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Comparative Study
. 2015 Nov;19(11):2087-96.
doi: 10.1007/s10461-015-1003-4.

Effect of HIV Housing Services on Engagement in Care and Treatment, New York City, 2011

Affiliations
Comparative Study

Effect of HIV Housing Services on Engagement in Care and Treatment, New York City, 2011

Arpi S Terzian et al. AIDS Behav. 2015 Nov.

Abstract

The federal Housing Opportunities for Persons with AIDS (HOPWA) program addresses housing needs of low-income persons living with HIV/AIDS (PLWHA). The New York City (NYC) Department of Health and Mental Hygiene oversees 22 HOPWA contracts for over 2,400 clients, and manages the NYC HIV Registry. HOPWA clients (N = 1,357) were matched to a random 20 % sample of other PLWHA (N = 13,489). Groups were compared on HIV care retention, viral suppression, and rebound. HOPWA clients were, on average, 3 years younger and more likely to be concurrently diagnosed with HIV and AIDS. While HOPWA clients were more likely to be retained in care (94 vs. 82 %; mOR = 2.97, 95 % CI 2.35-3.74), they were no more likely to achieve suppression (84 vs. 86 %; mOR = 0.85, 95 % 0.70-1.03) and were more likely to rebound (11 vs. 7 %; mOR = 1.45; 95 % CI 1.10-1.91). HIV care retention does not fully translate to virologic suppression in this low-income service population.

Keywords: Engagement in care; Epidemiology; HIV infection/prevention and control; Housing; Public health surveillance.

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Figures

Fig. 1
Fig. 1
Flow chart of NYC DOHMH-administered HOPWA program client eligibility for analysis

References

    1. US Department of Housing and Urban Development . HOPWA 20: housing innovations in HIV care. Washington, DC: The Office of HIV/AIDS Housing; 2013.
    1. RFP for Housing Opportunities for Persons with AIDS (HOPWA): Permanent supportive housing for persons living with HIV/AIDS NYC DOHMH; 2012.
    1. OKC HOPWA Program Overview. https://www.okc.gov/planning/homelessness/HOPWA%20PROGRAM%20OVERVIEW.pdf. Accessed 23 Oct 2014.
    1. The White House Office of National AIDS Policy. National HIV/AIDS strategy for the United States. Washington, DC; 2010.
    1. Kidder DP, Wolitski RJ, Royal S, et al. Access to housing as a structural intervention for homeless and unstably housed people living with HIV: rationale, methods, and implementation of the housing and health study. AIDS Behav. 2007;11(6 Suppl):149–161. doi: 10.1007/s10461-007-9249-0. - DOI - PubMed

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