Enrollment Length, Service Category, and HIV Health Outcomes Among Low-Income HIV-Positive Persons Newly Enrolled in a Housing Program, New York City, 2014–2017.
Objectives. To evaluate the impact of duration and service category on HIV health outcomes among low-income adults living with HIV and enrolled in a housing program in 2014 to 2017. Methods. We estimated relative risk of engagement in care, viral suppression, and CD4 improvement for 561 consumers at...
| Publicado en: | American Journal of Public Health Vol. 110; no. 7; pp. 1068 - 1076 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
| Publicado: |
American Public Health Association
Jul2020
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=143704273&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 143704273 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Jul2020 vid: 110 iid: 7 pid: 44 pub: American Public Health Association artinfo: ui: 143704273 10.2105/AJPH.2020.305660 ppf: 1068 ppct: 8 formats: tig: atl: Enrollment Length, Service Category, and HIV Health Outcomes Among Low-Income HIV-Positive Persons Newly Enrolled in a Housing Program, New York City, 2014–2017. aug: au: Zhong, Yaoyu Beattie, Christopher M. Rojas, John Farquhar, X. Pamela Brown, Paul A. Wiewel, Ellen W. affil: At the time of the analysis, all authors were with the New York City Department of Health and Mental Hygiene, Long Island City, NY. su: New York (State) Health status indicators Medical care Evaluation of medical care Patients Public health surveillance Public housing Public welfare Government programs Social support Socioeconomic factors Comparative studies Reporting of diseases HIV-positive persons Time Viral load Relative medical risk CD4 lymphocyte count sug: subj: Health status indicators Medical care Evaluation of medical care Patients Public health surveillance Public housing Public welfare Government programs Social support Socioeconomic factors New York (State) Lessors of social housing projects Emergency and Other Relief Services Other Individual and Family Services Health and Welfare Funds Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Comparative studies Reporting of diseases HIV-positive persons Time Viral load Relative medical risk CD4 lymphocyte count ab: Objectives. To evaluate the impact of duration and service category on HIV health outcomes among low-income adults living with HIV and enrolled in a housing program in 2014 to 2017. Methods. We estimated relative risk of engagement in care, viral suppression, and CD4 improvement for 561 consumers at first and second year after enrollment to matched controls through the New York City HIV surveillance registry, by enrollment length (enrolled for more than 1 year or not) and service category (housing placement assistance [HPA], supportive permanent housing [SPH], and rental assistance [REN]). Results. The SPH and REN consumers were enrolled longer and received more services, compared with HPA consumers. Long-term SPH and REN consumers had better engagement in care, viral suppression, and CD4 count than controls at both first and second year after enrollment, but the effect did not grow bigger from year 1 to 2. HPA consumers did not have better outcomes than controls regardless of enrollment length. Conclusions. Longer enrollment with timely housing placement and a higher number and more types of services are associated with better HIV health outcomes for low-income persons living with HIV with unmet housing needs. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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