减少艾滋病毒感染者中的无家可归现象：特拉华州的一项生态案例研究
Reducing Homelessness among Persons with HIV: An Ecological Case Study in Delaware.
作者信息
Cari Courtenay-Quirk, Yuko Mizuno, Sheila Salvant Valentine, Roland Katherine B, Taylor Raekiela D, Zhang Jun
机构信息
Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta GA.
出版信息
J HIV AIDS Soc Serv. 2022 Dec 14;21(1):1-15. doi: 10.1080/15381501.2021.2015502.
INTRODUCTION
Among persons with HIV (PWH), homelessness is associated with poorer health. From 2009-2014, national HIV prevention goals included a reduction in homelessness among PWH. We sought to examine social ecological factors associated with homelessness among PWH at a sub-national level during that period.
METHODS
National data were used to identify Delaware as the only jurisdiction where homelessness among PWH declined from 2009-2014. We analyzed population-level indicators and conducted telephone interviews with 6 key stakeholders to further examine this trend.
RESULTS
Overall homelessness, household poverty, and median housing price were associated with homelessness among PWH in Delaware. Key stakeholders indicated that centralized intake processes improved screening, referral, and linkages of clients to housing units.
DISCUSSION
In addition to social and economic factors, collaborative program strategies may improve housing outcomes for PWH. Monitoring trends at sub-national levels can help identify successful approaches as well as needed services or policy change.
引言
在感染艾滋病毒的人群（PWH）中，无家可归与健康状况较差有关。2009年至2014年期间，国家艾滋病毒预防目标包括减少PWH中的无家可归现象。我们试图在此期间在国家以下层面研究与PWH无家可归相关的社会生态因素。
方法
利用国家数据确定特拉华州是2009年至2014年期间唯一一个PWH无家可归现象有所下降的司法管辖区。我们分析了人口层面的指标，并对6名关键利益相关者进行了电话访谈，以进一步研究这一趋势。
结果
总体无家可归情况、家庭贫困状况和住房价格中位数与特拉华州PWH的无家可归现象有关。关键利益相关者表示，集中受理程序改善了对客户的筛查、转诊以及与住房单元的联系。
讨论
除了社会和经济因素外，合作项目策略可能会改善PWH的住房状况。在国家以下层面监测趋势有助于确定成功的方法以及所需的服务或政策变化。
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