The Effect of Homelessness on the HIV Care Continuum in an Underserved Metropolitan Area of the South : Potential Implications for Ending the HIV Epidemic in America

Autor: Abosede Osijo, Derek Wilus, Paul D. Juarez, Ronda Jennings, Livette Johnson, Patricia Matthews-Juarez, Mohammad Tabatabai, Marie Baldwin, Maxine Chandler-Auguste, Vladimir Berthaud
Rok vydání: 2020
Předmět:
DOI: 10.21203/rs.3.rs-116778/v1
Popis: A wealth of scientific evidence supports the effectiveness of HIV prophylaxis and treatment. Homelessness has become one of the strongest predictors of health status and viral suppression among vulnerable populations and can undermine the national plan to eliminate HIV by 2030. This retrospective observational study examined the extent in which homelessness affects HIV treatment in an underserved urban area of Middle Tennessee in 2014-2019. Among 692 HIV-seropositive patients, the proportion of homeless patients increased from 13.5% to 27.7%, thrice the national average for HIV-seropositive people (8.4%) and twice that of Ryan White patients nationwide (12.9%). Our findings suggest that homeless patients were half as likely to achieve viral suppression as compared to those who had a permanent/stable home [OR 0.48 (0.32-0.72), p-value
Databáze: OpenAIRE