Living with HIV but without medical care

Barriers to engagement

Carol R. Tobias, William Cunningham, Howard D. Cabral, Chinazo O. Cunningham, Lois Eldred, Sylvie Naar-King, Judith Bradford, Nancy L. Sohler, Mitchell D. Wong, Mari Lynn Drainoni

Research output: Contribution to journalArticle

Abstract

This cross-sectional study examined factors associated with the receipt of HIV medical care among people who know their HIV status and are not newly diagnosed with HIV. Interviews were conducted with 1133 HIV-positive individuals between October 2003 and July 2005 who enrolled in 1 of 10 outreach programs across the country. The sample was predominantly non-white (86%), male (59%), and unstably housed (61%), with a past history of cocaine use (68%). Twelve percent had received no HIV medical care in the 6 months prior to the interview. Those with no care were similar to those who received some HIV care in sociodemographic characteristics, but in multivariate analysis were less likely to have a case manager (p <0.001) or use mental health services (p <.001), had lower mental health status scores (p <0.05), were more likely to be active drug users (p <0.01), had greater unmet support service needs (p <0.05) and reported that health beliefs were a barrier to care (p <0.001). Interventions to engage people in HIV medical care need to address barriers to care through linkages with mental health, substance abuse treatment and support services, and address the health beliefs that deter people from seeking care.

Original languageEnglish (US)
Pages (from-to)426-434
Number of pages9
JournalAIDS Patient Care and STDs
Volume21
Issue number6
DOIs
StatePublished - Jun 2007
Externally publishedYes

Fingerprint

HIV
Mental Health
Interviews
Mental Health Services
Drug Users
Cocaine
Health Status
Health Services
Substance-Related Disorders
Multivariate Analysis
Cross-Sectional Studies
Health
Therapeutics

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Leadership and Management
  • Nursing(all)

Cite this

Tobias, C. R., Cunningham, W., Cabral, H. D., Cunningham, C. O., Eldred, L., Naar-King, S., ... Drainoni, M. L. (2007). Living with HIV but without medical care: Barriers to engagement. AIDS Patient Care and STDs, 21(6), 426-434. https://doi.org/10.1089/apc.2006.0138

Living with HIV but without medical care : Barriers to engagement. / Tobias, Carol R.; Cunningham, William; Cabral, Howard D.; Cunningham, Chinazo O.; Eldred, Lois; Naar-King, Sylvie; Bradford, Judith; Sohler, Nancy L.; Wong, Mitchell D.; Drainoni, Mari Lynn.

In: AIDS Patient Care and STDs, Vol. 21, No. 6, 06.2007, p. 426-434.

Research output: Contribution to journalArticle

Tobias, CR, Cunningham, W, Cabral, HD, Cunningham, CO, Eldred, L, Naar-King, S, Bradford, J, Sohler, NL, Wong, MD & Drainoni, ML 2007, 'Living with HIV but without medical care: Barriers to engagement', AIDS Patient Care and STDs, vol. 21, no. 6, pp. 426-434. https://doi.org/10.1089/apc.2006.0138
Tobias CR, Cunningham W, Cabral HD, Cunningham CO, Eldred L, Naar-King S et al. Living with HIV but without medical care: Barriers to engagement. AIDS Patient Care and STDs. 2007 Jun;21(6):426-434. https://doi.org/10.1089/apc.2006.0138
Tobias, Carol R. ; Cunningham, William ; Cabral, Howard D. ; Cunningham, Chinazo O. ; Eldred, Lois ; Naar-King, Sylvie ; Bradford, Judith ; Sohler, Nancy L. ; Wong, Mitchell D. ; Drainoni, Mari Lynn. / Living with HIV but without medical care : Barriers to engagement. In: AIDS Patient Care and STDs. 2007 ; Vol. 21, No. 6. pp. 426-434.
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