Trust and other characteristics associated with health care utilization by injection drug users
Trust and other characteristics associated with health care utilization by injection drug users
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DOI：
10.1177/002204260603600409
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发表时间：
2006-09-01
影响因子：
1.7
通讯作者：
Altice, Frederick L.
中科院分区：
文献类型：
--
作者：
Ostertag, Stephen;Wright, Bradley R. E.;Altice, Frederick L.
本文调查了注射吸毒者的卫生保健利用情况。基于先前的医疗保健模型，我们确定了影响一般人群医疗保健利用的各种态度和个人特征，并研究了它们对这一高危群体的影响。它们包括对医生的信任、自尊、自我效能、社会孤立和抑郁。我们检查了康涅狄格州纽黑文374名注射吸毒者的调查数据。我们的研究结果表明，对医生的信任显著增加了对医疗保健的利用，而抑郁则降低了对医疗保健的利用。我们还发现，艾滋病毒阳性的受访者以及那些有健康保险的人更经常地利用医疗保健。这些发现扩大了现有卫生保健利用模式的普遍性，并为努力增加注射吸毒者等弱势群体的卫生保健提供了信息。
This article examines health care utilization among injection drug users. Based on previous health care models, we identify various attitudes and personal characteristics that have been found to affect health care utilization in the general population, and we examine their effect with this at-risk group. They include trust in physicians, self-esteem, self-efficacy, social isolation, and depression. We examined survey data collected from 374 injection drug users in New Haven, Connecticut. Our findings indicated that trust in physicians significantly increased health care utilization, and depression decreased it. We also found that HIV+ respondents as well as those with health insurance utilized health care more often. These findings broaden the generalizability of existing health care utilization models, and they inform efforts to increase health care among vulnerable populations such as injection drug users.