Document 0051
 DOCN  M9550051
 TI    Clients without health insurance at publicly funded HIV counseling and
       testing sites: implications for early intervention.
 DT    9505
 AU    Valdiserri RO; Gerber AR; Dillon BA; Campbell CH Jr; Centers for Disease
       Control and Prevention, National Center for; Prevention Services,
       Atlanta, GA 30333.
 SO    Public Health Rep. 1995 Jan-Feb;110(1):47-52. Unique Identifier :
       AIDSLINE MED/95140866
 AB    The characteristics of clients reporting no health insurance were
       compared with those reporting any health insurance at publicly funded
       human immunodeficiency virus (HIV) counseling and testing sites in the
       United States during 1992. Thirty of 65 funded health departments
       collect data on self-reported health insurance status. Data were
       dichotomized into two groups, clients reporting any health insurance
       versus those reporting none, and multivariate logistic models were
       developed to explore independent associations. Of the 885,046 clients
       studied, 440,416 reported that they lacked health insurance. Clients
       without health insurance were more likely to be male, members of racial
       or ethnic minorities, adolescent, and HIV seropositive. Prisoners (odds
       ratio = 0.26), clients of Hispanic ethnicity (odds ratio = 0.52), and
       clients receiving testing during field visits (odds ratio = 0.53) in
       drug treatment centers (odds ratio = 0.55) and in tuberculosis clinics
       (odds ratio = 0.55) were less likely to have health insurance. Injecting
       drug users, whether heterosexual (odds ratio = 0.65) or homosexual (odds
       ratio = 0.67), were less likely to have health insurance compared with
       other behavioral risk groups. Large numbers of clients receiving
       publicly funded HIV counseling and testing lack health insurance. Lack
       of health insurance may interfere with subsequent receipt of needed
       primary care services among high-risk clients, especially HIV
       seropositive clients in need of early intervention services.
 DE    Adolescence  Adult  Centers for Disease Control and Prevention (U.S.)
       Child  Child, Preschool  Community Health Centers/ECONOMICS/*UTILIZATION
       Comparative Study  *Counseling  Female  Human  HIV
       Infections/*DIAGNOSIS/THERAPY  Infant  Logistic Models  Male  Medically
       Uninsured/ETHNOLOGY/*STATISTICS & NUMER DATA  Middle Age  Odds Ratio
       Public Health Administration  Retrospective Studies  Risk-Taking  United
       States  JOURNAL ARTICLE

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