Travel Time to Clinic but not Neighborhood Crime Rate is Associated with Retention in Care Among HIV-Positive Patients.
Travel Time to Clinic but not Neighborhood Crime Rate is Associated with Retention in Care Among HIV-Positive Patients.
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DOI：
10.1007/s10461-018-2094-5
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发表时间：
2018-09
影响因子：
4.4
通讯作者：
Schneider JA
中科院分区：
文献类型：
--
作者：
Ridgway JP;Almirol EA;Schmitt J;Schuble T;Schneider JA
使用地理空间分析，我们研究了患者的住所和诊所之间的距离，到诊所的旅行时间，以及社区暴力犯罪率与艾滋病毒感染者（PLWH）的护理或病毒抑制之间的关系。对于城市大型诊所的艾滋病毒阳性患者，我们测量了家和诊所之间的距离和旅行时间，以及旅行路线两个街区半径内的暴力犯罪率。使用Kruskal-Wallis秩和比较组间结局。在2008-2016年的观察期内，219/602（36%）例患者接受了护理。留医与未留医患者距诊所的中位距离分别为3.6 [IQR 2.1-5.6]英里和3.9 [IQR 2.7-6.1]英里，p=0.06。保留与未保留的中位乘车时间分别为15.9 [IQR 9.6-22.9]和17.1 [IQR 12.0-24.6]分钟，p=0.04。暴力犯罪率沿着旅行路线是不相关的保留。旅行时间或距离与病毒抑制之间没有显著相关性。
Using geospatial analysis, we examined the relationship of distance between a patient’s residence and clinic, travel time to clinic, and neighborhood violent crime rates with retention in care or viral suppression among people living with HIV (PLWH). For HIV-positive patients at a large urban clinic, we measured distance and travel time between home and clinic and violent crime rate within a two block radius of the travel route. Kruskal-Wallis rank sum was used to compare outcomes between groups. Over the observation period, 2008–2016, 219/602 (36%) patients were retained in care. Median distance from clinic was 3.6 [IQR 2.1–5.6] miles vs. 3.9 [IQR 2.7–6.1] miles among those retained vs. not retained in care, p=0.06. Median travel time by car was 15.9 [IQR 9.6–22.9] vs. 17.1 [IQR 12.0–24.6] minutes for those retained vs. not retained, p=0.04. Violent crime rate along travel route was not associated with retention. There was no significant association between travel time or distance and viral suppression.
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影响因子：
3.8
作者：
Phillips G 2nd;Birkett M;Kuhns L;Hatchel T;Garofalo R;Mustanski B
通讯作者：
Mustanski B
DOI：
10.1097/qai.0b013e3182a90112
发表时间：
2013-11-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Eberhart MG;Yehia BR;Hillier A;Voytek CD;Blank MB;Frank I;Metzger DS;Brady KA
通讯作者：
Brady KA
影响因子：
4.9
作者：
Mugavero, Michael J.;Davila, Jessica A.;Giordano, Thomas P.
通讯作者：
Giordano, Thomas P.
影响因子：
11.1
作者：
Park, W. B.;Choe, P. G.;Choe, K. W.
通讯作者：
Choe, K. W.
影响因子：
39.2
作者：
Lucas, GM;Chaisson, RE;Moore, RD
通讯作者：
Moore, RD