4099.0: Tuesday, November 14, 2000 - Board 7

Abstract #11144

Disparities in public health service utilization and need of HIV-positive substance users: Results of a statewide assessment

John Brion, RN, MS and Amy Davis, MPH, CHES. AIDS Client Resources, The Ohio Department of Health, 246 North High Street, 6th Floor, Columbus, OH 43266-0118, 614-466-8369, jbrion@gw.odh.state.oh.us

Introduction of new HIV treatment modalities has changed the course of infection for many individuals. As HIV infection moves from an acute to a chronic type of health problem, the support needs of the infected person are changing as well. The need to access public health services in addition to primary and specialized medical care and treatment has increased for people with HIV. A 1999 statewide assessment was conducted in the state of Ohio to examine public health service utilization and needs of people living with HIV. Survey data were obtained from 1417 individuals. The survey consists of 120 items related to service needs, access barriers, and respondent characteristics. A sub-group of individuals with a history of drug and/or alcohol use/abuse (n=247) was analyzed to examine service needs and utilization among white (n=126) and non-white (n=121) male and female respondents. Another sub-group of tobacco users (n=754) was also examined. These analyses revealed significant differences in many demographic categories and disparities in the utilization and need for public health services. These disparities have serious implications for public health and substance abuse treatment program planning and implementation.

Learning Objectives: At the conclusion of this session, participants will be able to: 1) Identify characteristics and resouce utilization/need of a statewide population of HIV-positive substance users. 2) Prioritize the public health needs of HIV-positive individuals engaging in substance use/abuse. 3) Discuss the implications of substance use/abuse on public health programming for HIV-positive individuals

Keywords: HIV/AIDS, Substance Abuse

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA