{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T18:25:34Z","timestamp":1790187934969,"version":"4.1.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["AIDS Patient Care and STDs"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:p>We (1) estimated the prevalence of not getting patient navigation despite feeling a need for the service (unmet subjective need) or despite having unsuppressed viral load (unmet objective need) among people with HIV (PWH), (2) determined reasons why PWH did not use the service, and (3) determined factors associated with unmet need for patient navigation. We used combined data from the 2015 to 2017 cycles of the Medical Monitoring Project, an HIV surveillance system designed to produce nationally representative estimates of the characteristics of adults with diagnosed HIV infection in the United States. Six percent reported unmet subjective need and 28% had unmet objective need for patient navigation. When needs were combined, more than a third had unmet need for the service. Among PWH with unmet subjective need for patient navigation, 77% reported lack of knowledge about patient navigation as a reason for nonuse. Younger age, female gender, racial\/ethnic minority status, limited health literacy, homelessness, incarceration history, lack of health insurance\/coverage, noninjection drug use, depression, and recent HIV diagnosis were associated with unmet subjective or objective need for patient navigation. One in three PWH did not use patient navigation despite needing the service. Lack of knowledge about patient navigation was a barrier to use, calling for increased availability, and promotion of such services. PWH with social and economic vulnerabilities were less likely to get patient navigation when needed. It is important to address the question of how to make this service available to everyone who needs it.<\/jats:p>","DOI":"10.1089\/apc.2020.0074","type":"journal-article","created":{"date-parts":[[2020,9,18]],"date-time":"2020-09-18T11:28:38Z","timestamp":1600428518000},"page":"452-459","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Is Patient Navigation Used by People with HIV Who Need It? An Assessment from the Medical Monitoring Project, 2015\u2009\u2212\u20092017"],"prefix":"10.1177","volume":"34","author":[{"given":"Yuko","family":"Mizuno","sequence":"first","affiliation":[{"name":"Division of HIV\/AIDS Prevention, The US Centers for Disease Control and Prevention, Atlanta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Fagan","sequence":"additional","affiliation":[{"name":"Division of HIV\/AIDS Prevention, The US Centers for Disease Control and Prevention, Atlanta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunfeng","family":"Tie","sequence":"additional","affiliation":[{"name":"Division of HIV\/AIDS Prevention, The US Centers for Disease Control and Prevention, Atlanta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mabel","family":"Padilla","sequence":"additional","affiliation":[{"name":"Division of HIV\/AIDS Prevention, The US Centers for Disease Control and Prevention, Atlanta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,10,15]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000001987"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2007.9987"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2018.0150"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325957417732835"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.304250"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-017-1727-4"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2018.0039"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/1524839919875727"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-012-0352-5"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2014.302234"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2018.304736"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.2196\/15453"},{"key":"e_1_3_4_14_2","unstructured":"Heeinga SG West BT Berflund PA. Applied Survey Data Analysis. London: Chapman and Hall 2010."},{"key":"e_1_3_4_15_2","unstructured":"Centers for Disease Control and Prevention. Behavioral and clinical characteristics of persons with diagnosed HIV infection\u2014Medical Monitoring Project United States 2017 Cycle (June 2017\u2013May 2018). HIV Surveillance Special Report 23. Available at: https:\/\/www.cdc.gov\/hiv\/library\/reports\/hiv-surveillance.html. 2019. (Last accessed October17 2019)."},{"key":"e_1_3_4_16_2","unstructured":"Centers for Disease Control and Prevention. Distinguishing public health research and public health nonresearch. Available at: https:\/\/www.cdc.gov\/os\/integrity\/docs\/cdc-policydistinguishing-public-health-research-nonresearch.pdf.2010.(Last accessed August 18 2020)."},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2008.06.026"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu783"},{"key":"e_1_3_4_19_2","unstructured":"Centers for Disease Control and Prevention. HIV\/AIDS Prevention Research Synthesis Project. Compendium of Evidence-Based Interventions and Best Practices for HIV Prevention. 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