Exploring the impact of Housing Stability on antiretroviral therapy adherence and health outcome among HIV-Positive Individuals: A Study of Barriers, Best Practices, and Policy Implications

Uchechukwu Promise Ahanonu MPH *

Department of Health Science, Western Illinois University, USA.
 
Review
International Journal of Science and Research Archive, 2024, 13(02), 3346-3360.
Article DOI: 10.30574/ijsra.2024.13.2.2604
Publication history: 
Received on 13 November 2024; revised on 24 December 2024; accepted on 26 December 2024
 
Abstract: 
Housing stability is a critical determinant of health outcomes and antiretroviral therapy (ART) adherence among individuals living with HIV. Stable housing provides a foundation for consistent access to healthcare, medication management, and supportive services, significantly improving the quality of life for HIV-positive individuals. Conversely, housing instability exacerbates barriers to ART adherence, including disruptions in routine, limited access to medical care, and increased exposure to stressors such as homelessness and food insecurity. These challenges are particularly acute among marginalized populations, such as low-income individuals and those experiencing stigma or discrimination. This study examines the multifaceted impact of housing stability on ART adherence and overall health outcomes, focusing on the barriers faced by HIV-positive individuals in maintaining consistent housing. It explores best practices, including housing-first models, supportive housing programs, and integrated care approaches, which have demonstrated effectiveness in improving ART adherence rates and reducing HIV-related morbidity. The study also highlights the role of policy interventions, such as increased funding for housing assistance programs and stronger collaborations between housing and healthcare sectors, in addressing systemic inequities. Through a comprehensive review of current literature and case studies, this analysis underscores the importance of integrating housing stability into HIV care frameworks. Addressing housing barriers is essential not only for optimizing ART adherence but also for advancing health equity and improving long-term outcomes for individuals living with HIV. This research provides actionable insights for policymakers, healthcare providers, and community organizations to prioritize housing as a key component of comprehensive HIV care.
 
Keywords: 
Housing stability; HIV-positive individuals; Antiretroviral therapy adherence; Health outcomes; Supportive housing; Health equity
 
Full text article in PDF: