Use of HIV primary care by HIV-positive Haitian immigrants in Miami, Florida.
Use of HIV primary care by HIV-positive Haitian immigrants in Miami, Florida.
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DOI：
10.1080/09540121.2010.516339
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发表时间：
2011-04
期刊：
影响因子：
1.7
通讯作者：
Malow R
中科院分区：
文献类型：
--
作者：
Saint-Jean G;Metsch L;Gomez-Marin O;Pierre C;Jeanty Y;Rodriguez A;Malow R
目前对美国海地移民中艾滋病毒初级保健的使用情况知之甚少。本研究利用了来自佛罗里达州迈阿密一家艾滋病毒初级保健诊所招募的艾滋病毒阳性海地人的调查数据，以检查该人群定期使用艾滋病毒护理的障碍和促进因素。措施的选择以安德森弱势群体保健服务利用模式为指导。因变量，定期使用艾滋病毒初级保健，是指在过去12个月内完成4次或以上的艾滋病毒初级保健就诊。在接受调查的96名参与者中，大约四分之三的人没有高中毕业，年收入高达5000美元。79%的参与者在过去一年中完成了4次或更多的访问。在单变量和多变量分析中，没有受过正规教育的参与者或有高度心理困扰的参与者比那些上学或不那么痛苦的参与者更不可能定期使用艾滋病毒初级保健。研究结果强调，卫生保健从业人员需要密切关注海地艾滋病患者的教育水平和心理健康状况。数据还表明，一旦这些人与护理联系起来，并为他们的日常挑战提供帮助，他们就很可能继续与护理联系起来，并服用抗逆转录病毒药物。
Little is known about the use of HIV primary care among Haitian immigrants in the U.S. The present study utilizes data from a survey of HIV positive Haitians recruited from an HIV primary care clinic in Miami, Florida to examine barriers and facilitators of regular use of HIV care by this population. Selection of measures was guided by the Andersen Model of Health Services Utilization for Vulnerable Populations. The dependent variable, regular use of HIV primary care, was operationalized as completion of 4 or more HIV primary care visits during the previous 12 months. Of the 96 participants surveyed, approximately three-fourths did not graduate from high school and reported an annual income of up to $5,000. Seventy-nine percent of participants completed 4 or more visits in the past year. On univariate as well as multivariate analyses, participants without formal education or those with high psychological distress were significantly less likely to have used HIV primary care regularly than those who attended school or who were less distressed, respectively. The findings emphasize the need for health care practitioners to pay close attention to the education level and the mental health status of their Haitian HIV patients. The data also suggest that once these individuals are linked to care and offered assistance with their daily challenges they are very likely to stay connected to care and to take their antiretroviral medicines.
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DOI：
10.1097/00126334-200309010-00015
发表时间：
2003-09-01
影响因子：
3.6
作者：
Fleishman, JA;Hellinger, FH
通讯作者：
Hellinger, FH
DOI：
10.1080/09540120701767240
发表时间：
2008-01-01
影响因子：
1.7
作者：
Basta, Tania;Shacham, Enbal;Reece, Michael
通讯作者：
Reece, Michael
DOI：
10.1080/09540120120076986
发表时间：
2001-12-01
影响因子：
1.7
作者：
Gadon, M;Chierici, RM;Rios, P
通讯作者：
Rios, P
DOI：
10.1073/pnas.0705329104
发表时间：
2007-11-20
影响因子：
11.1
作者：
Gilbert, M. Thomas P.;Rambaut, Andrew;Worobey, Michael
通讯作者：
Worobey, Michael
影响因子：
9.7
作者：
Guendelman, S;Schauffler, HH;Pearl, M
通讯作者：
Pearl, M