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AIDS Risk in Older Urban Adult Senior Housing Residents
Research Method: Basic Research
Principal Investigators: Jean J. Schensul, Ph.D. (PI), Kim Radda, M.A., R.N. (Co-PI), Judith Levy, Ph.D., UIC (Site PI), Carmen Reyes, M.P.A., NCAAA (Co-PI)
Grant: National Institute on Aging U65/CCU118630
Partners: Institute for Community Research, University of Illinois School of Public Health, North Central Area Agency on Aging, Hartford Housing Authority
Dates of Study: 1999-2003

Abstract
This four-year study works with residents of senior housing buildings and shelters in Hartford, CT and Chicago, IL to identify how high-risk drug use and sexual exchanges associated with HIV transmission occur among residents who are predominantly minority, lower income adults, ages 50 and older. The study addresses a significant gap in knowledge about HIV/AIDS exposure among an increasing high-risk population of older adults. It further identifies the significance of senior housing as a location where risk behaviors occur, increasing risk of HIV transmission. The study uses a coordinated research approach that combines ethnographic and network research, epidemiologic surveys, HIV counseling and testing, and health education presentations on topics of interest to building residents. Collaborating organizations will use study results to identify and assess the feasibility and acceptability of intervention approaches and outreach strategies aimed at reducing HIV risk among senior housing residents.
Project Goals and Objectives
Identify the range, locations, context, and frequency of high-risk drug use and sexual activity among older adult residents of senior housing and shelters in Hartford and Chicago.
Identify how differences in age, gender, ethnicity, language, health status, drug use, sexual activity, and network characteristics impact HIV risk in older adult building residents.
Determine the prevalence of HIV among residents of senior housing in the two cities.
Develop a method for identifying further research needs and assessing (for appropriateness, feasibility and acceptability) intervention approaches, formats, messages and outreach strategies to reduce the risk of exposure to HIV in older adults and other residents of senior and age/ability mixed housing.
Project Details
Project implementation is done in close collaboration with building managers, project staff and residents. The project team meets with members of tenants' associations and the general building population to introduce the study. Recruitment and interviewing takes place at each site. The research team spends four to six months in each building, implementing the project's following components: direct observation, in-depth interviews, epidemiological survey and HIV counseling and testing, and health education presentations based on what residents request. Before leaving the building, project staff host a "thank you" reception and an education session on HIV prevention. Data collected describe neighborhood and building characteristics related to the presence of drug and sexual exchanges, individual drug and sex behavior, and the social structures and relationships that are potential points for HIV transmission. Analysis and comparison of the two sites will be used to develop a building-based HIV prevention intervention strategy with the residents.

Project Contact:
Jean J. Schensul, Ph.D. (PI)
Executive Director

Kim Radda, M.A., R.N.
(Co-PI)
Project Director

Project Staff:
ICR
Jean J. Schensul, Ph.D., Principal Investigator
Kim Radda, M.A., R.N.,
Co-Principal Investigator/ Project Director
William Dish, Ph.D.,
Senior Research Analyst
Evelyn Baez, B.A.
Project Coordinator
Michelle So, B.A.,
Data Manager
Jeanne Ota, B.A.,
Data Manager
Gus Lopez, H.S.,
Community Researcher

NCAAA
Carmen Reyes, M.S.M.,
Co-Principal Investigator

UIC
Judith Levy, Ph.D.,
Site Principal Investigator
Elijah Ward, Ph.D., Ethnographer
Wayne Smith McKenzie, M.Ed., M.P.H.,
Research Specialist
Milton Armston, M.A.

Link to Research Methods page

Link to Basic Research Methods page

Links to other related sites (external links)

University of Illinois at Chicago
North Central Area Agency on Aging
Hartford Housing Authority
National Institute on Aging
National Association on HIV Over Fifty