The Effect of Commuting Patterns on HIV Care Attendance Among Men Who Have Sex With Men (MSM) in Atlanta, Georgia.

摘要: Background: Travel-related barriers to human immunodeficiency virus (HIV) care, such as commute time and mode of transportation, have been reported in the United States. Objective: The objective study was investigate association between public transportation use HIV care attendance among a convenience sample Atlanta-based, HIV-positive men who sex with (MSM), evaluate differences across regions residence, estimate relationship travel distance by taken attend appointments. Methods: We used Poisson regression HIV-related medical visits frequency over previous 12 months. estimated using linear regression. Kriging interpolate visually examine geographic commuting patterns relation access population-based estimates household vehicle ownership. Results: Using associated lower rates compared private but only south Atlanta (south: aRR: 0.75, 95% CI 0.56, 1.0, north: 0.90, 0.71, 1.1). Participants living were more likely longer times attending visits, greater may live areas low A majority attended providers located north central Atlanta, despite there being participants all city. Estimated per mile traveled three high transit users users. Conclusions: Improving local implementing mobile clinics could help address travel-related care. [JMIR Public Health Surveill 2015;1(2):e10]