Patterns of engagement in care by HIV-infected adults: South Carolina, 2004-2006
Patterns of engagement in care by HIV-infected adults: South Carolina, 2004-2006
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DOI：
10.1097/qad.0b013e328326f546
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发表时间：
2009-03-27
期刊：
影响因子：
3.8
通讯作者：
Duffus, Wayne A.
中科院分区：
文献类型：
--
作者：
Olatosi, Bankole A.;Probst, Janice C.;Duffus, Wayne A.
目的：确定与南卡罗来纳州 HIV 护理利用相关的因素。设计：对 2004 年 1 月 1 日至 2006 年 12 月 31 日期间南卡罗来纳州非怀孕 HIV 感染者 (N = 13 042) 进行横断面分析。方法：南卡罗来纳州法律强制要求报告 HIV 实验室标志物。在一个日历年中报告病毒载量测试或 CD4 细胞计数的个人被定义为当年“接受艾滋病毒医疗护理”。护理利用类别为护理中、护理全3年； not-incare (NIC)，未接受护理；以及过渡性护理，在某些年份但不是所有年份。使用广义 Logits 的多项 Logistic 回归来估计护理利用率和预测变量之间的关系。 结果：2004-2006 年期间，南卡罗来纳州有 5002 百 17 名 HIV 感染成年人 (40.0%) 接受 NIC 治疗，3300 名 (25.3%) 接受过渡性护理。尽管感染 HIV 的黑人成人中 NIC 的数量多于白人，但黑人 NIC 状态的调整后赔率低于白人 [调整后赔率 (AOR)，0.82；调整后赔率 (AOR)，0.82； 95% 置信区间 0.74, 0.92)]。女性患 NIC 的几率低于男性（AOR，0.66；95% 置信区间 0.58，0.74）。与 55 岁或以上的个体相比，25-34 岁的个体最有可能表现出 NIC（AOR，1.85；95% 置信区间 1.29，2.65）和过渡（AOR，1.85；959% 置信区间 1.31，2.62）护理模式。结论：南卡罗来纳州感染 HIV 的成年人口中很大一部分没有持续获得服务艾滋病毒医疗保健。需要有针对性的计划来提高最有可能过渡或不在护理中的艾滋病毒感染者的参与度。 (C) 2009 年 Wolters Kluwer Health 垂直条 Lippincott Williams & Wilkins
Objective: Identify factors associated with HIV care utilization in South Carolina.Design: Cross-sectional analysis of South Carolina nonpregnant HIV-infected individuals (N = 13 042) for the period 1 January 2004 to 31 December 2006.Methods: Reporting of HIV laboratory markers is legally mandated in South Carolina. Individuals with reported viral load tests or CD4 cell Counts during a calendar year were defined as 'in HIV-medical care' that year. Care utilization categories were in care, care all 3 years; not-in-care (NIC), no care received; and transitional care, during some but not all years. Multinomial logistic regression using generalized logits was used to estimate relationships between care utilization and predictor variables.Results: Five thousand, two hundred and seventeen (40.0%) of South Carolina HIV-infected adults were NIC and 3300 (25.3%) were in transitional care during 2004-2006. Although a larger number of black than white HIV-infected adults were NIC, adjusted odds for NIC status were lower among blacks than whites [adjusted odds ratio (AOR), 0.82; 95% confidence interval 0.74, 0.92)]. Women had lower odds of being NIC than men (AOR, 0.66; 95% confidence interval 0.58, 0.74). Compared with individuals 55 years or older, individuals who were 25-34 years old were most likely to demonstrate both the NIC (AOR, 1.85; 95% confidence interval 1.29, 2.65) and transitional (AOR, 1.85; 959% confidence interval 1.31, 2.62) care patterns.Conclusion: Large proportions of the South Carolina HIV-infected adult population are not consistently accessing HIV-medical care. Targeted programs are needed to improve engagement for HIV-infected adults most likely to transition or not be in care. (C) 2009 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins