Unstable housing, associated risk behaviour, and increased risk for HIV infection among injection drug users

Trevor A. Corneil; Laura M. Kuyper; Jean Shoveller; Robert S. Hogg; Kathy Li; Patricia M. Spittal; Martin T. Schechter; Evan Wood

doi:10.1016/j.healthplace.2004.10.004

Unstable housing, associated risk behaviour, and increased risk for HIV infection among injection drug users

Trevor A. Corneil, Laura M. Kuyper, Jean Shoveller, Robert S. Hogg, Kathy Li, Patricia M. Spittal, Martin T. Schechter, Evan Wood

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136 Citas (Scopus)

Resumen

We sought to examine the relationship between housing status and risk of HIV-infection among injection drug users in Vancouver, Canada. Using Kaplan-Meier survival analysis, we found an elevated HIV incidence rate among those who reported residing in unstable housing (log-rank p=0.006). In Cox's regression survival analysis, unstable housing remained marginally associated with elevated risks of HIV infection (relative hazard=1.40 (95% confidence interval: 0.09-2.00); p=0.084) after adjustment for potential confounders including syringe sharing. Adjusted generalized estimating equations analysis that examined factors associated with unstable housing demonstrated that residing in unstable housing was independently associated with several HIV risk behaviours including borrowing used needles (adjusted odds ratio (OR)=1.14) and sex-trade involvement (adjusted OR=1.19). Our findings suggest that unstable housing environments are associated with elevated risk of HIV- infection due to risk behaviours that take place in these environments. Implications for policy including more comprehensive housing interventions (e.g. 'floating support') are discussed.

Idioma original	English
Páginas (desde-hasta)	79-85
Número de páginas	7
Publicación	Health and Place
Volumen	12
N.º	1
DOI	https://doi.org/10.1016/j.healthplace.2004.10.004
Estado	Published - mar. 2006
Publicado de forma externa	Sí

Nota bibliográfica

Funding Information:
We would particularly like to thank the VIDUS participants for their willingness to participate in the study. Evan Wood is supported by the Canadian Institutes of Health Research and the Michael Smith Foundation for Health Research. The study was supported by the US National Institutes of Health (Grant No. RO1 DA11591 and CIHR Grant 122258). We also thank Bonnie Devlin, John Charette, Caitlin Johnston, Robin Brooks, Steve Kain, Dave Isham, Will Small, Peter Vann, and Nancy Laliberte for their research and administrative assistance.

ASJC Scopus Subject Areas

Health(social science)
Sociology and Political Science
Life-span and Life-course Studies

PubMed: MeSH publication types

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

ODS de las Naciones Unidas

Este resultado contribuye a los siguientes Objetivos de Desarrollo Sostenible

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abstract = "We sought to examine the relationship between housing status and risk of HIV-infection among injection drug users in Vancouver, Canada. Using Kaplan-Meier survival analysis, we found an elevated HIV incidence rate among those who reported residing in unstable housing (log-rank p=0.006). In Cox's regression survival analysis, unstable housing remained marginally associated with elevated risks of HIV infection (relative hazard=1.40 (95% confidence interval: 0.09-2.00); p=0.084) after adjustment for potential confounders including syringe sharing. Adjusted generalized estimating equations analysis that examined factors associated with unstable housing demonstrated that residing in unstable housing was independently associated with several HIV risk behaviours including borrowing used needles (adjusted odds ratio (OR)=1.14) and sex-trade involvement (adjusted OR=1.19). Our findings suggest that unstable housing environments are associated with elevated risk of HIV- infection due to risk behaviours that take place in these environments. Implications for policy including more comprehensive housing interventions (e.g. 'floating support') are discussed.",

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AU - Wood, Evan

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Unstable housing, associated risk behaviour, and increased risk for HIV infection among injection drug users

Resumen

Nota bibliográfica

ASJC Scopus Subject Areas

PubMed: MeSH publication types

ODS de las Naciones Unidas

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