HIV-related medical service use by rural/urban residents: a multistate perspective.
HIV-related medical service use by rural/urban residents: a multistate perspective.
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DOI：
10.1080/09540121.2010.543878
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发表时间：
2011-08
期刊：
影响因子：
1.7
通讯作者：
Gebo KA
中科院分区：
文献类型：
--
作者：
Wilson LE;Korthuis T;Fleishman JA;Conviser R;Lawrence PB;Moore RD;Gebo KA
地理位置可能与获得优质艾滋病毒医疗服务有关。对在美国城市大量艾滋病毒护理点就诊的农村、城市和城郊患者的临床结果和医疗保健利用率进行了评估。 2005 年，对 7 个艾滋病毒研究网络站点的 8,773 名艾滋病毒患者的邮政编码进行了跟踪，这些患者的邮政编码被分为农村（人口<10K）、城郊（10K – 100K）和城市（>100K）。使用分类变量的 Χ2 检验、平均值的 t 检验和 HAART 使用的逻辑回归，比较患者之间的临床和人口特征、住院患者和门诊患者 (OP) 使用率、艾滋病定义发病率、接受高效抗逆转录病毒治疗 (HAART)、机会性感染 (OI) 预防使用和病毒学抑制。与城市艾滋病毒感染者相比，农村（n=170）和城郊（n=215）感染艾滋病毒的患者是黑人或西班牙裔的可能性较小。与农村或城市受试者相比，城郊受试者更有可能将男男性行为者报告为艾滋病毒危险因素。年龄、性别、CD4 或 HIV-RNA 分布、病毒学抑制、HAART 使用或 OI 预防并无因地理位置而异。在多变量分析中，农村和城郊患者每年门诊次数≥4 次的可能性低于城市患者。如果农村患者是黑人，则接受 HAART 的可能性较小。总体而言，地理位置（按家庭邮政编码定义）并不影响接受 HAART 或 OI 预防治疗。尽管农村、城郊和城市艾滋病毒患者之间存在人口统计和医疗保健利用差异，但大多数艾滋病毒结果和药物使用在不同地理区域之间具有可比性。与城市居民艾滋病毒护理一样，非城市艾滋病毒患者需要改进的领域包括少数民族和注射吸毒者获得高效抗逆转录病毒治疗的机会。
Geographic location may be related to the receipt of quality HIV healthcare services. Clinical outcomes and healthcare utilization were evaluated in rural, urban and peri-urban patients seen at high-volume U.S. urban-based HIV care sites. Zip codes for 8,773 HIV patients followed in 2005 at 7 HIV Research Network sites were categorized as rural (population<10K), peri-urban (10K – 100K) and urban (>100K). Clinical and demographic characteristics, inpatient and outpatient (OP) utilization, AIDS defining illness rates, receipt of highly active antiretroviral therapy (HAART), opportunistic infection (OI) prophylaxis usage and virologic suppression were compared among patients, using Χ2 tests for categorical variables, t-tests for means, and logistic regression for HAART utilization. HIV-infected rural (n=170) and peri-urban (n=215) patients were less likely to be Black or Hispanic than urban HIV patients. Peri-urban subjects were more likely to report MSM as their HIV risk factor than rural or urban subjects. Age, gender, CD4 or HIV-RNA distribution, virologic suppression, HAART usage or OI prophylaxis did not differ by geographic location. In multivariate analysis, rural and peri-urban patients were less likely to have ≥4 annual outpatient visits than urban patients. Rural patients were less likely to receive HAART if they were Black. Overall, geographic location (as defined by home zip code) did not affect receipt of HAART or OI prophylaxis. Although demographic and healthcare utilization differences were seen among rural, peri-urban, and urban HIV patients, most HIV outcomes and medication use were comparable across geographic areas. As with HIV care for urban-dwelling patients, areas for improvement for non-urban HIV patients include access to HAART among minorities and IDUs.
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DOI：
10.1097/00126334-200107010-00006
发表时间：
2001-07-01
期刊：
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
影响因子：
--
作者：
Lucas, GM;Cheever, LW;Moore, RD
通讯作者：
Moore, RD
DOI：
10.1001/archfami.4.12.1042
发表时间：
1995-12-01
期刊：
Archives of family medicine
影响因子：
--
作者：
Miller, R S;Green, L A;Main, D S
通讯作者：
Main, D S
DOI：
10.1097/00126334-200501010-00017
发表时间：
2005-01-01
影响因子：
3.6
作者：
Gebo, KA;Fleishman, JA;Mathews, WC
通讯作者：
Mathews, WC
影响因子：
1.1
作者：
Berry, DE
通讯作者：
Berry, DE
影响因子：
158.5
作者：
ELLERBROCK, TV;LIEB, S;WITTE, JJ
通讯作者：
WITTE, JJ