Medical and Support Service Utilization in a Medical Program Targeting Marginalized HIV-infected Individuals

Overview

Journal J Health Care Poor Underserved

Publisher Johns Hopkins University Press

Date 2008 Aug 5

PMID 18677084

Citations 8

Authors

Chinazo O Cunningham

John-Paul Sanchez

Xuan Li

Daliah Heller

Nancy L Sohler

Affiliations

Soon will be listed here.

Abstract

Background: One strategy to facilitate HIV health care services utilization is to incorporate support services with medical services. We developed a program that delivers HIV medical care and support services to marginalized people, and evaluated the association between support and medical services utilization.

Methods: We extracted data on 218 newly enrolled program participants 3 months prior to through 6 months after program enrollment, and analyzed associations between support and medical services.

Results: Case management visits (AOR=1.95, 95% CI 1.04-3.67) and group visits (AOR=2.59, 95% CI 1.30-5.16) were associated with greater odds of quarterly medical visits. Outreach visits were associated with greater odds of having a medical visit in a traditional medical setting (AOR=2.31, 95% CI 1.15-4.67).

Conclusion: Case management, support groups, and outreach were associated with HIV medical visits. Further research exploring how integration of support services into HIV medical programs can improve health care delivery is crucial for health policy and program development.

Citing Articles

A Pilot Study to Evaluate a Novel Pre-exposure Prophylaxis Peer Outreach and Navigation Intervention for Women at High Risk for HIV Infection.

Blackstock O, Platt J, Golub S, Anakaraonye A, Norton B, Walters S AIDS Behav. 2020; 25(5):1411-1422.

PMID: 32748159 PMC: 8284566. DOI: 10.1007/s10461-020-02979-y.

Medical service use among individuals receiving HIV prevention services in Los Angeles County.

Erlyana E, Fisher D, Reynolds G, Jansen M J Health Hum Serv Adm. 2014; 36(4):498-519.

PMID: 24772692 PMC: 4494647.

Factors associated with returning to HIV care after a gap in care in New York State.

Cunningham C, Buck J, Shaw F, Spiegel L, Heo M, Agins B J Acquir Immune Defic Syndr. 2014; 66(4):419-27.

PMID: 24751434 PMC: 4120656. DOI: 10.1097/QAI.0000000000000171.

Interventions to promote linkage to and utilization of HIV medical care among HIV-diagnosed persons: a qualitative systematic review, 1996-2011.

Liau A, Crepaz N, Lyles C, Higa D, Mullins M, DeLuca J AIDS Behav. 2013; 17(6):1941-62.

PMID: 23456593 PMC: 5906800. DOI: 10.1007/s10461-013-0435-y.

Social support networks and primary care use by HIV-infected drug users.

Ramaswamy M, Kelly P, Li X, Berg K, Litwin A, Arnsten J J Assoc Nurses AIDS Care. 2012; 24(2):135-44.

PMID: 22871482 PMC: 3619533. DOI: 10.1016/j.jana.2012.05.001.

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