Distance to HIV care and treatment adherence: Adjusting for socio-demographic and geographical heterogeneity
Distance to HIV care and treatment adherence: Adjusting for socio-demographic and geographical heterogeneity
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DOI：
10.1016/j.sste.2018.08.001
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发表时间：
2018-11-01
影响因子：
3.4
通讯作者：
Lima, V
中科院分区：
文献类型：
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作者：
Amram, O.;Shoveller, J.;Lima, V
与保健服务的距离在决定获得保健和个人健康方面发挥着重要作用。本研究旨在探讨距离抗逆转录病毒治疗（ART）处方医生和坚持艾滋病毒治疗的不列颠哥伦比亚省，加拿大之间的关系。只有那些提供了高度准确的居住地和医生位置数据的参与者才被用于分析。使用逻辑回归，建立多变量混杂因素模型，以评估距离和依从性之间的关联。还进行了地理加权逻辑回归以调整空间依赖性。共有1528名参与者参与了分析，平均距离为17.85公里。最终模型显示，远离抗逆转录病毒治疗的处方医生有更高的机会不完全遵守抗逆转录病毒治疗（调整后的比值比1.31; 95%置信区间1.04-1.65）。移动的服务可能会增加居住在远离ART处方医生的人群的依从率。(C)2018爱思唯尔有限公司版权所有
Distance to health services plays an important role in determining access to care and an individual's health. This study aims to examine the relationship between distance to antiretroviral therapy (ART) prescribing physician and adherence to HIV treatment in British Columbia, Canada. Only participants who provided highly accurate locational data for both place of residence and their physician were used in the analysis. Using logistic regression, a multivariable confounder model was created to assess the association between distance and adherence. A geographically weighted logistic regression was also performed to adjust for spatial dependency. There were 1528 participants in the analysis, for a median distance of 17.85km. The final model showed further away from ART prescribing physician had a higher chance of incomplete adherence to ART (adjusted odds ratio 1.31; 95% Confidence Interval 1.04-1.65). Mobile services could potentially increase adherence rates for population residing further away from their ART prescribing physician. (C) 2018 Elsevier Ltd. All rights reserved.