Ruthanne Marcus, PhD, MPH, is an Epidemiologist, Behavioral and Clinical Surveillance Branch, Division of HIV Prevention, National Center for HIV/ AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. Yunfeng Tie, PhD, is an Epidemiologist, Behavioral and Clinical Surveillance Branch, Division of HIV Prevention, National Center for HIV/ AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. Sharoda Dasgupta, PhD, MPH, is an Epidemiologist, Behavioral and Clinical Surveillance Branch, Division of HIV Prevention, National Center for HIV/ AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. Linda Beer, PhD, is an Epidemiologist, Behavioral and Clinical Surveillance Branch, Division of HIV Prevention, National Center for HIV/ AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. Mabel Padilla, MPH, is an Epidemiologist, Behavioral and Clinical Surveillance Branch, Division of HIV Prevention, National Center for HIV/ AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. Jennifer Fagan, MA, is a Health Scientist, Behavioral and Clinical Surveillance Branch, Division of HIV Prevention, National Center for HIV/ AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. Joseph Prejean, PhD, is a Branch Chief, Behavioral and Clinical Surveillance Branch, Division of HIV Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
J Assoc Nurses AIDS Care. 2022;33(3):283-294. doi: 10.1097/JNC.0000000000000314. Epub 2021 Nov 22.
People living with HIV (PLWH) who experience homelessness have poorer clinical outcomes than people with HIV who are not homeless; however, there is limited information on PLWH who experience other forms of housing instability. We used interviews and medical record abstraction data from the Medical Monitoring Project, collected 2018-2019 (N = 4,050), to describe sociodemographic characteristics and clinical outcomes of adults with HIV by whether people experienced unstable housing in the past 12 months. Overall, 21% were unstably housed, of which 55.2% were unstably housed but not homeless. People who were unstably housed were more likely to be younger, have lower educational attainment, be previously incarcerated, live at or below the poverty level, and have poorer mental health and clinical outcomes, independent of homelessness. Interventions to address housing instability, integrated with clinical care, could benefit not just PLWH who are homeless but also those who are unstably housed.
患有艾滋病的无家可归者（PLWH）的临床结局比没有无家可归的 HIV 感染者差；然而，对于经历其他形式住房不稳定的 PLWH，相关信息有限。我们使用了 2018-2019 年医疗监测项目的访谈和病历摘录数据（N=4050），根据过去 12 个月中人们是否经历过不稳定住房，描述了 HIV 感染者的社会人口统计学特征和临床结局。总体而言，21%的人住房不稳定，其中 55.2%的人住房不稳定但没有无家可归。住房不稳定的人更年轻，受教育程度更低，曾被监禁，生活在贫困线或以下，心理健康和临床结局更差，与无家可归无关。将住房不稳定问题与临床护理相结合的干预措施，不仅有益于无家可归的 PLWH，也有益于住房不稳定的 PLWH。
