Factors associated with use of HIV primary care among persons recently diagnosed with HIV: Examination of variables from the behavioural model of health-care utilization

Factors associated with use of HIV primary care among persons recently diagnosed with HIV: Examination of variables from the behavioural model of health-care utilization
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DOI:
10.1080/09540120600966182
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发表时间:
2007-02-01
影响因子:
1.7
通讯作者:
Loughlin, A. M.
Loughlin, A. M.
中科院分区:
医学4区
文献类型:
--
作者:
Anthony, M. N.;Gardner, L.;Loughlin, A. M.

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通过确定最近被诊断为艾滋病毒感染者中与使用艾滋病毒初级保健有关的变量,可以更好地理解艾滋病毒检测呈阳性和接受医疗护理之间的延迟。我们报告的结果,从270艾滋病毒阳性的人参加了抗逆转录病毒治疗的研究(ARTAS)。74%的人在入学前没有看过艾滋病毒护理人员; 26%的人只看过一次。基于Andersen的卫生保健利用行为模型,对反映人口统计学、卫生保健、疾病、行为和心理社会维度的几个变量进行了评估,并用于预测参与者在入学后6个月内看到艾滋病毒护理提供者的可能性。总的来说,69%的人在六个月内看过艾滋病毒护理提供者。在多变量分析中,看到提供者的可能性显著(p
The delay between testing positive for human immunodeficiency virus (HIV) and entering medical care can be better understood by identifying variables associated with use of HIV primary care among persons recently diagnosed with the virus. We report findings from 270 HIV-positive persons enrolled in the, Antiretroviral Treatment Access Study (ARTAS). 74% had not seen an HIV care provider before enrolment; 26% had one prior visit only. Based on Andersen's behavioural model of health care utilization, several variables reflecting demographic, healthcare, illness, behavioural, and psychosocial dimensions were assessed and used to predict the likelihood that participants had seen an HIV care provider six months after enrolment. Overall, 69% had seen an HIV care provider by six months. In multivariate analysis, the likelihood of seeing a provider was significantly (p