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J Health Psychol. 2017 Mar;22(3):302-313. doi: 10.1177/1359105315603465. Epub 2016 Jul 10.

Drug use and emotional distress differentiate unstably- versus stably-housed adults living with HIV who engage in unprotected sex.

Author information

1
1 Wake Forest University Baptist Medical Center, USA.
2
2 University of California, Los Angeles, USA.
3
3 University of California, San Francisco, USA.
4
4 Medical College of Wisconsin, USA.

Abstract

Among adults living with HIV, unstable housing is a barrier to health. Stably- and unstably-housed adults living with HIV were assessed for over 25 months. At baseline, unstably-housed adults living with HIV had a more recent HIV diagnosis, higher viral loads, worse physical and mental health, lower rates of antiretroviral therapy use and insurance coverage, and higher rates of hard drug use than stably-housed adults living with HIV. At follow-up, the health of both groups was similar, but unstably-housed adults living with HIV reported significantly more hard drug use and mental health symptoms when compared to the stably-housed adults living with HIV. Drug and mental health risks decreased for both groups, but decreases in unprotected sex were greater among unstably-housed adults living with HIV.

KEYWORDS:

HIV; high-risk sex; mental health; physical health; substance use; unstably-housed adults living with HIV

PMID:
26359286
PMCID:
PMC4785098
DOI:
10.1177/1359105315603465
[Indexed for MEDLINE]
Free PMC Article

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