@article{f91eb246c3dc4c3b8b844e64f8e317c5,
title = "Unmet needs in groups of traditionally underserved individuals with HIV/AIDS: Empirical models",
abstract = "Over the course of the HIV epidemic, the demographics of the populations of affected individuals have changed. Groups that traditionally have been underserved in systems of care have a number of unmet service needs. This article presents results based on data from 478 patients in five national demonstration projects which were funded to enroll individuals from traditionally underserved groups and to help them access services using different strategies. The participants in these programs had a high level of unmet need prior to enrolling in care. Data on client service needs were related to 17 indicators of traditionally underserved status including demographic characteristics and risk behaviors, using the data modeling method of Exhaustive CHAID (Chi- squared Automatic Interaction Detector). Crack cocaine users with HIV/AIDS were more likely than other patient groups to have unmet service needs. Patients who were homeless or in precarious housing also were vulnerable. Results are discussed in terms of designing and evaluating innovative service models to close these service gaps.",
keywords = "CHAID, HIV/AIDS, Underserved, Unmet needs",
author = "Melchior, {Lisa A.} and Huba, {G. J.} and Tracey Gallagher and Eustache Jean-Louis and McDonald, {Sandra S.} and Smereck, {Geoffrey A.D.} and German, {Victor F.} and Brown, {Vivian B.} and Panter, {A. T.}",
note = "Funding Information: This study was supported in part by Healthcare Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB), Special Projects of National Significance (SPNS) Grant Number 5 U90 HA 00030-05 for the work of the Evaluation and Dissemination Center and by grants to the individual projects. This article{\textquoteright}s contents are solely the responsibility of the authors and do not necessarily represent the official view of the funding agency. From The Measurement Group (L. Melchior, G. Huba), from The Fortune Society (T. Gallagher), from the Center for Community Healthcare Education and Research (E. Jean-Louis), from Outreach, Inc. (S. McDonald), from the Well-Being Institute (G. Smereck), from the University of Texas Healthcare Science Center, San Antonio (V. German), from PROTOTYPES (V. Brown), and from the University of North Carolina, Chapel Hill and The Measurement Group (A. Panter). The analyses for this paper were planned and conducted between 1998-2000 by Huba, Melchior, and Panter (1998-2000) for the Knowledge Base on HIV/AIDS Care available at www.TheMeasurementGroup.com/KB.htm. Special thanks to Rupinder K. Sidhu, Cindy T. Le, Chermeen Elavia, and Kimberly Ishihara for help with manuscript preparation, to Jocelyn Medina and Katherine Ellingson for help with data processing, and to the late Diana E. Brief, PhD, for help with data management, all of The Measurement Group.",
year = "2001",
month = apr,
day = "6",
doi = "10.1300/J027v19n01_03",
language = "English (US)",
volume = "19",
pages = "29--51",
journal = "Home Health Care Services Quarterly",
issn = "0162-1424",
publisher = "Routledge",
number = "1-2",
}