Js. Weissman et al., CHANGES IN INSURANCE STATUS AND ACCESS TO CARE FOR PERSONS WITH AIDS IN THE BOSTON HEALTH STUDY, American journal of public health, 84(12), 1994, pp. 1997-2000
The purpose of this study was to measure unmet needs and changes in in
surance status for persons with acquired immunodeficiency syndrome (AI
DS). Thirty-six percent of the study's Boston-area respondents (n = 30
5) had a change in insurance coverage between AIDS diagnosis and inter
view. Medicaid coverage increased from 14% to 41%. Pneumocystis carini
i pneumonia prophylaxis was nearly universal. Only 5% did not receive
zidovudine, and intravenous drug users were at higher risk. Approximat
ely 14% to 15% of patients reported problems in obtaining medical and
dental services; Blacks, homeless persons, and those who were not high
school graduates were at higher risk. Use of selected treatments for
which there were clear clinical guidelines was adequate, yet disadvant
aged groups were more likely than other persons with AIDS to face obst
acles to other services.