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Patterns of Homelessness and Implications for HIV Health After Release from Jail

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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.

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Acknowledgments

Enhancing Linkages to HIV Primary Care Services Initiative is a HRSA-funded Special Project of National Significance. Funding for this research was also provided through career development grants from the National Institute on Drug Abuse (K24 DA017072, FLA), research grants from the National Institute on Alcohol Abuse and Alcoholism (R01 AA018944, FLA). Assistance was also provided by Emory Center for AIDS Research (CFAR, P30 AI050409, ACS). The funding sources played no role in study design, data collection, data analysis, data interpretation, writing of the manuscript or the decision to submit the paper for publication.

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Authors and Affiliations

  1. 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

    Alexei Zelenev, Ruthanne Marcus, Artem Kopelev & Frederick L. Altice

  2. New York City Department of Public Health, New York, NY, USA

    Jacqueline Cruzado-Quinones

  3. Emory University, Atlanta, GA, USA

    Anne Spaulding

  4. Baystate Medical Center, Springfield, MA, USA

    Maureen Desabrais

  5. Baystate Medical Center and Tufts University School of Medicine, Springfield, MA, USA

    Tom Lincoln

  6. Yale University School of Public Health, New Haven, CT, USA

    Frederick L. Altice

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  1. Alexei Zelenev
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  8. Frederick L. Altice
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Correspondence to Alexei Zelenev.

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Zelenev, A., Marcus, R., Kopelev, A. et al. Patterns of Homelessness and Implications for HIV Health After Release from Jail. AIDS Behav 17 (Suppl 2), 181–194 (2013). https://doi.org/10.1007/s10461-013-0472-6

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