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HIV services utilization in Los Angeles County, California
Dennis G Fisher1, David Wishart, Grace L Reynolds
1Center for Behavioral Research and Services, California State University, 1090 Atlantic Avenue, Long Beach, CA 90813, USA. dfisher@csulb.edu
AIDS and Behavior
|January 1, 2009
Summary
Five distinct service utilization patterns were identified among HIV/AIDS prevention service recipients in Los Angeles County. These patterns varied by demographics, risk factors, and service type, highlighting the need to examine domestic violence services for affected populations.
Area of Science:
- Public Health
- Epidemiology
- Social Sciences
Background:
- HIV/AIDS prevention services are crucial for controlling the epidemic.
- Understanding how individuals utilize these services is key to optimizing their effectiveness.
- Los Angeles County has a significant population accessing HIV/AIDS services.
Purpose of the Study:
- To identify distinct patterns of HIV/AIDS service utilization among recipients in Los Angeles County.
- To analyze how these service patterns correlate with demographic, behavioral, and clinical characteristics.
- To inform future HIV/AIDS service delivery and policy.
Main Methods:
- A cross-sectional survey of 2,102 recipients of HIV/AIDS prevention services in Los Angeles County, 2004.
- Data collected by 220 service provider staff from 51 agencies funded by the Office of AIDS Programs and Policy.
- Cluster analysis was performed on 36 types of service use data.
Main Results:
- Five distinct clusters of service utilization patterns were identified.
- These clusters significantly differed based on HIV positivity rates, HIV testing history, history of abuse, education, residence type, funding source, intervention type, and ethnicity.
- Significant variations in service use were observed across different demographic and risk groups.
Conclusions:
- Service utilization among HIV/AIDS prevention service recipients is not uniform and can be categorized into distinct patterns.
- These patterns are associated with key demographic and risk factors, suggesting tailored service approaches may be beneficial.
- Further investigation into the availability and utilization of domestic violence services for HIV-infected/affected populations is recommended.
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