266890 Health and Housing: Women Living with HIV/AIDS in Supportive Housing

Monday, October 29, 2012

Kevin Rente, MA , Housing Department, Harlem United Community AIDS Center, New York, NY
Sherry Estabrook, MA, Social Science , Harlem United Community AIDS Center, New York, NY
Since the inception of supportive housing programs for persons living with HIV/AIDS our organization has been at the forefront of addressing health disparities by recognizing the need for client-centered services aimed at stabilizing housing and health. At the start of the HIV epidemic, about 10% of New Yorkers with HIV were women; today estimates are as high as 33% . The impact of HIV/AIDS among women of color is particularly severe with African American women representing a majority of new HIV infections and AIDS diagnoses. As a supportive housing provider in a city with the highest number of women living with an AIDS diagnosis, we provide utilize motivational interviewing and a housing first model to address health disparities.

Data was collected for (158) women living in our supportive housing programs. Over half (57%) identify themselves as African American, 31% Latino/Hispanic, 2% are White, and 10% have mixed ethnicities. All have had a history of homelessness, with health issues such as mental illness and substance abuse. Comparative analysis of indicators for client immunological health and connection to medical care prior to and after placement was completed.

Evaluation has shown increased housing stability and improvements in immunological health among women residing in our supportive housing programs. Despite numerous health obstacles, 58% of women either stabilized or had improvements in their tcell and 68% maintained or achieved an undetectable viral load status.

This presentation will discuss supportive housing as a critical structural intervention that can stabilize health and mitigate health disparities.

Learning Areas:
Administration, management, leadership
Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Provision of health care to the public
Public health or related public policy

Learning Objectives:
This workshop presentation will discuss best practice around clinical and administrative operations of supportive housing for women. Policy issues around supportive housing as a critical structural intervention that can stabilize health and mitigate health disparities among previously homeless women with HIV/AIDS will be discussed.

Keywords: Housing, HIV/AIDS

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Sherry Estabrook is Director of Program Evaluation at Harlem United Community AIDS Center in New York City. Sherry manages evaluation and quality improvement activities for prevention contracts, including: testing, linkage to care, community education and outreach, and behavioral interventions. She received her MA in Social Science from the University of Chicago.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.