Association Between Housing Instability and HIV Care Outcomes Among People With HIV in the United States

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Authors: Carolyn A. Fahey, Bridget M. Whitney, Lydia N. Drumright, Shruti H. Mehta, Sonia Napravnik, Deana Agil, George Yendewa, Greer Burkholder, Rob J. Fredericksen, Julia Fleming, Maile Karris, Gregory D. Kirk
+10 more Stephanie A. Ruderman, L. Sarah Mixson, Marianna K. Baum, Joseph A.C. Delaney, Catherine R. Lesko, R D Moore, Mari M. Kitahata, H Crane, Raúl N. Mandler, Geetanjali Chander
Cited by: 1
References: 49

Abstract

BACKGROUND: People with HIV (PWH) disproportionately experience homelessness and other forms of housing instability. Understanding how housing status influences HIV clinical outcomes remains limited, especially among individuals engaged in care. METHODS: We evaluated associations between housing status and HIV care markers using clinical data and patient-reported measures from the Centers for AIDS Research Network of Integrated Clinical Systems cohort of adults receiving HIV care across the United States (US), between 2019 and 2025. We used relative risk regression and linear regression to estimate associations between self-perceived housing instability and outcomes including HIV viral suppression (

Fields of Study & Subjects

Homelessness and Social Issues HIV/AIDS Research and Interventions HIV Drug Use Sexual Risk

Publication details

Journal / source
JAIDS Journal of Acquired Immune Deficiency Syndromes
Publisher
Ovid Technologies (Wolters Kluwer Health)
Volume
101
Issue
10
Pages
1074–1081
Publication date
26 June 2026
Language
EN