Details:

Alternative Title:
BMC Public Health
Publisher's site:
http://dx.doi.org/10.1186/1471-2458-9-220
Personal Author:
Schwarcz, Sandra K ; Hsu, Ling C ; Vittinghoff, Eric ; Vu, Annie ; Bamberger, Joshua D ; ... More +
Schwarcz, Sandra K ; Hsu, Ling C ; Vittinghoff, Eric ; Vu, Annie ; Bamberger, Joshua D ; Katz, Mitchell H Less -
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.


Subject:
[+]
Acquired Immunodeficiency Syndrome
Adolescent
Adult
Female
Housing
Humans
Ill-Housed Persons
Male
Middle Aged
Risk Factors
Survival

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
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:18fb76062de1f8d7dd63d0e2395eac5b65ba7fce81b78763186a488d17f6b508
File Type:

Supporting Files

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