Hospitalized HIV-infected patients in the era of highly active antiretroviral therapy.

作者: Lisa R. Metsch , Christine Bell , Margaret Pereyra , Gabriel Cardenas , Tanisha Sullivan

DOI: 10.2105/AJPH.2008.139931

关键词: Multivariate analysisUnprotected Sexual IntercourseLogistic regressionHeavy drinkingEmergency medicineGerontologyHiv transmissionMedicineHiv infected patientsAntiretroviral therapyPsychological intervention

摘要: We interviewed 1038 HIV-positive inpatients in public hospitals Miami, Florida, and Atlanta, Georgia, to examine patient factors associated with use of HIV care, antiretroviral therapy, unprotected sexual intercourse. Multivariate analyses multiple logistic regression models showed that crack cocaine heavy drinking were never having had an HIV-care provider, high-risk behavior, not receiving therapy. Inpatient interventions link retain persons primary care services could prevent transmission unnecessary hospitalizations.

参考文章(21)
John A. Fleishman, Richard D. Moore, Richard Conviser, Perrin B. Lawrence, P. Todd Korthuis, Kelly A. Gebo, Associations between Outpatient and Inpatient Service Use among Persons with HIV Infection: A Positive or Negative Relationship? Health Services Research. ,vol. 43, pp. 76- 95 ,(2007) , 10.1111/J.1475-6773.2007.00750.X
Tracey E. Wilson, L. Stewart Massad, Katherine A. Riester, Susan Barkan, Jean Richardson, Mary Young, Alexandra Gurtman, Ruth Greenblatt, Sexual, contraceptive, and drug use behaviors of women with HIV and those at high risk for infection: results from the Women's Interagency HIV Study. AIDS. ,vol. 13, pp. 591- 598 ,(1999) , 10.1097/00002030-199904010-00008
Katherine P. Theall, Kirk W. Elifson, Claire E. Sterk, Sex, touch, and HIV risk among ecstasy users. Aids and Behavior. ,vol. 10, pp. 169- 178 ,(2006) , 10.1007/S10461-005-9059-1
Elise D. Riley, Monica Gandhi, C. Bradley Hare, Jennifer Cohen, Stephen W. Hwang, Poverty, Unstable Housing, and HIV Infection Among Women Living in the United States Current Hiv\/aids Reports. ,vol. 4, pp. 181- 186 ,(2007) , 10.1007/S11904-007-0026-5
Allan E Rodriguez, Lisa R Metsch, Gilbert Saint-Jean, Enrique G Molina, Michael A Kolber, Differences in HIV-related hospitalization trends between Haitian-born blacks and US-born blacks. Journal of Acquired Immune Deficiency Syndromes. ,vol. 45, pp. 529- 534 ,(2007) , 10.1097/QAI.0B013E31811ED1DC
Chinazo O. Cunningham, Nancy L. Sohler, Karina M. Berg, Scott Shapiro, Daliah Heller, Type of substance use and access to HIV-related health care. Aids Patient Care and Stds. ,vol. 20, pp. 399- 407 ,(2006) , 10.1089/APC.2006.20.399
Lytt I Gardner, Lisa R Metsch, Pamela Anderson-Mahoney, Anita M Loughlin, Carlos del Rio, Steffanie Strathdee, Stephanie L Sansom, Harvey A Siegal, Alan E Greenberg, Scott D Holmberg, Efficacy of a brief case management intervention to link recently diagnosed HIV-infected persons to care. AIDS. ,vol. 19, pp. 423- 431 ,(2005) , 10.1097/01.AIDS.0000161772.51900.EB
Julia H Arnsten, Penelope A Demas, Richard W Grant, Marc N Gourevitch, Homayoon Farzadegan, Andrea A Howard, Ellie E Schoenbaum, None, Impact of active drug use on antiretroviral therapy adherence and viral suppression in HIV-infected drug users. Journal of General Internal Medicine. ,vol. 17, pp. 377- 381 ,(2002) , 10.1046/J.1525-1497.2002.10644.X
Seth Himelhoch, Geetanjali Chander, John A Fleishman, James Hellinger, Paul Gaist, Kelly A Gebo, HIV Research Network, Access to HAART and utilization of inpatient medical hospital services among HIV-infected patients with co-occurring serious mental illness and injection drug use General Hospital Psychiatry. ,vol. 29, pp. 518- 525 ,(2007) , 10.1016/J.GENHOSPPSYCH.2007.03.008
Gregory M. Lucas, Kelly A. Gebo, Richard E. Chaisson, Richard D. Moore, Longitudinal assessment of the effects of drug and alcohol abuse on HIV-1 treatment outcomes in an urban clinic. AIDS. ,vol. 16, pp. 767- 774 ,(2002) , 10.1097/00002030-200203290-00012