@article{983161d423c645f8a62a6241bb849775,
title = "HIV Treatment Cascade by Housing Status at Enrollment: Results from a Retention in Care Cohort",
abstract = "Though housing instability is linked to poor HIV health outcomes, studies that assess the HIV treatment cascade by housing status are limited. Using data from a multi-site Retention in Care initiative we constructed HIV treatment cascades for participants (n = 463) of five grantee sites. We found no significant differences in viral suppression at follow-up among participants who were unstably housed at enrollment (49%) as compared to those who were stably housed at enrollment (54%). Among participants with available data at 6- or 12-month follow-up, 94% were engaged in care, 90% were retained in, 94% were on ART, and 71% had suppressed viral load. Some site-level differences were noted; at two of the sites participants who were stably housed were more likely to be retained in care and on ART. Overall, findings demonstrated that participants moved successfully through the HIV treatment cascade regardless of housing status at enrollment, suggesting that evidence-based support and services to help people living with HIV/AIDS can help mitigate barriers to engagement in care associated with lack of stable housing.",
keywords = "HIV treatment cascade, Homelessness, Housing instability, People living with HIV/AIDS, Retention in care",
author = "{The AIDS United Retention in Care Intervention Team} and Mary Hawk and Catherine Maulsby and Blessing Enobun and Suzanne Kinsky and Bradley Boekeloo and Abby Charles and Maria Caban and Rebecca Dillingham and Falvey, {Erin C.} and Tanya Geiger and Mary Hawk and Solomon, {Sarah G.}",
note = "Funding Information: The authors would like to express their gratitude to the Retention in Care sites and their dedicated staff who participated in this project, and especially to Dr. Maria Caban from BOOM! Health for her help conceptualizing this paper. Bradley Boekeloo, Ph.D., Sc.M., Prevention Research Center, School of Public Health Room 0228, Building #255 Valley Drive, University of Maryland, College Park, MD, 20742; Abby Charles, Institute for Public Health Innovation, 1301 Connecticut Avenue NW, Washington, DC 20036; Maria Caban, Ph.D., Director of Evaluation, BOOM Health, 540 East Fordham Rd, Bronx, NY, 10458; Rebecca Dillingham, M.D., M.P.H., Director, Center for Global Health, School of Medicine, University of Virginia, 345 Crispell Drive, Room 2520, Charlottesville, VA 22908-1379; Erin C. Falvey, Ph.D., Associate Executive Director and Clinical Director, Christie?s Place, 2440 Third Avenue, San Diego, CA 92101; Tanya Geiger, Ph.D., Prevention Research Center, School of Public Health Room 0228, Building #255 Valley Drive, University of Maryland, College Park, MD, 20742; Mary Hawk, DrPH, LSW, Assistant Professor, University of Pittsburgh, Graduate School of Public Health, Department of Behavioral and Community Health Sciences, 6124 Parran Hall ? 130 DeSoto Street, Pittsburgh, PA, 15261; Sarah G. Solomon, MPH, Research Manager, Cardea, 1809 Seventh, Avenue, STE 600, Seattle, Washington, 98101. Funding Information: For clients with housing instability or homelessness, referrals were placed by the RiC team to an internal hous- ing assistance program. This internal housing program, not funded by the RiC grant, facilitated placement and retention via external housing programs Housing referrals provided via strong collaborations with other providers. Education and skills-building regarding housing access was provided as part of the work of case managers and peer navigators. These supportive services were funded by the RiC grant Education regarding housing stability was part of the con-tinuum of services provided by CHWs and funded by the RiC grant. Heart to Hand, the organization that housed the IPHI program, also operated a small transitional housing program that was not RiC funded Funding Information: Funding This study was funded by AIDS United in partnership with the MAC AIDS Fund. Dr. Maulsby{\textquoteright}s effort on the preparation of this Funding Information: manuscript was supported in part by a Grant from National Institute of Mental Health (1K01MH111388-01A1). Publisher Copyright: {\textcopyright} 2018, Springer Science+Business Media, LLC, part of Springer Nature.",
year = "2019",
month = mar,
day = "15",
doi = "10.1007/s10461-018-2295-y",
language = "English (US)",
volume = "23",
pages = "765--775",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",
number = "3",
}