Publications [#141073] of Kathryn Whetten

Papers Published

1. Reif S.S., K. Whetten, K. Lowe, J. Ostermann, Association of unmet needs for support services with medication use and adherence among HIV-infected individuals in the Southeastern United States, AIDS Care, vol. 18 no. 4 (2006), pp. 277-283 .
   (last updated on 2008/01/02)

   Abstract:
   Unmet needs for services, such as housing and psychiatric treatment, are relatively common among HIV-infected individuals; however, the effects of different types of unmet needs on health care outcomes are not well understood. This study describes unmet psychosocial needs and their relationship with health care outcomes among individuals receiving HIV care in the Southeastern U.S. (N=526). We used multivariate logistic regression to examine the relationship of seven categories of unmet needs with HIV medication use and adherence. Most participants (84.5%) reported at least one service need in the past year. Nearly half (47%) of participants with service needs reported that at least one need was not met. Participants with one or more unmet needs were less likely to be taking any HIV medications (p=.007) and reported poorer medication adherence (p=.013). The specific unmet needs for benefits (including Social Security, health insurance, and prescription coverage) (p=.006) and a support group (p=.040) were associated with being less likely to be taking any HIV medications. Unmet need for mental health-related counseling was associated with poorer medication adherence (p=.003). Study findings regarding the high level of unmet need and the association of unmet need with poorer outcomes illustrate the importance of interventions to address these needs.