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Review
. 2012 Dec;9(4):364-74.
doi: 10.1007/s11904-012-0137-5.

Housing status and the health of people living with HIV/AIDS

M-J Milloy  1 , Brandon D L Marshall, Julio Montaner, Evan Wood
Affiliations
Review

Housing status and the health of people living with HIV/AIDS

M-J Milloy et al. Curr HIV/AIDS Rep. 2012 Dec.

Abstract

Individuals who are homeless or living in marginal conditions have an elevated burden of infection with HIV. Existing research suggests the HIV/AIDS pandemic in resource-rich settings is increasingly concentrated among members of vulnerable and marginalized populations, including homeless/marginally-housed individuals, who have yet to benefit fully from recent advances in highly-active antiretroviral therapy (HAART). We reviewed the scientific evidence investigating the relationships between inferior housing and the health status, HAART access and adherence and HIV treatment outcomes of people living with HIV/AIDS (PLWHA.) Studies indicate being homeless/marginally-housed is common among PLWHA and associated with poorer levels of HAART access and sub-optimal treatment outcomes. Among homeless/marginally-housed PLWHA, determinants of poorer HAART access/adherence or treatment outcomes include depression, illicit drug use, and medication insurance status. Future research should consider possible social- and structural-level determinants of HAART access and HV treatment outcomes that have been shown to increase vulnerability to HIV infection among homeless/marginally-housed individuals. As evidence indicates homeless/marginally-housed PLWHA with adequate levels of adherence can benefit from HAART at similar rates to housed PLWHA, and given the individual and community benefits of expanding HAART use, interventions to identify HIV-seropositive homeless/marginally-housed individuals, and engage them in HIV care including comprehensive support for HAART adherence are urgently needed.

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References

    1. Breakey WR, Fischer PJ, Kramer M, Nestadt G, Romanoski AJ, Ross A, et al. Health and mental health problems of homeless men and women in Baltimore. JAMA: The Journal of the American Medical Association. 1989 Sep 8;262(10):1352–7. - PubMed
    1. Hwang SW. Mortality among men using homeless shelters in Toronto, Ontario. JAMA: The Journal of the American Medical Association. 2000 Apr 26;283(16):2152–7. - PubMed
    1. Fischer PJ, Breakey WR. The epidemiology of alcohol, drug, and mental disorders among homeless persons. Am Psychol. 1991 Nov;46(11):1115–28. - PubMed
    1. Plevneshi A, Svoboda T, Armstrong I, Tyrrell GJ, Miranda A, Green K, et al. Population-based surveillance for invasive pneumococcal disease in homeless adults in Toronto. PLoS ONE. 2009;4(9):e7255. - PMC - PubMed
    1. Mohtashemi M, Kawamura LM. Empirical evidence for synchrony in the evolution of TB cases and HIV+ contacts among the San Francisco homeless. PLoS ONE. 2010;5(1):e8851. - PMC - PubMed

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