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hiv/aids
HIV and Homelessness: The Role of Housing in Health Equity
Homelessness is both a cause and a consequence of HIV infection. People without stable housing are at higher risk of contracting HIV due to survival behaviors, barriers to healthcare access, and a lack of preventive resources. At the same time, those living with HIV/AIDS face disproportionately high rates of housing instability and homelessness—especially in cities like New York.
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The Data Is Clear: Housing Is Healthcare
According to the 2024 Annual Homeless Assessment Report (AHAR) to Congress, HIV/AIDS continues to be a key health factor among people experiencing homelessness, particularly among individuals with co-occurring conditions like substance use disorders or mental illness. Additional research from the
National AIDS Housing Coalition and CDC underscores housing as a critical predictor of health outcomes.
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Of the 3.5 million people who experience homelessness each year in the U.S., an estimated 3.4% are HIV-positive—a rate nearly 3 times higher than that of the general population.
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People with HIV who are homeless are 2 to 3 times more likely to have a detectable viral load and to use emergency rooms than those in stable housing.
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Access to stable housing has been shown to reduce ER visits by 35% and hospitalizations by 57% for people living with HIV/AIDS.
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Stable housing increases treatment adherence, viral suppression, and long-term survival—and significantly lowers the risk of HIV transmission.
HSI’s Response: Housing as a Pillar of HIV Care
At HSI, we’ve been at the forefront of HIV/AIDS housing since 1991, when we opened Highbridge Woodycrest Center, one of New York State’s first nursing homes for people living with HIV.
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Today, we offer a full continuum of care for individuals and families living with HIV/AIDS, including:
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Congregate care with intensive case management
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Independent scatter site apartments with ongoing support services
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Access to medical care, psychiatric support, nutrition services, and more
We believe that housing is not just a basic human right—it’s essential to health, dignity, and survival. At HSI, tenants living with HIV/AIDS have the security and support they need to engage in regular healthcare, maintain medication regimens, and live full, self-directed lives.
30% of HSI's clients are living with HIV/AIDS.
100% of them now have access to
life saving medical care.