Characteristics of Adults With Diagnosed HIV Who Experienced Housing Instability: Findings From the Centers for Disease Control and Prevention Medical Monitoring Project, United States, 2018

Marcus, Ruthanne; Tie, Yunfeng; Dasgupta, Sharoda; Beer, Linda; Padilla, Mabel; Fagan, Jennifer; Prejean, Joseph

doi:10.1097/jnc.0000000000000314

Cited by 9 publications

(7 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These results demonstrate that disparities in unmet needs for HIVancillary care services by healthcare coverage type could at least partially be attributed to differences in socioeconomic status (SES) and other social determinants of health; this is supported by other literature [5,17,19]. PWH living in poverty may experience challenges -including unstable housing, food insecurity, or comorbidities such as depression, or anxietythat are associated with adverse HIV clinical outcomes [9,10,12,20,21]. Specifically, PWH receiving Medicaid or Medicare often qualify for coverage due to income, disability, or older age, and thus, commonly have cooccurring conditions that may complicate their HIV care and cause challenges in engaging with the medical system [8].…”

Section: Discussionsupporting

confidence: 61%

Unmet needs for HIV ancillary care services by healthcare coverage and Ryan White HIV/AIDS program assistance

Dasgupta

Crim

Dawson

et al. 2022

Aids

Self Cite

View full text Add to dashboard Cite

Objective:To investigate unmet needs for HIV ancillary care services by healthcare coverage type and Ryan White HIV/AIDS Program (RWHAP) assistance among adults with HIV.Design:We analyzed data using the 2017–2019 cycles of the CDC Medical Monitoring Project, an annual, cross-sectional study designed to produce nationally representative estimates of characteristics among adults with diagnosed HIV.Methods:Unmet need was defined as needing, but not receiving, one or more HIV ancillary care services. We estimated prevalence ratios (PRs) and 95% confidence intervals (CIs) using predicted marginal means to examine associations between healthcare coverage type and unmet needs for HIV ancillary care services, adjusting for age. Associations were stratified by receipt of RWHAP assistance.Results:Unmet needs for HIV ancillary care services were highest among uninsured persons (58.7%) and lowest among those with private insurance living with at least 400% of the federal poverty level (FPL; 21.7%). Uninsured persons who received RWHAP assistance were less likely than those who did not receive RWHAP assistance to have unmet needs for HIV clinical support services (aPR: 0.21; 95% CI: 0.16–0.28) and other medical services (aPR: 0.75; 95% CI: 0.59–0.96), but not subsistence services (aPR: 0.97; 95% CI: 0.74–1.27). Unmet needs for other medical services and subsistence services did not differ by RWHAP assistance among those with Medicaid, Medicare, or other healthcare coverage.Conclusions:RWHAP helped reduce some needs for uninsured persons. However, with growing socioeconomic inequities following the coronavirus disease 2019 pandemic, expanding access to needed services for all people with HIV could improve key outcomes.

show abstract

Section: Discussionsupporting

confidence: 61%

Unmet needs for HIV ancillary care services by healthcare coverage and Ryan White HIV/AIDS program assistance

Dasgupta

Crim

Dawson

et al. 2022

Aids

Self Cite

View full text Add to dashboard Cite

show abstract

“…[11,15,16] Structural factors like poverty and isolation, compounded by the COVID-19 pandemic, have impeded efforts to combat the epidemic. [1,17–21]…”

Section: Introductionmentioning

confidence: 99%

Disparities in mortality trends of adults with HIV in the USA: A comprehensive examination across 2 decades

Ashraf,

Nadeem,

Ashfaq

et al. 2024

Medicine

View full text Add to dashboard Cite

Approximately 38 million people worldwide are affected by human immunodeficiency virus (HIV), with 4000 new infections daily. While literature explores HIV mortality among the elderly in the US, there is an underrepresentation of mortality data for adults. By scrutinizing mortality trends based on demographic factors such as gender, race or ethnicity, age groups, and geographic location, the study seeks to uncover patterns that may facilitate a longitudinal perspective for tailoring interventions and allocating resources effectively. Crude death rates and age-adjusted mortality rates (AAMR) per 100,000 individuals were calculated using HIV mortality data (ICD-10 Codes B20–24) from CDC WONDER database. Permutation test was used to calculate annual percentage changes in AAMR with 95% confidence interval. Average annual percentage changes were computed as weighted average of annual percentage changes. Between 1999 to 2020, US adult HIV deaths totaled 225,396 (AAMR: 5.03), with a significantly decreasing average annual percentage changes (‐5.94). Males exhibited a 3-fold higher AAMR (7.50) than females (2.67). Non-Hispanic Blacks had the highest AAMR (21.82), while Non-Hispanic Asians had the lowest (0.67). The South and Northeast regions had the highest AAMRs (6.91 and 6.33, respectively). Notably, the District of Columbia had an alarmingly high mortality rate of 39.9, while North Dakota had the lowest (0.7). Urban regions (5.47) had double the mortality rates of rural regions (2.70). Mortality rate peaked in age groups 45 to 54 (8.65) and 35 to 44 (7.42). While overall HIV mortality is declining, disparities persist among demographics. Targeted interventions are crucial to improve preventive measures and healthcare access for disproportionately affected groups.

show abstract

“…Adequate housing is a basic human right and serves as a foundation for maintaining physical and mental health [1]. Yet, 17% of people with HIV (PWH) recently experienced homelessness or other forms of unstable housing [2], which are associated with suboptimal outcomes [3,4]. The National HIV/AIDS Strategy underscores the importance of addressing unstable housing in meeting national HIV goals [5].…”

Section: Introductionmentioning

confidence: 99%

Needs for shelter or housing assistance among people with diagnosed HIV by jurisdiction: United States, 2015–2020

Dasgupta

Beer

Lu³

et al. 2022

Aids

Self Cite

View full text Add to dashboard Cite

Objective: To describe the landscape of needs for housing assistance among people with HIV (PWH) and availability of Housing Opportunities for People with AIDS (HOPWA) funding with respect to housing service needs, nationally and for 17 US jurisdictions. Design:The CDC Medical Monitoring Project (MMP) is an annual, cross-sectional survey designed to report nationally and locally representative estimates of characteristics and outcomes among adults with diagnosed HIV in the United States. Methods:We analyzed 2015-2020 data from MMP and 2019 funding data from HOPWA. Weighted percentages and 95% confidence intervals (CIs) for national and jurisdiction-level estimates were reported.Results: Nationally, 1 in 4 (27.7%) PWH had shelter or housing service needs. Among those who needed housing services, 2 in 5 (40.4%) did not receive them (range: 21.3% in New York to 62.3% in Georgia). Reasons for unmet needs were multifactorial and varied by jurisdiction. Available 2019 HOPWA funding per person in need would cover up to 1.24 months of rent per person nationally (range: 0.53 months in Virginia to 9.54 months in Puerto Rico), and may not have matched housing assistance needs among PWH in certain jurisdictions. Conclusion:Addressing housing service needs necessitates a multipronged approach at the provider, jurisdiction, and national level. Locally, jurisdictions should work with their partners to understand and address housing service needs among PWH. Nationally, distribution of HOPWA funding for housing services should be aligned according to local needs; the funding formula could be modified to improve access to housing services among PWH.

show abstract

Characteristics of Adults With Diagnosed HIV Who Experienced Housing Instability: Findings From the Centers for Disease Control and Prevention Medical Monitoring Project, United States, 2018

Cited by 9 publications

References 34 publications

Unmet needs for HIV ancillary care services by healthcare coverage and Ryan White HIV/AIDS program assistance

Unmet needs for HIV ancillary care services by healthcare coverage and Ryan White HIV/AIDS program assistance

Disparities in mortality trends of adults with HIV in the USA: A comprehensive examination across 2 decades

Needs for shelter or housing assistance among people with diagnosed HIV by jurisdiction: United States, 2015–2020

Contact Info

Product

Resources

About