Transitioning youths into care: linking identified HIV-infected youth at outreach sites in the community to hospital-based clinics and or community-based health centers

Martinez, Jaime; Bell, Douglas N.; Dodds, Sally; Shaw, Kimberly; Siciliano, Carl; Walker, Lynn E; Sotheran, Jo L.; Sell, Randall L.; Friedman, Lawrence B.; Botwinick, Geri; Johnson, Robert L.

doi:10.1016/s1054-139x(03)00159-9

Cited by 27 publications

(22 citation statements)

References 14 publications

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“…For children, significant transportation barriers to health care access have been repeatedly identified [15, 24, 34, 39, 41, 48, 58, 59]. In two separate studies of inner-city children, 18–21 % of respondents cited transportation barriers as the reason for not bringing a child in for needed health care [15, 24].…”

Section: Resultsmentioning

confidence: 99%

Traveling Towards Disease: Transportation Barriers to Health Care Access

2013

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Transportation barriers are often cited as barriers to healthcare access. Transportation barriers lead to rescheduled or missed appointments, delayed care, and missed or delayed medication use. These consequences may lead to poorer management of chronic illness and thus poorer health outcomes. However, the significance of these barriers is uncertain based on existing literature due to wide variability in both study populations and transportation barrier measures. The authors sought to synthesize the literature on the prevalence of transportation barriers to health care access. A systematic literature search of peer-reviewed studies on transportation barriers to healthcare access was performed. Inclusion criteria were as follows: (1) study addressed access barriers for ongoing primary care or chronic disease care; (2) study included assessment of transportation barriers; and (3) study was completed in the United States. In total, 61 studies were reviewed. Overall, the evidence supports that transportation barriers are an important barrier to healthcare access, particularly for those with lower incomes or the under/uninsured. Additional research needs to (1) clarify which aspects of transportation limit health care access (2) measure the impact of transportation barriers on clinically meaningful outcomes and (3) measure the impact of transportation barrier interventions and transportation policy changes.

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Section: Resultsmentioning

confidence: 99%

Traveling Towards Disease: Transportation Barriers to Health Care Access

2013

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“…Successful programs have included case management to engage and treat vulnerable adolescents as part of HIV care (Feudo, ViningBethea, Shulman, Shedlin, & Burleson, 1998;Hymel & Greenberg, 1998;Remafedi, 1998Remafedi, , 2001Tenner, Fuedo, & Woods, 1998;Woods, 1998). Efforts to provide outreach to at-risk adolescents have also been successful (Anderson et al, 1996;Feudo et al, 1998;Martinez et al, 2003;Sturdevant, Kohler, Williams, & Johnsonn, 1998;Woods, Samples, Melchiono, & Harris, 2003). In this study, most adolescents came into HIV care from more traditional contact with the health care system, as would be expected.…”

Section: Discussionmentioning

confidence: 99%

Physical and Sexual Abuse and Unstable Housing among Adolescents with HIV

Eastwood

Birnbaum

2007

AIDS Behav

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Stable housing is a necessary component of treatment of adolescents with HIV. This study examines the housing status at two points in time of a sample of 224 adolescents with HIV seen at an adolescent medicine clinic in New York City. It addresses whether unstable housing is associated with several forms of abuse, and what factors predict continued instability. 38.6% (n = 86) had a prior history of unstable housing, reduced to 12.9% at the time of program entry. Multivariate logistic regression models predicting current and prior unstable housing revealed two variables related to both outcomes: physical abuse and referral from youth/social services entities. Continued unstable housing was associated with all abuse variables and adolescent history of arrest. When adolescents in abusive situations come to the attention of programs for youth, they have a positive impact on transitioning most adolescents to safer households, potentially improving adolescents' accessing of health care services.

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“…9 Most studies suggest that access to all settings can be improved through youth-friendly interventions. [10][11][12] In the present study too, there was statistically significant (P<0.05) improvement in the knowledge of adolescents on different aspects of ARSH issues [except the knowledge on male reproductive organ among boys in clinic-based and school-based study (P > 0.05) and knowledge on oral pills among boys in school-based study (P > 0.05)] following sensitization programme in youth friendly manner maintaining privacy, confidentiality and non-judgmental approach. Failure of improvement in knowledge on male reproductive organ and oral pills among boys may be due to poor structuring of the questionnaire or less emphasis on those parts of the ARSH issues.…”

Section: Discussionmentioning

confidence: 99%

“…But satisfactory improvements in knowledge following youth friendly approach lend support to the research findings of other workers. [10][11][12] Further wide and larger clinic-based prospective longitudinal study is required to document such changes.…”

Section: Discussionmentioning

confidence: 99%

Sensitization and its impact on Reproductive and sexual health issues of adolescents in clinics and schools - a comparative study.

De¹,

Mitra²,

Das³

et al. 2011

Asian J Med Sci

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Objective: Adolescent Reproductive and Sexual Health Issue is an important component of Youth Friendly Health Services. The objective of this study to compare the impact of sensitization on adolescent reproductive and sexual health issues of adolescent clients between clinic and school setting using the youth-friendly principles. Material & Methods:An urban-based prospective longitudinal study, conducted at adolescent health clinic and schools. The participants are adolescents in the age group of 14-18 years (both boys and girls). Intervention: Youthfriendly sensitization. Main outcome measures: Change in the knowledge on different ARSH issues among adolescent clients in both clinics and schools.Results: Statistically significant improvement (p values< 0.05) in knowledge on various aspects of ARSH issues among adolescent clients in both clinic and school setting. Conclusion:Youth-friendly sensitization makes positive change in the knowledge of adolescents on ARSH issues in both clinics and schools.

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Transitioning youths into care: linking identified HIV-infected youth at outreach sites in the community to hospital-based clinics and or community-based health centers

Cited by 27 publications

References 14 publications

Traveling Towards Disease: Transportation Barriers to Health Care Access

Traveling Towards Disease: Transportation Barriers to Health Care Access

Physical and Sexual Abuse and Unstable Housing among Adolescents with HIV

Sensitization and its impact on Reproductive and sexual health issues of adolescents in clinics and schools - a comparative study.

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