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M9550051.TXT
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1995-03-04
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Document 0051
DOCN M9550051
TI Clients without health insurance at publicly funded HIV counseling and
testing sites: implications for early intervention.
DT 9505
AU Valdiserri RO; Gerber AR; Dillon BA; Campbell CH Jr; Centers for Disease
Control and Prevention, National Center for; Prevention Services,
Atlanta, GA 30333.
SO Public Health Rep. 1995 Jan-Feb;110(1):47-52. Unique Identifier :
AIDSLINE MED/95140866
AB The characteristics of clients reporting no health insurance were
compared with those reporting any health insurance at publicly funded
human immunodeficiency virus (HIV) counseling and testing sites in the
United States during 1992. Thirty of 65 funded health departments
collect data on self-reported health insurance status. Data were
dichotomized into two groups, clients reporting any health insurance
versus those reporting none, and multivariate logistic models were
developed to explore independent associations. Of the 885,046 clients
studied, 440,416 reported that they lacked health insurance. Clients
without health insurance were more likely to be male, members of racial
or ethnic minorities, adolescent, and HIV seropositive. Prisoners (odds
ratio = 0.26), clients of Hispanic ethnicity (odds ratio = 0.52), and
clients receiving testing during field visits (odds ratio = 0.53) in
drug treatment centers (odds ratio = 0.55) and in tuberculosis clinics
(odds ratio = 0.55) were less likely to have health insurance. Injecting
drug users, whether heterosexual (odds ratio = 0.65) or homosexual (odds
ratio = 0.67), were less likely to have health insurance compared with
other behavioral risk groups. Large numbers of clients receiving
publicly funded HIV counseling and testing lack health insurance. Lack
of health insurance may interfere with subsequent receipt of needed
primary care services among high-risk clients, especially HIV
seropositive clients in need of early intervention services.
DE Adolescence Adult Centers for Disease Control and Prevention (U.S.)
Child Child, Preschool Community Health Centers/ECONOMICS/*UTILIZATION
Comparative Study *Counseling Female Human HIV
Infections/*DIAGNOSIS/THERAPY Infant Logistic Models Male Medically
Uninsured/ETHNOLOGY/*STATISTICS & NUMER DATA Middle Age Odds Ratio
Public Health Administration Retrospective Studies Risk-Taking United
States JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).