The Effects of Housing Status on Health-Related Outcomes in People living with HIV: A Systematic Review of the Literature
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
HIV infection is increasingly characterized as a chronic condition that can be managed through adherence to a healthy lifestyle, complex drug regimens, and regular treatment and monitoring. The location, quality, and/or affordability of a person’s housing can be a significant determinant of his or her ability to meet these requirements. The objective of this systematic review is to inform program and policy development and future research by examining the available empirical evidence on the effects of housing status on health-related outcomes in people living with HIV/AIDS.
Electronic databases were searched from dates of inception through November 2005. A total of 29 studies met inclusion criteria for this review. Seventeen studies received a “good” or “fair” quality rating based on defined criteria.
A significant positive association between increased housing stability and better health-related outcomes was noted in all studies examining housing status with outcomes of medication adherence (n = 9), utilization of health and social services (n = 5), and studies examining health status (n = 2) and HIV risk behaviours (n = 1).
Healthcare, support workers and public health policy should recognize the important impact of affordable and sustainable housing on the health of persons living with HIV.
- Aidala, A., Cross, J. E., Stall, R., Harre, D., & Sumartojo, E. (2005). Housing status and HIV risk behaviors: Implications for prevention and policy. AIDS and Behavior, 9(3), 251–265. CrossRef
- Anderson, W. J., & Weatherburn, P. (2004). The needs of people with HIV in the UK: Findings from a national survey. International Journal of STDS and AIDS, 15, 793–796. CrossRef
- Andia, J. F., Deren, S., Kang, S. Y., Robles, R. R., Colon, H. M., Oliver-Velez, D., Finlinson, A., Beardsley, M., & Friedman, S. R. (2001). Residential status and HIV risk behaviors among Puerto Rican drug injectors in New York and Puerto Rico. American Journal of Drug and Alcohol Abuse, 27(4), 719–735. CrossRef
- Arno, P. S., Bonuck, K. A., Green, J., Fleishman, J., Bennett, C. L., Fahs, M. C., Maffeo, C., & Drucker, E. (1996). The impact of housing status on health care utilization among persons with HIV disease. Journal of Health Care Poor Underserved, 7(1), 36–49.
- Berg, K. M., Demas, P. A., Howard, A. A., Schoenbaum, E. E., Gourevitch M. N., & Arnsten, J. H. (2004). Gender differences in factors associated with adherence to antiretroviral therapy. Journal of General Internal Medicine, 19(11), 1111–1117. CrossRef
- Bica, I., Tang, A. M., Skinner, S., Spiegelman, D., Knox, T., Gorbach, S., & Wilson, I. B. (2003). Use of complementary and alternative therapies by patients with human immunodeficiency virus disease in the era of highly active antiretroviral therapy. Journal of Alternative and Complement Medicine, 9(1), 65–76. CrossRef
- Blower, S. M., Aschenbach, A. N., Gershengorn, H. B., & Kahn, J. O. (2001). Predicting the unpredictable: Transmission of drug-resistant HIV. Nature Medicine, 7(9), 1016–1020. CrossRef
- Bonuck, K. A. (2001). Housing needs of persons with HIV and AIDS in New York State. Journal of Health Social Policy, 13(2), 61–73. CrossRef
- Bonuck, K. A., & Arno, P. S. (1997). Social and medical factors affecting hospital discharge of persons with HIV/AIDS. Journal of Community Health, 22(4), 225–232. CrossRef
- Braitstein, P., Montessori, V., Chan, K., Montaner, J. S. G., Schechter, M. T., O’Shaughnessy M. V., & Hogg, R. S. (2005). Quality of life, depression and fatigue among persons co-infected with HIV and hepatitis C: Outcomes from a population-based cohort. AIDS Care, 17(4), 505–515. CrossRef
- Braveman, B., Levin, M., Kielhofner, G., & Finlayson, M. (2006). HIV/AIDS and return to work: A literature review one-decade post introduction of combination therapy (HAART). Work, 27(3), 295–303.
- Carballo, E., Cadarso-Suarez, C., Carrera, I., Fraga, J., de la Fuente, J., Ocampo, A., Ojea, R., & Prieto, A. (2004). Assessing relationships between health-related quality of life and adherence to antiretroviral therapy. Quality of Life Research, 13(3), 587–599. CrossRef
- Conover, C. J., Arno, P., Weaver, M., Ang, A., & Ettner, S. L. (2006). Income and employment of people living with combined HIV/AIDS, chronic mental illness, and substance abuse disorders. Journal of Mental Health Policy and Economy, 9(2), 71–86.
- Conover, C. J., & Whetten-Goldstein, K. (2002). The impact of ancillary services on primary care use and outcomes for HIV/AIDS patients with public insurance coverage. AIDS Care, 14(Suppl), 71.
- Crane, J., Quirk, K., & van der Straten, A. (2002). “Come back when you’re dying:” The commodification of AIDS among California’s urban poor. Social Science and Medicine, 55(7), 1115–1127. CrossRef
- Crystal, S., Fleishman, J. A., Hays, R. D., Shapiro, M. F., & Bozzette, S. A. (2000). Physical and role functioning among persons with HIV: Results from a nationally representative survey. Medical Care, 38(12), 1210–1223. CrossRef
- Duran, B., Bulterys, M., Iralu, J., Graham Ahmed Edwards, C. M., Edwards, A., & Harrison, M. (2000). American Indians with HIV/AIDS: Health and social service needs, barriers to care, and satisfaction with services among a Western tribe. American Indian Alskan Native Mental Health Research, 9(2), 22–35.
- Fuller-Thomson, E., Hulchanski, J. D., & Hwang, S. (2000). The housing/health relationship: What do we know? Reviews on Environmental Health, 15(1–2), 109–133.
- Gielen, A. C., Fogarty, L., O’Campo P., Anderson, J., Keller, J., & Faden, R. (2000). Women living with HIV: Disclosure, violence, and social support. Journal of Urban Health, 77(3), 480–491. CrossRef
- Godin, G., Cote, J., Naccache, H., Lambert, L. D., & Trottier, S. (2005). Prediction of adherence to antiretroviral therapy: A one-year longitudinal study. AIDS Care, 17(4), 493–504. CrossRef
- Goicoechea-Balbona, A., Barnaby, C., Ellis, I., & Foxworth, V. (2000). AIDS: The development of a gender appropriate research intervention. Social Work Health Care, 30(3), 19–37. CrossRef
- Hall, C. S., Charlebois, E. D., Hahn, J. A., Moss, A. R., & Bangsberg D. R. (2004). Hepatitis C virus infection in San Francisco’s HIV-infected urban poor. Journal of General Internal Medicine, 19(4), 357–365. CrossRef
- Hendriks, A., & Leckie, S. (1993). Housing rights and housing needs in the context of AIDS. AIDS, 7(Suppl), 80.
- Johnson, M. O., Catz, S. L., Remien, R. H., Rotheram-Borus, M. J., Morin, S. F., Charlebois, E., Gore-Felton, C., Goldsten, R. B., Wolfe H., Lightfoot, M., & Chesney, M. A. (2003). Theory-guided, empirically supported avenues for intervention on HIV medication nonadherence: Findings from the Healthy Living Project. AIDS Patient Care and STDS, 17(12), 645–656. CrossRef
- Leech, J. (2003). Survey reveals human rights abuses in Alberta. Canadian HIV/AIDS Policy & Law Review, 8(1), 24.
- Lieb, S., Brooks, R. G., Hopkins, R. S., Thompson, D., Crockett, L. K., Liberti, T., Jani, A. A., Nadler, J. P., Virkud, V. M., West, K. C., & McLaughlin, G. (2002). Predicting death from HIV/AIDS: A case-control study from Florida public HIV/AIDS clinics. Journal of Acquired Immune Deficiency Syndrome, 30(3), 351–358.
- Masson, C. L., Sorensen, J. L., Phibbs, C. S., & Okin, R. L. (2004). Predictors of medical service utilization among individuals with co-occurring HIV infection and substance abuse disorders. AIDS Care, 16(6), 744–755. CrossRef
- Morris, A., Masur, H., & Huang, L. (2006). Current issues in critical care of the human immunodeficiency virus-infected patient. Critical Care Medicine, 34(1), 42–49. CrossRef
- Msellati, P., Juillet-Amari, A., Prudhomme, J., Akribi, H. A., Coulibaly-Traore, D., Souville, M., & Moatti, J. P. (2003). Socio-economic and health characteristics of HIV-infected patients seeking care in relation to access to the Drug Access Initiative and to antiretroviral treatment in Cote d’Ivoire. AIDS, 17(Suppl 3) S63–S68.
- Piette, J. D., Fleishman, J. A., Stein, M. D., Mor, V., & Mayer, K. (1993). Perceived needs and unmet needs for formal services among people with HIV disease. Journal of Community Health, 18(1), 11–23. CrossRef
- Reilly, T., & Woo, G. (2003a). Access to services and maintenance of safer sex practices among people living with HIV/AIDS. Social Work and Health Care, 36(3), 81–95. CrossRef
- Riley, E. D., Wu, A. W., Perry, S., Clark, R. A., Moss, A. R., Crane J., & Bangsberg, D. R. (2003b). Depression and drug use impact health status among marginally housed HIV-infected individuals. AIDS Patient Care and STDS 17(8), 401–406. CrossRef
- Rusch, M., Nixon, S., Schilder, A., Braitstein, P., Chan, K., & Hogg, R. S. (2004). Impairments, activity limitations and participation restrictions: Prevalence and associations among persons living with HIV/AIDS in British Columbia. Health and Quality of Life Outcomes, 2, 46. CrossRef
- Schrooten, W., Dreezen, C., Borleffs, J., Dijkgraaf, M., Borchert M., De, G. D., Hemmer, R., Fleerackers, Y., & Colebunders, R. (2002). Financial situation of people living with HIV in Europe. International Journal of STDs and AIDS, 13(10), 698–701. CrossRef
- Smith, M. Y., Rapkin, B. D., Winkel, G., Springer, C., Chhabra, R., & Feldman, I. S. (2000). Housing status and health care service utilization among low-income persons with HIV/AIDS. Journal of General Internal Medicine, 15(10), 731–738. CrossRef
- Spire, B., Duran, S., Souville, M., Leport, C., Raffi, F., & Moatti, J. P. (2002). Adherence to highly active antiretroviral therapies (HAART) in HIV-infected patients: From a predictive to a dynamic approach. Social Science and Medicine, 54(10), 1481–1496. CrossRef
- Stewart, K. E., Cianfrini, L. R., & Walker, J. F. (2005). Stress, social support and housing are related to health status among HIV-positive persons in the Deep South of the United States. AIDS Care, 17(3), 350–358. CrossRef
- Waldrop-Valverde, D., & Valverde, E. (2005). Homelessness and psychological distress as contributors to antiretroviral nonadherence in HIV-positive injecting drug users. AIDS Patient Care and STDs, 19(5), 326–334. CrossRef
- Weber, A. E., Chan, K., George, C., Hogg, R. S., Remis, R. S., Martindale, S., Otis, J., & Miller, M. L., Vincelette, J., Craib, K. J., Masse, B., Schechter, M. T., LeClerc, R., Lavoie, R., Turmel, B., Parent, R., & Alary, M. (2001). Risk factors associated with HIV infection among young gay and bisexual men in Canada. Journal of Acquired Immune Deficiency Syndromes, 28(1), 81–88.
- Weissman, J. S., Cleary, P. D., Seage, G. R. III, Gatsonis, C., Haas, J. S., Chasan-Taber, S., & Epstein, A. M. (1996). The influence of health-related quality of life and social characteristics on hospital use by patients with AIDS in the Boston Health Study. Medical Care, 34(10), 1037–1056. CrossRef
- The Effects of Housing Status on Health-Related Outcomes in People living with HIV: A Systematic Review of the Literature
AIDS and Behavior
Volume 11, Issue 2 Supplement, pp 85-100
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Systematic review
- Social epidemiology
- Industry Sectors
- Author Affiliations
- 1. Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute of St. Michael’s Hospital, 70 Richmond St. W. 4th Fl., Toronto, ON, Canada, M5B 1W8
- 2. Faculty of Medicine, University of Toronto, Toronto, ON, Canada
- 3. Faculty of Medicine, Department of Public Health Sciences, University of Toronto, Toronto, ON, Canada
- 4. Faculty of Arts and Science, Department of Geography and Planning, University of Toronto, Toronto, ON, Canada
- 5. Division of General Internal Medicine, Department of Medicine, University of Toronto, Toronto, ON, Canada