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AIDS and Behavior
Published in: AIDS and Behavior 2/2013

01-10-2013 | Original Paper

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

Authors: Alexei Zelenev, Ruthanne Marcus, Artem Kopelev, Jacqueline Cruzado-Quinones, Anne Spaulding, Maureen Desabrais, Tom Lincoln, Frederick L. Altice

Published in: AIDS and Behavior | Special Issue 2/2013

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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.
Literature
1.
Maru DS, Basu S, Altice FL. HIV control efforts should directly address incarceration. Lancet Infect Dis. 2007;7(9):568–9.PubMedCrossRef
2.
Wallace R. Social disintegration and the spread of AIDS—II. Meltdown of sociogeographic structure in urban minority neighborhoods. Soc Sci Med. 1993;37:887–96.PubMedCrossRef
3.
Wallace RG. AIDS in the HAART era: New York’s heterogeneous geography. Soc Sci Med. 2003;56(6):1155–71.PubMedCrossRef
4.
Thomas JC. From slavery to incarceration: social forces affecting the epidemiology of sexually transmitted diseases in the rural South. Sex Transm Dis. 2006;33(Suppl 7):S6–10.PubMed
5.
Chen NE, Meyer JP, Avery AK, Draine J, Flanigan TP, Lincoln T, Spaulding AC, Springer SA, Altice FL. Adherence to HIV treatment and care among previously homeless jail detainees. AIDS Behav. 2011. doi:10.​1007/​s10461-011-0080-2.
6.
Springer SA, Spaulding AC, Meyer JP, Altice FL. Public health implications of adequate transitional care for HIV-infected prisoners: five essential components. Clin Infect Dis. 2011;53(5):469–79.PubMedCrossRef
7.
Altice FL, Kamarulzaman A, Soriano VV, Schechter M, Friedland GH. Treatment of medical, psychiatric, and substance-use comorbidities in people infected with HIV who use drugs. Lancet. 2010;376(9738):59–79.CrossRef
8.
Harrison LD, Harrison LD. The revolving prison door for drug-involved off enders: challenges and opportunities. Crime Delinq. 2001;47:462–85.CrossRef
9.
Hopper K. Reckoning with homelessness. Ithaca: Cornell University Press; 2002.
10.
Metraux S, Metzger DS, Culhane DP. Homelessness and HIV risk behaviors among injection drug users. J Urban Health. 2004;81(4):618–29.PubMedCrossRef
11.
Hwang SW, Kirst MJ, Chiu S, Tolomiczenko G, Kiss A, Cowan L, et al. Multidimensional social support and the health of homeless individuals. J Urban Health. 2009;86(5):791–803.PubMedCrossRef
12.
Springer SA, Pesanti E, Hodges J, Macura T, Doros G, Altice FL. Effectiveness of antiretroviral therapy among HIV-infected prisoners: reincarceration and the lack of sustained benefit after release to the community. Clin Infect Dis. 2004;38(12):1754–60.PubMedCrossRef
13.
Pai NP, Estes M, Moodie EE, Reingold AL, Tulsky JP. The impact of antiretroviral therapy in a cohort of HIV infected patients going in and out of the San Francisco county jail. PLoS ONE. 2009;4(9):e7115.PubMedCrossRef
14.
Spaulding AC, Seals RM, Page MJ, Brzozowski AK, Rhodes W, Hammett TM. HIV/AIDS among inmates of and releasees from US correctional facilities, 2006: declining share of epidemic but persistent public health opportunity. PLoS ONE. 2009;4(11):e7558.PubMedCrossRef
15.
Courtenay-Quirk C, Pals SL, Kidder DP, Henny K, Emshoff JG. Factors associated with incarceration history among HIV-positive persons experiencing homelessness or imminent risk of homelessness. J Community Health. 2008;33(6):434–43.PubMedCrossRef
16.
Kushel MB, Hahn JA, Evans JL, Bangsberg DR, Moss AR. Revolving doors: imprisonment among the homeless and marginally housed population. Am J Public Health. 2005;95(10):1747–52.PubMedCrossRef
17.
Metraux S, Caterina R, Cho R. Incarceration and homelessness. In: Dennis D, Locke G, Khadduri L editors. Toward understanding homelessness: the 2007 national symposium on homelessness research. Washington, DC: US Department of Housing & Urban Development; 2008.
18.
Kidder DP, Wolitski RJ, Campsmith ML, Nakamura GV. Health status, health care use, medication use, and medication adherence among homeless and housed people living with HIV/AIDS. Am J Public Health. 2007;97(12):2238–45.PubMedCrossRef
19.
Schwarcz SK, Hsu LC, Vittinghoff E, Vu A, Bamberger JD, Katz MH. Impact of housing on the survival of persons with AIDS. BMC Public Health. 2009;9:220.PubMedCrossRef
20.
Wolitski RJ, Kidder DP, Pals SL, Royal S, Aidala A, Stall R, Holtgrave DR, Harre D, Courtenay-Quirk C. Randomized trial of the effects of housing assistance on the health and risk behaviors of homeless and unstably housed people living with HIV. AIDS Behav. 2010;14(3):493–503.PubMedCrossRef
21.
Baillargeon J, Giordano TP, Rich JD, Wu ZH, Wells K, Pollock BH, et al. Accessing antiretroviral therapy following release from prison. JAMA. 2009;301(8):848–57.PubMedCrossRef
22.
Springer SA, Chen S, Altice FL. Improved HIV and Substance abuse treatment outcomes for released HIV-infected prisoners: the impact of buprenorphine treatment. J Urban Health. 2010;87(4):592–602.PubMedCrossRef
23.
Milaney KP. The 6 dimensions of promising practice for case managed supports to end homelessness, part 1: contextualizing case management for ending homelessness. Prof Case Manag. 2011;16(6):281–7.PubMedCrossRef
24.
Tull T. The “housing first” approach for families affected by substance abuse. In: The source. vol 13. University of California, Berkeley: The National Abandoned Infants Assistance Resource Center; 2004.
25.
Wang EA, Hong CS, Samuels L, Shavit S, Sanders R, Kushel MB. Transitions clinic: creating a community-based model of health care for recently released California prisoners. Public Health Rep. 2010;125:171–177.
26.
Gelberg L, Andersen RM, Leake BD. The behavioral model for vulnerable populations: application to medical care use and outcomes for homeless people. Health Serv Res. 2000;34(6):1273–302.PubMed
27.
Draine J, Ahuja D, Altice FL, Arriola KJ, Avery AK, Beckwith KG, et al. Strategies to enhance linkages between care for HIV/AIDS in jail and community settings. AIDS Care. 2011;23(3):366–77.PubMedCrossRef
28.
Althoff AL, Zelenev A, Meyer JP, Fu J, Brown SE, Vagenas P, Avery AK, Cruzado-Quiñones J, Spaulding AC, Altice FL. Correlates of retention in HIV care after release from jail: results from a multi-site study. AIDS Behav 2012. doi:10.​1007/​s10461-012-0372-1.
29.
Krishnan A, Wickersham JA, Chitsaz E, Springer SA, Jordan AO, Zaller N, Altice FL. Post-release substance abuse outcomes among HIV-infected jail detainees: results from a multisite study. AIDS Behav. 2012. doi:10.​1007/​s10461-012-0362-3.
30.
Gelberg L, Gallagher TC, Andersen RM, Koegel P. Competing priorities as a barrier to medical care among homeless adults in Los Angeles. Am J Public Health. 1997;87(2):217–20.PubMedCrossRef
31.
Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav. 1995;36(1):1–10.PubMedCrossRef
32.
McLellan AT, Cacciola JC, Alterman AI, Rikoon SH, Carise D. The addiction severity index at 25: origins, contributions and transitions. Am J Addict. 2006;15(2):113–24.PubMedCrossRef
33.
Rikoon SH, Cacciola JS, Carise D, Alterman AI, McLellan AT. Predicting DSM-IV dependence diagnoses from Addiction Severity Index composite scores. J Subst Abuse Treat. 2006;31(1):17–24.PubMedCrossRef
34.
McLellan AT, Luborsky L, Woody GE, O’Brien CP. An improved diagnostic evaluation instrument for substance abuse patients: the Addiction Severity Index. J Nerv Ment Dis. 1980;168(1):26–33.PubMedCrossRef
35.
Calsyn DA, Saxon AJ, Bush KR, Howell DN, Baer JS, Sloan KL, et al. The Addiction Severity Index medical and psychiatric composite scores measure similar domains as the SF-36 in substance-dependent veterans: concurrent and discriminant validity. Drug Alcohol Depend. 2004;76(2):165–71.PubMedCrossRef
36.
Giordano TP, Guzman D, Clark R, Charlebois ED, Bangsberg DR. Measuring adherence to antiretroviral therapy in a diverse population using a visual analogue scale. HIV Clin Trials. 2004;5(2):74–9.PubMedCrossRef
37.
Rubin D. Multiple imputation for non-response in surveys. New York: Wiley; 1987.CrossRef
38.
Jaeger M. On testing the missing at random assumption. Machine learning: ECML 2006, No. 4212. Berlin: Springer; 2006.
39.
Rosenbaum PR, Rubin DB. The central role of the propensity score in observational studies for causal effects. Biometrika. 1983;70(1):41.CrossRef
40.
Wooldridge JM. Econometric analysis of cross section and panel data. Cambridge: MIT Press; 2002.
41.
Guo S, Fraser M. Propensity score analysis: statistical methods and applications. Thousand Oaks: Sage; 2009.
42.
Rubin DB. Estimating causal effects of treatments in randomized and nonrandomized studies. J Educ Psychol. 1974;66(5):688–701.CrossRef
43.
Rubin DB. Direct and indirect causal effects via potential outcomes. Scand J Stat. 2004;31(2):161–70.CrossRef
44.
Abadie A, Imbens G. On the failure of the bootstrap for matching estimators. Econometrica. 2008;76(6):1537–57.CrossRef
45.
Abadie A, Imbens G. Large sample properties of matching estimators for average treatment effects. Econometrica. 2006;74:235–67.CrossRef
46.
Rosenbaum PR, Rubin DB. Constructing a control group using multivariate matched sampling methods that incorporate the propensity score. Am Stat. 1985;39:33–8.
47.
Rubin DB. Matching methods that are equal percent bias reducing: some examples. Biometrics. 1976;32:109–20.CrossRef
48.
Cochran W, Rubin D. Controlling bias in observational studies. Sankhyā. 1973;35:417–46.
49.
Heckman J, Ichimura H, Todd P. Matching as an econometric evaluation estimator. Rev Econ Stud. 1998;65(2):261–94.CrossRef
50.
Stata: Release 12. [Computer program]. College Station, TX: StataCorp LP.; 2011.
51.
Maslow AH. Toward a psychology of being. 3rd ed. New York: Wiley; 1998.
52.
Azar MM, Springer SA, Meyer JP, Altice FL. A systematic review of the impact of alcohol use disorders on HIV treatment outcomes, adherence to antiretroviral therapy and health care utilization. Drug Alcohol Depend. 2011;112(3):178–93.CrossRef
53.
Springer SA, Azar MM, Altice FL. HIV, alcohol dependence, and the criminal justice system: a review and call for evidence-based treatment for released prisoners. Am J Drug Alcohol Abuse. 2011;37(1):12–21.PubMedCrossRef
Metadata
Title
Patterns of Homelessness and Implications for HIV Health After Release from Jail
Authors
Alexei Zelenev
Ruthanne Marcus
Artem Kopelev
Jacqueline Cruzado-Quinones
Anne Spaulding
Maureen Desabrais
Tom Lincoln
Frederick L. Altice
Publication date
01-10-2013
Publisher
Springer US
Published in
AIDS and Behavior / Issue Special Issue 2/2013
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-013-0472-6

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Contribution of Substance Use Disorders on HIV Treatment Outcomes and Antiretroviral Medication Adherence Among HIV-Infected Persons Entering Jail

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Gender Differences in Baseline Health, Needs at Release, and Predictors of Care Engagement Among HIV-Positive Clients Leaving Jail

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Jails, HIV Testing, and Linkage to Care Services: An Overview of the EnhanceLink Initiative
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

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Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

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