Relationship between Housing Characteristics and Care Outcomes among Women Living with HIV: Latent Class Analysis

Author:

Fernandez Sofia B1,Sheehan Diana M2,Dawit Rahel3,Brock-Getz Petra4,Ladner Robert A5,Trepka Mary Jo6

Affiliation:

1. School of Social Work, Robert Stempel College of Public Health and Social Work, Florida International University PhD, MSW, is assistant professor, , 11200 SW 8th Street, AHC5-584, Miami, FL 33199, USA

2. Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University MPH, PhD, is assistant professor, , Miami, FL, USA

3. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health PhD, MS, is a postdoctoral fellow, , Baltimore, MD, USA

4. Deft Research MS, is qualitative/quantitative market researcher, , Minneapolis, MN, USA

5. Behavioral Science Research Corporation PhD, is president, , Coral Gables, FL, USA

6. Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University MD, MSPH, is professor and chair, , Miami, FL, USA

Abstract

Abstract Housing plays a critical role in the care outcomes of individuals living with a HIV, yet few studies have examined the unique housing profiles of women living with HIV (WLH), especially among those belonging to low-income racial/ethnic minority groups. In this study, authors conducted a latent class analysis to generate latent profiles of women (N = 1,501) according to their housing status and household characteristics and assessed associations between classes and sociodemographic and behavioral characteristics and between classes and three HIV care outcomes: retention in care, viral suppression, and sustained viral suppression. A three-class model was selected using five dichotomized housing indicators: housing status, head of household status, living with minors, living with another adult, and disclosure of HIV status to adults with whom they live. While class 1 and class 2 had comparable HIV care outcomes, women in class 3—who were predominately unstably housed, living alone, and did not disclose their HIV status with those with whom they lived—had significantly lower crude odds of successful care outcomes. When accounting for sociodemographic and behavioral factors, significant differences in retention in care persisted. Findings underscore the need for tailored interventions for subgroups of low-income WLH and provide contextual details around the role of housing experiences.

Funder

National Institute on Minority Health and Health Disparities

National Institutes of Health

Publisher

Oxford University Press (OUP)

Subject

Sociology and Political Science

Reference27 articles.

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3. Challenges and successes in linking HIV-infected women to care in the United States;Aziz;Clinical Infectious Diseases,2011

4. Housing instability risk among subsidized housing recipients: Characteristics associated with late or nonpayment of rent;Brisson;Social Work Research,2015

5. Using an intersectional approach to study the impact of social determinants of health for African-American mothers living with HIV;Caiola;Advances in Nursing Science,2014

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