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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Public Library of Science
2022
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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. |
format | Online Article Text |
id | pubmed-9481028 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
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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