ArticleAIDS (London, England)2019
Homelessness at diagnosis is associated with death among people with HIV in a population-based study of a US city.
Article in AIDS (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Homelessness and HIV Treatment Among Men Who Have Sex With Men Across US Funding Contexts.JAMA network open · 2026Article
- 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
- Pandemic expertise: qualitative findings on the experiences of living with HIV during the COVID-19 pandemic.AIDS care · 2024Article
- HIV Treatment Outcomes in POP-UP: Drop-in HIV Primary Care Model for People Experiencing Homelessness.The Journal of infectious diseases · 2022Article
- Impact of Multicomponent Support Strategies on Human Immunodeficiency Virus Virologic Suppression Rates During Coronavirus Disease 2019: An Interrupted Time Series Analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022Article
- Effect of Social Determinants of Health on Uncontrolled Human Immunodeficiency Virus (HIV) Infection Among Persons With HIV in San Francisco, California.Open forum infectious diseases · 2022Article
- Trends in homelessness and injection practices among young urban and suburban people who inject drugs: 1997-2017.Drug and alcohol dependence · 2021Article
- Disparities in Integrase Inhibitor Usage in the Modern HIV Treatment Era: A Population-Based Study in a US City.Open forum infectious diseases · 2021Article
- Understanding the impact of a residential housing programme for people living with HIV/AIDS: a realist evaluation protocol.BMJ open · 2021Article
- Identifying Missed Opportunities for Routine Vaccination among People Who Use Drugs.International journal of environmental research and public health · 2021Article
- Residual immune dysfunction under antiretroviral therapy.Seminars in immunology · 2021Review
- Network centrality for the identification of biomarkers in respondent-driven sampling datasets.PloS one · 2021Article
- The interplay between HIV and COVID-19: summary of the data and responses to date.Current opinion in HIV and AIDS · 2021Review
- 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
- Missed opportunities to prevent HIV infections among pre-exposure prophylaxis users: a population-based mixed methods study, San Francisco, United States.Journal of the International AIDS Society · 2020Article
- Implementation of HIV Preexposure Prophylaxis in a Homeless Primary Care Setting at the Veterans Affairs.Journal of primary care & community healthArticle
- Prevention of cardiovascular disease for historically marginalized racial and ethnic groups living with HIV: A narrative review of the literature.Progress in cardiovascular diseasesReview
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveSan Francisco, California, has experienced a 44% reduction in new HIV diagnoses since 2013 supported by its 'Getting to Zero' initiative; however, the age-adjusted mortality rate in people with HIV (PWH) has not decreased. We sought to identify factors associated with death among PWH in San Francisco.
designPopulation-based incidence-density case-control study.
methodsAmong PWH in the San Francisco HIV surveillance registry, a random sample of 48 decedents from 1 July 2016 to 31 May 2017 were each matched to two to three controls who were alive at the date of death (108 controls matched on age and time since diagnosis). Covariates included demographics, substance use, housing status, medical conditions, and care indicators from the study population. We used matched-pair conditional logistic regression to examine factors associated with mortality.
resultsOf the 156 PWH in the study, 14% were African-American, 14% Latino, and 8% female sex. In adjusted analysis, factors associated with higher odds of death included: homelessness at HIV diagnosis [adjusted odds ratio (AOR) = 27.4; 95% confidence interval (CI) = 3.0-552.1], prior-year IDU (AOR = 10.2; 95% CI = 1.7-128.5), prior-year tobacco use (AOR = 7.2; 95% CI = 1.7-46.9), being off antiretroviral therapy at any point in the prior year (AOR = 6.8; 95% CI = 1.1-71.4), and being unpartnered vs. married/partnered (AOR = 4.7; 95% CI = 1.3-22.0).
conclusionPeople homeless at HIV diagnosis had 27-fold higher odds of death compared with those with housing; substance use and retention on antiretroviral therapy in the prior year are other important intervenable factors. New strategies to address these barriers, and continued investment in supportive housing and substance use treatment, are needed.
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