Barriers to social services for HIV-infected urban migrators.
Anecdotal accounts suggest that residency requirements often lead to denial of services at a time when HIV positive migrators are most in need of these services. However, this suspicion has never been empirically tested. Using needs assessment data collected for Harris County, Texas, this article examines eligibility and knowledge barriers faced by HIV positive recent migrators into Harris County. Results indicated that migration into the county was a significant predictor of failure to receive government-administered basic services such as food services but was not a significant predictor of failure to receive community based organization (CBO)-administered "specialized" services targeted specifically to HIV positive individuals. Results also indicated that migration was associated with knowledge barriers for all types of services.
Montoya
I D
ID
Affiliated Systems Corporation, Houston, TX 77027-6022, USA. ASC@Phoenix.Net
Bell
D C
DC
Richard
A J
AJ
Goodpastor
W A
WA
Carlson
J
J
D000328:Adult; D003153:Community Health Services / Q000458:organization & administration / Q000706:statistics & numerical data; D004608:Eligibility Determination / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006703:Ill-Housed Persons / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008483:Medical Assistance; D008875:Middle Aged; D020380:Needs Assessment; D011635:Public Health Administration / Q000706:statistics & numerical data; D012044:Regression Analysis; D012494:Sampling Studies; D012947:Social Work / Q000458:organization & administration* / Q000706:statistics & numerical data; D013781:Texas; D014171:Transients and Migrants / Q000706:statistics & numerical data*; D019037:Urban Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data