People Living With HIV in US Nursing Homes in the Fourth Decade of the Epidemic
People Living With HIV in US Nursing Homes in the Fourth Decade of the Epidemic
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DOI：
10.1097/jnc.0000000000000033
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发表时间：
2019-01-01
影响因子：
2
通讯作者：
Briesacher, Becky
中科院分区：
文献类型：
--
作者：
Olivieri-Mui, Brianne;McGuire, Jean;Briesacher, Becky
随着艾滋病毒感染者（PLWH）的人数将在未来几年继续增加，了解影响适当的养老院（NH）护理规划的因素至关重要。本研究描述了符合医疗保险条件的艾滋病病毒携带者的社会人口学特征以及抗逆转录病毒治疗和身心健康状况。使用与NH居民健康评估和处方配药数据库相关的2011-2013年全国医疗保险索赔数据集来识别和总结艾滋病毒感染者，并将2011-2013年的新入院人数与1998年至2000年的新入院人数进行比较。我们在2011年至2013年期间在NHS中确定了7，188名PLWH，其中4，031名是新入院的。其中，79%接受了抗逆转录病毒治疗。大多数是男性（73%），黑人/非洲裔美国人（51.1%），以及居住在南部的NHS（47%）。比较数据集，新入院者年龄较大（60比44），病毒性肝炎（16.2%比7.5%）和贫血（31.1%比25.1%）的患病率较高，但肺炎（11.0%比13.6%）和痴呆（8.7%比21.0%）较少。NH护士可以使用这些健康档案更好地预测PLWH的医疗保健需求，了解随着时间的推移，PLWH在入院时的健康状况发生了变化。
As the number of persons living with HIV (PLWH) will continue to increase in the coming years, it is critical to understand factors influencing appropriate nursing home (NH) care planning. This study described the sociodemographic characteristics as well as the antiretroviral therapy treatment and physical and mental health among Medicare-eligible PLWH in NHs. Persons living with HIV were identified and summarized using a 2011-2013 nationwide data set of Medicare claims linked to NH resident health assessments and a prescription dispensing database, comparing new admissions in 2011-2013 with those from 1998 to 2000. We identified 7,188 PLWH from 2011 to 2013 in NHs of whom 4,031 were newly admitted. Of the total, 79% were prescribed antiretroviral therapy. Most were male (73%), Black/African American (51.1%), and a plurality resided in southern NHs (47%). Comparing the data sets, new admissions were older (60 vs. 44), had higher prevalence of viral hepatitis (16.2% vs. 7.5%), and anemia (31.1% vs. 25.1%) but had less pneumonia (11.0% vs. 13.6%) and dementia (8.7% vs. 21.0%). NH nurses can better anticipate health care needs of PLWH using these health profiles, understanding that there have been changes in the health of PLWH at admission over time.