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Health:, Vol. 2, No. 2, 135-156 (1998)
DOI: 10.1177/136345939800200202
© 1998 SAGE Publications

Community-based service use by people with AIDS: the relevance of informal caregivers

Allen J. LeBlanc

University of Maryland

Joseph T. Mullan

Linda A. Wardlaw

Charlene Harrington

Sophia W. Chang

University of California, San Francisco

This paper reports on community-based service use by persons with AIDS or disabling HIV (PWAs) who have an informal caregiver, with specific focus on four categories of service: nursing care; practical help; psychological services; and help with the management of personal affairs. Data are drawn from a large-scale community-based survey of caregivers in San Francisco and Los Angeles (n = 642). Caregivers report that PWAs make substantial use of community-based support: 85% use at least one service; half or more use psychological services (51%) and practical help (61%). Multivariate logistic regression models fit for each of the four categories of service use include bothPWA and caregiver characteristics as determinants, applying the widely recognized Andersen model. Our analytic models best fit nursing care and practical help outcomes and portray the complexity inherent in Andersen's framework. Correlates of service use vary by service type, illustrating the need to further study the fullest possible array of community-based services. Alongside traits of the PWA, caregiver characteristics are found to be important determinants of PWA service use, highlighting the relevance of informal caregiving to the larger system of AIDS care.

Key Words: Andersenmodelofhealthserviceuse • HIV/AIDSservices • informalcaregiving


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 Research on AgingHome page
J. T. Mullan
Aging and Informal Caregiving to People with HIV/AIDS
Research on Aging, November 1, 1998; 20(6): 712 - 738.
[Abstract]