PMID: 8989210Jan 1, 1997Paper

Meeting the service needs of HIV-infected persons: is the Ryan White CARE Act succeeding?

Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology : Official Publication of the International Retrovirology Association
R MarxR J Gurley

Abstract

To evaluate the success of the Ryan White CARE Act in meeting HIV-related service needs, we surveyed HIV-infected clients (n = 1,056) at San Francisco CARE-funded agencies. Most CARE clients were male (85.1%), 51.7% were nonwhite, 84.9% were uninsured or underinsured, and 43.9% had a most recent CD4+ count < 200 cells. The most common HIV risk groups were gay/ bisexual male noninjection drug user (IDU) (53.3%) and gay/bisexual male IDU (22.1%). Health care needs were high for medical (85.5%), dental (70.2%), and mental health care (69.7%); need for basic necessities was great for food (57.2%) and living expenses (55.5%). Unmet health care needs were common for dental care (41.0%), home health care (39.9%), and alternative therapies (38.6%); unmet needs for basic necessities were frequent for childcare (59.5%), household help (52.3%), and transportation (47.9%). Unmet needs for medical care (5.8%) and food (14.7%) were low. Poor persons, those with dependents, and gay/bisexual male IDUs had greater unmet needs. Women and racial/ethnic minorities did not consistently have greater unmet needs. The CARE Act is serving those it intended to reach, is successfully meeting two important service needs, and has equalized access to servic...Continue Reading

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Citations

Mar 21, 2012·AIDS Care·Sorasun RungsiyanontNittaya Phanuphak
Mar 21, 2001·Journal of Acquired Immune Deficiency Syndromes : JAIDS·F H GalvanR N Bluthenthal
Jul 9, 2004·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Jill J AshmanKatherine Marconi
May 17, 2014·American Journal of Public Health·Lisa R MetschScott Tomar
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Jul 11, 2006·The Journal of the Association of Nurses in AIDS Care : JANAC·Eduardo E ValverdeLytt I Gardner
May 31, 2015·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Allyson Ion, Dawn Elston
Dec 2, 2008·Annals of Epidemiology·Kathleen McDavid HarrisonH Irene Hall
Sep 16, 2003·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Magid HeridaDominique Costagliola
Jul 4, 2015·Journal of the International Association of Providers of AIDS Care·Rhodri Dierst-DaviesMario J Pérez
May 5, 2006·Advances in Dental Research·P G Robinson
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Jul 17, 2004·The Journal of Behavioral Health Services & Research·Stephanie L TaylorWilliam E Cunningham

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