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Lifetime Experiences of Housing Insecurity among Gay Men Living with HIV at Midlife: An Exploratory Study Utilizing a Social Determinants of Health Perspective

Author

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  • Renato M. Liboro

    (Department of Psychology, College of Liberal Arts, University of Nevada, Las Vegas, NV 89154, USA
    Centre for Addiction and Mental Health, Toronto, ON M5S 2S1, Canada)

  • Sherry Bell

    (Department of Psychology, College of Liberal Arts, University of Nevada, Las Vegas, NV 89154, USA
    Department of Psychology, College of Arts and Sciences, University of Oregon, Eugene, OR 97403, USA)

  • Jason Flatt

    (Department of Social and Behavioral Health, School of Public Health, University of Nevada, Las Vegas, NV 89154, USA)

  • Jennifer Pharr

    (Department of Environmental and Occupational Health, School of Public Health, University of Nevada, Las Vegas, NV 89154, USA)

  • Brandon Ranuschio

    (Department of Psychology, College of Liberal Arts, University of Nevada, Las Vegas, NV 89154, USA)

  • Lianne Barnes

    (Department of Psychology, College of Liberal Arts, University of Nevada, Las Vegas, NV 89154, USA)

  • Andrea Navarro

    (Department of Psychology, College of Liberal Arts, University of Nevada, Las Vegas, NV 89154, USA)

  • Alexander Ribeiro

    (Department of Psychology, College of Liberal Arts, University of Nevada, Las Vegas, NV 89154, USA)

  • Nadia Sheik-Yosef

    (Department of Psychology, College of Liberal Arts, University of Nevada, Las Vegas, NV 89154, USA)

  • John M. Waldron

    (LGTBQIA+ Community Center of Southern Nevada, Las Vegas, NV 89101, USA)

Abstract

Understanding the socioecological contexts of gay men living with HIV is critical to addressing the environmental conditions that influence their lifetime experiences of housing insecurity and homelessness. In line with the strategies of the US Center for Disease Control and Prevention to end the HIV epidemic, it is of utmost importance to recognize how the allocation of available resources impacts health inequities affecting gay men living with HIV who experience housing insecurity and homelessness. Drawing from the World Health Organization’s social determinants of health (SDoH) framework, we used an exploratory, community-based research (CBR) approach to examine the lifetime experiences and important sources of support of gay men living with HIV at midlife who have experienced housing insecurity in Southern Nevada. Thematic analysis of our semi-structured interviews with 12 gay men living with HIV at midlife revealed three overarching themes: (1) challenges to obtaining housing and related support, (2) informal support from friends, and (3) formal support from community-based sources employing diverse support strategies. In this article, we discuss the different sub-themes we identified under these overarching themes and the implications of our findings from an SDoH perspective. We conclude with a discussion on the dire need to (1) highlight the considerable value of both informal and formal sources of support for the housing insecure, and (2) generate recommendations for interventions to address housing insecurity and homelessness with greater consideration for the impacts of SDoH in the work dedicated to helping gay men living with HIV at midlife overcome housing insecurity as they age.

Suggested Citation

  • Renato M. Liboro & Sherry Bell & Jason Flatt & Jennifer Pharr & Brandon Ranuschio & Lianne Barnes & Andrea Navarro & Alexander Ribeiro & Nadia Sheik-Yosef & John M. Waldron, 2024. "Lifetime Experiences of Housing Insecurity among Gay Men Living with HIV at Midlife: An Exploratory Study Utilizing a Social Determinants of Health Perspective," Social Sciences, MDPI, vol. 13(8), pages 1-20, August.
    • Handle: RePEc:gam:jscscx:v:13:y:2024:i:8:p:420-:d:1454164
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    References listed on IDEAS

    as
    1. David A. Sleet & Louis Hugo Francescutti, 2021. "Homelessness and Public Health: A Focus on Strategies and Solutions," IJERPH, MDPI, vol. 18(21), pages 1-6, November.
    2. Mary-Catherine Anderson & Ashley Hazel & Jessica M. Perkins & Zack W. Almquist, 2021. "The Ecology of Unsheltered Homelessness: Environmental and Social-Network Predictors of Well-Being among an Unsheltered Homeless Population," IJERPH, MDPI, vol. 18(14), pages 1-22, July.
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