{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T09:43:46Z","timestamp":1787478226326,"version":"build-2736575974"},"reference-count":48,"publisher":"Oxford University Press (OUP)","issue":"Supplement_3","license":[{"start":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T00:00:00Z","timestamp":1665100800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,10,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Hepatitis C virus (HCV) infection disproportionately impacts people experiencing homelessness. Hepatitis C virus can lead to negative health outcomes, including mortality. We evaluated the impact of a permanent supportive housing (PSH) program (ie, \u201ctreatment\u201d) on liver-related morbidity and mortality among persons with chronic homelessness and HCV infection.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We matched records for persons eligible for a New York City PSH program (2007\u20132014) with Heath Department HCV and Vital Statistics registries and Medicaid claims. Among persons diagnosed with HCV before or 2 years posteligibility, we added stabilized inverse probability of treatment weights to negative binomial regression models to compare rates for liver disease-related emergency department visits and hospitalizations, and hazard ratios for mortality, by program placement 2 and 5 years posteligibility.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>We identified 1158 of 8783 placed and 1952 of 19\u2009019 unplaced persons with laboratory-confirmed HCV infection. Permanent supportive housing placement was associated with significantly reduced liver-related emergency department visits (adjusted rate ratio [aRR]\u2009=\u20090.76, 95% confidence interval [CI]\u2009=\u2009.61\u2013.95), hospitalizations (aRR\u2009=\u20090.62, 95% CI\u2009=\u2009.54\u2013.71), and all-cause (adjusted hazard ratio [aHR]\u2009=\u20090.65, 95% CI\u2009=\u2009.46\u2013.92) and liver-related mortality (aHR\u2009=\u20090.72, 95% CI\u2009=\u2009.09\u2013.83) within 2 years. The reduction remained significant for hospitalizations after 5 years.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Placement into PSH was associated with reduced liver-related morbidity and mortality among persons with HCV infection and chronic homelessness.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/infdis\/jiac292","type":"journal-article","created":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T12:16:01Z","timestamp":1665231361000},"page":"S363-S371","source":"Crossref","is-referenced-by-count":7,"title":["The Impact of Supportive Housing on Liver-Related Outcomes Among Persons With Hepatitis C Virus Infection"],"prefix":"10.1093","volume":"226","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4389-0029","authenticated-orcid":false,"given":"Sara A","family":"Miller-Archie","sequence":"first","affiliation":[{"name":"Division of Epidemiology, New York City Department of Health and Mental Hygiene , Long Island City, New York , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah C","family":"Walters","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, New York City Department of Health and Mental Hygiene , Long Island City, New York , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelica","family":"Bocour","sequence":"additional","affiliation":[{"name":"Division of Disease Control, New York City Department of Health and Mental Hygiene , Long Island City, New York , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miranda S","family":"Moore","sequence":"additional","affiliation":[{"name":"Division of Disease Control, New York City Department of Health and Mental Hygiene , Long Island City, New York , USA"},{"name":"Department of Surgery, Yale School of Medicine , New Haven, Connecticut , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen","family":"Wiewel","sequence":"additional","affiliation":[{"name":"Division of Disease Control, New York City Department of Health and Mental Hygiene , Long Island City, New York , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tejinder","family":"Singh","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, New York City Department of Health and Mental Hygiene , Long Island City, New York , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sungwoo","family":"Lim","sequence":"additional","affiliation":[{"name":"Division of Epidemiology, New York City Department of Health and Mental Hygiene , Long Island City, New York , 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