Housing need, housing assistance, and connection to HIV medical care

Angela A. Aidala, Gunjeong Lee, David Abramson, Peter Messeri, Anne Siegler

Research output: Contribution to journalArticle

Abstract

HIV infection has become a chronic condition that for most persons can be effectively managed with regular monitoring and appropriate medical care. However, many HIV positive persons remain unconnected to medical care or have less optimal patterns of health care utilization than recommended by good clinical practice standards. This paper investigates housing status as a contextual factor affecting access and maintenance in appropriate HIV medical care. Data provided from 5,881 interviews conducted from 1994 to 2006 with a representative sample of 1,661 persons living with HIV/AIDS in New York City demonstrated a strong and consistent relationship between housing need and remaining outside of or marginal to HIV medical care. In contrast, housing assistance increased access and retention in medical care and appropriate treatment. The relationship between housing and medical care outcomes remain controlling for client demographics, health status, insurance coverage, co-occurring mental illness, and problem drug use and the receipt of supportive services to address co-occurring conditions. Findings provide strong evidence that housing needs are a significant barrier to consistent, appropriate HIV medical care, and that receipt of housing assistance has an independent, direct impact on improved medical care outcomes.

Original languageEnglish (US)
JournalAIDS and Behavior
Volume11
Issue numberSUPPL. 2
DOIs
StatePublished - Nov 2007

Fingerprint

HIV
Patient Acceptance of Health Care
Insurance Coverage
Health Insurance
Health Status
HIV Infections
Acquired Immunodeficiency Syndrome
Maintenance
Demography
Interviews
Pharmaceutical Preparations

Keywords

  • HIV/AIDS
  • Homelessness
  • Housing
  • Medical care
  • Socioeconomic factors

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this

Housing need, housing assistance, and connection to HIV medical care. / Aidala, Angela A.; Lee, Gunjeong; Abramson, David; Messeri, Peter; Siegler, Anne.

In: AIDS and Behavior, Vol. 11, No. SUPPL. 2, 11.2007.

Research output: Contribution to journalArticle

Aidala, Angela A. ; Lee, Gunjeong ; Abramson, David ; Messeri, Peter ; Siegler, Anne. / Housing need, housing assistance, and connection to HIV medical care. In: AIDS and Behavior. 2007 ; Vol. 11, No. SUPPL. 2.
@article{7a14b0ffcb0e4391af7d7fadd4de618d,
title = "Housing need, housing assistance, and connection to HIV medical care",
abstract = "HIV infection has become a chronic condition that for most persons can be effectively managed with regular monitoring and appropriate medical care. However, many HIV positive persons remain unconnected to medical care or have less optimal patterns of health care utilization than recommended by good clinical practice standards. This paper investigates housing status as a contextual factor affecting access and maintenance in appropriate HIV medical care. Data provided from 5,881 interviews conducted from 1994 to 2006 with a representative sample of 1,661 persons living with HIV/AIDS in New York City demonstrated a strong and consistent relationship between housing need and remaining outside of or marginal to HIV medical care. In contrast, housing assistance increased access and retention in medical care and appropriate treatment. The relationship between housing and medical care outcomes remain controlling for client demographics, health status, insurance coverage, co-occurring mental illness, and problem drug use and the receipt of supportive services to address co-occurring conditions. Findings provide strong evidence that housing needs are a significant barrier to consistent, appropriate HIV medical care, and that receipt of housing assistance has an independent, direct impact on improved medical care outcomes.",
keywords = "HIV/AIDS, Homelessness, Housing, Medical care, Socioeconomic factors",
author = "Aidala, {Angela A.} and Gunjeong Lee and David Abramson and Peter Messeri and Anne Siegler",
year = "2007",
month = "11",
doi = "10.1007/s10461-007-9276-x",
language = "English (US)",
volume = "11",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",
number = "SUPPL. 2",

}

TY - JOUR

T1 - Housing need, housing assistance, and connection to HIV medical care

AU - Aidala, Angela A.

AU - Lee, Gunjeong

AU - Abramson, David

AU - Messeri, Peter

AU - Siegler, Anne

PY - 2007/11

Y1 - 2007/11

N2 - HIV infection has become a chronic condition that for most persons can be effectively managed with regular monitoring and appropriate medical care. However, many HIV positive persons remain unconnected to medical care or have less optimal patterns of health care utilization than recommended by good clinical practice standards. This paper investigates housing status as a contextual factor affecting access and maintenance in appropriate HIV medical care. Data provided from 5,881 interviews conducted from 1994 to 2006 with a representative sample of 1,661 persons living with HIV/AIDS in New York City demonstrated a strong and consistent relationship between housing need and remaining outside of or marginal to HIV medical care. In contrast, housing assistance increased access and retention in medical care and appropriate treatment. The relationship between housing and medical care outcomes remain controlling for client demographics, health status, insurance coverage, co-occurring mental illness, and problem drug use and the receipt of supportive services to address co-occurring conditions. Findings provide strong evidence that housing needs are a significant barrier to consistent, appropriate HIV medical care, and that receipt of housing assistance has an independent, direct impact on improved medical care outcomes.

AB - HIV infection has become a chronic condition that for most persons can be effectively managed with regular monitoring and appropriate medical care. However, many HIV positive persons remain unconnected to medical care or have less optimal patterns of health care utilization than recommended by good clinical practice standards. This paper investigates housing status as a contextual factor affecting access and maintenance in appropriate HIV medical care. Data provided from 5,881 interviews conducted from 1994 to 2006 with a representative sample of 1,661 persons living with HIV/AIDS in New York City demonstrated a strong and consistent relationship between housing need and remaining outside of or marginal to HIV medical care. In contrast, housing assistance increased access and retention in medical care and appropriate treatment. The relationship between housing and medical care outcomes remain controlling for client demographics, health status, insurance coverage, co-occurring mental illness, and problem drug use and the receipt of supportive services to address co-occurring conditions. Findings provide strong evidence that housing needs are a significant barrier to consistent, appropriate HIV medical care, and that receipt of housing assistance has an independent, direct impact on improved medical care outcomes.

KW - HIV/AIDS

KW - Homelessness

KW - Housing

KW - Medical care

KW - Socioeconomic factors

UR - http://www.scopus.com/inward/record.url?scp=35448935630&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=35448935630&partnerID=8YFLogxK

U2 - 10.1007/s10461-007-9276-x

DO - 10.1007/s10461-007-9276-x

M3 - Article

VL - 11

JO - AIDS and Behavior

JF - AIDS and Behavior

SN - 1090-7165

IS - SUPPL. 2

ER -