Department of Epidemiology & Population Health, Albert Einstein College of Medicine, 10461, Bronx, NY, USA.
Department of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, 10461, Bronx, NY, USA.
AIDS Behav. 2022 Nov;26(11):3740-3745. doi: 10.1007/s10461-022-03703-8. Epub 2022 May 18.
Using a tool integrated into the electronic health record, we determined prevalence of 10 social needs among 377 people with HIV (PWH) and 27,833 patients without HIV receiving care in the Montefiore Health System. PWH (median age 53) were 55% women, 41% Black, 44% Hispanic. 33% of PWH reported at least one social need vs. 18% among patients without HIV, with healthcare transportation and housing needs significantly higher among PWH in adjusted analyses. PWH reporting transportation needs were 27% less likely to be virologically suppressed (< 200 copies/mL, adjusted prevalence ratio 0.73, 95% CI 0.55-0.96) compared with PWH without transportation needs.
我们使用电子病历中的一个工具，确定了在接受 Montefiore 健康系统护理的 377 名 HIV 感染者（PWH）和 27833 名非 HIV 感染者中，10 种社会需求的流行率。PWH（中位年龄 53 岁）中，55%为女性，41%为黑人，44%为西班牙裔。在调整分析中，与非 HIV 感染者相比，至少有 1 种社会需求的 PWH 比例（33%）明显更高，其中医疗保健交通和住房需求更高。与没有交通需求的 PWH 相比，报告有交通需求的 PWH 病毒学抑制率（<200 拷贝/ml）降低了 27%（调整后的流行率比为 0.73，95%CI 0.55-0.96）。
