204512 Meeting the Needs of Marginalized, Minority, HIV+ Women: Have We Improved OVER the Last Decade?

Monday, November 9, 2009

Katy Y. Zhang, MPH , Department of Community and Preventive Medicine, Mount Sinai School of Medicine, New York, NY
Ann Boyer, MD , Department of Community/Preventive Medicine, Mount Sinai Medical Center, New York, NY
HIV treatment has improved in simplicity, acceptability and efficacy over the past decade. Have these benefits been reflected in improved health, well being and HIV control in traditionally less engaged populations? Twenty disadvantaged, HIV+ urban women were interviewed in the community to examine perceived, observed and apparent-medical needs and the extent to which those needs were being met. The findings were compared to those from a similar study conducted a decade ago among the same population, to determine whether there have been changes in the needs and/or supportive response to those needs among HIV+ women living in Single–Room-Occupancy hotels in New York City. In both groups, prioritized perceived needs were rarely medical and had not been met. Very few women in either group were in more than emergent HIV/medical care. Even if this had been a priority, they did not have the functional capability to become engaged with the medical community without additional supportive services. They were also functionally incapable of adhering to requirements necessary for them to fulfill their most important perceived needs. Advances in the care of these women may best be addressed by creating services that work to improve their functional ability to achieve their perceived needs and reduce the level of difficulty necessary to maximize medical adherence.

Key words: functional level; HIV+ minority women; unmet perceived needs; adherence to HIV care; Single Room Occupancy; urban poor; health disparities

Learning Objectives:
Develop a care plan for a HIV+ individual who is unlikely to be engaged with the health care system beyond episodic medical care through emergency rooms and hospital admissions

Keywords: HIV/AIDS, Underserved Populations

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: 12 months practicum with an outreach HIV care physician to provide low threshold, high quality primary care and supportive services, off site in three single room occupancy (SRO) hotels to the medically underserved and disenfranchised population of active drug users with HIV/AIDS.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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