Health and policy implications of housing conditions, neighborhood environments, housing choice, and mobility among women living in high poverty and HIV prevalence areas in the United States (US): HPTN 064
methods. We conducted 120 one-on-one qualitative interviews and 35 focus groups (N=288) with women from the HPTN 064 Study in New York, the District of Columbia, North Carolina, and Georgia. We developed a conceptual framework in NVivo9 using constant comparative analysis and generated descriptive statistics using SAS 9.3.
results. Most participants were African-American women (87%), unmarried (61%), and had high school education or less (76%). Median age was 27 (IQR: 13), 47% reported annual incomes of ≤$10,000 and 63% reported government assistance as the main income source. Ten percent of participants were homeless. Participants felt trapped by chronic marginal living situations resulting from limited housing choice, financial constraints, and needing access to public transportation and resources. Participants believed their housing and neighborhood environments affected their physical and emotional well-being (e.g., illness from mold, concerns for own/child’s safety) and described making trade-offs that had immediate and long-term health implications (e.g., sex exchange for housing), but expressed low perceived control to improve these situations.
conclusions. Women living in poverty require assistance identifying and relocating to safe, affordable housing with access to transportation and resources. Efforts should be coupled with interventions designed to increase women’s financial assets and an evaluation of policies contributing to chronic poverty and unstable housing among women.
Learning Areas:Public health or related public policy
Public health or related research
Social and behavioral sciences
Describe housing conditions, neighborhood environments, housing choice, and mobility among women who were enrolled in the HIV Prevention Trials Network (HPTN) 064 Study and participated in the qualitative substudy in Bronx, New York, Washington, DC, Raleigh, North Carolina, and Atlanta, Georgia Discuss how study findings inform affordable housing policies and economic development programs
Keyword(s): Women's Health, Healthy Housing
Qualified on the content I am responsible for because: My research focuses on the social and structural determinants of sexual health among women living with or at high-risk of HIV acquisition in the US. I am the principal investigator of a federally-funded grant exploring associations of neighborhood factors, sexual health, and sexually transmitted infections among women living in the US South. I am a doctoral candidate in the Department of Behavioral Sciences and Health Education at the Rollins School of Public Health, Emory University.
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.