Table 1.
Percentagea of Patients by Healthcare Payer Type: By Patient Characteristics, Medical Monitoring Project, 2009–2013 (n = 18 049)
| Total Sample | Healthcare Coverage 56.5% of Total (95% CI, 54.6–58.4) | Healthcare Coverage + RWHAP Assistance 25.4% of Total (95% CI, 23.5–27.3) | RWHAP Assistance Only 15.3% of Total (95% CI, 13.1–17.6) | Uninsured, no RWHAP Assistance 2.7% of Total (95% CI, 2.1–3.3) | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| n | % | 95% CI | % | 95% CI | % | 95% CI | % | 95% CI | % | 95% CI | ||||||
| Healthcare payer type | ||||||||||||||||
| RWHAP only | 2581 | 15.3 | 13.1 | 17.6 | 100.0 | … | … | |||||||||
| Private | 2882 | 17.0 | 14.8 | 19.1 | 30.0 | 26.6 | 33.7 | |||||||||
| Medicaid | 2905 | 15.9 | 14.3 | 17.6 | 28.2 | 25.3 | 31.1 | |||||||||
| Medicare | 634 | 3.4 | 2.9 | 3.8 | 5.9 | 5.2 | 6.8 | |||||||||
| Medicaid + Medicare | 1619 | 9.4 | 8.3 | 10.5 | 16.7 | 14.7 | 18.9 | |||||||||
| Other public | 446 | 1.6 | .3 | 2.9 | 2.9 | 1.3 | 6.2 | |||||||||
| Private + RWHAP | 944 | 5.2 | 4.6 | 5.8 | 20.6 | 18.3 | 23.1 | |||||||||
| Medicaid+RWHAP | 1087 | 5.5 | 4.3 | 6.6 | 21.5 | 16.6 | 27.2 | |||||||||
| Medicare+RWHAP | 625 | 3.4 | 2.8 | 4.1 | 13.5 | 11.2 | 16.2 | |||||||||
| Medicaid+Medicare+RWHAP | 764 | 4.2 | 3.5 | 4.9 | 16.5 | 13.5 | 19.9 | |||||||||
| Other public + RWHAP | 539 | 2.5 | 1.4 | 3.5 | 9.7 | 6.6 | 13.8 | |||||||||
| VA/Champus/Tricareb | 353 | 1.8 | 1.0 | 2.7 | 3.0 | 1.9 | 4.9 | .5 | .3 | .8 | ||||||
| Other payer typeb | 2181 | 12.1 | 9.9 | 14.2 | 13.3 | 11.6 | 15.2 | 17.8 | 13.5 | 23.1 | ||||||
| Uninsured | 489 | 2.7 | 2.1 | 3.3 | 100.0 | … | … | |||||||||
| Gender | ||||||||||||||||
| Male | 13 025 | 72.4 | 70.0 | 74.8 | 70.3 | 67.5 | 73.1 | 76.0 | 72.6 | 79.4 | 74.8 | 72.5 | 77.1 | 68.2 | 63.4 | 73.0 |
| Female | 4772 | 26.3 | 23.9 | 28.6 | 28.6 | 25.9 | 31.4 | 22.6 | 19.2 | 26.0 | 23.0 | 20.9 | 25.1 | 29.9 | 24.9 | 34.9 |
| Transgender/Intersex | 246 | 1.3 | 1.1 | 1.6 | 1.1 | .8 | 1.3 | 1.4 | 1.0 | 1.7 | 2.2 | 1.6 | 2.7 | 1.9 | .6 | 3.2 |
| Age (years) | ||||||||||||||||
| 18–29 | 1336 | 7.6 | 6.8 | 8.3 | 5.6 | 4.9 | 6.3 | 6.9 | 5.6 | 8.2 | 14.1 | 12.3 | 15.9 | 18.3 | 13.4 | 23.2 |
| 30–39 | 2834 | 16.0 | 15.3 | 16.7 | 13.6 | 12.9 | 14.4 | 15.3 | 13.9 | 16.6 | 23.6 | 21.8 | 25.4 | 28.8 | 23.9 | 33.6 |
| 40–49 | 6380 | 35.1 | 34.3 | 35.9 | 34.7 | 33.5 | 35.8 | 35.1 | 33.4 | 36.8 | 37.1 | 35.1 | 39.2 | 32.4 | 27.4 | 37.4 |
| ≥50 | 7499 | 41.3 | 40.5 | 42.2 | 46.1 | 44.8 | 47.4 | 42.8 | 40.2 | 45.4 | 25.2 | 23.0 | 27.3 | 20.5 | 17.0 | 24.0 |
| Race/Ethnicity | ||||||||||||||||
| non-Hispanic black | 7457 | 41.3 | 34.7 | 48.0 | 41.4 | 34.6 | 48.2 | 36.7 | 27.7 | 45.8 | 46.5 | 41.2 | 51.9 | 53.7 | 47.1 | 60.4 |
| non-Hispanic white | 5887 | 34.5 | 29.3 | 39.7 | 35.7 | 30.1 | 41.3 | 40.9 | 33.4 | 48.4 | 22.5 | 19.9 | 25.1 | 16.4 | 12.6 | 20.1 |
| Hispanic | 3876 | 19.3 | 15.2 | 23.5 | 18.1 | 13.3 | 23.0 | 17.3 | 12.7 | 21.8 | 26.2 | 21.4 | 31.0 | 25.5 | 20.3 | 30.7 |
| Other | 829 | 4.8 | 4.1 | 5.5 | 4.7 | 3.9 | 5.5 | 5.1 | 4.0 | 6.2 | 4.8 | 3.8 | 5.7 | 4.4 | 2.3 | 6.5 |
| Nativity | ||||||||||||||||
| US-born | 15 663 | 86.6 | 85.1 | 88.1 | 90.4 | 88.9 | 91.8 | 88.7 | 86.9 | 90.4 | 71.6 | 66.5 | 76.7 | 73.4 | 66.5 | 80.2 |
| Foreign-born | 2379 | 13.4 | 11.9 | 14.9 | 9.6 | 8.2 | 11.1 | 11.3 | 9.6 | 13.1 | 28.4 | 23.3 | 33.5 | 26.6 | 19.8 | 33.5 |
| Education | ||||||||||||||||
| Less than high school | 3958 | 21.0 | 19.1 | 22.8 | 21.9 | 19.8 | 24.1 | 17.5 | 14.6 | 20.4 | 22.4 | 20.5 | 24.3 | 25.9 | 21.1 | 30.7 |
| High school graduatec | 4924 | 27.0 | 25.4 | 28.6 | 25.8 | 24.3 | 27.2 | 26.7 | 24.1 | 29.3 | 31.1 | 28.7 | 33.5 | 32.3 | 27.9 | 36.7 |
| Some college or more | 9160 | 52.0 | 48.9 | 55.2 | 52.3 | 49.0 | 55.6 | 55.8 | 50.8 | 60.9 | 46.5 | 43.8 | 49.2 | 41.9 | 36.7 | 47.0 |
| Poverty statusd | ||||||||||||||||
| Above poverty level | 9418 | 55.8 | 52.8 | 58.8 | 56.5 | 52.6 | 60.3 | 60.0 | 57.2 | 62.8 | 47.9 | 45.0 | 50.8 | 44.8 | 39.9 | 49.7 |
| At or below poverty level | 8033 | 44.2 | 41.2 | 47.2 | 43.5 | 39.7 | 47.4 | 40.0 | 37.2 | 42.8 | 52.1 | 49.2 | 55.0 | 55.2 | 50.3 | 60.1 |
| Homeless (past 12 mo)e | ||||||||||||||||
| Yes | 1510 | 8.2 | 7.6 | 8.9 | 7.5 | 6.7 | 8.3 | 8.1 | 7.0 | 9.1 | 10.2 | 8.3 | 12.2 | 13.0 | 10.4 | 15.6 |
| No | 16 538 | 91.8 | 91.1 | 92.4 | 92.5 | 91.7 | 93.3 | 91.9 | 90.9 | 93.0 | 89.8 | 87.8 | 91.7 | 87.0 | 84.4 | 89.6 |
| Time since HIV diagnosis | ||||||||||||||||
| <5 y | 3772 | 22.1 | 21.1 | 23.1 | 18.8 | 17.6 | 19.9 | 20.2 | 18.7 | 21.7 | 33.2 | 30.8 | 35.6 | 46.6 | 41.4 | 51.7 |
| 5–9 y | 3851 | 21.3 | 20.6 | 22.0 | 20.2 | 19.3 | 21.1 | 20.3 | 19.1 | 21.4 | 25.8 | 23.7 | 27.8 | 26.3 | 22.6 | 30.1 |
| 10+ years | 10 416 | 56.6 | 55.3 | 58.0 | 61.0 | 59.5 | 62.5 | 59.5 | 57.7 | 61.4 | 41.1 | 38.9 | 43.2 | 27.1 | 23.0 | 31.2 |
| HIV disease stagef | ||||||||||||||||
| Stage 1: No AIDS and nadir CD4 ≥500 (or CD4% ≥29) | 1203 | 7.0 | 6.5 | 7.5 | 7.3 | 6.6 | 7.9 | 5.7 | 4.7 | 6.6 | 6.6 | 5.5 | 7.6 | 15.7 | 11.9 | 19.6 |
| Stage 2: No AIDS and nadir CD4 200–499 (or CD4% 14–<29) | 4310 | 24.4 | 23.5 | 25.3 | 23.7 | 22.4 | 24.9 | 20.3 | 18.4 | 22.2 | 31.0 | 28.9 | 33.0 | 39.5 | 34.2 | 44.8 |
| Stage 3: AIDS or nadir CD4 0–199 (or CD4% <14) | 12 469 | 68.7 | 67.7 | 69.6 | 69.1 | 67.7 | 70.4 | 74.0 | 71.6 | 76.5 | 62.5 | 60.3 | 64.6 | 44.7 | 38.3 | 51.1 |
| Prescribed ARTg (%) | ||||||||||||||||
| Yes | 16 495 | 91.1 | 90.6 | 91.7 | 90.3 | 89.6 | 91.0 | 95.4 | 94.4 | 96.4 | 94.2 | 92.8 | 95.5 | 52.1 | 46.0 | 58.2 |
| No | 1554 | 8.9 | 8.3 | 9.4 | 9.7 | 9.0 | 10.4 | 4.6 | 3.6 | 5.6 | 5.8 | 4.5 | 7.2 | 47.9 | 41.8 | 54.0 |
| HIV viral load undetectable or <200 copies/mL (%) Yes |
13 530 | 74.7 | 73.5 | 76.0 | 74.3 | 72.8 | 75.8 | 78.4 | 76.8 | 80.0 | 76.7 | 74.5 | 78.8 | 38.8 | 33.7 | 43.9 |
| No | 4519 | 25.3 | 24.0 | 26.5 | 25.7 | 24.2 | 27.2 | 21.6 | 20.0 | 23.2 | 23.3 | 21.2 | 25.5 | 61.2 | 56.1 | 66.3 |
| Total | 18 095 | 100.0 | 100.0 | 100.0 | 100.0 | 100.0 | ||||||||||
Abbreviations: ART, antiretroviral therapy; CI, confidence interval; HIV, human immunodeficiency virus; RWHAP, Ryan White HIV/AIDS Program.
Percentages and 95% CIs are weighted to account for unequal selection probabilities and non-response.
Some patients with this payer type also received RWHAP assistance.
Includes general education development (GED) credential.
US Department of Health and Human Services. HHS Poverty Guidelines. Available at: http://aspe.hhs.gov/poverty/09poverty.shtml.
McKinney-Vento definition of homelessness: living on the street, living in a shelter, living in a single-room-occupancy hotel, temporarily staying with friends or family, or living in a car. A person is categorized as homeless if that person lacks a fixed, regular, adequate night-time residence or has a steady night-time residence that is 1) a supervised publicly or privately operated shelter designed to provide temporary living accommodation, 2) an institution that provides a temporary residence for persons intended to be institutionalized, or 3) a public or private place not designed for or ordinarily used as a regular sleeping accommodation for human beings (eg, in an automobile or under a bridge) (Stewart B. McKinney Homeless Assistance Act, 42 U.S.C. §11301, et seq; 1987).
Schneider E, Whitmore S, Glynn KM, et al Revised surveillance case definitions for HIV infection among adults, adolescents, and children aged <18 months and for HIV infection and AIDS among children aged 18 months to <13 years—United States, 2008. MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports/Centers for Disease Control. Dec 5 2008; 57(RR-10):1–12.
Documented ART prescription in the medical record during the 12 months prior to interview.