Transportation vulnerability as a barrier to service utilization for HIV-positive individuals
| Autor: | Melanie A. Rapino, Jennifer Gooch, Lynda M. Sagrestano, Joy A. Clay, Ruthbeth Finerman |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Health (social science) Social Psychology Human immunodeficiency virus (HIV) Vulnerability HIV Infections medicine.disease_cause Health Services Accessibility Mississippi Acquired immunodeficiency syndrome (AIDS) Service utilization Environmental health medicine Humans Community Health Services Aged Health Services Needs and Demand Arkansas business.industry Public Health Environmental and Occupational Health Social Support Service provider Focus Groups Middle Aged Patient Acceptance of Health Care medicine.disease Focus group Tennessee Organizational Innovation Transportation of Patients Survey data collection Female business Accommodation Delivery of Health Care |
| Zdroj: | AIDS care. 26(3) |
| ISSN: | 1360-0451 |
| Popis: | Research suggests that transportation vulnerability can negatively impact adherence to HIV-related medical treatment. Moreover, transportation can be a barrier to accessing ancillary services which can increase positive health outcomes for HIV-positive individuals. This study examines transportation vulnerability and its impact on HIV-related health and ancillary service utilization in the Mid-South Region. Focus groups and interviews were conducted with service providers and HIV-positive individuals, and survey data were collected from HIV-positive individuals (N=309) using the five A's of access to frame transportation vulnerability: availability, accessibility, accommodation, affordability, and acceptability. Study results indicate that transportation vulnerability can present significant barriers to service utilization for HIV-positive individuals, including insufficient transportation infrastructure, incompatible fit between transportation and health systems, and insensitivity to privacy issues. One consequence of transportation vulnerability is reliance upon weaving together multiple modes of transport to access care and ancillary services, creating additional barriers to service utilization and medical adherence. The research team recommends more investment in public transit systems, expanded services, and innovative approaches to solving procedural problems. |
| Databáze: | OpenAIRE |
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