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靠近药房和提供送药服务对低收入城市患者的 HIV 病毒抑制的影响。

Impact of Pharmacy Proximity and Delivery Services on HIV Viral Suppression Among Low Income Urban Patients.

机构信息

Case Western Reserve University School of Medicine, Cleveland, OH, USA.

The Center for Healthcare Research and Policy, Case Western Reserve University at MetroHealth Medical Center, Cleveland, OH, USA.

出版信息

AIDS Behav. 2018 Mar;22(3):1025-1029. doi: 10.1007/s10461-017-1823-5.

Abstract

Adherence to antiretrovirals is essential to achieve viral suppression in HIV patients. Unfortunately, numerous barriers to adherence and subsequent viral suppression still exist. This study examines the association between pharmacy location and viral suppression for low income HIV patients. We evaluated whether home delivery services or closer proximity to in-store pharmacies was associated with viral suppression. Patients utilizing delivery pharmacy had increased likelihood of sustained viral suppression compared to in-store pharmacy patients (aOR = 3.430). For patients traveling to pharmacies, there were no differences in proximity for suppressed and non-suppressed patients. Home delivery may aid adherence and improve viral suppression.

摘要

抗逆转录病毒药物的依从性对于实现 HIV 患者的病毒抑制至关重要。不幸的是,仍然存在许多阻碍药物依从性和随后病毒抑制的因素。本研究探讨了低收入 HIV 患者的药房位置与病毒抑制之间的关联。我们评估了家庭配送服务或更接近店内药房是否与病毒抑制有关。与店内药房患者相比,使用配送药房的患者病毒持续抑制的可能性更高(优势比[aOR]=3.430)。对于前往药房的患者,抑制和未抑制患者的距离没有差异。家庭配送可能有助于提高药物依从性并改善病毒抑制。

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