Housing Instability Results in Increased Acute Care Utilization in an Urban HIV Clinic Cohort
Housing Instability Results in Increased Acute Care Utilization in an Urban HIV Clinic Cohort
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DOI：
10.1093/ofid/ofz148
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发表时间：
2019-05-01
影响因子：
4.2
通讯作者：
Christopoulos, Katerina
中科院分区：
文献类型：
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作者：
Clemenzi-Allen, Angelo;Neuhaus, John;Christopoulos, Katerina
Background. People living with HIV (PLWH) who experience homelessness and unstable housing (HUH) often have fragmented health care. Research that incorporates granular assessments of housing status and primary care visit adherence to understand patterns of acute care utilization can help pinpoint areas for intervention.Methods. We collected self-reported living situation, categorized as stable (rent/own, hotel/single room occupancy), unstable (treatment/transitional program, staying with friends), or homeless (homeless shelter, outdoors/in vehicle) at an urban safety-net HIV clinic between February and August 2017 and abstracted demographic and clinical information from the medical record. Regression models evaluated the association of housing status on the frequency of acute care visits-urgent care (UC) visits, emergency department (ED) visits, and hospitalizations-and whether suboptimal primary care visit adherence (
