Delays in seeking HIV care due to competing caregiver responsibilities

被引：83

作者：

Stein, MD

Crystal, S

Cunningham, WE

Ananthanarayanan, A

Andersen, RM

Turner, BJ

Zierler, S

Morton, S

Katz, MH

Bozzette, SA

Shapiro, MF

Schuster, MA

机构：

[1] Rhode Isl Hosp, Div Gen Internal Med, Providence, RI 02903 USA

[2] Rutgers State Univ, AIDS Res Grp, Inst Hlth, New Brunswick, NJ 08903 USA

[3] Univ Calif Los Angeles, Sch Med, Div Gen Internal Med & Hlth Serv Res, Los Angeles, CA USA

[4] RAND Corp, Hlth Sci Program, Santa Monica, CA USA

[5] Univ Calif San Diego, Dept Med, San Diego, CA 92103 USA

[6] Vet Affairs San Diego Healthcare Syst, San Diego, CA USA

[7] Thomas Jefferson Univ, Jefferson Med Coll, Ctr Res Med Educ & Hlth Care, Philadelphia, PA 19107 USA

[8] Brown Univ, Dept Community Hlth, Providence, RI 02912 USA

[9] Dept Publ Hlth, San Francisco, CA USA

来源：

AMERICAN JOURNAL OF PUBLIC HEALTH | 2000年 / 90卷 / 07期

关键词：

D O I：

10.2105/AJPH.90.7.1138

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objectives. This study sought to describe the characteristics of HIV-infected persons who delay medical care for themselves because they are caring for others. Methods. HIV-infected adults (n = 2864) enrolled in the HIV Cost and Services Utilization Study (1996-1997) were interviewed. Results. The odds were 1.6 times greater for women than for men to put off care (95% confidence interval [CI] = 1.2, 2.2); persons without insurance and with CD4 cell counts above 500 were also significantly more likely to put off care. Having a child in the household was associated with putting off care (odds ratio [OR] = 1.8, 95% CI = 1.4. 2.3). Conclusions. Women or individuals with a child in the household should be offered services that might allow them to avoid delays in seeking their own medical care.

引用

页码：1138 / 1140

页数：3

共 20 条

[1] REVISITING THE BEHAVIORAL-MODEL AND ACCESS TO MEDICAL-CARE - DOES IT MATTER [J].