Evidence map›Paper›PMID 42168709›Full record

ReviewAIDS and behavior2026

Housing Instability as a Barrier to HIV Viral Suppression: Evidence from a U.S. Systematic Review and Meta-analysis.

Thomas O'Grady, Marlene Eisenberg, Stephen Weinberg, Ainur Kussainova, James Tesoriero, Shu-Yin John Leung

Abstract readReview
PubMed Publisher
In one paragraph

Review in AIDS and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Thomas O'GradyAIDS Institute, New York State Department of Health, Corning Tower, Empire State Plaza, Albany, NY, 12210, USA. thomas.ogrady@health.ny.gov.ORCID http://orcid.org/0000-0002-4426-8696
Marlene EisenbergAIDS Institute, New York State Department of Health, Corning Tower, Empire State Plaza, Albany, NY, 12210, USA.
Stephen WeinbergAIDS Institute, New York State Department of Health, Corning Tower, Empire State Plaza, Albany, NY, 12210, USA.
Ainur KussainovaAIDS Institute, New York State Department of Health, Corning Tower, Empire State Plaza, Albany, NY, 12210, USA.
James TesorieroAIDS Institute, New York State Department of Health, Corning Tower, Empire State Plaza, Albany, NY, 12210, USA.
Shu-Yin John LeungAIDS Institute, New York State Department of Health, Corning Tower, Empire State Plaza, Albany, NY, 12210, USA.

Funding

Foundation for the National Institutes of Health D43TW010046
6 · The paper itself

Abstract

Housing instability and homelessness remain pervasive structural determinants of poor HIV outcomes in the United States. People living with HIV (PLWH) who experience homelessness face intersecting barriers, including stigma, behavioral comorbidities, and fragmented care systems, that undermine antiretroviral therapy adherence and viral suppression (VS). To quantify the impact of homelessness on viral suppression, we conducted a systematic review and meta-analysis of U.S.-based studies published from 2014 to 2024. Following PRISMA 2020 guidelines, PubMed, SCOPUS, and Web of Science were searched using controlled vocabulary and keywords related to HIV, viral suppression, and homelessness. Eligible studies included quantitative and/or qualitative analyses of PLWH reporting associations between housing instability or homelessness and VS outcomes. Study suitability was assessed using an adapted GRACE checklist, and random-effects meta-analysis was conducted in STATA v19 to pool adjusted odds ratios (aORs), with heterogeneity assessed via Q and I

Indexed as

Antiretroviral therapy adherenceHealth inequitiesHIV viral suppressionHomelessnessHousing instabilityMeta-analysisSocial determinants of healthSyndemicsSystematic review

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.