Psychosocial factors associated with successful transition into HIV case management for those without primary care in an urban area.
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.
Johnson
Derek
D
Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, 1665 University Blvd, Birmingham, AL 35294, USA. frg1@uab.edu
Polansky
Marcia
M
Matosky
Marlene
M
Teti
Michelle
M
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