title: Access to services and maintenance of safer sex practices among people living with HIV/AIDS.
abstract: Access to services and their relationship to the maintenance of long-term safer sex practices are addressed in this study of 360 HIV+ adults recruited from outpatient medical facilities. Protease inhibitors, antiviral therapies, and entitlements were reported as the most needed services, while entitlements and money to pay for housing were reported as the largest unmet needs. Differences across ethnic and gender groups were observed. One-third of all respondents reported at least one occasion of unprotected anal or vaginal intercourse in the previous six months. The practice of unsafe sex was found to be significantly related to both the number of needed services and the number of unmet needs, even after controlling for demographic variables. In addition, a higher proportion of those who engaged in unsafe sex reported a higher need for psychological counseling and social support. These findings underscore the important linkage between access to services with avoidance of high-risk sexual behavior in HIV+ persons. Implications for the delivery of culturally appropriate, gender-specific and community-based interventions are discussed.
authors.affiliation: University of Nevada, Las Vegas, School of Social Work, 4505 Maryland Parkway, P.O. Box 5032, Las Vegas, NV 89154-5032, USA. treilly@ccmail.nevada.edu
authors.forename: Thom
authors.initials: T
authors.lastname: Reilly
authors.forename: Grace
authors.initials: G
authors.lastname: Woo
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000208:ethnology / Q000517:prevention & control; D000328:Adult; D001741:Black or African American / Q000523:psychology; D005260:Female; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control*; D015438:Health Behavior / Q000208:ethnology*; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D009505:Nevada; D021841:Safe Sex / Q000208:ethnology* / Q000706:statistics & numerical data; D012737:Sex Factors; D012749:Sexually Transmitted Diseases / Q000208:ethnology / Q000517:prevention & control; D012959:Socioeconomic Factors; D044465:White People / Q000523:psychology