Access to health care and geographic mobility of HIV/AIDS patients

被引:20
作者
Hogg, RS [1 ]
Schechter, MT [1 ]
Schilder, A [1 ]
Le, R [1 ]
Strathdee, SA [1 ]
Goldstone, IL [1 ]
OShaughnessy, MV [1 ]
机构
[1] BRITISH COLUMBIA PERSONS AIDS SOC,VANCOUVER,BC,CANADA
来源
AIDS PATIENT CARE | 1995年 / 9卷 / 06期
关键词
D O I
10.1089/apc.1995.9.297
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective. To determine the patterns and determinants of mobility in persons with HIV infection or AIDS on a population basis. Design. Descriptive cross-sectional population health study. Target Population. 650 full members (i.e., HIV-positive) of the Vancouver Persons with AIDS Society who were residents of British Columbia and who allow the society to include unsolicited material with their monthly newsletter. Main Outcome Measures. Migration history, access to HIV-related care at diagnosis, current and pre-HIV sociodemographic characteristics, and current health status. Results. Two hundred and fifty-two persons living with HIV/AIDS participated in the study. At the time of the survey, the majority of subjects were male (94 percent), aged between 30 and 54 years (87 percent), and able to carry out daily activities without assistance (84 percent). The median time since the known date of HIV infection was 6 years. Access to care at diagnosis was associated in this population with being diagnosed in the largest metropolitan area in the province (OR = 2.14; 95 percent CI: 1.18, 3.87), a pre-HIV income of $30,000 or more per annum (OR = 0.49; 95 percent CI: 0.27, 0.89), a known date of diagnosis prior to 1990 (78 percent versus 64 percent; p = 0.019), and living in the same residence from the date of known HIV diagnosis to the date of the survey (63 percent versus 51 percent; p = 0.024). Conclusion. Although no definitive causal association call be provided by this cross-sectional analysis, our results clearly highlight several ways in which the need for treatment and care potentially affect where persons with HIV/AIDS choose to live.
引用
收藏
页码:297 / 302
页数:6
相关论文
共 18 条
[1]  
Barer ML., 1991, INTEGRATED MED RESOU
[2]  
*BRIT COL CTR EXC, 1993, THER GUID
[3]  
*CAN STAT, 1993, MOB MIGR NAT 91 CENS
[4]  
*COLL FAM PHYS CAN, 1993, COMPR GUID CAR PERS
[5]   ACCESS TO HEALTH-CARE FOR THE POOR - DOES THE GAP REMAIN [J].
DAVIS, K ;
GOLD, M ;
MAKUC, D .
ANNUAL REVIEW OF PUBLIC HEALTH, 1981, 2 :159-182
[6]  
DAVIS K, 1991, INFECT CONT HOSP EP, V12, P540, DOI 10.1086/646406
[7]  
DONALD KJ, 1993, COMUMBIA PHYSICIANS
[8]  
GARDNER LI, 1989, J ACQ IMMUN DEF SYND, V2, P521
[9]   MIGRATION, ADAPTATION, AND ILLNESS - REVIEW [J].
HULL, D .
SOCIAL SCIENCE & MEDICINE PART A-MEDICAL SOCIOLOGY, 1979, A13 (01) :25-36
[10]  
MCKINLAY JB, 1975, J CHRON DIS, V29, P579