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M94A1836.TXT
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1994-10-24
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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).