title: Women living with substance abuse and HIV disease: medical care access issues.
abstract: This paper presents first-year findings from a multi-site, longitudinal study being coordinated by the Health Resources and Services Administration (HRSA) in collaboration with the National Institute on Drug Abuse (NIDA) on access to care for drug abusers with HIV. The sample of 116 women and 187 men in five sites (Denver, Detroit, New Haven, New Orleans, and St. Louis) were interviewed regarding HIV testing history, HIV disease course, and use of health and social services. For both men and women, there were significant gaps between the medical services they reported needing and those they received. Significantly more women needed and received mental health services. Cost and waiting times emerged as the most important barriers to care. The study also found that significantly fewer women than men subjects received pre- and post-test counseling and were advised to get medical services after their first positive HIV test. Overall, first-year study results suggest that multiple barriers in access to service exist for drug-using women, the largest group of women affected by HIV in the United States.
authors.affiliation: Yale University School of Medicine.
authors.forename: G
authors.initials: G
authors.lastname: Weissman
authors.forename: L
authors.initials: L
authors.lastname: Melchior
authors.forename: G
authors.initials: G
authors.lastname: Huba
authors.forename: F
authors.initials: F
authors.lastname: Altice
authors.forename: R
authors.initials: R
authors.lastname: Booth
authors.forename: L
authors.initials: L
authors.lastname: Cottler
authors.forename: S
authors.initials: S
authors.lastname: Genser
authors.forename: A
authors.initials: A
authors.lastname: Jones
authors.forename: S
authors.initials: S
authors.lastname: McCarthy
authors.forename: R
authors.initials: R
authors.lastname: Needle
mesh_terms: D000293:Adolescent; D000328:Adult; D003153:Community Health Services / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control* / Q000635:transmission; D006297:Health Services Accessibility / Q000458:organization & administration*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D015819:Substance Abuse, Intravenous / Q000150:complications* / Q000453:epidemiology; D014481:United States / Q000453:epidemiology; D016387:Women's Health