Examining Retention in HIV Care and HIV Suppression on Housing Services Intake at a Washington, DC Community Based Organization.
In Washington, DC, 2% of residents are living with HIV, with 15.3% of them experiencing homelessness. Additionally, over half of DC-area renters are paying over 30% of their income for housing. The primary objective of this study was to describe HIV outcomes at initial intake at Housing Counseling S...
| Published in: | Journal of Community Health Vol. 46; no. 5; pp. 861 - 869 |
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| Main Authors: | , , , , , , , , , , |
| Format: | Article |
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Springer Nature
Oct2021
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=152710028&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 152710028 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00945145 JCH jtl: Journal of Community Health issn: 00945145 maglogo: N pubinfo: dt: Oct2021 vid: 46 iid: 5 pid: 237 pub: Springer Nature artinfo: ui: 152710028 10.1007/s10900-020-00959-w ppf: 861 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P size: 655KB tig: atl: Examining Retention in HIV Care and HIV Suppression on Housing Services Intake at a Washington, DC Community Based Organization. aug: au: Aquino, Gabrielle Byrne, Morgan Dorsey, Kerri Siegel, Marian Mitchell, Oscar Grant, Sherita Fox, Anthony Lum, Garrett Allston, Adam Monroe, Anne Doshi, Rupali affil: George Washington University School of Medicine and Health Sciences, Washington, DC, USA Department of Epidemiology, George Washington University Milken Institute School of Public Health, 950 New Hampshire Ave, NW, 20052, Washington, DC, USA District of Columbia Department of Health, Washington, DC, USA Housing Counseling Services, Washington, DC, USA su: Washington (D.C.) Counseling Health services accessibility Age distribution Community health services Retrospective studies Infectious disease transmission Housing Patient compliance Disease risk factors Viral load Fisher exact test Chi-squared test Descriptive statistics Data analysis software Psychology of HIV-positive persons sug: subj: Counseling Health services accessibility Age distribution Community health services Retrospective studies Infectious disease transmission Housing Patient compliance Disease risk factors Washington (D.C.) Community health centres All Other Outpatient Care Centers Residential Mental Health and Substance Abuse Facilities Other Individual and Family Services Other local, municipal and regional public administration Other Community Housing Services Viral load Fisher exact test Chi-squared test Descriptive statistics Data analysis software Psychology of HIV-positive persons keyword: HIV Homelessness Retention in care Viral suppression HIV Homelessness Retention in care Viral suppression ab: In Washington, DC, 2% of residents are living with HIV, with 15.3% of them experiencing homelessness. Additionally, over half of DC-area renters are paying over 30% of their income for housing. The primary objective of this study was to describe HIV outcomes at initial intake at Housing Counseling Services (HCS). This retrospective study included adults with HIV completing HCS intake between 2015 and 2018 and linked HCS data with DC Department of Health (DOH) HIV/AIDS, Hepatitis, STD, and TB Administration (HAHSTA) surveillance data. Proportions of individuals with retention in care (RIC) and viral suppression (VS) were compared across client subgroups using chi-square or rank sum tests. The sample of 734 participants was mostly male (67%), Non-Hispanic Black (89%), had MSM as the HIV transmission risk factor (44%) and had rental housing (60%). Most participants (634/734, 86%) were RIC at HCS intake. A majority of participants (477/621 or 77%) had VS at intake. Older age was associated with VS (p = 0.0007). Homeless individuals (with intake from the street) were less likely to be VS (4.8% vs. 11.1%, p < 0.0045). Our results suggest that PWH who have unstable housing or who are homeless may need additional support services for maintaining RIC and VS, as the proportion meeting those benchmarks was not at goal when they sought services at HCS. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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