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Alexis Palmer Drug Treatment Program BC Centre for Excellence in HIV/AIDS

Home is where the HAART is: An examination of the factors affecting neighbourhood perception for people living with HIV/AIDS. Alexis Palmer Drug Treatment Program BC Centre for Excellence in HIV/AIDS. Background. Food security Stable housing Gender Employment Education Drug use

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Alexis Palmer Drug Treatment Program BC Centre for Excellence in HIV/AIDS

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  1. Home is where the HAART is:An examination of the factors affecting neighbourhood perception for people living with HIV/AIDS Alexis Palmer Drug Treatment Program BC Centre for Excellence in HIV/AIDS

  2. Background • Food security • Stable housing • Gender • Employment • Education • Drug use • QoLife Components Neighbourhood Perceptions Social factors • Problems • Cohesion • Standard of Living Health status & overall well-being • CD4 • Viral load suppression • Depression • On HAART HIV health

  3. Background Neighbourhood Perceptions

  4. Background • “In your neighbourhood, how much of a problem are the following?” • Litter, rubbish, & vandalism • Assaults, muggings, & burglaries • Reputation of the neighbourhood • Lack of recreational facilities Neighbourhood Perceptions

  5. Background • “Thinking about your neighbors and the other people that live in your neighbourhood, tell us how you feel about the following statements” • I believe my neighbors would help in an emergency • I feel like I belong to this neighbourhood • I agree with people in my neighbourhood about what is important in life • Living in this neighbourhood gives me a sense of community Neighbourhood Perceptions

  6. Background • “Comparing your standard of living to your neighbors, would you say you are” • much better off • a little better off • about the same • a little worse off • much worse off Neighbourhood Perceptions

  7. Objectives • To identify the factors associated with neighbourhood perceptions • To assess the role of food security and stable housing on neighbourhood perceptions

  8. Methods • Longitudinal Investigations into Supportive and Ancillary health services (LISA) cohort is a prospective study of HIV+ persons on HAART • Participants recruited from the Drug Treatment Program at the BC Centre for Excellence in HIV/AIDS • Interview administered survey that collects information • Univariable analyses examined the associations between PROBLEMS and COHESION and a series of explanatory variables • Univariable analyses used to test association of CD4 count and viral load with food security and stable housing • Wilcoxon Rank-sum test used for continuous variables and Fisher’s Exact test used for categorical variables • Multivariable analyses used to explore impact of food security and stable housing on perceptions of neighbourhood PROBLEMS and COHESION

  9. Results LISA Cohort (n=510)

  10. Results (2) Social factors *Bold is statistically significant p < 0.05

  11. Results (3) Social factors *Bold is statistically significant p < 0.05

  12. Results (4) HIV health *Bold is statistically significant p < 0.05

  13. Results (5) HIV health *Bold is statistically significant p < 0.05

  14. Results (6) Multivariable confounder model Association between Problems/Cohesion and Food/Housing security, accounting for other variables *Bold is statistically significant p < 0.05

  15. Results (7) Multivariable confounder model Association between Problems/Cohesion and Food/Housing security, accounting for other variables *Bold is statistically significant p < 0.05

  16. Results (8): Multivariate logistic model Odds of feeling much BETTER off *Bold is statistically significant p < 0.05

  17. Conclusions All HIV health variables showed statistically significant associations with food security and stable housing Neighbourhood Perceptions Social factors • Food security • Stable housing • Gender • Employment • Education • Drug use • QoLife Components • CD4 • Viral load suppression • Depression • On HAART

  18. Conclusions • All HIV health variables showed statistically significant associations with food security and stable housing Food security and stable housing are key factors influencing perceptions of neighbourhood quality and cohesion Neighbourhood Perceptions Social factors • Food security • Stable housing • Gender • Employment • Education • Drug use • QoLife Components • Problems • Cohesion • Standard of Living

  19. Conclusions • All HIV health variables showed statistically significant associations with food security and stable housing • Food security and stable housing are key factors influencing perceptions of neighbourhood quality and cohesion Further research needed to understand the causal relationships between neighbourhood perceptions and clinical measures Neighbourhood Perceptions Social factors • Problems • Cohesion • Standard of Living • CD4 • Viral load suppression • Depression • On HAART

  20. Recommendations • All clinical measures and other social factors showed statistically significant associations with food security and stable housing • Further research needed to better understand the causal relationships between neighbourhood perceptions and clinical measures

  21. Thank You

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