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Case 5: Homelessness and HIV

You answered:

D Incentive programs for cash and food have not been successful in improving adherence in HIV-infected homeless individuals.

This answer is incorrect. Studies in homeless individuals in San Francisco have shown that incentive programs for cash or food have improved adherence rates. A multidisciplinary approach to the care of HIV-infected homeless individuals involving case managers, pharmacists, primary care medical providers, and nutritionists can improve adherence.

Choose another answer:

A Homelessness should be considered a clear-cut contraindication for initiating antiretroviral therapy.
B Homeless (or marginally-housed individuals) uniformly have low rates of adherence to antiretroviral medications.
C In the United States, HIV infection is more prevalent among the homeless population than it is in the overall population.

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