Engagement in HIV Primary Care Services
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Purpose
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.
| Condition |
|---|
|
HIV Infections Unstable Housing |
| Study Type: | Observational |
| Study Design: | Observational Model: Defined Population Time Perspective: Cross-Sectional |
| Official Title: | Determinants of Engagement in HIV Primary Care Services Among Black and Hispanic Single Room Occupancy Hotel Residents in New York City |
| Estimated Enrollment: | 500 |
| Study Start Date: | October 2004 |
| Estimated Study Completion Date: | June 2005 |
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.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
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
Contacts and LocationsPlease refer to this study by its ClinicalTrials.gov identifier: NCT00300170
| United States, New York | |
| Montefiore Medical Center | |
| Bronx, New York, United States, 10467 | |
| Principal Investigator: | Chinazo O Cunningham, MD | Montefiore Medical Center |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00300170 History of Changes |
| Other Study ID Numbers: | U65/CCU223363-02 |
| Study First Received: | March 7, 2006 |
| Last Updated: | March 31, 2006 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Montefiore Medical Center:
|
HIV race unstable housing health services accessibility health services utilization substance abuse |
AIDS health services research social support depression trust discrimination |
Additional relevant MeSH terms:
|
Acquired Immunodeficiency Syndrome HIV Infections Immune System Diseases Immunologic Deficiency Syndromes Lentivirus Infections RNA Virus Infections |
Retroviridae Infections Sexually Transmitted Diseases Sexually Transmitted Diseases, Viral Slow Virus Diseases Virus Diseases |
ClinicalTrials.gov processed this record on February 25, 2015