Effect of violence on utilization of services and access to care in persons with HIV

被引:21
作者
Eisenman, DP
Cunningham, WE
Zierler, S
Nakazono, TT
Shapiro, MF
机构
[1] Univ Calif Los Angeles, Sch Med, Div Gen Internal Med & Hlth Serv Res, Dept Med, Los Angeles, CA 90095 USA
[2] Univ Calif Los Angeles, Sch Publ Hlth, Dept Hlth Serv, Los Angeles, CA 90024 USA
[3] Brown Univ, Dept Community Hlth, Providence, RI 02912 USA
[4] RAND Corp, Hlth Sci Program, Santa Monica, CA USA
基金
英国惠康基金;
关键词
violence; HIV; AIDS; utilization; homosexual;
D O I
10.1046/j.1525-1497.2003.20518.x
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
We analyzed the HIV Costs and Service Utilization Study data to determine the association of violence, assessed at baseline, with utilization of and access to health care at follow-up, among gay/bisexual male, heterosexual female, and heterosexual male HIV/AIDS patients. In multivariate analyses, male gay/bisexual violence victims had increased odds of reporting emergency department visits (odds ratio [OR], 1.74; 95% confidence interval [95% CI], 1.20 to 2.52), going without needed medical care because of expense (OR, 1.83; 95% CI, 1.06 to 3.18), and having poor ability to access medical specialists (OR, 1.96; 95% CI, 1.05 to 3.67). Further research is required to understand the association of violence with health care among gay/bisexual men with HIV/AIDS.
引用
收藏
页码:125 / 127
页数:3
相关论文
共 12 条
[1]   ACCESS TO MEDICAL-CARE AND HEALTH-RELATED QUALITY-OF-LIFE FOR LOW-INCOME PERSONS WITH SYMPTOMATIC HUMAN-IMMUNODEFICIENCY-VIRUS [J].
CUNNINGHAM, WE ;
HAYS, RD ;
WILLIAMS, KW ;
BECK, KC ;
DIXON, WJ ;
SHAPIRO, MF .
MEDICAL CARE, 1995, 33 (07) :739-754
[2]   The prospective effect of access to medical care on health-related quality-of-life outcomes in patients with symptomatic HIV disease [J].
Cunningham, WE ;
Hays, RD ;
Ettl, MK ;
Dixon, WJ ;
Liu, RCC ;
Beck, CK ;
Shapiro, MF .
MEDICAL CARE, 1998, 36 (03) :295-306
[3]   Reliability and validity of self-report CD4 counts in persons hospitalized with HIV disease [J].
Cunningham, WE ;
Rana, HM ;
Shapiro, MF ;
Hays, RD .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1997, 50 (07) :829-835
[4]   The impact of competing subsistence needs and barriers on access to medical care for persons with human immunodeficiency virus receiving care in the United States [J].
Cunningham, WE ;
Andersen, RM ;
Katz, MH ;
Stein, MD ;
Turner, BJ ;
Crystal, S ;
Zierler, S ;
Kuromiya, K ;
Morton, SC ;
St Clair, P ;
Bozzette, SA ;
Shapiro, MF .
MEDICAL CARE, 1999, 37 (12) :1270-1281
[5]  
Frankel MR, 1999, HEALTH SERV RES, V34, P969
[6]   PATIENT SOCIODEMOGRAPHIC CHARACTERISTICS AS PREDICTORS OF SATISFACTION WITH MEDICAL-CARE - A METAANALYSIS [J].
HALL, JA ;
DORNAN, MC .
SOCIAL SCIENCE & MEDICINE, 1990, 30 (07) :811-818
[7]   Reliability and validity of self-reported CD4 lymphocyte count and viral load test results in people living with HIV/AIDS [J].
Kalichman, SC ;
Rompa, D ;
Cage, M .
INTERNATIONAL JOURNAL OF STD & AIDS, 2000, 11 (09) :579-585
[8]   Physical and sexual abuse in women infected with the human immunodeficiency virus -: Increased illness and health care utilization [J].
Liebschutz, JM ;
Feinman, G ;
Sullivan, L ;
Stein, M ;
Samet, J .
ARCHIVES OF INTERNAL MEDICINE, 2000, 160 (11) :1659-1664
[9]   Use of the ED as a regular source of care: Associated factors beyond lack of health insurance [J].
OBrien, GM ;
Stein, MD ;
Zierler, S ;
Shapiro, M ;
OSullivan, P ;
Woolard, R .
ANNALS OF EMERGENCY MEDICINE, 1997, 30 (03) :286-291
[10]   Variations in the care of HIV-infected adults in the United States - Results from the HIV Cost and Services Utilization Study [J].
Shapiro, MF ;
Morton, SC ;
McCaffrey, DF ;
Senterfitt, JW ;
Fleishman, JA ;
Perlman, JF ;
Athey, LA ;
Keesey, JW ;
Goldman, DP ;
Berry, SH ;
Bozzette, SA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 281 (24) :2305-2315