{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T03:20:02Z","timestamp":1788232802556,"version":"build-2803163510"},"reference-count":37,"publisher":"MDPI AG","issue":"18","license":[{"start":{"date-parts":[[2022,9,13]],"date-time":"2022-09-13T00:00:00Z","timestamp":1663027200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["R01MD013563"],"award-info":[{"award-number":["R01MD013563"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["R01MD013563-02S1"],"award-info":[{"award-number":["R01MD013563-02S1"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["U54MD012393"],"award-info":[{"award-number":["U54MD012393"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Despite advances in biomedical treatments, women living with HIV (WLH) who experience homelessness and housing instability suffer suboptimal HIV outcomes, even when linked to treatment. The purpose of this study was to explore experiences of housing instability among WLH and to understand its role in their ability to adhere to antiretroviral medication and remain retained in care. Sixteen women who were linked to Ryan White Program HIV care in South Florida participated in in-depth interviews. The findings focus around four larger themes: difficulty storing medication, privacy- and stigma-related issues, inconsistent access to medication and health care disruptions, and competing and unmet physical and mental health needs. Findings underscore the importance of strategies that are responsive to the disruption of routines and are sensitive to privacy issues in shared dwelling spaces; the proactive inquiry of behavioral and environmental considerations when prescribing antiretroviral medication; and the identification and treatment of comorbid conditions. This study provides evidence for strategies to facilitate self-management and improve modifiable system realities to augment larger-level policy and funding shifts that are critically needed to end the epidemic among vulnerable populations living with HIV.<\/jats:p>","DOI":"10.3390\/ijerph191811484","type":"journal-article","created":{"date-parts":[[2022,9,13]],"date-time":"2022-09-13T04:05:41Z","timestamp":1663041941000},"page":"11484","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Examining Barriers to Medication Adherence and Retention in Care among Women Living with HIV in the Face of Homelessness and Unstable Housing"],"prefix":"10.3390","volume":"19","author":[{"given":"Sofia B.","family":"Fernandez","sequence":"first","affiliation":[{"name":"School of Social Work, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL 33199, USA"},{"name":"Research Center in Minority Institutions (RCMI), Florida International University, Miami, FL 33199, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindy","family":"Lopez","sequence":"additional","affiliation":[{"name":"Research Center in Minority Institutions (RCMI), Florida International University, Miami, FL 33199, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia","family":"Ibarra","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL 33199, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana M.","family":"Sheehan","sequence":"additional","affiliation":[{"name":"Research Center in Minority Institutions (RCMI), Florida International University, Miami, FL 33199, USA"},{"name":"Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL 33199, USA"},{"name":"Center for Substance Use and HIV\/AIDS Research on Latinos in the United States (C-SALUD), Florida International University, Miami, FL 33199, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A.","family":"Ladner","sequence":"additional","affiliation":[{"name":"Behavioral Science Research Corp., Coral Gables, FL 33134, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Jo","family":"Trepka","sequence":"additional","affiliation":[{"name":"Research Center in Minority Institutions (RCMI), Florida International University, Miami, FL 33199, USA"},{"name":"Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL 33199, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,9,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"ofy035","DOI":"10.1093\/ofid\/ofy035","article-title":"Degree of housing instability shows independent \u201cdose-response\u201d with virologic suppression rates among people living with human immunodeficiency virus","volume":"5","author":"Geng","year":"2018","journal-title":"Open Forum Infect. 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