Impact of housing on the survival of persons with AIDS

Details

• Alternative Title:
  BMC Public Health
• Personal Author:
  Schwarcz, Sandra K ; Hsu, Ling C ; Vittinghoff, Eric ; Vu, Annie ; Bamberger, Joshua D ; Katz, Mitchell H
• Description:
  Background
  
  Homeless persons with HIV/AIDS have greater morbidity and mortality, more hospitalizations, less use of antiretroviral therapy, and worse medication adherence than HIV-infected persons who are stably housed. We examined the effect of homelessness on the mortality of persons with AIDS and measured the effect of supportive housing on AIDS survival.
  
  Methods
  
  The San Francisco AIDS registry was used to identify homeless and housed persons who were diagnosed with AIDS between 1996 and 2006. The registry was computer-matched with a housing database of homeless persons who received housing after their AIDS diagnosis. The Kaplan-Meier product limit method was used to compare survival between persons who were homeless at AIDS diagnosis and those who were housed. Proportional hazards models were used to estimate the independent effects of homelessness and supportive housing on survival after AIDS diagnosis.
  
  Results
  
  Of the 6,558 AIDS cases, 9.8% were homeless at diagnosis. Sixty-seven percent of the persons who were homeless survived five years compared with 81% of those who were housed (p < 0.0001). Homelessness increased the risk of death (adjusted relative hazard [RH] 1.20; 95% confidence limits [CL] 1.03, 1.41). Homeless persons with AIDS who obtained supportive housing had a lower risk of death than those who did not (adjusted RH 0.20; 95% CL 0.05, 0.81).
  
  Conclusion
  
  Supportive housing ameliorates the negative effect of homelessness on survival with AIDS.
  
  
• Subjects:
  Acquired Immunodeficiency Syndrome Adolescent Adult Female Housing Humans Ill-Housed Persons Male Middle Aged Risk Factors Survival

  More +
• Source:
  BMC Public Health. 2009; 9:220.
• Pubmed ID:
  19583862
• Pubmed Central ID:
  PMC2728715
• Document Type:
  Journal Article
• Funding:
  PS08-80202-09/PS/NCHHSTP CDC HHS/United States
• Place as Subject:
  San Francisco, CA
• Volume:
  9
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:18fb76062de1f8d7dd63d0e2395eac5b65ba7fce81b78763186a488d17f6b508
• Download URL:
  https://stacks.cdc.gov/view/cdc/22964/cdc_22964_DS1.pdf
• File Type:
  [PDF - 360.37 KB ]