Knowledge Item:
CA-Client-Patient Characteristics-08
High Need Populations Enrolled in Services
HRSA/HAB's SPNS funded 17 HIV service models to find
underserved individuals and provide appropriate, effective services. Demographic and
HIV-risk factor data were collected at enrollment. From these variables, items have been
identified that are indicators of underserved or marginalized groups including service
access, understanding services, and problem behaviors for retention. As of
June 15, 1999 when the final project data were submitted for analysis,
2579 men and 2225 women were or had been enrolled in 17 projects in
the period from October 1994 through June 1999.
As estimated from
participants for whom data were available, enrollees had the following characteristics:
-
6.0% were under age 21
or over age 55;
-
72.5% were people
from communities of
color;
-
11.9% had a
primary language other than English;
-
20.0% had children requiring
care;
-
45.3% had an education of less than 12
years;
-
85.7% were
unemployed or not
working;
-
88.9% were dependent on public support for medical
insurance (no private insurance);
-
28.2% used or had used
heroin;
-
44.9% used or had used
crack;
-
56.9%
used or had used another illicit drug;
-
54.2% had a current or prior
alcohol problem;
-
49.7% were or had been involved with the criminal
justice system;
-
22.1% engaged in current or prior sex work;
-
42.9% engaged
in current or prior sex with an injection drug user;
-
46.4%
were without stable housing.
The average number of these indices was
7.13
(standard deviation = 2.73, n = 1060) for males and 6.75 (standard deviation =
2.68, n = 1054) for
females (t = 3.23 [or F=10.44] for
the difference, degrees of freedom = 2112, p < .001).
Almost all enrollees (87.7%) have four or more need-vulnerability factors. These national demonstration projects of innovative HIV
services identified high-need populations not traditionally served.
Clients of these programs may be characterized as facing, on the average,
about seven traditional barriers to services.
More Information:
CHAID and CHAID Diagram
Patients
or Clients?
Knowledge Item Citation: Huba, G. J., Melchior, L. A., Panter, A. T., and the HRSA/HAB SPNS Cooperative Agreement Steering Committee (1998-2001). Knowledge Item:
CA-Client-Patient Characteristics-08 from
HRSA/HAB's SPNS Cooperative Agreements on Innovative Models of Care, The Measurement Group Knowledge Base on HIV/AIDS Care, Online at
www.TheMeasurementGroup.com.
Last Updated:
March 25, 2005; data through June 15, 1999; analyses conducted October
1999 and February - May 2000.
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