Nurses in Supportive Housing are Associated With Decreased Health Care Utilization and Improved HIV Biomarkers in Formerly Homeless Adults

被引：7
|
作者：
Dobbins, Sarah K. [1 ]
Cruz, Marissa [2 ]
Shah, Saima [1 ]
Abt, Lyndsey
Moore, Jamie [3 ]
Bamberger, Joshua [3 ]
机构：
[1] Univ Calif San Francisco, Sch Nursing, San Francisco, CA 94143 USA
[2] Cardiovasc Staffing Solut, Newport Beach, CA USA
[3] San Francisco Dept Publ Hlth, Housing & Urban Hlth, San Francisco, CA USA
来源：
JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE | 2016年 / 27卷 / 04期
关键词：
health care utilization; HIV; homeless; housing; nursing; SERVICE; PEOPLE; IMPACT; MORTALITY; PROGRAM; RISK;
D O I：
10.1016/j.jana.2016.01.002
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
A San Francisco study conducted in 2008 showed that the permanent supportive housing program, Direct Access to Housing, dramatically decreased the risk of death in people living with HIV. In our study, we compared the health care utilization patterns and HIV-related biological markers of formerly homeless adults with HIV before and during two types of permanent supportive housing: (a) housing with on-site nursing care for residents, and (b) housing without on-site nursing care. Using nearest-neighbor matching with propensity scoring, the difference in outcomes was calculated. In the matched analysis, adjusted for adherence to combination antiretroviral therapy, people housed at sites with nurses had 4.8 fewer emergency department visits per person (SE: 1.53, p < .01), and they had an increased mean CD4+ T cell count (101.14 cells per person [SE: 55.10, p < .05]) compared to those who lived at sites without nurses. Copyright (C) 2016 Association of Nurses in AIDS Care
引用
收藏
页码：444 / 454
页数：11
相关论文
共 50 条
  • [21] Examining fall risk among formerly homeless older adults living in permanent supportive housing
    Henwood, Benjamin F.
    Rhoades, Harmony
    Lahey, John
    Pynoos, Jon
    Pitts, Deborah B.
    Brown, Rebecca T.
    [J]. HEALTH & SOCIAL CARE IN THE COMMUNITY, 2020, 28 (03) : 842 - 849
  • [22] Investigating Sleep Disturbance and Its Correlates Among Formerly Homeless Adults in Permanent Supportive Housing
    Henwood, Benjamin F.
    Rhoades, Harmony
    Dzubur, Eldin
    Madden, Danielle R.
    Redline, Brian
    Brown, Rebecca T.
    [J]. MEDICAL CARE, 2021, 59 (04) : S206 - S211
  • [23] Identifying Unmet Mental Health Needs in Children of Formerly Homeless Mothers Living in a Supportive Housing Community Sector of Care
    Susanne S. Lee
    Gerald J. August
    Abigail H. Gewirtz
    Bonnie Klimes-Dougan
    Michael L. Bloomquist
    George M. Realmuto
    [J]. Journal of Abnormal Child Psychology, 2010, 38 : 421 - 432
  • [24] Identifying Unmet Mental Health Needs in Children of Formerly Homeless Mothers Living in a Supportive Housing Community Sector of Care
    Lee, Susanne S.
    August, Gerald J.
    Gewirtz, Abigail H.
    Klimes-Dougan, Bonnie
    Bloomquist, Michael L.
    Realmuto, George M.
    [J]. JOURNAL OF ABNORMAL CHILD PSYCHOLOGY, 2010, 38 (03) : 421 - 432
  • [25] MENTAL HEALTH CORRELATES OF INSUFFICIENT SLEEP AMONG FORMERLY HOMELESS YOUTH LIVING IN SUPPORTIVE HOUSING
    Redline, Brian
    Dzubur, Eldin
    Semborski, Sara
    Madden, Danielle
    Intille, Stephen
    Henwoood, Benjamin
    [J]. ANNALS OF BEHAVIORAL MEDICINE, 2019, 53 : S822 - S822
  • [26] Examining the health status of homeless adults entering permanent supportive housing
    Henwood, Benjamin F.
    Lahey, John
    Rhoades, Harmony
    Winetrobe, Hailey
    Wenzel, Suzanne L.
    [J]. JOURNAL OF PUBLIC HEALTH, 2018, 40 (02) : 415 - 418
  • [27] Structural violence and food insecurity in the lives of formerly homeless young adults living in permanent supportive housing
    Johnson, Kelly
    Drew, Corey
    Auerswald, Colette
    [J]. JOURNAL OF YOUTH STUDIES, 2020, 23 (10) : 1249 - 1272
  • [28] Employment Experiences of Formerly Homeless Adults With Serious Mental Illness in Housing First Versus Treatment First Supportive Housing Programs
    Tiderington, Emmy
    Henwood, Benjamin F.
    Padgett, Deborah K.
    Smith, Bikki Tran
    [J]. PSYCHIATRIC REHABILITATION JOURNAL, 2020, 43 (03) : 253 - 260
  • [29] Use of mental health services by formerly homeless adults residing in group and independent housing
    Dickey, B
    Gonzalez, O
    Latimer, E
    Powers, K
    Schutt, R
    Goldfinger, S
    [J]. PSYCHIATRIC SERVICES, 1996, 47 (02) : 152 - 158
  • [30] Predictors of CD4 health and viral suppression outcomes for formerly homeless people living with HIV/AIDS in scattered site supportive housing
    Bowen, Elizabeth A.
    Canfield, James
    Moore, Suzanne
    Hines, Midge
    Hartke, Brent
    Rademacher, Chrissy
    [J]. AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2017, 29 (11): : 1458 - 1462
12345