Predictors of medical service utilization among individuals with co-occurring HIV infection and substance abuse disorders

AIDS Care
C L MassonR L Okin

Abstract

This study examined factors affecting medical service use among HIV-infected persons with a substance abuse disorder. The sample comprised 190 participants enrolled in a randomized trial of a case management intervention. Participants were interviewed about their backgrounds, housing status, income, alcohol and drug use problems, health status and depressive symptoms at study entry. Electronic medical records were used to assess medical service use. Poisson regression models were tested to determine the effects of need, enabling and predisposing factors on the dependent variables of emergency department visits, inpatient admissions and ambulatory care visits. During a two-year period, 71% were treated in the emergency department, 64% had been hospitalized and the sample averaged 12.9 ambulatory care visits. Homelessness was associated with higher utilization of emergency department and inpatient services; drug use severity was associated with higher inpatient and ambulatory care service use; and alcohol use severity was associated with greater use of emergency medical services. Homelessness and substance abuse exacerbate the health care needs of HIV-infected persons and result in increased use of emergency department and inpati...Continue Reading

References

Jan 1, 1992·Journal of Substance Abuse Treatment·A T McLellanM Argeriou
Jan 1, 1992·Medical Care·V MorJ Piette
Oct 1, 1991·American Journal of Public Health·L SolomonJ Astemborski
Aug 18, 1989·JAMA : the Journal of the American Medical Association·A R TarlovM Zubkoff
Mar 1, 1995·Journal of Health and Social Behavior·R M Andersen
Nov 1, 1994·Journal of Substance Abuse Treatment·D A ZanisM Randall
Apr 1, 1993·American Journal of Public Health·J D PietteT Wachtel
Nov 1, 1996·Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology : Official Publication of the International Retrovirology Association·C LatkinD Celentano
Feb 1, 1997·American Journal of Public Health·L GelbergP Koegel
Mar 12, 1998·Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology : Official Publication of the International Retrovirology Association·L SolomonN M Graham
Mar 26, 1998·The American Journal of Drug and Alcohol Abuse·J E Kallan
Jun 12, 1998·The New England Journal of Medicine·S A SalitA L Mosso
Jul 1, 1999·JAMA : the Journal of the American Medical Association·M F ShapiroS A Bozzette
Aug 12, 1999·The Australian and New Zealand Journal of Psychiatry·A CockramT Norman
Jul 25, 2000·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·J H MandelbergM A Kohn
Sep 22, 2000·The American Journal of Emergency Medicine·R L OkinC Wachsmuth
Oct 26, 2000·The Journal of Nervous and Mental Disease·S C KalichmanM Cage
May 10, 2001·JAMA : the Journal of the American Medical Association·C LaineB J Turner
Nov 8, 2001·Substance Use & Misuse·C B McCoyC Miles
Feb 16, 2002·Health & Social Care in the Community·M Crane, A M Warnes
Feb 19, 2002·Drug and Alcohol Dependence·Carmen L MassonDavid C Perlman
Apr 3, 2002·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Lisa ThornquistSteven Sterner
May 4, 2002·American Journal of Public Health·Margot B KushelAndrew R Moss
Jun 21, 2002·SAR and QSAR in Environmental Research·A M Richardt, R Benigni
Sep 3, 2002·AIDS Care·R Conviser, M B Pounds
Nov 7, 2002·Archives of Surgery·Hobart W Harris, David M Young
May 7, 2003·The American Journal of Drug and Alcohol Abuse·James L SorensenCiaran S Phibbs

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Citations

Sep 5, 2007·AIDS and Behavior·Angela A AidalaAnne Siegler
Oct 31, 2007·AIDS and Behavior·Priscilla MartinezDavid R Bangsberg
May 21, 2009·AIDS and Behavior·Angela L HudsonBarbara Leake
Dec 17, 2008·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Maria C RavenMarc N Gourevitch
Aug 1, 2007·AIDS Patient Care and STDs·Nancy L SohlerChinazo O Cunningham
Oct 8, 2011·Journal of Addiction Medicine·Alexander Y WalleyBrian W Jack
Jun 13, 2009·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Isaac M KigoziJudith A Hahn
Aug 18, 2009·HIV Medicine·J S JosephsUNKNOWN HIV Research Network
Jul 9, 2009·BMC Public Health·Sandra K SchwarczMitchell H Katz
Oct 27, 2006·Journal of Community Health Nursing·Christine L SavageAdele Corbin
Jan 17, 2014·AIDS Patient Care and STDs·Mari-Lynn DrainoniAlexander Y Walley
Jun 1, 2006·American Journal of Public Health·David BuchananPablo Garcia
Jan 3, 2008·Journal of Acquired Immune Deficiency Syndromes : JAIDS·James D WilkinsonUNKNOWN INSPIRE Study Team
Feb 11, 2016·The Journal of the Association of Nurses in AIDS Care : JANAC·Sarah K DobbinsJoshua Bamberger
Jun 28, 2011·Journal of Substance Abuse Treatment·John OrwatJeffrey H Samet
Nov 13, 2015·American Journal of Public Health·Angela A AidalaSean B Rourke
Jan 29, 2008·Evaluation and Program Planning·Sara S BachmanLena M Lundgren
Apr 11, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jaimie P MeyerFrederick L Altice
Dec 15, 2010·Health Services Research·Michael T FrenchAna I Balsa
Oct 22, 2014·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Andrew T BoydFrederick L Altice
Nov 28, 2013·Behavioral Medicine·Ramani Durvasula, Theodore R Miller
Sep 15, 2007·Statistical Methods in Medical Research·Charles McCulloch
Apr 17, 2014·The Cochrane Database of Systematic Reviews·Morten HesseMats Fridell
Apr 15, 2020·Scientific Reports·Arthi RamachandranJessica P Ridgway
Aug 24, 2017·AIDS and Behavior·Lori A J Scott-SheldonUNKNOWN MASH Research Team

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