Table 4.
Themes Across Time Points from Analysis of Semistructured Interviews with People with HIV in Virginia Regarding Transition to Virginia Medicaid in 2019 Due to Medicaid Expansion with Representative Participant Quote Examples and Frequencies
| Theme | Representative quote | n (%) |
|---|---|---|
| Social determinants of health: describes underlying social determinants of health throughout interviews, including challenges of transportation, housing security, food access/security, incarceration, mental health, and outside social support. | ||
| Transportation | “Medicaid is just for me to, I guess, you know, give me rides back and forth to doctors' appointments and pay for some medications.” (black male, 56–65) | 22 (79) |
| Food access/security | “I was smaller [before enrolling] but then when I got to a weight where they wanted me and it's holding up well. I'm not going up and down. It's the same.” (black male, 56–65) | 8 (29) |
| Housing | INTERVIEWER: “Yeah, what can Medicaid do better for you?” INTERVIEWEE: “Just better housing…” (black male, 36–45) |
2 (7) |
| Mental health | “That's one thing I think a lot of us HIV people have to deal with is the swings, the different swings in your mood. You're up one day and down the next and sort of the normal life I would say. You need a good support. That's why I was saying I think I might try to go to this men's thing in a couple weeks. Support group, I don't know.” (white male, 56–64) | 2 (7) |
| Incarceration | “My family, when I got arrested said, ‘I need to bring her medication to the jail,’ you know, ‘She's gonna need her medication,’ … but they wouldn't … so that made me not be able to get the medication for like almost two to three weeks.” (white female, 46–55) | 2 (7) |
| Trust: describes sentiments of trust displayed in clinicians, social workers, or case managers throughout Medicaid enrollment | “I mean, one way or the other something will be in place. I know even with all these changes there's always gonna be one by the wayside that you'd have something to fill in and continue on with it so that was kind of like a reassuring thing to me, talking to the people where you are.” (white male, 46–55) | 5 (18) |
| HIV medication adherence | “I was taking [HIV medications] but I was having problems getting them because I didn't have Medicaid.” (black female, 56–65) | 4 (14) |
For all quotes, participants' self-identified race, gender, and age group are stated, except for themes or race-gender categories with only one participant to preserve privacy.