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

Renato M. Liboro (), Sherry Bell, Jason Flatt, Jennifer Pharr, Brandon Ranuschio, Lianne Barnes, Andrea Navarro, Alexander Ribeiro, Nadia Sheik-Yosef and John M. Waldron
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Renato M. Liboro: Department of Psychology, College of Liberal Arts, University of Nevada, Las Vegas, NV 89154, USA
Sherry Bell: Department of Psychology, College of Liberal Arts, University of Nevada, Las Vegas, NV 89154, 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

Social Sciences, 2024, vol. 13, issue 8, 1-20

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.

Keywords: gay men; HIV; homelessness; housing insecurity; midlife; social determinants of health (search for similar items in EconPapers)
JEL-codes: A B N P Y80 Z00 (search for similar items in EconPapers)
Date: 2024
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