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Healthcare Utilization, Unmet Service Needs, and Medication Adherence Among People Living with HIV/AIDS
Xiangjun Zhang1, Roy F Oman1, Trudy A Larson1
1School of Community Health Sciences, University of Nevada, Reno, 1664 N. Virginia St. Mail Stop 0274, United States.
Current HIV Research
|August 19, 2020
Summary
Unmet medical and support service needs negatively impact antiretroviral therapy (ART) adherence in people with HIV/AIDS. Optimizing current services and filling coverage gaps are crucial for improving ART adherence.
Area of Science:
- Public Health
- Health Services Research
- HIV/AIDS Research
Background:
- High comorbidity and service needs exist among people living with HIV/AIDS (PLWHA).
- Understanding the impact of service utilization and unmet needs on ART adherence is critical.
- This study addresses a gap in knowledge regarding service factors influencing ART adherence.
Purpose of the Study:
- To investigate the associations between service utilization and unmet service needs with ART adherence among PLWHA.
- To identify specific service-related factors that influence medication adherence in this population.
Main Methods:
- A cross-sectional study involving 162 PLWHA aged 18+ in Nevada.
- Data collected via self-administered questionnaires assessing service utilization, unmet needs, and ART adherence.
- Multivariable logistic regression analyses were used to examine associations.
Main Results:
- Only 7.5% of participants received all necessary services.
- Higher unmet medical service needs were significantly associated with ART nonadherence (p=0.007).
- Unmet medical (AOR 0.69) and support service needs (AOR 0.68) were negatively associated with ART adherence, while service utilization was not significantly associated.
Conclusions:
- Health promotion should focus on optimizing existing services and increasing awareness.
- Addressing service coverage gaps and improving service facilitation are essential for enhancing ART adherence.
- Interventions should prioritize meeting the unmet service needs of PLWHA to improve health outcomes.
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