Service Utilization Among Older Adults With HIV: The Joint Association of Sexual Identity and Gender

Mark Brennan-Ing, Liz Seidel, Andrew S. London, Sean Cahill, Stephen E. Karpiak

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

This study examines the association of sexual identity and gender among older clients with HIV at an AIDS service organization using the Andersen Model. Data confirm those aging with HIV exhibit high rates of age-associated illnesses 10 to 20 years before expected. They have fragile social networks that cannot supply the informal supports needed. This aging population will need to increasingly access community-based services. Sexual identity and gender were weak covariates of service utilization. Although heterosexual men used more services, utilization was largely predicted by service needs and the use of case management. Implications for service delivery and policy are discussed.

Original languageEnglish (US)
Pages (from-to)166-196
Number of pages31
JournalJournal of Homosexuality
Volume61
Issue number1
DOIs
StatePublished - Jan 1 2014

Keywords

  • Andersen Model
  • HIV/AIDS
  • comorbidities
  • older adults

ASJC Scopus subject areas

  • Gender Studies
  • Social Psychology
  • Education
  • Psychology(all)

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