Prevalence and Predictors of Unmet Need for Supportive Services Among HIV-Infected Persons: Impact of Case Management

Katz, Mitchell H.; Cunningham, William E.; Mor, Vincent; Andersen, Ronald; Kellogg, Tim; Zierler, Sally; Crystal, Stephen; Stein, Michael D.; Cylar, Keith; Bozzette, Samuel A.; Shapiro, Martin F.

doi:10.1097/00005650-200001000-00007

Cited by 103 publications

(59 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[33][34][35] Using a conservative measure of retention, two-thirds of our cohort was retained in care; an impressive achievement considering our population was young (mean age of 21), 83% African American, and nearly half reported drug use and/or depressive symptoms. Furthermore, when compared to the 3-year period prior to STYLE, there was a 75% increase the number of new diagnoses among black and Latino MSM aged 17-24 in the 12-county region of the state surrounding where the STYLE intervention occurred (Communicable Disease Branch, NC Division of Public Health, personal communication).…”

Section: Discussionmentioning

confidence: 92%

Keeping Them in “STYLE”: Finding, Linking, and Retaining Young HIV-Positive Black and Latino Men Who Have Sex with Men in Care

Hightow-Weidman

Smith

Valera

et al. 2011

AIDS Patient Care and STDs

View full text Add to dashboard Cite

Young men who have sex with men (YMSM) of color are at particularly increased risk for HIV infection compared to white MSM. National data highlight the need to link YMSM of color to care to improve their overall health and stem further infections, yet, there is limited data on interventions and clinical outcomes focused on engaging and retaining youth, specifically HIV-infected YMSM of color in care. To address the medical care needs of this underserved population, in 2005, the Health Research and Services Administration (HRSA) created the YMSM of Color Initiative. Utilizing a social marketing campaign targeting youth and members of their sexual and social networks, testing and outreach on college campuses and within the broader community, and a tightly linked medical-social support network, we created STYLE (Strength Through Youth Livin' Empowered), a novel intervention that sought to diagnose, engage, and retain HIV-positive black and Latino YMSM in HIV primary care services. Over a 3-year period, 81 men were either newly diagnosed or reengaged in care. Overall, 63% of the cohort was retained in clinical care; defined as attending at least one medical visit every 4 months. Compared to the 3 years prior to STYLE, the odds ratio for whether or not someone attended a clinic visit was 2.58 (95% confidence interval [CI] 1.34-4.98) if enrolled in STYLE. We conclude that compared to a pre-STYLE cohort, STYLE was an effective intervention that increased HIV diagnoses, provided efficient and timely engagement in care for both those newly diagnosed and those who had fallen out of care and improved overall retention.

show abstract

Section: Discussionmentioning

confidence: 92%

Keeping Them in “STYLE”: Finding, Linking, and Retaining Young HIV-Positive Black and Latino Men Who Have Sex with Men in Care

Hightow-Weidman

Smith

Valera

et al. 2011

AIDS Patient Care and STDs

View full text Add to dashboard Cite

show abstract

“…Multimodal interventions are recommended to increase PrEP uptake and provide adherence support, and all interventions must consider culturally unique barriers to healthcare access and adherence to maximize effectiveness with trans women [30,60,62]. PrEP can be a cost-effective addition to comprehensive sexual health programmes when people with the highest risk of acquiring HIV, such as trans women, are given priority of access [47].…”

Section: Discussionmentioning

confidence: 99%

“…For key populations and AGYW, risk is heterogeneous both between and within countries and finding ways to identify and support those at highest risk will be critical. The use of risk score tools may be appropriate but needs to be carefully Cowan FM et [61,62]. Studies addressing the issues of willingness to pay are planned in some settings globally although the consequences of paying for PrEP when treatment is freely available need to be considered.…”

Section: Supply Sidementioning

confidence: 99%

“…APCOM is a regional and global advocate of delivering PrEP to MSM. In 2015, APCOM hosted the first community-led regional dialogue in Bangkok Á a community and stakeholder consultation, to inform the development of PrEP demonstration projects among MSM in countries with high HIV prevalence where PrEP rollout is in planning [62].…”

Section: Community Involvement and Leadershipmentioning

confidence: 99%

See 1 more Smart Citation

Global implementation of PrEP as part of combination HIV prevention - Unsolved challenges

Cáceres¹,

Bekker²,

Godfrey‐Faussett³

2016

Journal of the International AIDS Society

View full text Add to dashboard Cite

“…10 Two-thirds of participants said they had needed at least one supportive service in the previous six months. The most frequently cited service needs were benefits advocacy (43%) and emotional counseling (33%).…”

Section: Hcsusmentioning

confidence: 99%

Delivering HIV Services to Vulnerable Populations: A Review of CARE Act—Funded Research

McKinney¹,

Marconi

2002

Public Health Rep

View full text Add to dashboard Cite

This article summarizes key findings from evaluation and research studies that have received financial support from the HIV/AIDS Bureau of the Health Resources and Services Administration or from Ryan White Comprehensive AIDS Resources Emergency (CARE) Act grantees. These studies suggest that the CARE Act has improved but not equalized service accessibility, quality, and outcomes for different populations living with HIV disease. Evaluations of access to highly active antiretroviral therapy (HAART) found that uninsured patients, women, people of color, and injection drug users waited much longer than others to receive the new therapies. These disparities were not uniform across study sites, suggesting that clinic characteristics and geographic location have a major influence on prescribing patterns. Once patients gained access to HAART, health insurance status made little difference in clinical outcomes.

show abstract

Prevalence and Predictors of Unmet Need for Supportive Services Among HIV-Infected Persons: Impact of Case Management

Abstract: Need and unmet need for supportive services among HIV-infected persons is high. Case management programs appear to lower unmet need for supportive services.

Cited by 103 publications

References 22 publications

Keeping Them in “STYLE”: Finding, Linking, and Retaining Young HIV-Positive Black and Latino Men Who Have Sex with Men in Care

Keeping Them in “STYLE”: Finding, Linking, and Retaining Young HIV-Positive Black and Latino Men Who Have Sex with Men in Care

Global implementation of PrEP as part of combination HIV prevention - Unsolved challenges

Delivering HIV Services to Vulnerable Populations: A Review of CARE Act—Funded Research

Contact Info

Product

Resources

About