Document 1836
 DOCN  M94A1836
 TI    Characteristics of clients without health insurance receiving HIV
       counseling and testing at public sites in the United States (U.S.A.).
 DT    9412
 AU    Valdiserri RO; Gerber R; Dillon B; Campbell C; Centers for Disease
       Control and Prevention (CDC), Atlanta,; Georgia 30333.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):440 (abstract no. PD0368). Unique
       Identifier : AIDSLINE ICA10/94370739
 AB    OBJECTIVE: To compare characteristics of clients reporting no health
       insurance to those reporting any health insurance at publicly funded HIV
       counseling and testing sites in the U.S.A. during 1992. METHODS: Thirty
       of 65 funded health departments collect client-level information on
       self-reported health insurance status. Data were dichotomized into
       clients reporting any health insurance versus those reporting none.
       Multivariate logistic models were developed to explore independent
       associations. RESULTS: Half of the 885,046 clients studied reported
       having no health insurance (n = 440,416). Clients without health
       insurance were more likely to be male, racial/ethnic minorities,
       adolescent, and HIV seropositive. Prisoners (OR = 0.26), clients of
       Hispanic ethnicity (OR = 0.52), and clients receiving testing during
       field visits (OR = 0.53), in drug treatment centers (OR = 0.55), or in
       tuberculosis clinics (OR = 0.55) were less likely to have health
       insurance. Compared to other behavioral risk groups, injecting drug
       users, whether heterosexual (OR = 0.65) or homosexual (OR = 0.67), were
       less likely to have health insurance. Even after controlling for other
       associations, seropositive clients were less likely to have health
       insurance (OR = 0.78). CONCLUSION: Lack of health insurance may
       interfere with receipt of needed primary care services among high-risk
       clients of publicly funded HIV counseling and testing sites, especially
       early intervention services for HIV seropositive clients. HIV prevention
       case management and other programmatic strategies should be evaluated as
       interventions to ensure that uninsured high risk clients receive needed
       referral services.
 DE    Adolescence  *AIDS Serodiagnosis  *Community Health
       Services/ECONOMICS/UTILIZATION  Comparative Study  *Counseling
       Financing, Government  Human  HIV Infections/DIAGNOSIS/*PREVENTION &
       CONTROL  HIV Seropositivity  Male  *Medically Uninsured  United States
       MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).