Document 0072
 DOCN  M95A0072
 TI    An assessment of Ryan White Title IIIb HIV early intervention programs
       in Region VI of the United States Public Health Service.
 DT    9510
 AU    Rawlings MK; Stevens RL; Community-Oriented Primary Care Program of
       Parkland Memorial; Hospital, Dallas, Texas, USA.
 SO    J Natl Med Assoc. 1995 Jun;87(6):436-40. Unique Identifier : AIDSLINE
       MED/95318989
 AB    A survey was conducted of 15 early intervention programs in Region VI of
       the United States Public Health Service (USPHS) to determine when human
       immunodeficiency virus (HIV)-infected clients assessed care. Data were
       collected from 672 HIV-infected patients who received medical care
       between March 1991 and July 1993. Eighty-four percent were male, 42%
       were white, 35% were African-American, 22% were Hispanic, and less than
       1% defined themselves as other. Information also was obtained on HIV
       risk factors and CD4 counts on entry to the facility. Thirty percent of
       patients had entry CD4 counts > 500/mm3, 55% had counts between 499 and
       200/mm3, and 25% < 200/mm3. The distribution of entry CD4 counts were
       similar to those reported from two large, urban, public-hospital HIV
       clinics. The most common risk factor for all ethnicities was
       male-to-male sex (53%), followed by heterosexual exposure (17%), and
       injection drug use (16%). The results indicate that the majority of
       clients who initially present to Title IIIb early intervention programs
       in Region VI are of ethnic minority groups. Based on entry CD4 counts,
       patients in Title IIIb programs present late with one fourth at acquired
       immunodeficiency syndrome (AIDS)-defining levels. Regardless of
       ethnicity, male-to-male sex was the highest risk factor in this region.
       These findings have significant implications for the targeting of
       specific populations for outreach and for possibly reallocating funds
       for future planning of Ryan White Comprehensive AIDS Emergency Care Act
       programs.
 DE    Acquired Immunodeficiency Syndrome/ECONOMICS/PREVENTION & CONTROL/
       TRANSMISSION  *Community Health Services/ECONOMICS  Evaluation Studies
       Female  Health Surveys  Human  HIV Infections/ECONOMICS/*PREVENTION &
       CONTROL/TRANSMISSION  Male  Minority Groups  Risk Factors  United States
       United States Public Health Service  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).