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Outcomes of the KC life 360 intervention: Improving employment and housing for persons living with HIV

Housing and employment are key factors in the health and wellbeing of persons living with HIV (PLWH) in the United States. Approximately 14% of low-income PLWH report housing instability or temporary housing, and up to 70% report being unemployed. The purpose of this study was to examine the outcome...

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Autores principales: Lightner, Joseph S., Barnhart, Travis, Shank, Jamie, Adams, Debbie, Valleroy, Ella, Chesnut, Steven, Rajabiun, Serena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9481028/
https://www.ncbi.nlm.nih.gov/pubmed/36112606
http://dx.doi.org/10.1371/journal.pone.0274923
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author Lightner, Joseph S.
Barnhart, Travis
Shank, Jamie
Adams, Debbie
Valleroy, Ella
Chesnut, Steven
Rajabiun, Serena
author_facet Lightner, Joseph S.
Barnhart, Travis
Shank, Jamie
Adams, Debbie
Valleroy, Ella
Chesnut, Steven
Rajabiun, Serena
author_sort Lightner, Joseph S.
collection PubMed
description Housing and employment are key factors in the health and wellbeing of persons living with HIV (PLWH) in the United States. Approximately 14% of low-income PLWH report housing instability or temporary housing, and up to 70% report being unemployed. The purpose of this study was to examine the outcomes of an intervention to improve housing and employment for PLWH in the Midwest. Participants (N = 87) were recruited from the Kansas City metropolitan area to participate in a one-year intervention to improve housing and employment. All individuals were living with HIV and were not stably housed, fully employed, nor fully engaged in HIV medical care. A series of generalized estimating equations were conducted using client-level longitudinal data to examine how housing, employment, viral load, and retention in care changed over time. Housing improved from baseline to follow-up, with more individuals reporting having stable housing (OR = 23.5; p < 0.001). Employment also improved from baseline to follow-up, with more individuals reporting full-time employment (OR = 1.9; p < 0.001). Viral suppression improved from baseline to follow-up, with more individuals being virally suppressed (OR = 1.6; p < 0.05). Retention in care did not change significantly from baseline to follow-up (OR = 0.820; p = 0.370). Client navigation seems to be a promising intervention to improve housing and employment for PLWH in the Midwest. Additional research is needed on the impact of service coordination on client-level outcomes. Future studies should be conducted on the scalability of client navigation interventions to improve the lives of low-income, underserved PLWH.
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spelling pubmed-94810282022-09-17 Outcomes of the KC life 360 intervention: Improving employment and housing for persons living with HIV Lightner, Joseph S. Barnhart, Travis Shank, Jamie Adams, Debbie Valleroy, Ella Chesnut, Steven Rajabiun, Serena PLoS One Research Article Housing and employment are key factors in the health and wellbeing of persons living with HIV (PLWH) in the United States. Approximately 14% of low-income PLWH report housing instability or temporary housing, and up to 70% report being unemployed. The purpose of this study was to examine the outcomes of an intervention to improve housing and employment for PLWH in the Midwest. Participants (N = 87) were recruited from the Kansas City metropolitan area to participate in a one-year intervention to improve housing and employment. All individuals were living with HIV and were not stably housed, fully employed, nor fully engaged in HIV medical care. A series of generalized estimating equations were conducted using client-level longitudinal data to examine how housing, employment, viral load, and retention in care changed over time. Housing improved from baseline to follow-up, with more individuals reporting having stable housing (OR = 23.5; p < 0.001). Employment also improved from baseline to follow-up, with more individuals reporting full-time employment (OR = 1.9; p < 0.001). Viral suppression improved from baseline to follow-up, with more individuals being virally suppressed (OR = 1.6; p < 0.05). Retention in care did not change significantly from baseline to follow-up (OR = 0.820; p = 0.370). Client navigation seems to be a promising intervention to improve housing and employment for PLWH in the Midwest. Additional research is needed on the impact of service coordination on client-level outcomes. Future studies should be conducted on the scalability of client navigation interventions to improve the lives of low-income, underserved PLWH. Public Library of Science 2022-09-16 /pmc/articles/PMC9481028/ /pubmed/36112606 http://dx.doi.org/10.1371/journal.pone.0274923 Text en © 2022 Lightner et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Lightner, Joseph S.
Barnhart, Travis
Shank, Jamie
Adams, Debbie
Valleroy, Ella
Chesnut, Steven
Rajabiun, Serena
Outcomes of the KC life 360 intervention: Improving employment and housing for persons living with HIV
title Outcomes of the KC life 360 intervention: Improving employment and housing for persons living with HIV
title_full Outcomes of the KC life 360 intervention: Improving employment and housing for persons living with HIV
title_fullStr Outcomes of the KC life 360 intervention: Improving employment and housing for persons living with HIV
title_full_unstemmed Outcomes of the KC life 360 intervention: Improving employment and housing for persons living with HIV
title_short Outcomes of the KC life 360 intervention: Improving employment and housing for persons living with HIV
title_sort outcomes of the kc life 360 intervention: improving employment and housing for persons living with hiv
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9481028/
https://www.ncbi.nlm.nih.gov/pubmed/36112606
http://dx.doi.org/10.1371/journal.pone.0274923
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