Assessment of a medical outreach program to improve access to HIV care among marginalized individuals

Chinazo O. Cunningham, John Paul Sanchez, Daliah I. Heller, Nancy L. Sohler

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Marginalized populations are disproportionately affected by HIV, yet they have poor access to health services. Outreach programs focus on improving access, but few are evaluated. We assessed a medical outreach program targeting unstably housed, HIV-infected individuals. We extracted data from 2003-2005 to examine whether keeping medical appointments was associated with patient and program characteristics. Patients kept appointments more frequently when they were walk-in or same-day appointments (compared with future appointments; adjusted odds ratio [AOR]=1.69; 95% confidence interval [CI]=1.38, 2.08), when they were at a community-based organization's drop-in center (compared with single-room occupancy hotels; AOR=2.50; 95% CI=1.54, 4.17), or when made by nonmedical providers (compared with medical providers; future appointments: AOR=1.38; 95% CI=1.05, 1.80; same-day appointments: AOR=1.70; 95% CI=1.03, 2.81). These findings demonstrate the importance of program-related characteristics in health services delivery to marginalized populations.

Original languageEnglish (US)
Pages (from-to)1758-1761
Number of pages4
JournalAmerican journal of public health
Issue number10
StatePublished - Jan 10 2007
Externally publishedYes

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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