“Come back when you’re dying:” the commodification of AIDS among California's urban poor

Crane, Johanna; Quirk, Kathleen; Straten, Ariane van der

doi:10.1016/s0277-9536(01)00252-0

Cited by 33 publications

(18 citation statements)

References 14 publications

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“…Whatever the source, such interactions can help to redirect participants' notion of self-care and facilitate the effects of medication via improved compliance and treatment adherence. Finally, some have argued that HIV serves as an important commodity among people living in poverty; having HIV essentially entitles one to improved access to supplemental income, housing, food, services, and medical services (Crane, Quirk, & van der Straten, 2002), thereby potentially improving their quality of life and hope for the future beyond what was possible before diagnosis. While we found no evidence of intentional infection, and doubt that it occurs very frequently, there is no denying that a diagnosis of HIV infection opens doors to resources often unattainable by those who are not infected.…”

Section: Discussionmentioning

confidence: 99%

If I Didn’t Have HIV, I’d Be Dead Now: Illness Narratives of Drug Users Living With HIV/AIDS

et al. 2005

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The purpose of this study was to illuminate the experiences of poor, urban HIV-positive drug users. Sixty participants were asked about HIV risk behaviors, the impact of HIV on their lives, religious beliefs, life plans, relationships, and work-related issues both prior to and since diagnosis. A theoretical framework was developed using Frank's (1995; Illness Narratives and Boss and Couden's (2002) Ambiguous Loss theories. Themes pertaining to both physical and emotional or spiritual dimensions were located within Benefit, Loss, or Status Quo orientations. The findings contribute to researchers' understanding of the HIV/AIDS illness experiences among the very marginalized and they have important implications for physical and mental health care professionals working with HIV-positive drug users.Increasingly, public health responses to the AIDS epidemic are shifting to the treatment and care end of the treatment/prevention continuum. The movement of both public and private intervention resources toward the provision of care, treatment, and secondary rather than Correspondence concerning this article should be addressed to Katie E.

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Section: Discussionmentioning

confidence: 99%

If I Didn’t Have HIV, I’d Be Dead Now: Illness Narratives of Drug Users Living With HIV/AIDS

et al. 2005

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“…This is accentuated for urban-poor and marginalized populations, the majority of whom comprise the study samples included in this review. Indeed, a burgeoning literature indicates that the need for stable housing circumstances is highly prevalent among people living with HIV, particularly among homeless and injection drug using populations (Andia et al, 2001;Bonuck, 2001;Crane, Quirk, & van der Straten, 2002;Goiceochea-Balbona, Barnaby, Ellis, & Foxworth, 2000;Hendriks & Leckie, 1993;Piette, Fleishman, Stein, Mor, & Mayer, 1993;Reilly & Woo, 2003a;Reilly et al, 2003b;Schrooten et al,2002). In addition to issues of AIDS human rights abuses (Leech 2003), AIDS stigma and discrimination have also been notable barriers to the maintenance and access to stable housing circumstances for people living with HIV, particularly for women (Gielen et al, 2000) and Native American populations in the United States (Duran et al, 2000).…”

Section: Implications For Clinicians Social Service Providers and Pomentioning

confidence: 99%

The Effects of Housing Status on Health-Related Outcomes in People living with HIV: A Systematic Review of the Literature

et al. 2007

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“…Even those who receive housing subsidies still must find an apartment to rent and many landlords require criminal background checks and may be unwilling to rent to those with a criminal conviction [23,24,29,30]. Other policies that have impacted drug users' access to housing include the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, in particular the elimination of the SSI Addiction Disability and a ban on receiving welfare benefits for convicted drug offenders [31-33]. Little empirical research has examined how these policies may differently affect subpopulations of low-income residents, such as the mentally ill or substance users.…”

Section: Introductionmentioning

confidence: 99%

Access to housing subsidies, housing status, drug use and HIV risk among low-income U.S. urban residents

Dickson‐Gómez

McAuliffe

Convey³

et al. 2011

Subst Abuse Treat Prev Policy

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BackgroundMuch research has shown an association between homelessness and unstable housing and HIV risk but most has relied on relatively narrow definitions of housing status that preclude a deeper understanding of this relationship. Fewer studies have examined access to housing subsidies and supportive housing programs among low-income populations with different personal characteristics. This paper explores personal characteristics associated with access to housing subsidies and supportive housing, the relationship between personal characteristics and housing status, and the relationship between housing status and sexual risk behaviors among low-income urban residents.MethodsSurveys were conducted with 392 low-income residents from Hartford and East Harford, Connecticut through a targeted sampling plan. We measured personal characteristics (income, education, use of crack, heroin, or cocaine in the last 6 months, receipt of welfare benefits, mental illness diagnosis, arrest, criminal conviction, longest prison term served, and self-reported HIV diagnosis); access to housing subsidies or supportive housing programs; current housing status; and sexual risk behaviors. To answer the aims above, we performed univariate analyses using Chi-square or 2-sided ANOVA's. Those with significance levels above (0.10) were included in multivariate analyses. We performed 2 separate multiple regressions to determine the effects of personal characteristics on access to housing subsidies and access to supportive housing respectively. We used multinomial main effects logistic regression to determine the effects of housing status on sexual risk behavior.ResultsBeing HIV positive or having a mental illness predicted access to housing subsidies and supportive housing, while having a criminal conviction was not related to access to either housing subsidies or supportive housing. Drug use was associated with poorer housing statuses such as living on the street or in a shelter, or temporarily doubling up with friends, acquaintances or sex partners. Living with friends, acquaintances or sex partners was associated with greater sexual risk than those living on the street or in other stable housing situations.ConclusionsResults suggest that providing low-income and supportive housing may be an effective structural HIV prevention intervention, but that the availability and accessibility of these programs must be increased.

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“Come back when you’re dying:” the commodification of AIDS among California's urban poor

Cited by 33 publications

References 14 publications

If I Didn’t Have HIV, I’d Be Dead Now: Illness Narratives of Drug Users Living With HIV/AIDS

If I Didn’t Have HIV, I’d Be Dead Now: Illness Narratives of Drug Users Living With HIV/AIDS

The Effects of Housing Status on Health-Related Outcomes in People living with HIV: A Systematic Review of the Literature

Access to housing subsidies, housing status, drug use and HIV risk among low-income U.S. urban residents

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