HIV/AIDS health service utilization by people who have been homeless

HIV/AIDS health service utilization by people who have been homeless
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DOI:
10.1007/s10461-007-9282-z
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发表时间:
2008-09-01
期刊:
影响因子:
4.4
通讯作者:
King, Jan B.
King, Jan B.
中科院分区:
医学2区
文献类型:
--
作者:
Henry, Randal;Richardson, Jean L.;King, Jan B.

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无家可归的艾滋病毒/艾滋病感染者有相互竞争的优先事项(例如,粮食、财产安全),并面临复杂的健康相关问题(例如,合并症、前往诊所的交通),这些问题可能会干扰他们利用保健服务。利用229名艾滋病患者的数据,我们没有发现无家可归与更少或更短的诊所就诊有关。曾经无家可归的患者比从未无家可归的患者(58.8%)更有可能有一个病例管理员(74.2%)。与其他种族(66%)相比,非裔美国患者更不可能有病例管理员(57%),尽管这没有统计学意义。
People living with HIV/AIDS (PLWHA) who experience homelessness have competing priorities (e.g., food, security of property) and experience complex health-related issues (e.g., co-morbidities, transportation to clinics) that may interfere with utilizing health care services. Using data from 229 PLWHA we did not find that homelessness was related to fewer or shorter clinic visits. Patients who had ever been homeless were more likely to have a case manager (74.2%) than never homeless patients (58.8%). African American patients were less likely to have a case manager (57%) as compared to other ethnicities (66%) although this was not statistically significant.