Delays in seeking HIV care due to competing caregiver responsibilities

Am J Public Health. 2000 Jul;90(7):1138-40. doi: 10.2105/ajph.90.7.1138.

Abstract

Objectives: This study sought to describe the characteristics of HIV-infected persons who delay medical care for themselves because they are caring for others.

Methods: HIV-infected adults (n = 2864) enrolled in the HIV Cost and Services Utilization Study (1996-1997) were interviewed.

Results: The odds were 1.6 times greater for women than for men to put off care (95% confidence interval [CI] = 1.2, 2.2); persons without insurance and with CD4 cell counts above 500 were also significantly more likely to put off care. Having a child in the household was associated with putting off care (odds ratio [OR] = 1.8, 95% CI = 1.4, 2.3).

Conclusions: Women or individuals with a child in the household should be offered services that might allow them to avoid delays in seeking their own medical care.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • CD4 Lymphocyte Count
  • Caregivers*
  • Family Characteristics
  • Female
  • HIV Infections*
  • Health Services / statistics & numerical data*
  • Humans
  • Insurance Coverage
  • Insurance, Health
  • Logistic Models
  • Male
  • Odds Ratio
  • Patient Acceptance of Health Care*
  • Sex Factors
  • Time Factors
  • Women's Health*