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Ryan White Care Act Service Use by Asian/Pacific Islanders and Other Clients in Three California Metropolitan Areas (1997–1998)

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Abstract

The HIV epidemic disproportionately affects historically underserved members of racial/ethnic minorities. This paper compares HIV service use patterns for 653 Asians and Pacific Islanders (APIs) with those of other racial and ethnic minority clients (N = 28,201) at three selected Ryan White Comprehensive AIDS Resource Emergency (CARE) Act grantee sites in California. Study results show a relatively high proportion of APIs with advanced HIV disease. APIs use hospital-based HIV clinics at relatively high rates, and they use HIV case management, housing assistance, day/respite care, food/nutrition, substance abuse treatment, and health education services in relatively low numbers. Research suggests that social, cultural, and economic factors may influence health seeking behaviors and providers' practices. While there are relatively few APIs living with HIV in the US, the rate of API population growth from immigration underscores the need for service providers to take into account cultural and social factors to improve access to treatment.

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REFERENCES

  1. Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report. U.S. Department of Health and Human Services, 2000.

  2. Wortley PM, Metler RP, Hu DJ, Fleming PL. AIDS Among Asians and Pacific Islanders in the United States. Am J Prev Med 2000; 18: 208–214.

    PubMed  Google Scholar 

  3. Sy FS, Chng CL, Choi ST, Wong FY. Epidemiology of HIV and AIDS among Asian and Pacific Islander Americans. AIDS Educ Prev 1998; 10: 4–18.

    PubMed  Google Scholar 

  4. The CARE Act was designed to provide services to PLWH who lack health insurance, so it is not surprising that 90% of all the racial/ethnic groups had incomes of below 300% of poverty.

  5. Brown E, Ojeda VD, Wyn R, Levan, R. Racial and Ethnic Disparities in Access to Health Insurance and Health Care.Los Angeles: UCLA Center for Health Policy Research and Henry J.Kaiser Family Foundation, 2000.

    Google Scholar 

  6. Kavanagh KH, Kennedy PH. Promoting Cultural Diversity: Strategies for Health Care Professionals. Newbury Park (CA): Sage, 1992.

    Google Scholar 

  7. Kleinman A. Major conceptual and research issues for cultural (anthropological) psychiatry. Cult Med Psychiatry 1980; 4: 3–13.

    PubMed  Google Scholar 

  8. Resnicow K, Baranowski T, Ahluwalia JS, Braithwaite RL. Cultural Sensitivity in Public Health: Defined and Demystified. Ethn and Dis 1999; 9: 10–21.

    Google Scholar 

  9. U. S. Department of Health and Human Services, Health Resources and Services Administration. Work Group on Health Care Access Issues for Asian and Pacific Islanders.1995; DHHS Publication No.HRSA-RD-SP–95-5.Washington, DC: Government Printing Office.

    Google Scholar 

  10. Andersen R, Bozzette S, Shapiro M, et al., the HCSUS Consortium. Access of Vulnerable Groups to Antiretroviral Therapy among Persons in Care for HIV Disease in the United States. Health Serv Res 2000; 35: 389–416.

    PubMed  Google Scholar 

  11. Lew S. Policy Recommendations on HIV/AIDS Services and CAREfor Asian and Pacific Islanders. Administrative Report, Department of Health and Human Services, Health Resources and Services Administration, Rockville, Maryland, 1996.

    Google Scholar 

  12. Osmond DH, Vranizan K, Shillinger D, Stewart AL, Bindman AB. Measuring the Need for Medical Care in an Ethnically Diverse Population. Health Serv Res 1996; 31: 551–571.

    PubMed  Google Scholar 

  13. Phillips KA, Mayer ML, Aday, L. Barriers To Care Among Racial/Ethnic Groups Under Managed Care. Health Aff 2000; 19: 65–75.

    Google Scholar 

  14. Chng CL, Wong F, Chen, JJ. Response to “Bisexual and Homosexual Behavior and HIV Risk among Chinese-, Filipino, and Korean-American Men.” J Sex Res 1997; 34: 93–104.

    Google Scholar 

  15. U. S. Department of Commerce, Bureau of Census. The Asian and Pacific Islander Population. Current Population Survey.1999; U.S.DLBC, Special Studies P23–194.Washington, DC: Government Printing Office.

    Google Scholar 

  16. Loue S. Gender, Ethnicity, and Health Research.N ew York: Kluwer Academic/Plenum Publishers, 1999.

    Google Scholar 

  17. Lewis-Fernandez R, Kleinman A. Cultural psychiatry. Theoretical, clinical, and research issues. Psychiatr Clin North Am 1995; 18: 433–48.

    PubMed  Google Scholar 

  18. Eckholdt H, Chin J. Pneumocystis carinii Pneumonia in Asian and Pacific Islanders.Brief Reports. Clin Infect Dis 1997; 24: 1265–7.

    PubMed  Google Scholar 

  19. Chin JJ, Wong FY, Bordador NE, Rodriguez TR. Improving Access to Care for Language/Cultural/ Racial Minorities: The Bilingual Peer Advocate Program of the Asian & Pacific Islander Coalition on HIV/AIDS.Paper presented at the 12th World AIDS Conference, Geneva, 1998.

  20. Eckholdt H, Chin JJ, Harris C, Kim DD. Opportunistic Infections in the United States: Focusing Health Care and Needs for People with AIDS.Poster presented at 12th World AIDS Conference, Geneva, Switzerland, 1998.

  21. Eckholdt H, Chin JJ, Manzon-Santos J, Kim DD. The Needs of Asians and Pacific Islanders Living with HIV in New York City. AIDS Educ Prev 1997; 9: 493–504.

    PubMed  Google Scholar 

  22. Nemoto T, Huang K, Aoki B. Strategies for Accessing and Retaining Asian Drug Users in Research Studies. Drugs & Soc 1999; 14: 151–165.

    Google Scholar 

  23. Murray-Garcia JL, Selby JV, Schmittdiel J, Grumbach K, Quesenberry CP. Racial and Ethnic Differences in a Patient Survey Patients' Values, Ratings, and Reports Regarding Physicians Primary Care Performance in a Large Health Maintenance Organization. Med Care 2000; 38: 300–10.

    PubMed  Google Scholar 

  24. Sue S, Nakamura CY, Chung Chi-Ying R, Yee-Bradbury C. Mental Health Research on Asian Americans. J Community Psychol 1994; 22: 61–67.

    Google Scholar 

  25. Morin SF, Kahn JG, Richards AT, Palacio H. Eliminating Racial and Ethnic Disparities in HIV Care: The California Report.San Francisco: AIDS Policy Research Center & Institute for Health Policy Studies, AIDS Research Institute, University of California, San Francisco.2000, Policy Monograph Series.

    Google Scholar 

  26. Yoshioka MR, Chin J, Manzón-Santos J. Disclosing Status and Accessing Social and Institutional Support: HIV+ Asians and Pacific Islanders in New York City.2000; Unpublished manuscript based on Poster presented at the XI International Conference on AIDS.Vancouver, Canada.

  27. Bindman AB, Osmond D, Hecht FM, et al.Multistate evaluation of anonymous HIV testing and access to medical care.Multistate Evaluation of Surveillance of HIV (MESH) Study Group. JAMA 1998; 280: 1416–20.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. HIV/AIDS Bureau, Office of Science and Epidemiology, Health Resources and Services Administration, 5600 Fishers Lane, Room 7C07, Rockville, MD, 20857

    Moses B. Pounds, Richard Conviser & Jill J. Ashman

  2. HIV/AIDS Bureau, Division of Training and Technical Assistance, Health Resources and Services Administration, Rockville, MD

    Virginia Bourassa

Authors
  1. Moses B. Pounds
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  2. Richard Conviser
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  3. Jill J. Ashman
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  4. Virginia Bourassa
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Correspondence to Moses B. Pounds.

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Pounds, M.B., Conviser, R., Ashman, J.J. et al. Ryan White Care Act Service Use by Asian/Pacific Islanders and Other Clients in Three California Metropolitan Areas (1997–1998). Journal of Community Health 27, 403–417 (2002). https://doi.org/10.1023/A:1020649101613

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