Perceived barriers to receiving HIV services in groups of traditionally underserved individuals: empirical models.
Persons living with HIV/AIDS face many issues that make them highly vulnerable to a number of health and social problems. As the demographics of the epidemic have shifted in recent years, many members of traditionally underserved groups have encountered barriers to entering the services system. This article uses data from seven national demonstration projects funded to enroll persons with HIV/AIDS who tend to "fall through the cracks" and help them access needed services. Data on the initial perceptions of the participants about barriers to accessing services were related to 17 indicators of traditionally underserved status including demographic characteristics and behavioral variables using the data modeling method of Exhaustive CHAID (Chi-squared Automatic Interaction Detector). Through the modeling methods, the groups most likely to experience a large number of barriers to service participation are identified. Having children needing care is particularly predictive of the level of barriers to care.
Huba
G J
GJ
Measurement Group, 5811A Uplander Way, Culver City, CA 90230, USA. ghuba@TheMeasurementGroup.com
Melchior
L A
LA
Smereck
G A
GA
Brown
V B
VB
Jean-Louis
E
E
German
V F
VF
Gallagher
T
T
McDonald
S S
SS
Stanton
A
A
Hughes
C
C
Marconi
K
K
Panter
A T
AT
D000328:Adult; D016009:Chi-Square Distribution; D003153:Community Health Services; D005006:Ethnicity; D005260:Female; D015658:HIV Infections / Q000208:ethnology / Q000628:therapy*; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008507:Medically Underserved Area; D008875:Middle Aged; D015233:Models, Statistical; D020380:Needs Assessment / Q000145:classification*; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000706:statistics & numerical data*; D010865:Pilot Projects; D015397:Program Evaluation; D014481:United States; D016387:Women's Health