Yale University

Patterns of homelessness and implications for HIV health after release from jail.

TitlePatterns of homelessness and implications for HIV health after release from jail.
Publication TypeJournal Article
Year of Publication2013
AuthorsZelenev, Alexei, Ruthanne Marcus, Artem Kopelev, Jacqueline Cruzado-Quinones, Anne Spaulding, Maureen Desabrais, Tom Lincoln, and Frederick L. Altice
JournalAIDS and behavior
Volume17 Suppl 2
Date Published2013 Oct
KeywordsAdult, Case Management, Female, Health Services, HIV Infections, Homeless Persons, Housing, Humans, Longitudinal Studies, Male, Mental Health, Middle Aged, Patient Discharge, Prisoners, Prisons, Risk Factors, Socioeconomic Factors, Substance-Related Disorders, Treatment Outcome, Young Adult
AbstractThis 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.
Alternate JournalAIDS Behav

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