Multilevel Factors Associated with a Lack of Viral Suppression Among Persons Living with HIV in a Federally Funded Housing Program

AIDS Behav. 2019 Mar;23(3):784-791. doi: 10.1007/s10461-019-02399-7.

Abstract

Persons with HIV who are receiving housing services often have high rates of engagement in care, yet many are not virally suppressed. We linked data from the New York City Housing Opportunities for Persons with AIDS (HOPWA) program to electronically reported laboratory tests from the HIV surveillance registry to examine factors associated with a lack of viral suppression. Of 1491 HOPWA consumers, 523 (35.1%) were not durably suppressed, and 253 (17.0%) were unsuppressed at their last viral load test. Substance use, age < 27 years, and emergency housing all independently predicted lack of durable viral suppression and lack of viral suppression at last viral load test.

Keywords: HIV viral suppression; HIV/AIDS; Housing.

MeSH terms

  • Acquired Immunodeficiency Syndrome
  • Adult
  • Anti-Retroviral Agents / therapeutic use*
  • Female
  • HIV / drug effects*
  • HIV Infections / drug therapy*
  • HIV Infections / epidemiology
  • HIV Infections / virology*
  • Housing
  • Humans
  • Male
  • Middle Aged
  • New York City
  • Public Health Surveillance / methods*
  • Registries
  • Substance-Related Disorders / complications*
  • Substance-Related Disorders / psychology
  • Sustained Virologic Response
  • Viral Load / drug effects*
  • Young Adult

Substances

  • Anti-Retroviral Agents