Revisiting the Housing–Health Relationship for HIV-Positive Persons: Qualitative Evidence From the Lower Manya Krobo District,Ghana

Abstract

The relationship between housing and HIV infection is complex. On one hand, poor housing arrangements may affect the health of persons living with HIV/AIDS (PLWHAs). On the other hand, PLWHAs may be more likely to live in substandard homes because of their health. We used qualitative in-depth individual interviews of 38 PLWHAs attending voluntary counseling services at two government hospitals in the Lower Manya Krobo District (LMKD) in the Eastern region of Ghana to examine their housing and health outcomes. Results show that the majority of PLWHAs lived in homes that lacked basic amenities, were overcrowded, had structural deficiencies, and were noisy and dirty. They suffered from poor housing conditions mainly because of their HIV serostatus, as this affected their ability to finance adequate homes, while HIV-related stigmatization led to eviction from either family homes or rented facilities.

Keywords

HIV/AIDS housing status housing conditions physical health emotional / psychological health qualitative research Ghana

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References

Aidala

Abramson

Messeri

Siegler

(2007). Housing needs, housing assistance, and connection to HIV medical care. AIDS Behaviour, 11, 101–115. doi:10.1007/s10461-007-9276-x

Asante

F. A.

Fenny

A. P.

Ahiadeke

(2007). National AIDS Spending Assessment 2005 and 2006 level and flow of resources and expenditure to confront HIV/AIDS. Accra: Ghana AIDS Commission, Institute of Statistical, Social and Economic Research, Joint United Nations Programme on HIV/AIDS. Retrieved from http://data.unaids.org/pub/report/2007/nasa_ghana_0506_20070816_en.pdf

Asiedu

G. B.

Myers-Bowman

K. S.

(2014). Gender differences in the experiences of HIV/AIDS-related stigma: A qualitative study in Ghana. Health Care for Women International, 35, 703–727. doi:10.1080/07399332.2014.895367

Bacon

Lavis

J. N.

Rourke

(2010). Addressing housing challenges faced by people with HIV in Ontario (Issue brief). Retrieved from https://macsphere.mcmaster.ca/bitstream/11375/14868/1/fulltext.pdf

Banks

Dinges

D. F.

(2007). Behavioural and physiological consequences of sleep restriction. Journal of Clinical Sleep Medicine, 3, 519–528.

Bharat

Aggleton

Tyrer

Rau

Forsythe

Dallabetta

Diul

M. Y.

(2001). India: HIV and AIDS-related discrimination stigmatization and denial. Retrieved from http://data.unaids.org/Publications/IRC-pub02/JC587-India_en.pdf

Boamah

N. A.

(2010). Housing affordability in Ghana: A focus on Kumasi and Tamale. Ethiopian Journal of Environmental Studies and Management, 3(3). doi:10.4314/ejesm.v3i3.63958

Cassels

Jenness

S. M.

Biney

A. A.

Ampofo

W. K.

Dodoo

F. N. A.

(2014). Migration, sexual networks, and HIV in Agbogbloshie, Ghana. Demographic Research, 31, 861–888. doi:10.4054/DemRes.2014.31.28

Chambers

L. A.

Greene

Watson

Rourke

S. B.

Tucker

Koornstra

. . . Walker

(2014). Not just “a roof over your head”: The meaning of healthy housing for people living with HIV. Housing, Theory and Society, 31, 310–333. doi:10.1080/14036096.2014.897643/

10.

Cubbin

Pedregon

Egerter

Braveman

(2008, September). Where we live matters for our health: Neighborhoods and Health (Issue Brief No. 3). Retrieved from https://folio.iupui.edu/bitstream/handle/10244/638/commissionneighborhood102008.pdf

11.

Dunn

J. R.

(2002). The population health approach to housing: A framework for research. Ottawa: Canada Mortgage and Housing Corporation.

12.

Fiadzo

E. D.

Houston

J. E.

Godwin

D. D.

(2001). Estimating housing quality for poverty and development policy analysis: CWIQ in Ghana. Social Indicators Research, 53, 137–162. doi:10.1023/A:1026764711406

13.

Ghana AIDS Commission. (2015a). Country AIDS response progress report—Ghana. Retrieved from http://www.unaids.org/sites/default/files/country/documents/GHA_narrative_report_2015.pdf

14.

Ghana AIDS Commission. (2015b). Summary of the 2016 HIV sentinel survey report. Retrieved from http://ghanaids.gov.gh/gac1/aids_info.php

15.

Ghana AIDS Commission. (2016). National HIV & AIDS strategic plan 2016-2020. Retrieved from http://www.ghanaids.gov.gh/gac1/pubs/ABRIDGED%20NSP%202016-2020.pdf

16.

Ghana Statistical Service. (2005). 2000 population and housing census, northern regional analysis. Accra: Author.

17.

Ghana Statistical Service. (2013). 2010 population & housing report: Regional analytical report, Eastern region. Retrieved from http://www.statsghana.gov.gh/docfiles/2010phc/2010_PHC_Regional_Analytical_Reports_Eastern_region.pdf

18.

Ghana Statistical Service. (2014). 2010 population & housing report: District analytical report, Lower Manya Krobo Municipal. Retrieved from http://www.statsghana.gov.gh/docfiles/2010_District_Report/Eastern/LOWER%20MANYA%20KROBO.pdf

19.

Girmay

(2006). Assessing the environmental impacts of a hydropower project: The case of Akosombo/Kpong Dams in Ghana (Master’s thesis). University of Stockholm, Sweden.

20.

Greeff

Phetlhu

Makoae

Dlamini

Holzemer

Naidoo

Chirwa

(2008). Disclosure of HIV status: Experiences and perceptions of persons living with HIV/AIDS and nurses involved in their care in Africa. Qualitative Health Research, 18, 311–324. Retrieved from https://doi-org.qe2a-proxy.mun.ca/10.1177/1049732307311118

21.

Haldenby

Berman

Forchuk

(2007). Homelessness and health in adolescents. Qualitative Health Research, 17, 1232–1244. doi:10.1177/1049732307307550

22.

Haslam

S. A.

Jetten

Postmes

Haslam

(2009). Social identity, health and well-being: An emerging agenda for applied psychology. Applied Psychology, 58, 1–23. doi:10.1111/j.1464-0597.2008.00379.x

23.

Hennessy

T. W.

Bressler

J. M.

(2016). Improving health in the Arctic region through safe and affordable access to household running water and sewer services: An Arctic Council initiative. International Journal of Circumpolar Health, 75, 1–6. doi:10.3402/ijch.v75.31149

24.

Howden-Chapman

(2004). Housing standards: A glossary of housing and health. Journal of Epidemiology & Community Health, 58, 162–168. doi:10.1136/jech.2003.011569

25.

Kidder

D. P.

Wolitski

R. J.

Royal

Aidala

Courtenay-Quirk

Holtgrave

D. R.

, . . . Housing and Health Study Team. (2007). Access to housing as a structural intervention for homeless and unstably housed people living with HIV: Rationale, methods, and implementation of the housing and health study. AIDS and Behavior, 11(Suppl. 2), 149–161. doi:10.1007/s10461-007-9249-0

26.

Kissi-Abrokwah

Agbesi

C. S.

Andoh-Robertson

Tutu-Danquah

(2015). Women with HIV and AIDS: The case of Lower Manya Krobo District, Ghana. Developing Country Studies, 5(1), 47–56.

27.

Korboe

(1992). Family-houses in Ghanaian cities: To be or not to be? Urban Studies, 29, 1159–1171. doi:10.1080/00420989220081101

28.

Magnani

Sabin

Saidel

Heckathorn

(2005). Review of sampling hard-to-reach and hidden populations for HIV surveillance. AIDS, 19, S67–S72. doi:10.1097/01.aids.0000172879.20628.e1

29.

McDowell

T. L.

Serovich

J. M.

(2007). The effect of perceived and actual social support on the mental health of HIV-positive persons. AIDS Care, 19, 1223–1229. doi:10.1080/09540120701402830

30.

Milloy

M. J.

Marshall

B. D.

Montaner

Wood

(2012). Housing status and the health of people living with HIV/AIDS. Current HIV/AIDS Reports, 9, 364–374. doi:10.1007/s11904-012-0137-5

31.

Mullington

J. M.

Haack

Toth

Serrador

J. M.

Meier-Ewert

H. K.

(2009). Cardiovascular, inflammatory, and metabolic consequences of sleep deprivation. Progress in Cardiovascular Diseases, 51, 294–302. doi:10.1016/j.pcad.2008.10.003

32.

National Catholic Health Service. (2010). St. Martin De Porres, Agomanya, E/R-2010 annual report. Retrieved from http://stmartinshospital.org/reports/annual_reports/Annual%20Report%20-%20%202010.pdf

33.

National Coalition for the Homeless. (2009). HIV/AIDS and homelessness. Retrieved from http://www.nationalhomeless.org/factsheets/hiv.html

34.

The North American Housing and HIV/AIDS Research Summit Series. (2011). Breaking the link between homelessness and HIV. Retrieved from http://federalaidspolicy.org/wp-content/uploads/2011/08/Factsheets-Prevention.pdf

35.

Nussbaum

(Ed.). (2010). More than just a roof over my head: Housing for people living with HIV/AIDS around the world. Washington, DC: National AIDS Housing Coalition. Retrieved from http://img.thebody.com/nahc/2010/global_housing_booklet.pdf#page=40

36.

Obeng-Odoom

Amedzro

(2011). Inadequate housing in Ghana. Urbani Izziv, 22(1), 127–137. doi:10.5379/urbani-izziv-en-2011-22-01-004

37.

Obiri-Yeboah

Amoako-Sakyi

Baidoo

Adu-Oppong

Rheinländer

(2016). The “fears” of disclosing HIV status to sexual partners: A mixed methods study in a counseling setting in Ghana. AIDS and Behavior, 20, 126–136. doi:10.1007/s10461-015-1022-1

38.

Otoo

K. N.

Osei-Boateng

Asafu-Adjaye

(2009). The labour market in Ghana: A descriptive analysis of the labour market component of the Ghana Living Standards Survey (V). Retrieved from http://www.ghanatuc.org/The-Labour-Market-in-Ghana.pdf

39.

Rourke

S. B.

Bekele

Tucker

Greene

Sobota

Koornstra

. . . Watson

(2012). Housing characteristics and their influence on health-related quality of life in persons living with HIV in Ontario, Canada: Results from the positive spaces, healthy places study. AIDS and Behavior, 16, 2361–2373. doi:10.1007/s10461-012-0284-0

40.

Sauvé

Dzokoto

Opare

Kaitoo

E. E.

Khonde

Mondor

. . . Pepin

(2002). The price of development: HIV infection in semiurban community of Ghana. Journal of Acquired Immune Deficiency Syndrome, 20, 402–408. doi:10.1097/00126334-200204010-00012

41.

Sedziafa

Tenkorang

Yuji

Owusu

(2016). Women’s experiences of intimate partner economic abuse in the Eastern region of Ghana. Journal of Family Issues, 38(18): 2620–2641.

42.

Song

(1999). HIV/AIDS & homelessness: Recommendations for clinical practice and public policy. National Health Care for the Homeless Clinicians’ Network, National Health Care for the Homeless Council. Nashville, Tennesse. Retrieved from https://www.nhchc.org/wp-content/uploads/2011/10/AIDS-Homelessness.pdf

43.

Sprague

Simon

Sprague

(2011). Employment discrimination and HIV stigma: Survey results from civil society organizations and people living with HIV in Africa. African Journal of AIDS Research, 10(Suppl. 1), 311–324. doi:10.2989/16085906.2011.637730

44.

Takyi

B. K.

Gyimah

S. O.

(2007). Matrilineal family ties and marital dissolution in Ghana. Journal of Family Issues, 28, 682–705. doi:10.1177/0192513X070280050401

45.

Tenkorang

Owusu

Laar

(2017). Housing and health outcomes of persons living with HIV/AIDS (PLWHAs) in the Lower Manya Krobo District, Ghana. Journal of Health Care for the Poor and Underserved, 28, 191–215. doi:10.1353/hpu.2017.0017

46.

Tenkorang

E. Y.

Owusu

A. Y.

Laar

A. K.

Yeboah

E. H.

(2017). Housing, psychosocial and adherence counseling among HIV+ persons in Ghana. Health Promotion International. Advance online publication. doi:10.1093/heapro/dax072

47.

Thomas

(2000). Data analysis in qualitative research. Evidence Based Nursing, 3(3), 68–70. doi:10.1136/ebn.3.3.68

48.

Warner

Barnes

P. M.

Fingerhut

L. A.

(2000). Injury and poisoning episodes and conditions: National Health Interview Survey, 1997. Vital and Health Statistics, 10(202), 1–38.

49.

Warren

C. A.

Karner

T. X.

(2015). Discovering qualitative methods: Ethnography, interviews, documents, and images. New York: Oxford University Press.

50.

World Health Organization. (2015). Global health sector response to HIV, 2000-2015: Focus on innovations in Africa. Retrieved from http://apps.who.int/iris/bitstream/10665/198065/1/9789241509824_eng.pdf?ua=1

51.

World Health Organization. (2016a). Global AIDS update: UNAIDS report. Retrieved from http://www.who.int/hiv/pub/arv/global-aids-update-2016-pub/en/

52.

World Health Organization. (2016b). HIV/AIDS: Fact sheet. Retrieved from http://www.who.int/mediacentre/factsheets/fs360/en/

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