AI Article Synopsis
- The Health Resources and Services Administration mandates that organizations receiving Ryan White funding use evidence-based approaches to assess needs, establish priorities, and allocate resources.
- The 2011 Los Angeles Coordinated HIV/AIDS Needs Assessment-Care (LACHNA-Care) study expanded its sample size significantly to better understand awareness and service utilization among clients, revealing high awareness for medical care but low for other services like child care.
- Key findings indicated that many participants (81%) faced service gaps, with lack of insurance, substance use, and lapses in medical care being major contributing factors, while incarceration history correlated with significant gaps in housing, transportation, and case management services.
Article Abstract
The Health Resources and Services Administration requires that jurisdictions receiving Ryan White (RW) funding justify need, set priorities, and provide allocations using evidence-based methods. Methods and results from the 2011 Los Angeles Coordinated HIV/AIDS Needs Assessment-Care (LACHNA-Care) study are presented. Individual-level weights were applied to expand the sample from 400 to 18 912 persons, consistent with the 19 915 clients in the system. Awareness, need, and utilization for medical outpatient care were high (>90%). Other services (eg, child care) had limited awareness (21%). Majority of participants reported at least 1 service gap (81%). Lack of insurance (risk ratio [RR] = 3.0, 95% confidence interval [CI]: 1.5-6.2), substance use (RR = 2.9, 95% CI: 1.3-6.4), and past lapses in medical care (RR = 2.8, 95% CI: 1.3-5.9) were associated with gaps. Within clusters, past incarceration was associated with gaps for housing (RR = 13.5, 95% CI: 3.5-52.1), transportation (RR = 3.2, 95% CI: 1.2-8.4), and case management (RR = 4.0, 95% CI: 1.3-12.2). Applied methods resulted in representative data instrumental to RW program planning efforts.
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| http://dx.doi.org/10.1177/2325957415592476 | DOI Listing |
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