Finding the underserved: directions for HIV care in the future.

T. A. Larson, L. M. Mundy, L. A. Melchior, A. T. Panter, V. B. Brown, P. Chase, D. A. Cherin, T. Gallagher, V. F. German, E. Jean-Louis, J. Kaplan, S. S. McDonald, K. L. Meredith, P. Reis, K. Richardson-Nassif, C. Rohweder, G. A. Smereck, A. Stanton, J. Steinberg, K. MarconiG. J. Huba

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

The demographic, behavior, and background characteristics of 4,804 participants in 17 national demonstration projects for HIV medical and/or psychosocial support services were coded for an index of "service need" or possible under-representation in the traditional healthcare system. Fifteen items were coded including status as a person of color, lack of private insurance, unemployment/disability, problem drinking, crack cocaine use, heroin use, other illicit drug use, less than 12 years of education, criminal justice system involvement, children requiring care while the patient receives services, sex work, being the sex partner of an injection drug user, unstable housing, primary language not English, and age less than 21 or over 55 years. Most (87.7%) of the program participants had four or more of these factors present. Through CHAID modeling, those groups with the highest levels of service need and vulnerability were identified. These data suggest that these projects, designed to attract and serve individuals potentially underrepresented in the health services system, had in fact achieved that goal. Implications of the changing demographics of the HIV epidemic for the health service delivery system are discussed.

Original languageEnglish (US)
Pages (from-to)7-27
Number of pages21
JournalHome Health Care Services Quarterly
Volume19
Issue number1-2
StatePublished - 2001
Externally publishedYes

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Health Services
Disability Insurance
Demography
HIV
Crack Cocaine
Sex Work
Criminal Law
Unemployment
Heroin
Street Drugs
Child Care
Drug Users
Drinking
Language
Color
Delivery of Health Care
Education
Injections
Direction compound

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Larson, T. A., Mundy, L. M., Melchior, L. A., Panter, A. T., Brown, V. B., Chase, P., ... Huba, G. J. (2001). Finding the underserved: directions for HIV care in the future. Home Health Care Services Quarterly, 19(1-2), 7-27.

Finding the underserved : directions for HIV care in the future. / Larson, T. A.; Mundy, L. M.; Melchior, L. A.; Panter, A. T.; Brown, V. B.; Chase, P.; Cherin, D. A.; Gallagher, T.; German, V. F.; Jean-Louis, E.; Kaplan, J.; McDonald, S. S.; Meredith, K. L.; Reis, P.; Richardson-Nassif, K.; Rohweder, C.; Smereck, G. A.; Stanton, A.; Steinberg, J.; Marconi, K.; Huba, G. J.

In: Home Health Care Services Quarterly, Vol. 19, No. 1-2, 2001, p. 7-27.

Research output: Contribution to journalArticle

Larson, TA, Mundy, LM, Melchior, LA, Panter, AT, Brown, VB, Chase, P, Cherin, DA, Gallagher, T, German, VF, Jean-Louis, E, Kaplan, J, McDonald, SS, Meredith, KL, Reis, P, Richardson-Nassif, K, Rohweder, C, Smereck, GA, Stanton, A, Steinberg, J, Marconi, K & Huba, GJ 2001, 'Finding the underserved: directions for HIV care in the future.', Home Health Care Services Quarterly, vol. 19, no. 1-2, pp. 7-27.
Larson TA, Mundy LM, Melchior LA, Panter AT, Brown VB, Chase P et al. Finding the underserved: directions for HIV care in the future. Home Health Care Services Quarterly. 2001;19(1-2):7-27.
Larson, T. A. ; Mundy, L. M. ; Melchior, L. A. ; Panter, A. T. ; Brown, V. B. ; Chase, P. ; Cherin, D. A. ; Gallagher, T. ; German, V. F. ; Jean-Louis, E. ; Kaplan, J. ; McDonald, S. S. ; Meredith, K. L. ; Reis, P. ; Richardson-Nassif, K. ; Rohweder, C. ; Smereck, G. A. ; Stanton, A. ; Steinberg, J. ; Marconi, K. ; Huba, G. J. / Finding the underserved : directions for HIV care in the future. In: Home Health Care Services Quarterly. 2001 ; Vol. 19, No. 1-2. pp. 7-27.
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