The impact of competing subsistence needs and barriers on access to medical care for persons with human immunodeficiency virus receiving care in the United States

William E. Cunningham, Ronald M. Andersen, Mitchell H. Katz, Michael D. Stein, Barbara J. Turner, Steve Crystal, Sally Zierler, Kiyoshi Kuromiya, Sally C. Morton, Patricia St. Clair, Samuel A. Bozzette, Martin F. Shapiro

Research output: Contribution to journalArticle

222 Scopus citations

Abstract

OBJECTIVES. To examine whether competing subsistence needs and other barriers are associated with poorer access to medical care among persons infected with human immunodeficiency : virus (HIV), using self-reported data. DESIGN. Survey of a nationally representative sample of 2,864 adults receiving HIV care. MAIN INDEPENDENT VARIABLES. Going without care because of needing the money for food, clothing, or housing; postponing care because of not having transportation; not being able to get out of work; and being too sick. MAIN OUTCOME MEASURES. Having fewer than three physician visits in the previous 6 months, visiting an emergency room without being hospitalized; never receiving antiretroviral agents, no prophylaxis for Pneumocystis carinii pneumonia in the previous 6 months for persons at risk, and low overall reported access on a six-item scale.

Original languageEnglish (US)
Pages (from-to)1270-1281
Number of pages12
JournalMedical Care
Volume37
Issue number12
DOIs
StatePublished - Dec 1 1999

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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    Cunningham, W. E., Andersen, R. M., Katz, M. H., Stein, M. D., Turner, B. J., Crystal, S., Zierler, S., Kuromiya, K., Morton, S. C., St. Clair, P., Bozzette, S. A., & Shapiro, M. F. (1999). The impact of competing subsistence needs and barriers on access to medical care for persons with human immunodeficiency virus receiving care in the United States. Medical Care, 37(12), 1270-1281. https://doi.org/10.1097/00005650-199912000-00010