Reducing Homelessness among Persons with HIV: An Ecological Case Study in Delaware.

IF 0.4 Q4 SOCIAL WORK Journal of HIV-AIDS & Social Services Pub Date : 2022-12-14 DOI:10.1080/15381501.2021.2015502
Courtenay-Quirk Cari, Mizuno Yuko, Salvant Valentine Sheila, Katherine B Roland, Raekiela D Taylor, Jun Zhang
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Abstract

Introduction: Among persons with HIV (PWH), homelessness is associated with poorer health. From 2009-2014, national HIV prevention goals included a reduction in homelessness among PWH. We sought to examine social ecological factors associated with homelessness among PWH at a sub-national level during that period.

Methods: National data were used to identify Delaware as the only jurisdiction where homelessness among PWH declined from 2009-2014. We analyzed population-level indicators and conducted telephone interviews with 6 key stakeholders to further examine this trend.

Results: Overall homelessness, household poverty, and median housing price were associated with homelessness among PWH in Delaware. Key stakeholders indicated that centralized intake processes improved screening, referral, and linkages of clients to housing units.

Discussion: In addition to social and economic factors, collaborative program strategies may improve housing outcomes for PWH. Monitoring trends at sub-national levels can help identify successful approaches as well as needed services or policy change.

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减少艾滋病毒感染者的无家可归现象:特拉华州的生态案例研究。
导言:在艾滋病毒感染者(PWH)中,无家可归者的健康状况较差。2009-2014 年间,国家艾滋病预防目标包括减少无家可归的艾滋病感染者。在此期间,我们试图在国家以下层面研究与艾滋病感染者无家可归相关的社会生态因素:我们利用全国数据确定特拉华州是 2009-2014 年间无家可归的艾滋病感染者人数减少的唯一辖区。我们分析了人口层面的指标,并对 6 位主要利益相关者进行了电话访谈,以进一步研究这一趋势:结果:在特拉华州,无家可归者总数、家庭贫困程度和住房价格中位数与威利人无家可归问题有关。主要利益相关者表示,集中接收程序改善了筛选、转介以及将客户与住房单元联系起来的工作:讨论:除社会和经济因素外,合作计划策略也可改善无家可归者的住房状况。监测次国家层面的趋势有助于确定成功的方法以及所需的服务或政策变化。
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