Diaz T, Chu S Y, Conti L, Nahlen B L, Whyte B, Mokotoff E, Shields A, Checko P J, Herr M, Mukhtar Q
Division of HIV/AIDS, Centers for Disease Control and Prevention, Atlanta, Ga. 30333.
Am J Public Health. 1994 Jun;84(6):1015-8. doi: 10.2105/ajph.84.6.1015.
To determine factors associated with health insurance coverage among persons with acquired immunodeficiency syndrome (AIDS), we interviewed 1958 persons 18 years of age or older who were reported to have AIDS in 11 states and cities. Overall, 25% had no insurance, 55% had public insurance, and 20% had private insurance. Factors associated with lack of insurance varied by current employment status. Employed persons with an annual household income of less than $10,000 were 3.6 times more likely to lack insurance than employed persons with a higher income. Unemployed persons diagnosed with AIDS for less than 1 year were two times more likely to lack health insurance than unemployed persons diagnosed for a longer time. Making insurance available to persons identified as most likely to lack insurance should improve access to care for persons with AIDS.
为了确定与获得性免疫缺陷综合征(艾滋病)患者的医疗保险覆盖情况相关的因素,我们采访了11个州和城市中报告患有艾滋病的1958名18岁及以上的人。总体而言,25%的人没有保险,55%的人有公共保险,20%的人有私人保险。与未参保相关的因素因当前就业状况而异。家庭年收入低于10,000美元的就业人员未参保的可能性是收入较高的就业人员的3.6倍。被诊断患有艾滋病不到1年的失业人员未参保的可能性是被诊断时间较长的失业人员的两倍。为最有可能未参保的人群提供保险应该会改善艾滋病患者获得医疗服务的机会。