就诊时间而非社区犯罪率与 HIV 阳性患者的护理保留率相关。
Travel Time to Clinic but not Neighborhood Crime Rate is Associated with Retention in Care Among HIV-Positive Patients.
机构信息
Department of Medicine, University of Chicago, 5841 S Maryland Ave, MC 5065, 60637, Chicago, IL, USA.
Chicago Center for HIV Elimination, University of Chicago, Chicago, IL, USA.
出版信息
AIDS Behav. 2018 Sep;22(9):3003-3008. doi: 10.1007/s10461-018-2094-5.
Abstract
Using geospatial analysis, we examined the relationship of distance between a patient's residence and clinic, travel time to clinic, and neighborhood violent crime rates with retention in care or viral suppression among people living with HIV (PLWH). For HIV-positive patients at a large urban clinic, we measured distance and travel time between home and clinic and violent crime rate within a two block radius of the travel route. Kruskal-Wallis rank sum was used to compare outcomes between groups. Over the observation period, 2008-2016, 219/602 (36%) patients were retained in care. Median distance from clinic was 3.6 (IQR 2.1-5.6) miles versus 3.9 (IQR 2.7-6.1) miles among those retained versus not retained in care, p = 0.06. Median travel time by car was 15.9 (IQR 9.6-22.9) versus 17.1 (IQR 12.0-24.6) minutes for those retained versus not retained, p = 0.04. Violent crime rate along travel route was not associated with retention. There was no significant association between travel time or distance and viral suppression.
摘要
利用地理空间分析，我们研究了患者居住地与诊所之间的距离、前往诊所的交通时间以及附近暴力犯罪率与艾滋病毒感染者（PLWH）保持治疗或病毒抑制之间的关系。对于一家大型城市诊所的艾滋病毒阳性患者，我们测量了家庭和诊所之间的距离和旅行时间，以及旅行路线内两个街区半径范围内的暴力犯罪率。使用克鲁斯卡尔-沃利斯等级和检验比较组间结果。在 2008 年至 2016 年的观察期间，219/602（36%）名患者得到了治疗。与未保留治疗的患者相比，保留治疗的患者与诊所的距离中位数为 3.6（IQR 2.1-5.6）英里，中位数为 3.9（IQR 2.7-6.1）英里，p=0.06。保留治疗的患者乘车旅行时间中位数为 15.9（IQR 9.6-22.9）分钟，而未保留治疗的患者为 17.1（IQR 12.0-24.6）分钟，p=0.04。旅行路线上的暴力犯罪率与保留治疗无关。旅行时间或距离与病毒抑制之间没有显著关联。
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2
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Behav Med. 2018 Jan-Mar;44(1):19-27. doi: 10.1080/08964289.2016.1189394. Epub 2016 Jul 20.
3
Understanding Local Spatial Variation Along the Care Continuum: The Potential Impact of Transportation Vulnerability on HIV Linkage to Care and Viral Suppression in High-Poverty Areas, Atlanta, Georgia.了解照护连续过程中的局部空间差异：交通脆弱性对佐治亚州亚特兰大高贫困地区艾滋病毒治疗衔接和病毒抑制的潜在影响
J Acquir Immune Defic Syndr. 2016 May 1;72(1):65-72. doi: 10.1097/QAI.0000000000000914.
4
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BMC Health Serv Res. 2015 Oct 1;15:445. doi: 10.1186/s12913-015-1086-7.
5
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Arch Sex Behav. 2015 Oct;44(7):1773-86. doi: 10.1007/s10508-014-0459-z. Epub 2015 Jul 14.
6
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J Acquir Immune Defic Syndr. 2015 May 1;69 Suppl 1(0 1):S37-43. doi: 10.1097/QAI.0000000000000587.
7
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8
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9
Behind the cascade: analyzing spatial patterns along the HIV care continuum.在瀑布的背后：沿着艾滋病护理连续体分析空间模式。
J Acquir Immune Defic Syndr. 2013 Nov 1;64 Suppl 1(0 1):S42-51. doi: 10.1097/QAI.0b013e3182a90112.
10
The shifting landscape of health care: toward a model of health care empowerment.医疗保健领域的转变：迈向医疗保健赋权模式。
Am J Public Health. 2011 Feb;101(2):265-70. doi: 10.2105/AJPH.2009.189829. Epub 2010 Dec 16.
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