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Does access to health care impact survival time after diagnosis of AIDS?

Publication ,  Journal Article
Montgomery, JP; Gillespie, BW; Gentry, AC; Mokotoff, ED; Crane, LR; James, SA
Published in: AIDS patient care and STDs
May 2002

Lack of access to health care is often blamed for poor health outcomes, but this effect is not supported by existing HIV/AIDS literature. The authors examined the association between access to care and survival time after progression to AIDS, using survival analysis methods. This study combined data from two CDC sponsored studies of HIV-infected persons, a cross-sectional interview study and a longitudinal medical record review study. Study subjects included 752 persons who progressed to AIDS before December 31, 1999, and were patients at either of two major HIV care facilities in Detroit, MIchigan. Separate statistical models were used to test associations between survival time after meeting the criteria for AIDS and two indicators of access to health care: (1) perceived access to health care and (2) health care utilization patterns. Perceived access was not associated with survival time after AIDS, but patterns of health care utilization were significantly associated with survival time after AIDS (HR = 2.04, p < 0.001). Individuals who received a greater proportion of their care in the ER had a worse survival prognosis than those who received more of their health care in an outpatient clinic setting. It is crucial that we provide HIV-infected populations with tools that enable them to access a regular source of health care.

Duke Scholars

Published In

AIDS patient care and STDs

DOI

EISSN

1557-7449

ISSN

1087-2914

Publication Date

May 2002

Volume

16

Issue

5

Start / End Page

223 / 231

Related Subject Headings

  • Virology
  • Survival Analysis
  • Socioeconomic Factors
  • Risk Factors
  • Retrospective Studies
  • Proportional Hazards Models
  • Male
  • Longitudinal Studies
  • Insurance, Health
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Montgomery, J. P., Gillespie, B. W., Gentry, A. C., Mokotoff, E. D., Crane, L. R., & James, S. A. (2002). Does access to health care impact survival time after diagnosis of AIDS? AIDS Patient Care and STDs, 16(5), 223–231. https://doi.org/10.1089/10872910252972276
Montgomery, Jolynn Pratt, Brenda W. Gillespie, Anne C. Gentry, Eve D. Mokotoff, Lawrence R. Crane, and Sherman A. James. “Does access to health care impact survival time after diagnosis of AIDS?AIDS Patient Care and STDs 16, no. 5 (May 2002): 223–31. https://doi.org/10.1089/10872910252972276.
Montgomery JP, Gillespie BW, Gentry AC, Mokotoff ED, Crane LR, James SA. Does access to health care impact survival time after diagnosis of AIDS? AIDS patient care and STDs. 2002 May;16(5):223–31.
Montgomery, Jolynn Pratt, et al. “Does access to health care impact survival time after diagnosis of AIDS?AIDS Patient Care and STDs, vol. 16, no. 5, May 2002, pp. 223–31. Epmc, doi:10.1089/10872910252972276.
Montgomery JP, Gillespie BW, Gentry AC, Mokotoff ED, Crane LR, James SA. Does access to health care impact survival time after diagnosis of AIDS? AIDS patient care and STDs. 2002 May;16(5):223–231.
Journal cover image

Published In

AIDS patient care and STDs

DOI

EISSN

1557-7449

ISSN

1087-2914

Publication Date

May 2002

Volume

16

Issue

5

Start / End Page

223 / 231

Related Subject Headings

  • Virology
  • Survival Analysis
  • Socioeconomic Factors
  • Risk Factors
  • Retrospective Studies
  • Proportional Hazards Models
  • Male
  • Longitudinal Studies
  • Insurance, Health
  • Humans