Table 4.
Support Services Received and Unmet Need for Services Among Patients Attending Outpatient HIV Health Care Facilities by Ryan White HIV/AIDS Program Funding Statusa
| Characteristic | Service Received, No. (%) [95% CI]b | Unmet Need for Service, No. (%) [95% CI]b | ||||
|---|---|---|---|---|---|---|
| RWHA-Funded Facilities (N = 6013) |
Non-RWHAP-Funded Facilities (n = 2025) |
P Value | RWHAP-Funded Facilities (n = 6013) |
Non-RWHAP-Funded Facilities (n = 2025) |
P Value | |
| Comprehensive health services | ||||||
| Mental health | 1781 (29.3) [27.1–31.4] |
478 (23.3) [20.9–25.7] |
<.001 | 356 (6.1) [5.4–6.8] |
136 (6.8) [5.4–8.2] |
.34 |
| Substance abuse | 665 (10.3) [8.7–12.0] |
136 (6.6) (5.4–7.9] |
<.001 | 110 (2.1) [1.6–2.5] |
30 (1.3) [0.8–1.9] |
.06 |
| Dental care | 3400 (56.4) [54.2–58.6] |
1293 (63.2) (58.9–67.5] |
.002 | 1439 (24.5) [22.5–26.5] |
400 (19.9) [16.1–23.6] |
.009 |
| Other supportive services | ||||||
| Case management | 4029 (66.5) [63.4–69.7] |
786 (39.5) [32.7–46.3] |
<.001 | 299 (4.9) [4.3–5.6] |
108 (5.7) [4.5–7.0] |
.23 |
| Adherence counselingc | 1409 (23.0) [21.0–25.0] |
211 (10.3) [8.3–12.4] |
<.001 | 118 (1.9) [1.4–2.3] |
51 (2.4) [1.7–3.1] |
.15 |
| Interpreter services | 226 (3.8) [2.8–4.8] |
19 (1.0) [0.5–1.5] |
<.001 | 29 (0.4) [0.2–0.6] |
3 (0.1) [0.0–0.3] |
.02 |
| Transportation assistance | 1772 (28.7) [26.6–30.7] |
311 (15.9) [12.4–19.4] |
<.001 | 596 (10.0) [8.6–11.3] |
125 (6.0) [4.5–7.5] |
<.001 |
| Meal/food services | 1997 (31.9) [29.6–34.1] |
432 (21.1) [17.2–25.0] |
<.001 | 491 (8.4) [7.1–9.8] |
85 (4.1) [3.1–5.1] |
<.001 |
| Shelter or housing | 1099 (17.8) [16.0–19.5] |
207 (10.2) [8.0–12.4] |
<.001 | 529 (8.9) [7.9–9.8] |
106 (5.2) [4.3–6.2] |
<.001 |
| Prevention services | ||||||
| Risk reduction counselingd | 2879 (47.4) [44.8–50.1] |
502 (25.0) [20.6–29.5] |
<.001 | 74 (1.2) [0.9–1.6] |
16 (0.8) [0.4–1.3] |
.16 |
Abbreviations: HIV, human immunodeficiency virus; RWHAP, Ryan White HIV/AIDS Program.
Percentages for services received refer to the percent of all patients receiving care at RWHAP-funded or non–RWHAP-funded facilities who reported receiving a service. Percentages for unmet need for services refer to the percent of patients not receiving a service who report a need for that service. Data presented as No. (%) are sample size (weighted percentage). Facility and patient data were weighted based on known probabilities of selection and adjusted for nonresponse using predictors of facility-level and patient-level response. The sample design and weighting methods allow inference to all outpatient HIV health care facilities providing care and HIV-infected persons receiving care in the United States during the first 4 months of the cycle year (2009 and 2011).
Consultations or programs specifically designed to improve patient adherence to HIV treatment.
Sessions provided by a counselor trained specifically to conduct this type of counseling.