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. 2022 Sep 16;17(9):e0274923.
doi: 10.1371/journal.pone.0274923. eCollection 2022.

Outcomes of the KC life 360 intervention: Improving employment and housing for persons living with HIV

Joseph S Lightner  1   2 , Travis Barnhart  2 , Jamie Shank  2   3 , Debbie Adams  2 , Ella Valleroy  1 , Steven Chesnut  1 , Serena Rajabiun  4
Affiliations

Outcomes of the KC life 360 intervention: Improving employment and housing for persons living with HIV

Joseph S Lightner et al. PLoS One. .

Abstract

Housing and employment are key factors in the health and wellbeing of persons living with HIV (PLWH) in the United States. Approximately 14% of low-income PLWH report housing instability or temporary housing, and up to 70% report being unemployed. The purpose of this study was to examine the outcomes of an intervention to improve housing and employment for PLWH in the Midwest. Participants (N = 87) were recruited from the Kansas City metropolitan area to participate in a one-year intervention to improve housing and employment. All individuals were living with HIV and were not stably housed, fully employed, nor fully engaged in HIV medical care. A series of generalized estimating equations were conducted using client-level longitudinal data to examine how housing, employment, viral load, and retention in care changed over time. Housing improved from baseline to follow-up, with more individuals reporting having stable housing (OR = 23.5; p < 0.001). Employment also improved from baseline to follow-up, with more individuals reporting full-time employment (OR = 1.9; p < 0.001). Viral suppression improved from baseline to follow-up, with more individuals being virally suppressed (OR = 1.6; p < 0.05). Retention in care did not change significantly from baseline to follow-up (OR = 0.820; p = 0.370). Client navigation seems to be a promising intervention to improve housing and employment for PLWH in the Midwest. Additional research is needed on the impact of service coordination on client-level outcomes. Future studies should be conducted on the scalability of client navigation interventions to improve the lives of low-income, underserved PLWH.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Housing stability.
At each subsequent measurement wave, participants were approximately 23.5 times (p<0.001) more likely to be in a better housing status.
Fig 2
Fig 2. Employment.
At each subsequent measurement wave, participants were approximately 1.9 times (p<0.001) more likely to be in a better employment status.
See this image and copyright information in PMC

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