Living with HIV but without medical care: Barriers to engagement
Living with HIV but without medical care: Barriers to engagement
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DOI：
10.1089/apc.2006.0138
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发表时间：
2007-06-01
影响因子：
4.9
通讯作者：
Drainoni, Mari-Lynn
中科院分区：
文献类型：
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作者：
Tobias, Carol R.;Cunningham, William;Drainoni, Mari-Lynn
本横断面研究考察了在知道自己的艾滋病毒状况且不是新诊断为艾滋病毒的人群中接受艾滋病毒医疗护理的相关因素。在2003年10月至2005年7月期间，对1133名艾滋病毒阳性个体进行了采访，他们参加了全国10个外展项目中的一个。样本主要是非白人（86%），男性（59%），居住不稳定（61%），有可卡因使用史（68%）。12%的人在采访前的6个月内没有接受过艾滋病毒治疗。那些没有类似于那些收到了一些艾滋病护理保健社会人口特征,但在多变量分析不太可能有一个案例管理器(p < 0.001)或使用心理健康服务(p <措施),心理健康状况得分较低(p < 0.05),更有可能是活跃的吸毒者(p < 0.01),有更大的未满足的支持服务需求(p < 0.05)和报道,健康信念是一个障碍(p < 0.001)。使人们参与艾滋病毒医疗护理的干预措施需要通过与精神健康、药物滥用治疗和支助服务的联系，消除获得护理的障碍，并消除阻碍人们寻求护理的健康信念。
This cross- sectional study examined factors associated with the receipt of HIV medical care among people who know their HIV status and are not newly diagnosed with HIV. Interviews were conducted with 1133 HIV- positive individuals between October 2003 and July 2005 who enrolled in 1 of 10 outreach programs across the country. The sample was predominantly non-white ( 86%), male ( 59%), and unstably housed ( 61%), with a past history of cocaine use ( 68%). Twelve percent had received no HIV medical care in the 6 months prior to the interview. Those with no care were similar to those who received some HIV care in sociodemographic characteristics, but in multivariate analysis were less likely to have a case manager ( p < 0.001) or use mental health services ( p < .001), had lower mental health status scores ( p < 0.05), were more likely to be active drug users ( p < 0.01), had greater unmet support service needs ( p < 0.05) and reported that health beliefs were a barrier to care ( p < 0.001). Interventions to engage people in HIV medical care need to address barriers to care through linkages with mental health, substance abuse treatment and support services, and address the health beliefs that deter people from seeking care.