| Autor: |
Lekas HM; Division of Social Solutions and Services Research, Nathan S. Kline Institute for Psychiatric Research, 140 Old Orangeburg Road, Bldg. 35, Orangeburg, NY, USA. helen-maria.lekas@nki.rfmh.org.; Department of Psychiatry, NYU Grossman School of Medicine, New York, NY, USA. helen-maria.lekas@nki.rfmh.org., Lewis C; Division of Social Solutions and Services Research, Nathan S. Kline Institute for Psychiatric Research, 140 Old Orangeburg Road, Bldg. 35, Orangeburg, NY, USA.; Department of Psychiatry, NYU Grossman School of Medicine, New York, NY, USA., Lunden S; Benjamin N. Cardoso School of Law, Yeshiva University, New York, NY, USA., Olender SA; Division of Infectious Disease, Department of Internal Medicine, Columbia University Irving Medical Center, New York, NY, USA., Rosen-Metsch L; Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA. |
| Abstrakt: |
Homelessness and housing instability undermine engagement in medical care, adherence to treatment and health among persons with HIV/AIDS. However, the processes by which unstable and unsafe housing result in adverse health outcomes remain understudied and are the focus of this manuscript. From 2012 to 2014, we conducted qualitative interviews among inpatients with HIV disengaged from outpatient care (n = 120). We analyzed the content of the interviews with participants who reported a single room occupancy (SRO) residence (n = 44), guided by the Health Lifestyle Theory. Although SROs emerged as residences that were unhygienic and conducive to drug use and violence, participants remained in the SRO system for long periods of time. This generated experiences of living instability, insecurity and lack of control that reinforced a set of tendencies (habitus) and behaviors antithetical to adhering to medical care. We called for research and interventions to transform SROs into housing protective of its residents' health and wellbeing. |
Full text from SpringerLink