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出狱后面临的无家可归模式及其对 HIV 健康的影响。

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

机构信息

Section of Infectious Diseases, AIDS Program, Department of Internal Medicine, Yale University School of Medicine, 135 College Street, Suite 323, New Haven, CT, 06510, USA,

出版信息

AIDS Behav. 2013 Oct;17 Suppl 2(0 2):S181-94. doi: 10.1007/s10461-013-0472-6.

DOI:10.1007/s10461-013-0472-6
PMID:23657757
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4625835/
Abstract

This 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.

摘要

本实证研究考察了最近获释的感染艾滋病毒的狱中被拘留者中物质滥用、精神疾病、健康行为以及不同形式的无家可归之间的关联。本研究使用来自 10 个地点的纵向数据，考察了无家可归、向稳定住房过渡和住房对艾滋病毒治疗结果的影响等相关因素。根据我们的分析，有证据表明，从无家可归到稳定住房的过渡与减少酒精和非法药物的使用、降低吸毒成瘾的严重程度以及改善心理健康密切相关。此外，我们还发现，住房状况的差异在很大程度上导致了无家可归者和非无家可归者之间在艾滋病毒治疗结果方面存在差距，包括随着时间的推移实现病毒学抑制方面的差距。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/433b/4625835/900284ff28c9/nihms-684879-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/433b/4625835/0962d1408351/nihms-684879-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/433b/4625835/77fd6a5dd34c/nihms-684879-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/433b/4625835/900284ff28c9/nihms-684879-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/433b/4625835/0962d1408351/nihms-684879-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/433b/4625835/77fd6a5dd34c/nihms-684879-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/433b/4625835/900284ff28c9/nihms-684879-f0003.jpg

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