Who receives Ryan White CARE Act services? A demographic comparison of CARE act clients and the general AIDS population.
This study examines the extent to which health and social service providers funded by the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act serve women, minorities, and other vulnerable populations emphasized by the legislation. Demographic characteristics of AIDS-diagnosed clients served by CARE Act-funded providers in four metropolitan areas and two states are compared with Centers for Disease Control and Prevention estimates of AIDS prevalence. Clients of CARE Act-funded providers tend to reflect the demographics of local HIV/AIDS epidemics. Where differences exist, CARE Act clients are more likely to be women and minorities and less likely to be injecting drug users. CARE Act-funded providers are effectively reaching most medically underserved populations.
Ashman
J J
JJ
Department of Health and Human Services, Health Resources and Services Administration, HIV/AIDS Bureau, Rockville, Maryland 20857, USA. Jashman@hrsa.gov
Marconi
K M
KM
McKinney
M M
MM
O'Neill
J F
JF
D002140:California / Q000453:epidemiology; D004219:District of Columbia / Q000453:epidemiology; D005260:Female; D015658:HIV Infections / Q000208:ethnology / Q000628:therapy*; D006297:Health Services Accessibility / Q000331:legislation & jurisprudence* / Q000592:standards; D006801:Humans; D008297:Male; D008507:Medically Underserved Area; D008824:Michigan / Q000453:epidemiology; D008913:Minority Groups; D017063:Outcome Assessment, Health Care; D012947:Social Work / Q000331:legislation & jurisprudence* / Q000592:standards; D014481:United States / Q000453:epidemiology; D014768:Virginia / Q000453:epidemiology; D016387:Women's Health