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Open Access 01-11-2012 | Original Paper

Housing Characteristics and their Influence on Health-Related Quality of Life in Persons Living with HIV in Ontario, Canada: Results from the Positive Spaces, Healthy Places Study

Authors: Sean B. Rourke, Tsegaye Bekele, Ruthann Tucker, Saara Greene, Michael Sobota, Jay Koornstra, LaVerne Monette, Jean Bacon, Shafi Bhuiyan, Sergio Rueda, James Watson, Stephen W. Hwang, James Dunn, Keith Hambly, The Positive Spaces Healthy Places Team

Published in: AIDS and Behavior | Issue 8/2012

Abstract

Although lack of housing is linked with adverse health outcomes, little is known about the impacts of the qualitative aspects of housing on health. This study examined the association between structural elements of housing, housing affordability, housing satisfaction and health-related quality of life over a 1-year period. Participants were 509 individuals living with HIV in Ontario, Canada. Regression analyses were conducted to examine relationships between housing variables and physical and mental health-related quality of life. We found significant cross-sectional associations between housing and neighborhood variables—including place of residence, housing affordability, housing stability, and satisfaction with material, meaningful and spatial dimensions of housing—and both physical and mental health-related quality of life. Our analyses also revealed longitudinal associations between housing and neighborhood variables and health-related quality of life. Interventions that enhance housing affordability and housing satisfaction may help improve health-related quality of life of people living with HIV.

Compared to the 93 participants lost to follow-up, the 509 individuals who remained in the current study had been infected with HIV longer (11.5 vs. 9.5 years, p < 0.01), were more likely to be on antiretroviral treatment (77 vs. 59 %, p < 0.01), and reported lower illicit drug use (mean DAST-20 score: 3.8 vs. 5.3, p < 0.01), lower burden of depression (mean CESD-R score: 17.3 vs. 21.2, p < 0.05), and higher perceived social support (mean MOS-SSS score: 62.8 vs. 58.2, p < 0.05) at baseline. Included participants also were less likely to: live in the GTA (59 vs. 80 %, p < 0.01), be homeless or inadequately housed (4 vs. 16 %, p < 0.01), report a history of homelessness (40 vs. 56 %, p < 0.01), have moved twice or more in the past 12 months (11 vs. 18 %, p < 0.05), and have a history of incarceration (29 vs. 44 %, p < 0.01). They also were more satisfied with various dimensions of their housing and neighborhood.

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Title: Housing Characteristics and their Influence on Health-Related Quality of Life in Persons Living with HIV in Ontario, Canada: Results from the Positive Spaces, Healthy Places Study
Authors: Sean B. Rourke
Tsegaye Bekele
Ruthann Tucker
Saara Greene
Michael Sobota
Jay Koornstra
LaVerne Monette
Jean Bacon
Shafi Bhuiyan
Sergio Rueda
James Watson
Stephen W. Hwang
James Dunn
Keith Hambly
The Positive Spaces Healthy Places Team
Publication date: 01-11-2012
Publisher: Springer US
Published in: AIDS and Behavior / Issue 8/2012
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-012-0284-0

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Housing Characteristics and their Influence on Health-Related Quality of Life in Persons Living with HIV in Ontario, Canada: Results from the Positive Spaces, Healthy Places Study

Abstract

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