Skip to main content
Top
Published in: AIDS and Behavior 2/2010

Open Access 01-04-2010 | Original Paper

HIV Services Utilization in Los Angeles County, California

Authors: Dennis G. Fisher, David Wishart, Grace L. Reynolds, Jordan W. Edwards, Lee M. Kochems, Michael A. Janson

Published in: AIDS and Behavior | Issue 2/2010

Login to get access

Abstract

Recipients of HIV/AIDS prevention services in Los Angeles County California were surveyed in 2004 by 220 HIV prevention service provider staff from 51 agencies funded by the Office of AIDS Programs and Policy. This resulted in 2,102 usable surveys for cluster analysis purposes. This Countywide Risk Assessment Survey assessed demographics, sexual history, substance use, perceptions regarding HIV/AIDS, and use of 18 different services at both the agency administering the survey and at other agencies. The 36 types of service use data were subjected to a cluster analysis that found five clusters. These service pattern clusters differed from each other on proportion HIV positive, HIV testing history, history of abuse, education, type of residence, type of funding, intervention type, and ethnicity. The analysis also suggests that domestic violence services availability and utilization should be examined more thoroughly in the future for HIV infected/affected populations.
Literature
go back to reference Aldenderfer, M. S., & Blashfield, R. K. (1984). Cluster analysis (Vol. 07–044). Beverly Hills: Sage Publications. Aldenderfer, M. S., & Blashfield, R. K. (1984). Cluster analysis (Vol. 07–044). Beverly Hills: Sage Publications.
go back to reference Brown, V. B., Smereck, G. A., German, V., Hughes, C., Melchior, L. A., & Huba, G. J. (2000). Change in perceived barriers and facilitators to treatment among women with HIV/AIDS as a function of psychosocial service utilization. AIDS Patient Care and STDs, 14(7), 381–390. doi:10.1089/108729100413248.CrossRefPubMed Brown, V. B., Smereck, G. A., German, V., Hughes, C., Melchior, L. A., & Huba, G. J. (2000). Change in perceived barriers and facilitators to treatment among women with HIV/AIDS as a function of psychosocial service utilization. AIDS Patient Care and STDs, 14(7), 381–390. doi:10.​1089/​108729100413248.CrossRefPubMed
go back to reference Edwards, J. W., Fisher, D. G., & Reynolds, G. L. (2007). Male-to-female transgender and transsexual clients of HIV service programs in Los Angeles County, California. American Journal of Public Health, 97(6), 1030–1033. doi:10.2105/AJPH.2006.097717.CrossRefPubMed Edwards, J. W., Fisher, D. G., & Reynolds, G. L. (2007). Male-to-female transgender and transsexual clients of HIV service programs in Los Angeles County, California. American Journal of Public Health, 97(6), 1030–1033. doi:10.​2105/​AJPH.​2006.​097717.CrossRefPubMed
go back to reference Hosmer, D. W., & Lemeshow, S. (2000). Applied logistic regression (2nd ed.). New York: Wiley. Hosmer, D. W., & Lemeshow, S. (2000). Applied logistic regression (2nd ed.). New York: Wiley.
go back to reference Huba, G. J., Melchior, L. A., Woods, E. R., Panter, A. T., Feudo, R., Schneir, A., et al. (2000). Service use patterns of youth with, and at high risk for, HIV: A care typology. AIDS Patient Care and STDs, 14(7), 359–379. doi:10.1089/108729100413239.CrossRefPubMed Huba, G. J., Melchior, L. A., Woods, E. R., Panter, A. T., Feudo, R., Schneir, A., et al. (2000). Service use patterns of youth with, and at high risk for, HIV: A care typology. AIDS Patient Care and STDs, 14(7), 359–379. doi:10.​1089/​108729100413239.CrossRefPubMed
go back to reference Kalton, G. (1983). Introduction to survey sampling (Vol. 07–035). Beverly Hills: Sage. Kalton, G. (1983). Introduction to survey sampling (Vol. 07–035). Beverly Hills: Sage.
go back to reference Knowlton, A. R., Hoover, D. R., Chung, S. E., Celentano, D. D., Vlahov, D., & Latkin, C. A. (2001). Access to medical care and service utilization among injection drug users with HIV/AIDS. Drug and Alcohol Dependence, 64(1), 55–62. doi:10.1016/S0376-8716(00)00228-3.CrossRefPubMed Knowlton, A. R., Hoover, D. R., Chung, S. E., Celentano, D. D., Vlahov, D., & Latkin, C. A. (2001). Access to medical care and service utilization among injection drug users with HIV/AIDS. Drug and Alcohol Dependence, 64(1), 55–62. doi:10.​1016/​S0376-8716(00)00228-3.CrossRefPubMed
go back to reference McCormick, W. C., Hopkins, S. G., Wood, R. W., Wood, C. D., Deyo, R. A., & Inui, T. S. (1993). The Seattle appropriate level of care survey: Health status and health services use in ambulatory persons with AIDS. AIDS Care, 5(3), 369–378. doi:10.1080/09540129308258619.CrossRefPubMed McCormick, W. C., Hopkins, S. G., Wood, R. W., Wood, C. D., Deyo, R. A., & Inui, T. S. (1993). The Seattle appropriate level of care survey: Health status and health services use in ambulatory persons with AIDS. AIDS Care, 5(3), 369–378. doi:10.​1080/​0954012930825861​9.CrossRefPubMed
go back to reference McFadden, D. (1974). Conditional logit analysis of qualitative choice behaviour. In P. Zarembka (Ed.), Frontiers in econometrics. New York: Academic Press. McFadden, D. (1974). Conditional logit analysis of qualitative choice behaviour. In P. Zarembka (Ed.), Frontiers in econometrics. New York: Academic Press.
go back to reference Pollack, H. A., Khoshnood, K., Blankenship, K. M., & Altice, F. L. (2002). The impact of needle exchange–based health services on emergency department use. Journal of General Internal Medicine, 17, 341–348.PubMed Pollack, H. A., Khoshnood, K., Blankenship, K. M., & Altice, F. L. (2002). The impact of needle exchange–based health services on emergency department use. Journal of General Internal Medicine, 17, 341–348.PubMed
go back to reference Steward, W. T., Charlebois, E. D., Johnson, M. O., Remien, R. H., Goldstein, R. B., Wong, L., et al. (2008). Receipt of prevention services among HIV-infected men who have sex with men. American Journal of Public Health, 98(6), 1011–1014. doi:10.2105/AJPH.2007.124933.CrossRefPubMed Steward, W. T., Charlebois, E. D., Johnson, M. O., Remien, R. H., Goldstein, R. B., Wong, L., et al. (2008). Receipt of prevention services among HIV-infected men who have sex with men. American Journal of Public Health, 98(6), 1011–1014. doi:10.​2105/​AJPH.​2007.​124933.CrossRefPubMed
go back to reference Wilkinson, W. (2008). Behavioral risk and HIV service needs of at-risk African Americans in five California regions. Sacramento: One Love: African American HIV Prevention Capacity Building Project. Wilkinson, W. (2008). Behavioral risk and HIV service needs of at-risk African Americans in five California regions. Sacramento: One Love: African American HIV Prevention Capacity Building Project.
go back to reference Wishart, D. (2006). Clustan graphics primer: A guide to cluster analysis (4th ed.). Edinburgh: Clustan Limited. Wishart, D. (2006). Clustan graphics primer: A guide to cluster analysis (4th ed.). Edinburgh: Clustan Limited.
Metadata
Title
HIV Services Utilization in Los Angeles County, California
Authors
Dennis G. Fisher
David Wishart
Grace L. Reynolds
Jordan W. Edwards
Lee M. Kochems
Michael A. Janson
Publication date
01-04-2010
Publisher
Springer US
Published in
AIDS and Behavior / Issue 2/2010
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-008-9500-3

Other articles of this Issue 2/2010

AIDS and Behavior 2/2010 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.