title: Effect of HIV Housing Services on Engagement in Care and Treatment, New York City, 2011.
abstract: The federal Housing Opportunities for Persons with AIDS (HOPWA) program addresses housing needs of low-income persons living with HIV/AIDS (PLWHA). The New York City (NYC) Department of Health and Mental Hygiene oversees 22 HOPWA contracts for over 2,400 clients, and manages the NYC HIV Registry. HOPWA clients (N = 1,357) were matched to a random 20 % sample of other PLWHA (N = 13,489). Groups were compared on HIV care retention, viral suppression, and rebound. HOPWA clients were, on average, 3 years younger and more likely to be concurrently diagnosed with HIV and AIDS. While HOPWA clients were more likely to be retained in care (94 vs. 82 %; mOR = 2.97, 95 % CI 2.35-3.74), they were no more likely to achieve suppression (84 vs. 86 %; mOR = 0.85, 95 % 0.70-1.03) and were more likely to rebound (11 vs. 7 %; mOR = 1.45; 95 % CI 1.10-1.91). HIV care retention does not fully translate to virologic suppression in this low-income service population.
authors: New York City Department of Health and Mental Hygiene, Queens, New York, NY, 11101, USA. aterzian@health.nyc.gov.
authors: Arpi S
authors: AS
authors: Terzian
authors: New York City Department of Health and Mental Hygiene, Queens, New York, NY, 11101, USA.
authors: Mary K
authors: MK
authors: Irvine
authors: New York City Department of Health and Mental Hygiene, Queens, New York, NY, 11101, USA.
authors: Laura M
authors: LM
authors: Hollod
authors: New York City Department of Health and Mental Hygiene, Queens, New York, NY, 11101, USA.
authors: Sungwoo
authors: S
authors: Lim
authors: New York City Department of Health and Mental Hygiene, Queens, New York, NY, 11101, USA.
authors: John
authors: J
authors: Rojas
authors: New York City Department of Health and Mental Hygiene, Queens, New York, NY, 11101, USA.
authors: Colin W
authors: CW
authors: Shepard
mesh_terms: D000328:Adult; D018791:CD4 Lymphocyte Count; D003266:Continuity of Patient Care / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000188:drug therapy* / Q000453:epidemiology / Q000517:prevention & control; D006798:Housing; D006801:Humans; D008297:Male; D008875:Middle Aged; D009519:New York City / Q000453:epidemiology; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011159:Population Surveillance; D015397:Program Evaluation; D057216:Propensity Score; D062486:Public Health Surveillance / Q000379:methods*; D012042:Registries; D012959:Socioeconomic Factors; D019562:Viral Load
keywords: Engagement in care; Epidemiology; HIV infection/prevention and control; Housing; Public health surveillance
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