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The effect of homelessness on viral suppression in an underserved metropolitan area of middle Tennessee: potential implications for ending the HIV epidemic.
Berthaud, Vladimir; Johnson, Livette; Jennings, Ronda; Chandler-Auguste, Maxine; Osijo, Abosede; Baldwin, Marie T; Matthews-Juarez, Patricia; Juarez, Paul; Wilus, Derek; Tabatabai, Mohammad.
Afiliação
  • Berthaud V; Division of Infectious Diseases, Meharry Community Wellness Center, Meharry Medical College, Nashville, TN, USA. vberthaud@mmc.edu.
  • Johnson L; Division of Infectious Diseases, Meharry Community Wellness Center, Meharry Medical College, Nashville, TN, USA.
  • Jennings R; Division of Infectious Diseases, Meharry Community Wellness Center, Meharry Medical College, Nashville, TN, USA.
  • Chandler-Auguste M; Division of Infectious Diseases, Meharry Community Wellness Center, Meharry Medical College, Nashville, TN, USA.
  • Osijo A; Division of Infectious Diseases, Meharry Community Wellness Center, Meharry Medical College, Nashville, TN, USA.
  • Baldwin MT; Division of Infectious Diseases, Meharry Community Wellness Center, Meharry Medical College, Nashville, TN, USA.
  • Matthews-Juarez P; Department of Family and Community Medicine, Meharry Medical College, Nashville, TN, USA.
  • Juarez P; Department of Family and Community Medicine, Meharry Medical College, Nashville, TN, USA.
  • Wilus D; School of Graduate Studies and Research, Meharry Medical College, Nashville, TN, USA.
  • Tabatabai M; School of Graduate Studies and Research, Meharry Medical College, Nashville, TN, USA.
BMC Infect Dis ; 22(1): 144, 2022 Feb 10.
Article em En | MEDLINE | ID: mdl-35144557
BACKGROUND: A wealth of scientific evidence supports the effectiveness of HIV prophylaxis and treatment. Homelessness is strongly associated with the health status and viral suppression among underserved populations and can undermine the national plan to eliminate HIV by 2030. This retrospective observational study examined the extent in which homelessness affects HIV treatment in an underserved urban area of Middle Tennessee in 2014-2019. RESULTS: Among 692 HIV-seropositive patients, the proportion of homeless patients increased from 13.5% in 2014 to 27.7% in 2019, thrice the national average for HIV-seropositive people (8.4%) and twice that of HIV positive patients who are participating in Ryan White programs nationwide (12.9%). Our findings suggest that homeless patients were half as likely to achieve viral suppression as compared to those who had a permanent/stable home [OR 0.48 (0.32-0.72), p-value < 0.001]. CONCLUSION: Our study indicates that homelessness may play an important role in viral suppression among persons living with HIV/AIDS in Middle Tennessee.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Pessoas Mal Alojadas / Infecções por HIV / Síndrome da Imunodeficiência Adquirida Idioma: En Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Pessoas Mal Alojadas / Infecções por HIV / Síndrome da Imunodeficiência Adquirida Idioma: En Ano de publicação: 2022 Tipo de documento: Article