       Document 0974
 DOCN  M9620974
 TI    Unmet needs for help among persons with AIDS.
 DT    9602
 AU    Smith MY; Rapkin BD; Psychiatry Service, Memorial Sloan-Kettering Cancer
       Center, New; York, New York 10021, USA.
 SO    AIDS Care. 1995;7(3):353-63. Unique Identifier : AIDSLINE MED/96068002
 AB    Current trends in AIDS care in the United States, including
       dehospitalization and improved outpatient treatment, may place many
       persons with AIDS (PWAs) at increased risk for having unmet need for
       help with daily living demands. Using interviews with 224 PWAs, we
       examined the prevalence and correlates of unmet need for assistance
       across six functional domains: personal care, instrumental activities of
       daily living (e.g. home chores, using transportation), social
       functioning, role performance, taking care of one's health and
       negotiating systems. Overall, 74.1% of respondents reported having
       either a partially or completely unmet need for help in one or more
       areas of functioning. Unmet need for help was highest for instrumental
       activities of daily living (46.4%). Unmet need was associated with
       illness severity (i.e. more symptoms and hospitalizations), minority
       status and support network characteristics (proximity, size and type of
       supporters). Implications of unmet needs data for improving the clinical
       care of PWAs are discussed.
 DE    Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY/THERAPY/  TRANSMISSION
       Activities of Daily Living/CLASSIFICATION  Adult  Day Care/TRENDS
       Deinstitutionalization/*TRENDS  Female  Forecasting  Health Services
       Needs and Demand/*TRENDS  Home Care Services/TRENDS  Human  Male  Middle
       Age  New York City  Outpatient Clinics, Hospital/TRENDS  Patient
       Admission/TRENDS  Social Support  Support, U.S. Gov't, P.H.S.  Urban
       Population/*STATISTICS & NUMER DATA  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

