title: Psychosocial factors associated with successful transition into HIV case management for those without primary care in an urban area.
abstract: The purpose of this study was to identify the psychosocial factors which influence transitioning HIV positive clients without primary medical care to a case management agency within 6 weeks by a city brokerage agency. People living with HIV who reported being in a social support group and those who requested assistance with meeting their basic needs were significantly more likely to attend their first case management appointment within 6 weeks (adjusted OR 1.91 95% CI 1.22-2.97 and OR 1.24 95% CI 1.01-1.54, respectively). Individuals requesting medical care or substance abuse treatment were less likely to accomplish transitioning (adjusted OR 0.75 95% CI 0.59-0.95 and adjusted OR 0.70 95% CI 0.53-0.91, respectively). The implications of this study for improving the effectiveness of brokering case management for those with HIV are discussed.
authors.affiliation: Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, 1665 University Blvd, Birmingham, AL 35294, USA. frg1@uab.edu
authors.forename: Derek
authors.initials: D
authors.lastname: Johnson
authors.forename: Marcia
authors.initials: M
authors.lastname: Polansky
authors.forename: Marlene
authors.initials: M
authors.lastname: Matosky
authors.forename: Michelle
authors.initials: M
authors.lastname: Teti
mesh_terms: D000328:Adult; D019090:Case Management / Q000458:organization & administration*; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000517:prevention & control / Q000523:psychology* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care; D011584:Psychology; D012944:Social Support; D019966:Substance-Related Disorders / Q000150:complications / Q000628:therapy*; D014505:Urban Population; D055815:Young Adult