ArticleOpen forum infectious diseases2019
Housing Instability Results in Increased Acute Care Utilization in an Urban HIV Clinic Cohort.
Article in Open forum infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Homelessness and health-related outcomes: an umbrella review of observational studies and randomized controlled trials.BMC medicine · 2022Pooled it
- Integrating Housing and HIV Care: Evaluation of the Implementation and Impact of Three Differentiated Service Delivery Housing Pilots in New York City.AIDS and behavior · 2026Article
- Social Precariousness and the Outcome of Critical Illnesses in People with HIV: A Multicenter Cohort Study.Open forum infectious diseases · 2025Article
- POP-UP Mobile: A Mixed Methods Study of Mobile Outreach for People with HIV with Housing Instability Who Are Out of Care from a Low-Barrier Clinical Program in San Francisco.AIDS patient care and STDs · 2025Article
- Relationship Between Social Risk Factors and Emergency Department Use: National Health Interview Survey 2016-2018.The western journal of emergency medicine · 2025Article
- Determining the Feasibility of a Mail-In Saliva Sample Protocol for Persons Living with HIV in Two Urban Northeast United States Clinics.HIV/AIDS (Auckland, N.Z.) · 2025Article
- Understanding why racial/ethnic inequities along the HIV care continuum persist in the United States: a qualitative exploration of systemic barriers from the perspectives of African American/Black and Latino persons living with HIV.International journal for equity in health · 2023Article
- Association of Neighborhood Deprivation With Healthcare Utilization Among Persons With Human Immunodeficiency Virus: A Latent Class Analysis.Open forum infectious diseases · 2023Article
- Patient perspectives of antiretroviral pharmacy services: A cross-sectional cohort study.PloS one · 2023Article
- Association of Coded Housing Instability and Hospitalization in the US.JAMA network open · 2022Article
- HIV Treatment Outcomes in POP-UP: Drop-in HIV Primary Care Model for People Experiencing Homelessness.The Journal of infectious diseases · 2022Article
- Media framing of emergency departments: a call to action for nurses and other health care providers.BMC nursing · 2021Article
- Prospective association of social circumstance, socioeconomic, lifestyle and mental health factors with subsequent hospitalisation over 6-7 year follow up in people living with HIV.EClinicalMedicine · 2021Article
- Prevalence and Temporal Characteristics of Housing Needs in an Urban Emergency Department.The western journal of emergency medicine · 2020Article
- Brief Report: Understanding Preferences for HIV Care Among Patients Experiencing Homelessness or Unstable Housing: A Discrete Choice Experiment.Journal of acquired immune deficiency syndromes (1999) · 2020Article
- New pathogen, same disparities: why COVID-19 and HIV remain prevalent in U.S. communities of colour and implications for ending the HIV epidemic.Journal of the International AIDS Society · 2020Article
- Improving Care Outcomes for PLWH Experiencing Homelessness and Unstable Housing: a Synthetic Review of Clinic-Based Strategies.Current HIV/AIDS reports · 2020Review
- Getting to Zero San Francisco: A Collective Impact Approach.Journal of acquired immune deficiency syndromes (1999) · 2019Article
- Health Information Exchange: A Novel Re-linkage Intervention in an Urban Health System.Open forum infectious diseases · 2019Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundPeople living with HIV (PLWH) who experience homelessness and unstable housing (HUH) often have fragmented health care. Research that incorporates granular assessments of housing status and primary care visit adherence to understand patterns of acute care utilization can help pinpoint areas for intervention.
methodsWe collected self-reported living situation, categorized as stable (rent/own, hotel/single room occupancy), unstable (treatment/transitional program, staying with friends), or homeless (homeless shelter, outdoors/in vehicle) at an urban safety-net HIV clinic between February and August 2017 and abstracted demographic and clinical information from the medical record. Regression models evaluated the association of housing status on the frequency of acute care visits-urgent care (UC) visits, emergency department (ED) visits, and hospitalizations-and whether suboptimal primary care visit adherence (<75%) interacted with housing status on acute care visits.
resultsAmong 1198 patients, 25% experienced HUH. In adjusted models, unstable housing resulted in a statistically significant increase in the incidence rate ratio for UC visits (incidence rate ratio [IRR], 1.35; 95% confidence interval [CI], 1.10 to 1.66;
conclusionsIncreased acute care visit frequency among HUH-PLWH suggests that interventions at these visits may create opportunities to improve care.
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