Characteristics of older adults living with HIV accessing home and community care services in British Columbia, Canada

被引:4
作者
Koehn, Katrina [1 ,2 ]
Burgess, Heather [1 ]
Lyndon, Sharyle [1 ]
Lu, Michelle [1 ]
Ye, Monica [1 ]
Hogg, Robert S. [1 ,2 ]
Parashar, Surita [1 ,2 ]
Barrios, Rolando [1 ,3 ,4 ]
Salters, Kate A. [1 ,2 ]
机构
[1] BC Ctr Excellence HIV AIDS, 610-1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada
[2] Simon Fraser Univ, Fac Hlth Sci, Burnaby, BC, Canada
[3] Univ British Columbia, Fac Med, Vancouver, BC, Canada
[4] Vancouver Coastal Hlth Author, Vancouver, BC, Canada
来源
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2021年 / 33卷 / 01期
基金
加拿大健康研究院;
关键词
Aging; HIV; home care; health care; LONG-TERM-CARE; HEALTH; HIV/AIDS; POPULATION; PEOPLE; RESIDENTS; REFORM; NEED;
D O I
10.1080/09540121.2020.1770673
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Over half of people living with HIV (PLHIV) engaged in care in British Columbia (BC) are age >= 50. The public home and community care (HCC) system offers formal support that PLHIV may turn to as they age, but little is known about access specific to PLHIV. Using data from the STOP HIV/AIDS cohort, which includes linked treatment and demographic records for PLHIV accessing care in BC, we compared older PLHIV (defined as those age >= 50) who did and did not access HCC services. We estimated adjusted odds ratios (aORs) for factors associated with HCC service utilization using logistic regression. This study included 5,603 PLHIV age >= 50, 837 (14.94%) of whom accessed any HCC service between 2005 and 2015. Services most commonly used were community nursing (8.98%,n = 503) and rehabilitation (7.73%,n = 433). Those who received HCC were more likely to be female (aOR = 1.56, 95% CI = 1.24, 1.98), have a history of injection drug use (aOR = 1.88, 95% CI = 1.57, 2.25), have a higher Charlson comorbidity score (aOR = 1.11, 95% CI:1.07, 1.15) and to have visited a general practitioner in the past year (aOR = 2.17, 95% CI = 1.77, 2.67). Approximately 15% of older PLHIV have accessed HCC, but the extent of potential unmet need for these services requires further research.
引用
收藏
页码:121 / 130
页数:10
相关论文
共 50 条
[1]   Mitochondrial protein sorting as a therapeutic target for ATP synthase disorders [J].
Aiyar, Raeka S. ;
Bohnert, Maria ;
Duvezin-Caubet, Stephane ;
Voisset, Cecile ;
Gagneur, Julien ;
Fritsch, Emilie S. ;
Couplan, Elodie ;
von der Malsburg, Karina ;
Funaya, Charlotta ;
Soubigou, Flavie ;
Courtin, Florence ;
Suresh, Sundari ;
Kucharczyk, Roza ;
Evrard, Justine ;
Antony, Claude ;
St Onge, Robert P. ;
Blondel, Marc ;
di Rago, Jean-Paul ;
van der Laan, Martin ;
Steinmetz, Lars M. .
NATURE COMMUNICATIONS, 2014, 5
[2]   Complex interventions to improve physical function and maintain independent living in elderly people: a systematic review and meta-analysis [J].
Beswick, Andrew D. ;
Rees, Karen ;
Dieppe, Paul ;
Ayis, Salma ;
Gooberman-Hill, Rachael ;
Horwood, Jeremy ;
Ebrahim, Shah .
LANCET, 2008, 371 (9614) :725-735
[3]   Home-care utilization within the year of death: trends, predictors and changes in access equity during a period of health policy reform in British Columbia, Canada [J].
Brackley, M. E. ;
Penning, M. J. .
HEALTH & SOCIAL CARE IN THE COMMUNITY, 2009, 17 (03) :283-294
[4]   Service Utilization Among Older Adults With HIV: The Joint Association of Sexual Identity and Gender [J].
Brennan-Ing, Mark ;
Seidel, Liz ;
London, Andrew S. ;
Cahill, Sean ;
Karpiak, Stephen E. .
JOURNAL OF HOMOSEXUALITY, 2014, 61 (01) :166-196
[5]  
British Columbia Ministry of Health, 2016, MED SERV PLAN MSP PA
[6]  
British Columbia Ministry of Health, CAR OPT COSTS
[7]  
British Columbia Vital Statistics Agency, 2016, VIT STAT
[8]   Profiles of nursing home residents with HIV [J].
Buchanan, RJ ;
Wang, SJ ;
Huang, CF .
JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED, 2002, 13 (03) :379-391
[9]   Growing Older With HIV/AIDS: New Public Health Challenges [J].
Cahill, Sean ;
Valadez, Robert .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2013, 103 (03) :E7-E15
[10]  
Canadian Institute for Health Information [creator], 2016, DISCH ABSTR DAT HOSP