title: Patterns of homelessness and implications for HIV health after release from jail.
abstract: This empirical study examines the association between substance abuse, mental illness, health behaviors and different patterns of homelessness among recently released, HIV-infected jail detainees. Using longitudinal data from a 10-site study, we examine correlates of homelessness, transitions to and from stable housing and the effect of housing on HIV treatment outcomes. Based on our analysis, we found evidence that the transitions from homelessness are closely associated with a reduction in the use of alcohol and illicit drugs, a decline in drug addiction severity, and an improvement in mental health. In addition, we found evidence that disparities in the housing status contributed substantially to the observed gap in the HIV treatment outcomes between homeless and non-homeless patients, including in achievement of virological suppression over time.
authors: Section of Infectious Diseases, AIDS Program, Department of Internal Medicine, Yale University School of Medicine, 135 College Street, Suite 323, New Haven, CT, 06510, USA, alexei.zelenev@yale.edu.
authors: Alexei
authors: A
authors: Zelenev
authors: Ruthanne
authors: R
authors: Marcus
authors: Artem
authors: A
authors: Kopelev
authors: Jacqueline
authors: J
authors: Cruzado-Quinones
authors: Anne
authors: A
authors: Spaulding
authors: Maureen
authors: M
authors: Desabrais
authors: Tom
authors: T
authors: Lincoln
authors: Frederick L
authors: FL
authors: Altice
mesh_terms: D000328:Adult; D019090:Case Management; D005260:Female; D015658:HIV Infections / Q000188:drug therapy / Q000523:psychology*; D006296:Health Services / Q000706:statistics & numerical data*; D006703:Ill-Housed Persons / Q000523:psychology / Q000706:statistics & numerical data*; D006798:Housing; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D010351:Patient Discharge; D011329:Prisoners / Q000523:psychology* / Q000706:statistics & numerical data; D011330:Prisons; D012307:Risk Factors; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology; D016896:Treatment Outcome; D055815:Young Adult
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