Short report: Migration among persons living with HIV
Short report: Migration among persons living with HIV
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DOI：
10.1016/s0277-9536(02)00487-2
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发表时间：
2003-09-01
影响因子：
5.4
通讯作者：
Shapiro, M
中科院分区：
文献类型：
--
作者：
Berk, ML;Schur, CL;Shapiro, M
来自艾滋病毒携带者的第一个全国概率样本--艾滋病毒服务和利用成本调查(HCSUS)的数据被用来检查美国艾滋病毒/艾滋病感染者的移徙模式。患有严重疾病的人可以选择搬迁，以获得更好的护理或支持。这种迁移对资源的分配有影响。这项研究描述了艾滋病毒携带者移居不同社区的频率和原因。一份3014名受访者的分析文件是从艾滋病毒/艾滋病患者的第一个国家概率样本--HCSUS中获得的。基线问卷的移民部分询问了受访者的居住史。如果这些人在知道自己是艾滋病毒阳性但在HCSUS基线访谈之前跨越州界或前往不毗邻的县，则被定义为迁徙者。40%的搬家人员表示，他们的艾滋病毒状况是他们决定搬家的一个非常重要的因素。尽管早先对有限普适性的研究发现，艾滋病毒人口从城市迁移到农村县，但这项研究发现，只有8%的艾滋病毒迁移是从城市到农村县，略高于从农村到城市县的迁移。此外，绝大多数搬家的人并不是为了回家而搬家。决定搬家的主要因素包括离照顾者很近，以及身处一个有着共同需求和兴趣的社区。相当多的人也采取行动，从熟悉艾滋病毒治疗知识的医生那里获得护理，或摆脱歧视。经济援助和医疗补助的可获得性也在许多搬迁决定中发挥了突出作用。在一般人口中，感染艾滋病毒/艾滋病的人比未感染的人更有可能流动。此外，他们搬出州外的可能性几乎是前者的两倍。在包括年龄、国家地区和收入在内的大多数人口特征上，流动的艾滋病毒携带者与不流动的艾滋病毒携带者相似。(C)2003爱思唯尔有限公司。保留所有权利。
Data from the first national probability sample of persons with HIV, the HIV Cost of Services and Utilization Survey (HCSUS), are used to examine migration patterns among persons with HIV/AIDS in the USA. Persons with serious illness may choose to relocate to receive better care or support. This migration has implications for the distribution of resources. This study describes the frequency and reasons that persons with HIV move to different communities. An analytic file of 3014 respondents was obtained from the first national probability sample of persons with HIV/AIDS, the HCSUS. A migration section of the baseline questionnaire questioned respondents on their residential history. Persons were defined as movers if they moved across state lines or to a non-contiguous county after knowing they were HIV positive but before the HCSUS baseline interview. Forty percent of movers said that their HIV status was a very important factor in their decision to move. Although earlier studies of limited generalizability found movement among the HIV population from urban to rural counties, this study found only eight percent of HIV migration was from urban to rural counties, just slightly more than the migration from rural to urban counties. In addition, the vast majority of people who were moving were not moving to return home. Major factors in the decision to move included being near caregivers and being in a community with shared needs and interests. Significant numbers of persons also moved to obtain care from a physician knowledgeable in HIV treatment or to get away from discrimination. Financial assistance and the availability of Medicaid also played a prominent role in many decisions to move. Persons with HIV/AIDS are more likely to move than non-infected persons in the general population. Moreover, they are almost twice as likely to be moving out-of-state. Persons with HIV who move are similar to persons with HIV who do not move on most demographic characteristics including age, region of the country, and income. (C) 2003 Elsevier Ltd. All rights reserved.