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1996-02-26
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Document 0156
DOCN M9620156
TI Evaluation of a program to remove barriers to public health care for
women with HIV infection.
DT 9602
AU Kissinger P; Clark R; Rice J; Kutzen H; Morse A; Brandon W; Department
of Medicine, Louisiana State University, Tulane; University School of
Public Health and Tropical Medicine, New; Orleans 70112-2282, USA.
SO South Med J. 1995 Nov;88(11):1121-5. Unique Identifier : AIDSLINE
MED/96049158
AB To facilitate access to care for HIV-infected women, a maternal-child
program was started at an HIV outpatient clinic in New Orleans. The
program consisted of free child care and transportation, separate
waiting and examination rooms, female care providers, merged visits for
mother and child, and on-site colposcopy services. This study evaluates
the efficacy of the program on improving attendance at the clinic by
follow-up of 143 women and 557 men (serving as controls). Multivariate
models were adjusted for history of intravenous drug abuse, race, age,
CD4 cell count, staging of disease, and time in the clinic. Half of the
clients achieved high attendance rates. Women were as likely as men to
achieve high attendance rates before the interventions, but more likely
to do so at both 6 months and 1 year postintervention (after adjustment
for the other variables). These results suggest that responding to
special gender-related needs can improve women's attendance for clinic
visits.
DE Adult Age Factors Ambulatory Care Appointments and Schedules Child
Child Care Child Health Services Colposcopy CD4 Lymphocyte Count
Facility Design and Construction Female Follow-Up Studies *Health
Services Accessibility Health Services Needs and Demand Human *HIV
Infections Louisiana Male *Maternal Health Services Maternal-Child
Health Centers Multivariate Analysis Patient Acceptance of Health Care
Program Evaluation Racial Stocks Sex Factors Substance Abuse,
Intravenous Transportation *Women's Health JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).