Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2020 Jun;17(3):259-267.
doi: 10.1007/s11904-020-00488-0.

Improving Care Outcomes for PLWH Experiencing Homelessness and Unstable Housing: a Synthetic Review of Clinic-Based Strategies

A Asa Clemenzi-Allen  1   2 , Matt Hickey  3 , Madellena Conte  4 , Doyel Das  5 , Elvin Geng  6 , Elise Riley  3 , Diane Havlir  3 , Monica Gandhi  3 , Elizabeth Imbert  3
Affiliations
Review

Improving Care Outcomes for PLWH Experiencing Homelessness and Unstable Housing: a Synthetic Review of Clinic-Based Strategies

A Asa Clemenzi-Allen et al. Curr HIV/AIDS Rep. 2020 Jun.

Abstract

Purpose of review: Singular interventions targeting vulnerable populations of people living with HIV (PLWH) are necessary for reducing new infections and optimizing individual-level outcomes, but extant literature for PLWH who experience homelessness and unstable housing (HUH) has not been compiled. To inform implementation of clinic-based programs that improve care outcomes in this population, we present a synthetic review of key studies examining clinic-based interventions, specifically case management, patient navigation, financial incentives, and the use of mobile technology.

Recent findings: Results from unimodal interventions are mixed or descriptive, are limited by inability to address related multi-modal barriers to care, and do not address major challenges to implementation. Multi-component interventions are needed, but gaps in our knowledge base may limit widespread uptake of such interventions before further data are compiled. Future research evaluating interventions for PLWH experiencing HUH should include implementation outcomes in order to facilitate adaptation across diverse clinical settings.

Keywords: HIV; Homelessness and unstable housing; Interventions; Retention in care; Review.

PubMed Disclaimer

Conflict of interest statement

No Conflicts of Interest to report

References

    1. Fauci AS, Redfield RR, Sigounas G, Weahkee MD, Giroir BP. Ending the HIV Epidemic: A Plan for the United States. JAMA. 2019;321(9):844–845. doi:10.1001/jama.2019.1343 - DOI - PubMed
    1. Riley ED, Gandhi M, Hare C, Cohen J, Hwang S. Poverty, unstable housing, and HIV infection among women living in the United States. Curr HIV/AIDS Rep. 2007;4(4):181–186. - PubMed
    1. Flentje A, Shumway M, Wong LH, Riley ED. Psychiatric Risk in Unstably Housed Sexual Minority Women: Relationship between Sexual and Racial Minority Status and Human Immunodeficiency Virus and Psychiatric Diagnoses. Womens Health Issues. 2017;27(3):294–301. doi:10.1016/j.whi.2016.12.005 - DOI - PMC - PubMed
    1. Riley ED, Moore K, Sorensen JL, Tulsky JP, Bangsberg DR, Neilands TB. Basic subsistence needs and overall health among human immunodeficiency virus-infected homeless and unstably housed women. Am J Epidemiol. 2011;174(5):515–522. doi:10.1093/aje/kwr209 - DOI - PMC - PubMed
    1. Tsai AC, Weiser SD, Dilworth SE, Shumway M, Riley ED. Violent Victimization, Mental Health, and Service Utilization Outcomes in a Cohort of Homeless and Unstably Housed Women Living With or at Risk of Becoming Infected With HIV. Am J Epidemiol. 2015;181(10):817–826. doi:10.1093/aje/kwu350 - DOI - PMC - PubMed

Publication types

MeSH terms