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Engagement in HIV Primary Care Services

This study has been completed.
Sponsor:
Collaborators:
CitiWide Harm Reduction
Information provided by:
Montefiore Medical Center
ClinicalTrials.gov Identifier:
NCT00300170
First received: March 7, 2006
Last updated: March 31, 2006
Last verified: September 2005

March 7, 2006
March 31, 2006
October 2004
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Complete list of historical versions of study NCT00300170 on ClinicalTrials.gov Archive Site
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Engagement in HIV Primary Care Services
Determinants of Engagement in HIV Primary Care Services Among Black and Hispanic Single Room Occupancy Hotel Residents in New York City

This study is to look at things that may affect whether or not people who are HIV-infected get into medical care and stay in medical care. some of the things that will be examined include how drug use, HIV disease severity, mental health, housing, trust, feelings of discrimination, social support, relationship with provider, and patient's race and provider's race are linked with whether or not people get health care. People who are enrolled in the study will be interviewed once, and their medical records will be examined.

The purpose of this study is to understand the determinants of entry and engagement in HIV primary care services for Blacks and Hispanics living in single room occupancy (SRO) hotels in Bronx and Manhattan, NY. More specifically, the goal is to examine baseline cultural characteristics of the patient, health-related characteristics of the patient, the patient-provider relationship, and the impact of community outreach on engagement in health care. The objectives are to: examine the association between trust, relationship with provider, social support, and health beliefs with engagement in HIV primary care services; examine the association between health-related characteristics and engagement in HIV primary care services; examine the association of perceived cultural concordance between provider and patient with engagement in HIV primary care services; and, explore the relationship between community outreach and entry into HIV primary care services.

We will be recruiting a convenience sample of 500 Black or Hispanic HIV-infected adults living in 14 SRO hotels (transitional emergency housing) in the Bronx and Manhattan, NY. We will be conducting interviews through auditory computer-assisted self-interviewing (A-CASI) technology, using standardized research instruments administered in English or Spanish. We will also be reviewing medical charts and records from Citiwide and Montefiore appointment databases.

Understanding barriers to engagement in HIV primary care will lead to development of culturally relevant interventions to assist Black and Hispanic persons in entering and engaging in HIV treatment. Implementation of these interventions will ultimately help reduce disparities in HIV-related healthcare, as well as reduce HIV morbidity and mortality in Black and Hispanic populations.

Observational
Observational Model: Defined Population
Time Perspective: Cross-Sectional
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  • HIV Infections
  • Unstable Housing
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*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
500
June 2005
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Inclusion Criteria:

  • at least 18 years of age, HIV-infected, living in one of 15 different single room occupancy hotels in New York City, English or Spanish speaking

Exclusion Criteria:

  • HIV-negative
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00300170
U65/CCU223363-02
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Montefiore Medical Center
  • Centers for Disease Control and Prevention
  • CitiWide Harm Reduction
Principal Investigator: Chinazo O Cunningham, MD Montefiore Medical Center
Montefiore Medical Center
September 2005

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP