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- Title
The Health Impact of Supportive Housing for HIV-Positive Homeless Patients: A Randomized Controlled Trial.
- Authors
Buchanan, David; Kee, Romina; Sadowski, Laura S.; Garcia, Diana
- Abstract
Objectives. We assessed the health impact of a housing and case management program, the Chicago Housing for Health Partnership, for homeless people with HIV. Methods. HIV-positive homeless inpatients at a public hospital (n=105) were randomized to usual care or permanent housing with intensive case management. The primary outcome was survival with intact immunity, defined as CD4 count≫200 and viral load<100000. Secondary outcomes were viral loads, undetectable viral loads, and CD4 counts. Results. Outcomes were available for 94 of 105 enrollees (90%). Of 54 intervention participants, 35 (65%) reached permanent housing in program housing agencies. After 1 year, 55% of the intervention and 34% of the usual care groups were alive and had intact immunity (P=.04). Seventeen intervention (36%) and 9 usual care (19%) participants had undetectable viral loads (P=.051). Median viral loads were 0.89 log lower in the intervention group (P=.03). There were no statistical differences in CD4 counts. Conclusions. Homelessness is a strong predictor of poor health outcomes and complicates the medical management of HIV. This housing intervention improved the health of HIV-positive homeless people. (Am J Public Health. 2009;99: S675-S680. doi:10.2105/AJPH.2008.137810)
- Subjects
HOUSING &; health; URBAN renewal; SYSTEMATIC reviews; MENTAL health; RESPIRATORY diseases; HEATING -- Environmental aspects
- Publication
American Journal of Public Health, 2009, Vol 99, Issue S3, pS675
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.2008.137810