Stoskopf C H, Richter D L, Kim Y K
Department of Health Administration, University of South Carolina, Columbia, South Carolina 29208, USA.
AIDS Patient Care STDS. 2001 Jun;15(6):331-8. doi: 10.1089/108729101750279704.
This study surveyed face-to-face 111 African American newly diagnosed and living with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) from the Washington D.C. area, to ascertain the use of, and need for, early intervention services. The survey instrument included sections on demographics, level of health functioning and health indicators, social and financial support, and needed services. This article constructs a health status proxy variable from survey items and examines its relationship to biological and social variables. Variables found to have a significant relationship with health status are gender, type of health insurance, employment, receiving Social Security Disability Income, and level of education. A log-linear model for selection of parsimony found that the type of health insurance was most highly predictive of health status, when controlling for other variables. Persons who receive Medicaid report no better levels of health status than those without health insurance. Having private health insurance is associated with a 5.3-fold greater chance of having good or excellent health status.
本研究对来自华盛顿特区地区的111名新诊断出感染人类免疫缺陷病毒/获得性免疫缺陷综合征(HIV/AIDS)并正在与之抗争的非裔美国人进行了面对面调查,以确定早期干预服务的使用情况和需求。调查问卷涵盖了人口统计学、健康功能水平和健康指标、社会和经济支持以及所需服务等部分。本文根据调查项目构建了一个健康状况替代变量,并研究了它与生物和社会变量之间的关系。发现与健康状况有显著关系的变量包括性别、健康保险类型、就业情况、领取社会保障残疾收入以及教育水平。一个用于选择简约模型的对数线性模型发现,在控制其他变量时,健康保险类型对健康状况的预测性最强。接受医疗补助的人报告的健康状况水平并不比没有健康保险的人更好。拥有私人健康保险与健康状况良好或极佳的几率高出5.3倍相关。