到艾滋病护理和治疗依从性的距离：针对社会人口统计学和地理异质性进行调整。
Distance to HIV care and treatment adherence: Adjusting for socio-demographic and geographical heterogeneity.
作者信息
Amram O, Shoveller J, Hogg R, Wang L, Sereda P, Barrios R, Montaner J, Lima V
机构信息
Department of Nutrition and Exercise Physiology, Elson S. Floyd College of Medicine, Washington State University, 412 E Spokane Falls Blvd, Spokane, WA 99202, USA.
Epidemiology and population health program, British Columbia centre for excellence in HIV/AIDS, 608 - 1081 Burrard street, Vancouver, British Columbia, Canada v6z 1y6.
出版信息
Spat Spatiotemporal Epidemiol. 2018 Nov;27:29-35. doi: 10.1016/j.sste.2018.08.001. Epub 2018 Aug 22.
Distance to health services plays an important role in determining access to care and an individual's health. This study aims to examine the relationship between distance to antiretroviral therapy (ART) prescribing physician and adherence to HIV treatment in British Columbia, Canada. Only participants who provided highly accurate locational data for both place of residence and their physician were used in the analysis. Using logistic regression, a multivariable confounder model was created to assess the association between distance and adherence. A geographically weighted logistic regression was also performed to adjust for spatial dependency. There were 1528 participants in the analysis, for a median distance of 17.85km. The final model showed further away from ART prescribing physician had a higher chance of incomplete adherence to ART (adjusted odds ratio 1.31; 95% Confidence Interval 1.04-1.65). Mobile services could potentially increase adherence rates for population residing further away from their ART prescribing physician.
与医疗服务机构的距离在决定获得医疗服务的机会以及个人健康状况方面起着重要作用。本研究旨在探讨在加拿大不列颠哥伦比亚省，与抗逆转录病毒疗法（ART）开处方医生的距离与HIV治疗依从性之间的关系。分析中仅纳入了那些为居住地和医生提供了高度准确位置数据的参与者。使用逻辑回归创建了一个多变量混杂因素模型，以评估距离与依从性之间的关联。还进行了地理加权逻辑回归以调整空间依赖性。分析中有1528名参与者，中位距离为17.85公里。最终模型显示，距离ART开处方医生越远，不完全依从ART的可能性越高（调整后的优势比为1.31；95%置信区间为1.04 - 1.65）。移动服务可能会提高居住在距离ART开处方医生较远地区人群的依从率。
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