title: Service utilization among older adults with HIV: the joint association of sexual identity and gender.
abstract: This study examines the association of sexual identity and gender among older clients with HIV at an AIDS service organization using the Andersen Model. Data confirm those aging with HIV exhibit high rates of age-associated illnesses 10 to 20 years before expected. They have fragile social networks that cannot supply the informal supports needed. This aging population will need to increasingly access community-based services. Sexual identity and gender were weak covariates of service utilization. Although heterosexual men used more services, utilization was largely predicted by service needs and the use of case management. Implications for service delivery and policy are discussed.
authors: a AIDS Community Research Initiative of America (ACRIA), ACRIA Center on HIV & Aging , New York , New York , USA.
authors: Mark
authors: M
authors: Brennan-Ing
authors: Liz
authors: L
authors: Seidel
authors: Andrew S
authors: AS
authors: London
authors: Sean
authors: S
authors: Cahill
authors: Stephen E
authors: SE
authors: Karpiak
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology* / Q000523:psychology; D000368:Aged; D019090:Case Management / Q000706:statistics & numerical data; D002908:Chronic Disease / Q000453:epidemiology / Q000523:psychology; D015897:Comorbidity; D005260:Female; D005783:Gender Identity; D015658:HIV Infections / Q000453:epidemiology* / Q000523:psychology; D006296:Health Services / Q000706:statistics & numerical data*; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006299:Health Services for the Aged / Q000706:statistics & numerical data*; D020010:Heterosexuality / Q000523:psychology* / Q000706:statistics & numerical data; D018452:Homosexuality, Female / Q000523:psychology* / Q000706:statistics & numerical data; D018451:Homosexuality, Male / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment / Q000706:statistics & numerical data; D009519:New York City; D012944:Social Support; D063106:Transgender Persons / Q000523:psychology*; D014600:Utilization Review / Q000706:statistics & numerical data