EVALUATION OF A PROGRAM TO REMOVE BARRIERS TO PUBLIC-HEALTH CARE FOR WOMEN WITH HIV-INFECTION
EVALUATION OF A PROGRAM TO REMOVE BARRIERS TO PUBLIC-HEALTH CARE FOR WOMEN WITH HIV-INFECTION
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DOI：
10.1097/00007611-199511000-00007
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发表时间：
1995-11-01
影响因子：
1.1
通讯作者：
BRANDON, W
中科院分区：
文献类型：
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作者：
KISSINGER, P;CLARK, R;BRANDON, W
为了方便感染艾滋病毒的妇女获得护理，在新奥尔良的一家HN门诊诊所启动了母婴计划。该计划包括免费的儿童保育和接送，单独的候诊室和检查室，女性护理提供者，母婴合并探视，以及现场阴道镜检查服务。这项研究通过对143名女性和557名男性(作为对照)的跟踪调查，评估了该计划在提高诊所就诊率方面的效果。多变量模型根据静脉药物滥用史、种族、年龄、CD4细胞计数、疾病分期和就诊时间进行了调整。一半的客户达到了高出席率。女性在干预前与男性一样有可能达到较高的就诊率，但更有可能在干预后6个月和1年(在调整其他变量后)做到这一点。这些结果表明，满足与性别相关的特殊需求可以改善妇女就诊的情况。
To facilitate access to care for HIV-infected women, a maternal-child program was started at an HN outpatient clinic in New Orleans. The program consisted of free child care and transportation, separate waiting and examination rooms, female care providers, merged visits for mother and child, and on-site colposcopy services. This study evaluates the efficacy of the program on improving attendance at the clinic by follow-up of 143 women and 557 men (serving as controls). Multivariate models were adjusted for history of intravenous drug abuse, race, age, CD4 cell count, staging of disease, and time in the clinic. Half of the clients achieved high attendance rates. Women were as likely as men to achieve high attendance rates before the interventions, but more likely to do so at both 6 months and 1 year postintervention (after adjustment for the other variables). These results suggest that responding to special gender-related needs can improve women's attendance for clinic visits.