Perceived needs and unmet needs for formal services among people with HIV disease.
This study presents estimates of the prevalence of perceived needs and unmet needs among people with HIV disease in the United States for six areas of community services: mental health, drug treatment, home care, housing, transportation, and entitlements. The prevalence of service needs and unmet needs within racial, gender, drug use history, and other subgroups was also examined. The study is based on a nonrandom cross-sectional sample of 907 people with HIV disease interviewed between November 1988 and May 1989 in nine major urban areas of the United States. Respondents reported high levels of need and unmet need across a variety of service areas. One third or more of all respondents reported a need for mental health services (57%), housing (39%), entitlements (34%), and transportation (32%). Within each of the six service areas, 40% or more reported unmet need. Women, people of color, and injected drug users were more likely to report unmet service need in a number of areas. Given the limitations of the sampling and the focus on current needs, these estimates may represent a lower bound on the magnitude of service need and unmet need within this population.
Piette
J D
JD
Institute for Health Policy Studies, University of California-San Francisco 94109.
Fleishman
J A
JA
Stein
M D
MD
Mor
V
V
Mayer
K
K
D000203:Activities of Daily Living; D003153:Community Health Services / Q000592:standards*; D003430:Cross-Sectional Studies; D004358:Drug Therapy / Q000592:standards; D004651:Employment / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000503:physiopathology / Q000534:rehabilitation* / Q000628:therapy; D015497:HIV-1; D006301:Health Services Needs and Demand / Q000592:standards*; D006302:Health Services Research; D006699:Home Care Services / Q000592:standards; D006798:Housing / Q000592:standards; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data; D008297:Male; D008605:Mental Health Services / Q000592:standards; D044469:Racial Groups; D015819:Substance Abuse, Intravenous / Q000150:complications; D014187:Transportation of Patients / Q000592:standards; D014481:United States; D014505:Urban Population