Recorded presentation

Janni J. Kinsler, PhD, MPH¹, Krishni Aluwihare, BS², Maria Alvarez³, Cynthia Davis, MPH³, Typhanye Penniman, MPH¹, Edward Ramirez³, Diana Tisnado, PhD, MPA¹, Albert Washington³, Mitchell Wong, MD, PhD⁴, and William E. Cunningham, MD, MPH⁵. (1) Department of General Internal Medicine, University of California Los Angeles (UCLA), 911 Broxton Plaza, Suite 100, Los Angeles, CA 90095, (310) 206-5838, Tpenniman@mednet.ucla.edu, (2) School of Public Health, University of California Los Angeles (UCLA), 31-254A Center for Health Sciences, Los Angeles, CA 90095, (3) Department of Family Medicine, King Drew Medical Center, 1621 E. 120th Street, Los Angeles, CA 90059, (4) Med-GIM & Health Services Research, UCLA, 911 Broxton, 173617, Los Angeles, CA 90095, (5) Division of General Internal Medicine and Health Services Research, University of California, Los Angeles, Center for Health Sciences, 10833 Le Conte Avenue, Los Angeles, CA 90095

Background: The primary objective of this study is to determine the prevalence and correlates of individuals who are engaged in care, retained in care, and provided with effective care for persons testing HIV+ at MoHOP. MoHOP identifies HIV-infected individuals in Los Angeles County’s underserved at-risk ethnic minority population, and then refers them to medical care and support programs. Method: Participants (N = 81) included clients who tested HIV+ at MoHOP (83% male; 48% African-American, 35% Latino; 50% with annual income less than $10,000). Participants completed a 90-minute interview. Questions asked about engagement in care, retention in care, unmet needs, access to care, health status, and socio-demographics. Results: Study results showed that 64% of clients reported poor access to medical care, 59% of clients had one or fewer outpatient visits for HIV care in the last 6 months, 27% used the emergency department at least once in six months, and 89% had 1 or more unmet needs (greater for heterosexuals vs. MSM [p < .05], and for African-Americans vs. Whites [p <.05]). Forty-two percent reported not getting as much case management as they needed. Conclusions: Our findings indicate that HIV care is not optimal after testing HIV+ on the mobile van, and that unmet needs are common. A follow-up study aims to enhance MoHOP by providing case management services on the mobile van, and follow-up on unmet needs with continual assessment and referrals.

Learning Objectives: At the conclusion of the session, the participants will be able to

• Describe an innovative approach for identifying HIV-infected individuals and providing access to care.
• Identify the prevalence and correlates of care received by individuals testing HIV+ on the Drew mobile HIV testing and outreach van.
• Discuss the strengths and weaknesses of implementing a mobile testing and outreach project.

Keywords: Underserved, Access to Care

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Recorded presentation