Regional and Temporal Trends in Migration among People Living with HIV/AIDS in British Columbia, 1993-2005
Regional and Temporal Trends in Migration among People Living with HIV/AIDS in British Columbia, 1993-2005
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DOI：
10.1007/bf03405561
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发表时间：
2010-01-01
影响因子：
4.3
通讯作者：
Hogg, Robert S.
中科院分区：
文献类型：
--
作者：
Lima, Viviane D.;Druyts, Eric;Hogg, Robert S.
目的：为了研究区域和时间的趋势，在移民接受艾滋病毒治疗的患者在不列颠哥伦比亚省（BC）。方法：患者开始抗逆转录病毒治疗在BC之间的1993年1月和2004年11月进行了跟踪，直到2005年11月。迁移计算为患者在治疗过程中居住地址改变的累积次数。在省和地区卫生当局（HA）和当地卫生区域一级进行分析。人口统计学方法被用来估计的进出迁移率，随着时间的推移，各地区的差异和浓度的指数。移民最多的人通常迁移到温哥华沿海HA（来自内陆：30%，弗雷泽：41%，温哥华岛：28%，北方：19%），特别是温哥华市，自艾滋病流行的早期阶段以来，该市一直在治疗最多的艾滋病毒感染者。我们还表明，随着更多现代HAART方案的可用，这种变化加剧（趋势的p值
Objectives: To examine regional and temporal trends in migration among patients receiving HIV treatment in British Columbia (BC).Methods: Patients initiating antiretroviral therapy in BC between January 1993 and November 2004 were followed until November 2005. Migration was calculated as the cumulative number of times a patient's residential address changed during their course of treatment. Analyses were performed at the provincial and at the regional health authority (HA) and local health area levels. Demographic methods were used to estimate the in- and out-migration rates, indices of dissimilarity and concentration across regions over time.Results: A total of 3,588 participants were followed during the study period. Individuals who migrated most often migrated to the Vancouver Coastal HA (from the Interior: 30%, Fraser: 41%, Vancouver Island: 28%, and Northern: 19%), specifically the city of Vancouver, which has been treating the most patients with HIV since the early stages of the epidemic. We also showed that this movement intensified as more contemporary HAART regimens became available (p-value for trend