The integration of informal care, case management and community-based services for persons with HIV/AIDS

A. S. London, A. J. Leblanc, C. S. Aneshensel

Research output: Contribution to journalArticlepeer-review

38 Scopus citations


This research examines the integration of informal and formal care for persons with HIV/AIDS. Data come from a panel survey of informal informal HIV/AIDS caregivers (N = 642) and are analyzed using a modified version of the Behavioral Model that allows for inclusion of predisposing, enabling and need characteristics of persons with HIV/AIDS and the caregivers. The outcome component of our model emphasizes the role of case management as an intermediary service designed to facilitate linkage to other services. Results indicate: substantial use of case management and other services among persons receiving informal care; characteristics of care recipients, caregivers and dyads directly influence case management and service use; case management positively influences service use at baseline and change in service use over time; and the association between case management and service use generates indirect influences on service use related to characteristics of care recipients, caregivers, and dyads. These results highlight the importance of case management as a mechanism for integrating informal and formal care and demonstrate that service utilization is influenced by the social context of illness.

Original languageEnglish (US)
Pages (from-to)481-503
Number of pages23
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Issue number4
StatePublished - 1998
Externally publishedYes

ASJC Scopus subject areas

  • Health(social science)
  • Social Psychology
  • Public Health, Environmental and Occupational Health


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