*Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA; †Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA; ‡Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, Rockville, MD; §Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD; and ‖Department of Medicine, Massachusetts General Hospital, Boston, MA.
J Acquir Immune Defic Syndr. 2014 Sep 1;67(1):102-6. doi: 10.1097/QAI.0000000000000251.
We examined trends in health insurance coverage among 36,999 HIV-infected adults in care at 11 US HIV clinics between 2006 and 2012. Aggregate health insurance coverage was stable during this time. The proportions of patient-years with private, Medicaid, Medicare, and no insurance during this period were 15.9%, 35.7%, 20.1%, and 28.4%, respectively. Medicaid coverage was more prevalent among women than men, blacks, and Hispanics than whites, and individuals with injection drug use risk compared with other transmission risk factors. Hispanics and younger age groups were more likely to be uninsured than other racial/ethnic and older age groups, respectively.
我们研究了 2006 年至 2012 年间 11 家美国艾滋病诊所中 36999 名接受治疗的艾滋病毒感染者的健康保险覆盖情况。在此期间，综合健康保险覆盖情况保持稳定。在此期间，私人保险、医疗补助、医疗保险和无保险的患者年数比例分别为 15.9%、35.7%、20.1%和 28.4%。与其他传播风险因素相比，医疗补助的覆盖范围在女性、黑人和西班牙裔中比男性、白人和其他人种/年龄组更为普遍。与其他种族/年龄组相比，西班牙裔和年龄较小的群体更有可能没有保险。
