Table 1.
Associations between healthcare coverage type and unmet needs for HIV ancillary care services among adults with diagnosed HIV – United States, 2017–2020 (N = 12 273)a.
Coverage type | ≥1 unmet need for any ancillary care servicesb | ≥1 unmet need for HIV clinical support servicesc | ≥1 unmet need for other medical serviced | ≥1 unmet need for subsistence servicee | ||||||||||||
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n | wted row % (95% CI) | aPR (95% CI)* | P | n | wted row % (95% CI) | aPR (95% CI)* | P | n | wted row % (95% CI) | aPR (95% CI)* | P | n | wted row % (95% CI) | aPR (95% CI)* | P | |
| ||||||||||||||||
Overall | 5608 | 46.7 (45.0–48.3) | 1755 | 15.4 (14.4–16.3) | 3412 | 28.8 (27.6–29.9) | 3114 | 25.9 (24.4–27.4) | ||||||||
Private | ||||||||||||||||
≥400% FPL | 264 | 21.7 (18.9–24.5) | Reference | 106 | 8.8 (7.0–10.7) | Reference | 191 | 15.7 (13.0–18.3) | Reference | 45 | 3.2 (2.1–4.3) | Reference | ||||
<400% FPL | 1117 | 41.5 (38.5–44.6) | 1.87 (1.60–2.18) | <0.001 | 362 | 13.5 (11.9–15.2) | 1.49 (1.16–1.91) | 0.002 | 697 | 26.2 (24.0–28.5) | 1.64 (1.36–1.99) | <0.001 | 525 | 19.6 (17.5–21.7) | 5.87 (4.12–8.36) | <0.001 |
Medicaid | 2655 | 52.4 (49.9–54.9) | 2.40 (2.10–2.75) | <0.001 | 825 | 17.4 (16.0–18.7) | 1.96 (1.56–2.48) | <0.001 | 1585 | 32.0 (29.8–34.2) | 2.04 (1.71–2.44) | <0.001 | 1611 | 31.7 (29.3–34.1) | 9.83 (6.96–13.87) | <0.001 |
Medicare | 451 | 48.5 (44.0–52.9) | 2.33 (1.99–2.73) | <0.001 | 136 | 15.4 (11.8–19.0) | 1.86 (1.34–2.58) | <0.001 | 260 | 27.2 (23.8–30.6) | 1.83 (1.49–2.25) | <0.001 | 253 | 27.4 (24.3–30.5) | 9.24 (6.50–13.13) | <0.001 |
Uninsured | 651 | 58.7 (55.1–62.2) | 2.57 (2.23–2.96) | <0.001 | 169 | 17.6 (14.6–20.5) | 1.85 (1.43–2.39) | <0.001 | 413 | 37.0 (33.6–40.4) | 2.25 (1.86–2.72) | <0.001 | 407 | 36.6 (33.4–39.7) | 10.45 (7.33–14.88) | <0.001 |
Other | 366 | 48.2 (44.1–52.3) | 2.17 (1.88–2.52) | <0.001 | 125 | 17.8 (14.7–20.8) | 1.96 (1.47–2.62) | <0.001 | 199 | 26.7 (22.5–30.9) | 1.67 (1.36–2.07) | <0.001 | 216 | 28.2 (24.7–31.8) | 8.51 (5.97–12.14) | <0.001 |
aPR, adjusted prevalence ratios; CI, confidence interval; FPL, federal poverty level.
Adjusted for age. All P-values are associated with aPRs.
Includes unmet needs for HIV clinical support services, other medical services, or subsistence services.
Includes unmet needs for HIV case management, adherence counseling, peer group, patient navigation services.
Includes unmet needs for dental, mental health, drug/alcohol counseling or treatment services.
Includes unmet needs for Supplemental Nutrition Assistance Program (SNAP) or Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) services, meal or food services, transportation assistance, or shelter or housing services.