Self-perceived unmet health care needs of persons enrolled in HIV care

Karen A. Bonuck, Peter S. Arno, Jesse Green, John Fleishman, Charles L. Bennett, Marianne C. Fahs, Carla Maffeo

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

We examined the prevalence of, and factors associated with unmet health service needs among persons with HIV disease. Data were examined from 1,851 participants in the U.S. AIDS Cost and Service Utilization Study, drawn from 26 medical care providers in 10 cities. Geographic areas with large numbers of AIDS cases, and health care providers within them were chosen as study sites. After completing a screener questionnaire, potential participants at each site were stratifed by illness stage, HIV exposure route, and insurance status; a systematic random sample within those strata were selected for the study. Participants completed a comprehensive survey of HIV-related service use and costs, which also asked them to identify unmet health service needs. Analyses identified the relationship between unmet needs and: stage of illness, type of insurance, source of care, living arrangement, and AIDS prevalence of respondents' geographic region. At least one unmet need was reported by 20% of the sample. Needs for non-institutional services, e.g., dental care, mental health, and medications were more likely to be unmet than need for emergency room and hospital care. While most factors significantly affected the odds of having an unmet need, the greatest effects were found for private insurance and HIV asymptomatic status, both of which decreased the odds of unmet needs by approximately 50%. These findings suggest that insurance coverage for services required during the chronic phase of HIV illness is inadequate and should be augmented.

Original languageEnglish (US)
Pages (from-to)183-198
Number of pages16
JournalJournal of Community Health
Volume21
Issue number3
DOIs
StatePublished - 1996

Fingerprint

HIV
health care
Delivery of Health Care
human being
Acquired Immunodeficiency Syndrome
Insurance Coverage
Health Services Needs and Demand
Insurance
insurance
AIDS
illness
Costs and Cost Analysis
Dental Care
health service
Health Personnel
Hospital Emergency Service
Mental Health
insurance coverage
life situation
costs

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

Cite this

Bonuck, K. A., Arno, P. S., Green, J., Fleishman, J., Bennett, C. L., Fahs, M. C., & Maffeo, C. (1996). Self-perceived unmet health care needs of persons enrolled in HIV care. Journal of Community Health, 21(3), 183-198. https://doi.org/10.1007/BF01557998

Self-perceived unmet health care needs of persons enrolled in HIV care. / Bonuck, Karen A.; Arno, Peter S.; Green, Jesse; Fleishman, John; Bennett, Charles L.; Fahs, Marianne C.; Maffeo, Carla.

In: Journal of Community Health, Vol. 21, No. 3, 1996, p. 183-198.

Research output: Contribution to journalArticle

Bonuck, KA, Arno, PS, Green, J, Fleishman, J, Bennett, CL, Fahs, MC & Maffeo, C 1996, 'Self-perceived unmet health care needs of persons enrolled in HIV care', Journal of Community Health, vol. 21, no. 3, pp. 183-198. https://doi.org/10.1007/BF01557998
Bonuck, Karen A. ; Arno, Peter S. ; Green, Jesse ; Fleishman, John ; Bennett, Charles L. ; Fahs, Marianne C. ; Maffeo, Carla. / Self-perceived unmet health care needs of persons enrolled in HIV care. In: Journal of Community Health. 1996 ; Vol. 21, No. 3. pp. 183-198.
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