Minority HIV+ populations in the inner cities have complex psychological and health needs and are greatly understudied. In addition to medical concerns, in order to meet client needs, psychological stress and multidimensional health functioning need to be understood. Clinical experience suggests that over time the complex regimen of HIV treatment may add to other stressors for these clients. A sample of HIV+ clients (N=91) at primary care clinics in the inner city Bronx were assessed using the MOS SF 36 and BSI instruments. Over half (53%) of the clients were Puerto Rican and over one third (36%) were Black. The majority (52%) were not able to work due to medical limitations. Median scores for the self reported symptom inventory (BSI) were generally comparable to norms for both inpatient and outpatient psychiatric patients. Preliminary analysis documents that general health, as reported in the MOS SF 36 scale, was significantly decreased (N=54) over a 6 month period. The relationship of changes over 6 months in the Global Severity Index (from BSI) and changes in perceived General Health (from the MOS SF36) will be presented.
Learning Objectives: At the conclusion of this session the participant will be able to: 1. recognize a relationship between psychological stress and perceived health in a unique population. 2. articulate the importance of addressing psychological stress in complex health care settings
Keywords: Ethnic Minorities, HIV/AIDS
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Montefiore Medical Center, Bronx, NY
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.