title: AIDS Service Organization Access Among African, Caribbean and Other Black Residents of an Average Canadian City.
abstract: Due to heightened vulnerability to HIV/AIDS, African, Caribbean and Black (ACB) communities are priority groups for prevention and intervention services in Canada. However, it is not clear which factors may affect ACB communities' access to these services. We evaluated access to the local AIDS service organization (ASO) in Middlesex-London by using data from the Black, African and Caribbean Canadian Health Study. Modified Poisson regression was used to obtain prevalence risk ratios for factors associated with three measures of access: familiarity with the ASO, willingness to access, and realized access. In adjusted analyses, older ACB community members were more likely to be familiar with the ASO, willing to access it, and have actually gone there. Canadian-born participants were less likely to have been to the ASO than recent immigrants. These results have implications for reaching specific segments of ACB communities for HIV/AIDS-related services in Canada.
authors.affiliation: Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, ON, Canada. sblot@uwo.ca.
authors.forename: Soraya
authors.initials: S
authors.lastname: Blot
authors.affiliation: Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, ON, Canada.|Women's Studies and Feminist Research, The University of Western Ontario, London, ON, Canada.
authors.forename: Greta
authors.initials: G
authors.lastname: Bauer
authors.affiliation: Regional HIV/AIDS Connection, London, ON, Canada.
authors.forename: Meredith
authors.initials: M
authors.lastname: Fraser
authors.affiliation: Regional HIV/AIDS Connection, London, ON, Canada.|African and Caribbean Council on HIV/AIDS in Ontario, Toronto, ON, Canada.
authors.forename: Mercy
authors.initials: M
authors.lastname: Nleya
authors.affiliation: Regional HIV/AIDS Connection, London, ON, Canada.|Women and HIV/AIDS Initiative, Toronto, ON, Canada.
authors.forename: Mbaka
authors.initials: M
authors.lastname: Wadham
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000208:ethnology* / Q000628:therapy*; D000328:Adult; D000367:Age Factors; D044383:Black People / Q000706:statistics & numerical data*; D002170:Canada / Q000453:epidemiology; D017691:Caribbean Region / Q000208:ethnology; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000208:ethnology / Q000628:therapy; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D012737:Sex Factors; D012959:Socioeconomic Factors
keywords: African; Black people; Caribbean; HIV/AIDS; Health disparities; Health services research; Immigrant health; Minority health