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Predictors of Current Housing Status Among HIV-Seropositive Injection Drug Users (IDUs): Results from a 1-Year Study

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Abstract

Using longitudinal data collected from 821 HIV-seropositive injection drug users (IDUs) who participated in a multi-site behavioral intervention study, we identified predictors of current housing status at baseline and 12-month follow-up time points. The study was conducted in Baltimore, Miami, New York, and San Francisco from 2001 to 2005. Logistic regression, incorporating the general estimating equations (GEE) method was performed. Multivariate analysis found that Miami participants (OR = 0.56) were less likely to report having current housing (P < 0.05). Among the potential barriers to housing, lower income (OR = 0.68), injection cocaine/crack use (OR = 0.66) and recent incarceration (OR = 0.10) were statistically significant (P < 0.05). Among the potential facilitators of housing, case management (OR = 1.38), outpatient drug treatment attendance (OR = 1.74), and social support (OR = 1.39) were significant. The association between social support and housing was stronger among those who had been recently incarcerated. Additional research is needed to identify types of support and resources beyond what is currently provided in order to better serve housing needs of HIV-seropositive IDUs.

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Acknowledgements

The INSPIRE Study Group includes the following people: Carl Latkin, Amy Knowlton, Karin Tobin (Baltimore), Lisa Metsch, Eduardo Valverde, James Wilkinson, Martina DeVarona (Miami), Mary Latka, Dave Vlahov, Phillip Coffin, Marc Gourevitch, Julia Arnsten, Robert Gern (New York), Cynthia Gomez, Kelly Knight, Carol Dawson Rose, Starley Shade, Sonja Mackenzie (San Francisco), David Purcell, Yuko Mizuno, Scott Santibanez, Richard Garfein, Ann O’Leary (Centers for Disease Control and Prevention; CDC), Lois Eldred, Kathleen Handley (Health Resources and Services Administration). We would also like to acknowledge the following people for their contributions to this research: Susan Sherman, Roeina Marvin, Joanne Jenkins, Donny Gann, Tonya Johnson (Baltimore), Clyde McCoy, Robert Malow, Wei Zhao, Lauren Gooden, Sam Comerford, Virginia Locascio, Curtis Delford, Laurel Hall, Henry Boza, Cheryl Riles (Miami), George Fesser, Victoria Frye, Carol Gerran, Laxmi Modali, Diane Thornton (New York), Caryn Pelegrino, Barbara Garcia, Jeff Moore, Erin Rowley, Debra Allen, Dinah Iglesia-Usog, Gilda Mendez, Paula Lum, Greg Austin (San Francisco), Craig Borkowf, Ying Chen, Gladys Ibanez, Hae-Young Kim, Toni McWhorter, Jan Moore, Lynn Paxton, John Williamson (CDC), Lee Lam, Jeanne Urban, Stephen Soroka, Zilma Rey, Astrid Ortiz, Sheila Bashirian, Marjorie Hubbard, Karen Tao, Bharat Parekh, Thomas Spira (CDC Laboratory). This study was supported by the Centers for Disease Control and Prevention and the Health Resources and Services Administration.

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Authors and Affiliations

  1. Prevention Research Branch, Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road, NE Mail Stop E37, Atlanta, GA , 30333, USA

    Yuko Mizuno, David W. Purcell & Jun Zhang

  2. Johns Hopkins University, Baltimore, MD, USA

    Amy R. Knowlton

  3. Miami Dade County Health Department, Miami, FL, USA

    Martina De Varona

  4. Montefiore Medical Center, Bronx, NY, USA

    Julia H. Arnsten

  5. University of California-San Francisco, San Francisco, CA, USA

    Kelly R. Knight

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  1. Yuko Mizuno
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  2. David W. Purcell
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  4. Amy R. Knowlton
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  5. Martina De Varona
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  6. Julia H. Arnsten
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Correspondence to Yuko Mizuno.

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The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.

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Mizuno, Y., Purcell, D.W., Zhang, J. et al. Predictors of Current Housing Status Among HIV-Seropositive Injection Drug Users (IDUs): Results from a 1-Year Study. AIDS Behav 13, 165–172 (2009). https://doi.org/10.1007/s10461-008-9364-6

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