AIDS and Behavior

, Volume 17, Supplement 2, pp 181–194 | Cite as

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

  • Alexei ZelenevEmail author
  • Ruthanne Marcus
  • Artem Kopelev
  • Jacqueline Cruzado-Quinones
  • Anne Spaulding
  • Maureen Desabrais
  • Tom Lincoln
  • Frederick L. Altice
Original Paper


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.


HIV Jail Incarceration Homelessness Substance abuse Case management Longitudinal cohort study 



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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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Alexei Zelenev
    • 1
    Email author
  • Ruthanne Marcus
    • 1
  • Artem Kopelev
    • 1
  • Jacqueline Cruzado-Quinones
    • 2
  • Anne Spaulding
    • 3
  • Maureen Desabrais
    • 4
  • Tom Lincoln
    • 5
  • Frederick L. Altice
    • 1
    • 6
  1. 1.Section of Infectious Diseases, AIDS Program, Department of Internal MedicineYale University School of MedicineNew HavenUSA
  2. 2.New York City Department of Public HealthNew YorkUSA
  3. 3.Emory UniversityAtlantaUSA
  4. 4.Baystate Medical CenterSpringfieldUSA
  5. 5.Baystate Medical Center and Tufts University School of MedicineSpringfieldUSA
  6. 6.Yale University School of Public HealthNew HavenUSA

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