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February 2011

Housing is HIV Health Care


Housing assistance is health care for people living with HIV/AIDS.
Since 2005, the Summit Series
has provided an innovative Housing assistance is health care for people living with HIV/AIDS.
forum to present research on the
relationship between housing 'PSQFPQMFMJWJOHXJUI)*7 IPVTJOHJTPOFPGUIFTUSPOHFTUQSFEJDUPSTPGUIFJS
and HIV prevention and care, and
to discuss the policy implications access to treatment, their health outcomes, and how long they will live.
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Researchers, policy makers, 5PPCUBJOBOECFOFöUGSPNMJGFTBWJOH)*7USFBUNFOUT QFPQMFMJWJOHXJUI)*7
providers and consumers work
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based public policy goals and
strategies. Lack of stable housing equals lack of treatment success:
The Summit Series is convened
by U.S. National AIDS Housing
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working in collaboration with and  t)BWFMPXFS$%DPVOUTBOEIJHIFSWJSBMMPBET
Johns Hopkins Bloomberg School  t"SFMFTTMJLFMZUPSFDFJWFBOEBEIFSFUPBOUJSFUSPWJSBMUIFSBQZ
of Public Health. Summit VI will
be held September 21-23, 2011
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'PS updates and to read Summit Housing status has more impact on health outcomes than demographics, drug and
materials, visit alcohol use, mental health status or receipt of social services.2
www.hivhousingsummit.org
Improved housing is linked to better access to health care
and better health outcomes:
People with HIV/AIDS who have stable housing are much more likely to access health
services, attend primary care visits, receive ongoing care and receive care that meets
clinical practice standards.3
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Homeless people with HIV in Chicago who received a housing placement were twice as
likely to have an undetectable viral load 12 months later.5

HIV housing interventions are HIV health care:

84% Proportion of unstably housed people with HIV who received a voucher for rental
assistance who were stably housed at 18 months.
57% 5IFSFEVDUJPOJOIPTQJUBMJ[BUJPOTGPSQFPQMFXJUI)*7BGUFSUIFZXFSFTUBCMZIPVTFE7
35% The reduction in emergency visits for people with HIV after they were stably
housed.8
80% The reduction in mortality among homeless people with AIDS who received
supportive housing. 9
HOUSING IS THE GREATEST UNMET NEED
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the health and risk behaviors of homeless and unstably
housed people living with HIV. AIDS & Behavior   


OF AMERICANS LIVING WITH HIV/AIDS o1BSBTIBS 4 3IPEFT $ $IBO , FUBM 

Effect of viral load and housing on emergency department
use in a cohort of persons on antiretroviral therapy in BC.
Presented at the North American Housing and HIV/
“The available research makes it readily apparent that access to adequate housing "*%43FTFBSDI4VNNJU7 5PSPOUP 0OUBSJP +VOF
profoundly affects the health of Americans who are at-risk for or living with HIV.” 9 Bekele, T., Rourke, S.B., Tucker, R., et al. (in press). Direct
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1.1
Results from the Positive Spaces Health Places Study.
AIDS Care JOQSFTT4DIXBSD[ 4, )TV -$ 7JUUJOHIPò 
The number of persons currently living & 7V " #BNCFSHFS +% ,BU[ .) 
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with HIV/AIDS in the United States, with of housing on the survival of people with AIDS. BMC
Public Health ,JEEFS % 8PMJUTLJ 3 $BNQTNJUI 
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use, medication use, and medication adherence in
MILLION The number of households
homeless and housed people living with HIV/AIDS.
American Journal of Public Health,  
 
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currently served by the federal A. (2007). Housing need, housing assistance, and
connection to medical care, AIDS & Behavior   

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XJUI"*%4 )018"
QSPHSBN Less than (2005). The health of homeless adults in New York City: A

60,000
report from the New York City Departments of Health and
Mental Hygiene and Homeless Services.
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3. Aidala, et al, 2007.
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review of the literature. AIDS & Behavior,  
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44
5. #VDIBOBO  %3  ,FF  3  4BEPXTLJ  -4   (BSDJB  %
(2009). The health impact of supportive housing
GPS )*7QPTJUJWF IPNFMFTT QBUJFOUT " SBOEPNJ[FE
controlled trial. American Journal of Public Health, 99/

500,000
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 Wolitski, et al., 2010.
7. Wolitski, et al., 2010
8. Wolitski, et al., 2010
The number of Americans living 9. 8PMJUTLJ  3  ,JEEFS  %  'FOUPO  ' 
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with HIV who will need some form call for increased action. AIDS & Behavior  
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of housing assistance during the 44
10. U.S. Centers for Disease Control and Prevention (2010).
course of their illness. HIV/AIDS in the United States. Available at IUUQXXX
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11. Findings and recommendations from the Office of
National AIDS Policy consultation on housing and HIV
prevention and care, December 17, 2009. Available from

More than
the National AIDS Housing Coalition, Washington,
The number of households with

140,000
D.C., at IUUQOBUJPOBMBJETIPVTJOHPSH1%'0/"1
Recommendations.pdf
HIV in the U.S. that currently lack
stable housing and have an unmet
need for housing assistance. 11

What’s needed:
Evidence-based HIV/AIDS housing policy
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all people living with HIV
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prevention priority
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health care
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inform HIV housing policy

National AIDS Housing Coalition Ontario HIV Treatment Network


727 15th Street, NW 11th Floor 1300 Yonge Street, Suite 600
Washington DC 20005 Toronto, Ontario M4T 1X3
Tel: 202 347 0333 Tel: 416 642 6486 / Toll Free: 1 877 743 6486
Fax: 202 347 3411 Fax: 416 640 4245
Website: www.nationalaidshousing.org Website: www.ohtn.on.ca

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