Perception of health status in HIV+ women receiving public and private health insurance and those receiving only public health insurance

Date

2000-05

Authors

Riddlesperger, Kristina

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Abstract

The purpose of this study was to examine personal health status of HIV+ women age 17–48 as related to type of health insurance. Perceived health measurements were sought through the use of self-reported data on the Medical Outcomes Study Short Form-36 and an investigator-developed demographic questionnaire. Donabedian's Structure-Process-Outcome framework was used to guide the structure of the research.

A non-random sample of 76 women living in an urban southwestern county accessing social services from three separate agencies completed the survey instruments. The sample was heterogeneous with regard to race, education, marital status, pregnancy status and income. The average length of time subjects had been infected with HIV was 58.8 months.

Hypotheses 1, 2, and 5 were tested with a cross tabulation using chi-square statistic to determine the statistical significance of the differences. The first hypothesis postulated that there was a difference in access to medication dependent upon insurance type. The difference was not statistically significant. The second hypothesis, that there is no difference between the two insurance types in selection of health care provider, also did not yield a statistically significant difference. The fifth hypothesis, that there was a difference in health insurance type by race, was confirmed.

Hypotheses 3 and 4 were examined using MANOVA. Hypothesis 3 stated there would be a difference in objective measures of health care status by type of insurance. These differences were not statistically significant. Hypothesis 4 postulated that perceptions of personal health status would be different dependent upon type of insurance. Using MANOVA to control for interactions among the dependent variables, these differences were found not to be statistically significant. Replication of this study in other geographical areas and with study populations including men is recommended.

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Keywords

Public health, Welfare, Human immunodeficiency virus--HIV, Perceptions, Private medical care, Health insurance

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