Knowledge Item: CA-Barriers and Facilitators to Services-02
Reported Facilitators to Services for Men and Women with HIV
In a study of clients with HIV, interviews established the facilitators
to services in the previous six months. These interviews were held shortly after
enrollment in the Cooperative Agreement Project. Participants were asked about 11
facilitators. Men and women differed in the degree to which they had encountered
4 of the
11 facilitators. Results on differences in perceived barriers and
facilitators due to gender, race-ethnicity, and age differences are preliminary because
project differences have not been controlled. Projects located in different cities have
different recruitment patterns (some are for women only, others have geographic service
areas that result in the disproportionate enrollment of individuals from one or more
racial-ethnic backgrounds, one is specifically for youth) that may result in the
confounding of gender, race-ethnicity, age, and city-project effects. See
Knowledge Items: CA-Barriers and
Facilitators to Services-07, -08,
-20, -21
for more complete and complex treatments of this issue.
Programs must be sensitive to the fact that men and women – in part
because they face different barriers to services – will tend to find different
strategies effective as facilitators to enabling them to engage with the services system.
Note that
the figure above contrasts the number of facilitators reported by all
men and all women studied. Some projects, however, were specifically targeted
to women and did not serve men with HIV. The next chart separates out
those sites that only served women (shown on the left side of the
diagram) and those on the right side of the diagram that served both
men and women. Within the projects that served both male and female
clients, there was no gender difference in the number of facilitators
cited.
More Information:
CHAID and CHAID Diagram
Knowledge Item Citation: Huba, G. J., Melchior, L. A., Panter, A. T., and the HRSA/HAB SPNS Cooperative Agreement Steering Committee (1998-2001). Knowledge Item: CA-Barriers and Facilitators to
Services-02 from HRSA/HAB's SPNS Cooperative Agreements on Innovative Models
of Care, The Measurement Group Knowledge Base on HIV/AIDS Care, Online at
www.TheMeasurementGroup.com.
Last Updated:
March 25, 2005; data through
June 15, 1999; analyses conducted January - May 2000.
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