{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T01:44:25Z","timestamp":1789177465468,"version":"build-2803163510"},"reference-count":32,"publisher":"American Public Health Association","issue":"S7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:p> Objectives. To examine patterns of and factors associated with housing stability over time among people living with HIV (PLWH) experiencing homelessness with co-occurring substance use and mental health disorders enrolled in a patient-centered medical home (PCMH) intervention. <\/jats:p><jats:p> Methods. Between September 2013 and February 2017, we ascertained housing trajectories among PLWH in 9 sites in the United States by conducting interviews at baseline, 6, and 12 months after and dichotomized them as improved consistently versus did not improve consistently. We identified covariates affecting housing stability using the socioecological model. <\/jats:p><jats:p> Results. Forty-three percent (n\u2009=\u2009198) experienced consistent housing improvement. Participants with history of mental health diagnosis (adjusted odds ratio [AOR]\u2009=\u20091.55; 95% confidence interval [CI]\u2009=\u20091.02, 2.35; P\u2009=\u2009.04) or trauma (AOR\u2009=\u20091.72; 95% CI\u2009=\u20091.22, 2.41; P\u2009=\u2009.006) had improved housing status; those with recent injecting drug use (AOR\u2009=\u20090.41; 95% CI\u2009=\u20090.19, 0.90; P\u2009=\u2009.03) had less consistent housing improvement. <\/jats:p><jats:p> Conclusions. Improved housing stability may possibly reflect the importance of PCMH interventions that integrate housing, health, and behavioral services with patient navigators to address complex needs of PLWH experiencing homelessness. <\/jats:p>","DOI":"10.2105\/ajph.2018.304772","type":"journal-article","created":{"date-parts":[[2018,12,11]],"date-time":"2018-12-11T21:10:20Z","timestamp":1544562620000},"page":"S552-S560","source":"Crossref","is-referenced-by-count":14,"title":["Longitudinal Determinants of Housing Stability Among People Living With HIV\/AIDS Experiencing Homelessness"],"prefix":"10.2105","volume":"108","author":[{"given":"Ruthanne","family":"Marcus","sequence":"first","affiliation":[{"name":"Ruthanne Marcus is with the AIDS Program, Section of Infectious Diseases, Yale University School of Medicine, New Haven, CT. Alexander de Groot is with the Biostatistics and Epidemiology Data Analytics Center and Howard Cabral is with the Department of Biostatistics, Boston University School of Public Health, Boston, MA. Sara Bachman and Serena Rajabiun are with the Boston University School of Social Work, Boston. Serena Rajabiun is also a Guest Editor for this supplement issue. Nicole Chisolm is with..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"de Groot","sequence":"additional","affiliation":[{"name":"Ruthanne Marcus is with the AIDS Program, Section of Infectious Diseases, Yale University School of Medicine, New Haven, CT. Alexander de Groot is with the Biostatistics and Epidemiology Data Analytics Center and Howard Cabral is with the Department of Biostatistics, Boston University School of Public Health, Boston, MA. Sara Bachman and Serena Rajabiun are with the Boston University School of Social Work, Boston. Serena Rajabiun is also a Guest Editor for this supplement issue. Nicole Chisolm is with..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Bachman","sequence":"additional","affiliation":[{"name":"Ruthanne Marcus is with the AIDS Program, Section of Infectious Diseases, Yale University School of Medicine, New Haven, CT. Alexander de Groot is with the Biostatistics and Epidemiology Data Analytics Center and Howard Cabral is with the Department of Biostatistics, Boston University School of Public Health, Boston, MA. Sara Bachman and Serena Rajabiun are with the Boston University School of Social Work, Boston. Serena Rajabiun is also a Guest Editor for this supplement issue. Nicole Chisolm is with..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Chisolm","sequence":"additional","affiliation":[{"name":"Ruthanne Marcus is with the AIDS Program, Section of Infectious Diseases, Yale University School of Medicine, New Haven, CT. Alexander de Groot is with the Biostatistics and Epidemiology Data Analytics Center and Howard Cabral is with the Department of Biostatistics, Boston University School of Public Health, Boston, MA. Sara Bachman and Serena Rajabiun are with the Boston University School of Social Work, Boston. Serena Rajabiun is also a Guest Editor for this supplement issue. Nicole Chisolm is with..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasmeen","family":"Quadri","sequence":"additional","affiliation":[{"name":"Ruthanne Marcus is with the AIDS Program, Section of Infectious Diseases, Yale University School of Medicine, New Haven, CT. Alexander de Groot is with the Biostatistics and Epidemiology Data Analytics Center and Howard Cabral is with the Department of Biostatistics, Boston University School of Public Health, Boston, MA. Sara Bachman and Serena Rajabiun are with the Boston University School of Social Work, Boston. Serena Rajabiun is also a Guest Editor for this supplement issue. Nicole Chisolm is with..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard","family":"Cabral","sequence":"additional","affiliation":[{"name":"Ruthanne Marcus is with the AIDS Program, Section of Infectious Diseases, Yale University School of Medicine, New Haven, CT. Alexander de Groot is with the Biostatistics and Epidemiology Data Analytics Center and Howard Cabral is with the Department of Biostatistics, Boston University School of Public Health, Boston, MA. Sara Bachman and Serena Rajabiun are with the Boston University School of Social Work, Boston. Serena Rajabiun is also a Guest Editor for this supplement issue. Nicole Chisolm is with..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena","family":"Rajabiun","sequence":"additional","affiliation":[{"name":"Ruthanne Marcus is with the AIDS Program, Section of Infectious Diseases, Yale University School of Medicine, New Haven, CT. Alexander de Groot is with the Biostatistics and Epidemiology Data Analytics Center and Howard Cabral is with the Department of Biostatistics, Boston University School of Public Health, Boston, MA. Sara Bachman and Serena Rajabiun are with the Boston University School of Social Work, Boston. Serena Rajabiun is also a Guest Editor for this supplement issue. 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