Interdisciplinary, Community, and Peer Leadership Approach to Addressing Housing Among People Living With HIV in the Rural South

《Interdisciplinary, Community, and Peer Leadership Approach to Addressing Housing Among People Living With HIV in the Rural South》

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关键字: HIV; housing; advocacy; case management; rural; South; ACTIVE ANTIRETROVIRAL THERAPY; AFRICAN-AMERICANS; UNITED-STATES; ADHERENCE; CARE; PREVENTION; OUTCOMES; AIDS; PARTICIPATION; CHALLENGE

作者单位: [George Dalmida, Safiya] Univ Alabama, Capstone Coll Nursing, Tuscaloosa, AL 35401 USA. [Mugoya, George C. T.] Univ Alabama, Dept Educ Studies Psychol Res Methodol & Counseli, Tuscaloosa, AL USA. [Kirkpatrick, Billy; Bonner, Frenshai] West Alabama AIDS Outreach, Tuscaloosa, AL USA. [Kraemer, Kyle Rhoads; Merritt, Jasmine; Foster, Pamela Payne; Neal, Lauren B.] Univ Alabama, Dept Psychol, Box 870348, Tuscaloosa, AL 35487 USA. [Satcher, Jamie F.] Project CHAP West Alabama AIDS Outreach, Tuscaloosa, AL USA. [Muiga, Wambui] Univ Alabama, Coll Educ, Tuscaloosa, AL USA. George Dalmida, S (reprint author), Univ Alabama, Capstone Coll Nursing, Tuscaloosa, AL 35401 USA. E-Mail: sfgeorge@ua.edu

摘要: Housing remains the greatest unmet need for people living with HIV/AIDS (PLWH). Homelessness and unstable or marginal housing strongly predict poor health outcomes among PLWH, and they complicate the medical management of HIV. The majority of extant research has focused on urban areas; very few studies target areas in the rural South. Rural areas face distinct issues related to housing including a lack of structured housing programs. Further, the communal nature of life within the rural South presents an additional burden for PLWH as the disease is still highly stigmatized in these areas. The goal of this article is to: (a) describe issues related to housing needs among PLWH in the rural South and the effect of these factors on health outcomes; (b) highlight a community-based participatory research project, known as Project CHAP (Case management, Housing, Advocacy and Policy) and evaluate the impact of housing and case management on health outcomes among rural residents living with HIV in West Alabama; and (c) summarize the impact for future research or policy work in the area of housing among PLWH in the rural South. The findings have implications for PLWH and for those who provide care or services to this population.