. 5,12,28 This aspect has been consistently reported in the literature, 5,12 with reduction of drug use, increase in safe sex behavior and improved HIV care and treatment adherence and utilization of health services. Almost half of the homeless respondents reported having no access to prevention programs and social support, being excluded from overnight shelter support.…”

Section: Discussionmentioning

confidence: 73%

Prevalência e vulnerabilidade à infecção pelo HIV de moradores de rua em São Paulo, SP

et al. 2012

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OBJETIVO: Analisar a prevalência e o perfil de vulnerabilidade ao HIV de moradores de rua. MÉTODOS: Estudo transversal com amostra não probabilística de 1.405 moradores de rua usuários de instituições de acolhimento de São Paulo, SP, de 2006 a 2007. Foi realizado teste anti-HIV e aplicado questionário estruturado. O perfil de vulnerabilidade foi analisado pela frequência do uso do preservativo, considerando mais vulneráveis os que referiram o uso nunca ou às vezes. Foram utilizadas regressões logística e multinomial para estimar as medidas de efeito e intervalos de 95% de confiança. RESULTADOS: Houve predominância do sexo masculino (85,6%), média de 40,9 anos, ter cursado o ensino fundamental (72,0%) e cor não branca (71,5%). A prática homo/bissexual foi referida por 15,7% e a parceria ocasional por 62,0%. O número médio de parcerias em um ano foi de 5,4 e mais da metade (55,7%) referiu uso de drogas na vida, dos quais 25,7% relataram uso frequente. No total, 39,6% mencionaram ter tido uma doença sexualmente transmissível e 38,3% relataram o uso do preservativo em todas as relações sexuais. A prevalência do HIV foi de 4,9% (17,4% dos quais apresentaram também sorologia positiva para sífilis). Pouco mais da metade (55,4%) tinha acesso a ações de prevenção. A maior prevalência do HIV esteve associada a ser mais jovem (OR 18 a 29 anos = 4,0 [IC95% 1,54;10,46]), história de doença sexualmente transmissível (OR = 3,3 [IC95% 1,87;5,73]); prática homossexual (OR = 3,0 [IC95% 1,28;6,92]) e à presença de sífilis (OR = 2,4 [IC95% 1,13;4,93]). O grupo de maior vulnerabilidade foi caracterizado por ser mulher, jovem, ter prática homossexual, número reduzido de parcerias, parceria fixa, uso de drogas e álcool e não ter acesso a ações de prevenção e apoio social. CONCLUSÕES: O impacto da epidemia entre moradores de rua é elevado, refletindo um ciclo que conjuga exclusão, vulnerabilidade social e acesso limitado à prevenção.

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Section: Discussionmentioning

confidence: 73%

Prevalência e vulnerabilidade à infecção pelo HIV de moradores de rua em São Paulo, SP

et al. 2012

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“…For example, providing interim or supportive housing has been shown to strengthen engagement in HIV care, lead to fewer hospitalizations, and improve HIV treatment outcomes. [68][69][70][71][72][73] For non-HIV infected populations, federally funded food assistance programs (e.g., the Supplemental Nutrition Assistance Program and Special Supplemental Nutrition Program for Women, Infants, and Children) have been shown to have a protective effect on pregnancy outcomes among women, 74,75 birthweight outcomes for infants, 76 and nutritional outcomes for young children. 77,78 Limited research has examined health-care utilization among program participants.…”

Section: Discussionmentioning

confidence: 99%

Food Insecurity Is Associated with Greater Acute Care Utilization among HIV-Infected Homeless and Marginally Housed Individuals in San Francisco

et al. 2012

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“…People living with HIV/AIDS in the USA are often homeless or living in unstable housing, conditions that are associated with poor health outcomes. 2 Hunger and food insufficiency are prevalent in people living with HIV/AIDS, even in the most well-resourced cities. 3 For example, nearly half of HIV-positive individuals receiving drug treatment in British Columbia, Canada were identified as food insecure, a rate that was five times greater than the general Canadian population.…”

Section: Introductionmentioning

confidence: 99%

Health and Treatment Implications of Food Insufficiency among People Living with HIV/AIDS, Atlanta, Georgia

et al. 2010

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HIV/AIDS is concentrated among the inner-city poor and poverty may directly interfere with HIV treatment. This study examined food insufficiency in relation to HIV-related health and treatment. A sample of 344 men and women living with HIV/ AIDS in Atlanta, Georgia completed measures of food security, health, and HIV disease progression and treatment. HIV treatment adherence was monitored using unannounced pill counts. Results showed that half of people living with HIV/AIDS in this study lacked sufficient food, and food insufficiency was associated with multiple indicators of poor health, including higher HIV viral loads, lower CD4 cell counts, and poorer treatment adherence. Adjusted analyses showed that food insufficiency predicted HIV treatment non-adherence over and above years of education, employment status, income, housing, depression, social support, and non-alcohol substance use. Hunger and food insecurity are prevalent among people living with HIV/AIDS, and food insufficiency is closely related to multiple HIV-related health indicators, particularly medication adherence. Interventions that provide consistent and sustained meals to people living with HIV/AIDS are urgently needed.

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

Abstract: Healthcare, support workers and public health policy should recognize the important impact of affordable and sustainable housing on the health of persons living with HIV.

Cited by 203 publications

References 36 publications

Prevalência e vulnerabilidade à infecção pelo HIV de moradores de rua em São Paulo, SP

Prevalência e vulnerabilidade à infecção pelo HIV de moradores de rua em São Paulo, SP

Food Insecurity Is Associated with Greater Acute Care Utilization among HIV-Infected Homeless and Marginally Housed Individuals in San Francisco

Health and Treatment Implications of Food Insufficiency among People Living with HIV/AIDS, Atlanta, Georgia

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