Utilization of HIV/AIDS treatment services: comparing injecting drug users and other clients

Cadernos de saúde pública
Angelita Cristine de MeloBernard François Couttolenc

Abstract

This study compared healthcare utilization by injection drug users (IDUs) and non-IDUs. Data were abstracted from patients' medical records, admitted on HIV/AIDS treatment centers, between 1986 and 2002, forming a non-concurrent cohort study. Variables included: sociodemographics, HIV/AIDS exposure group, healthcare utilization (consultations, procedures, and prescriptions). Descriptive analyses included age-period and cohort effects. Out of 170 patients, with an average age of 30 years, 39.4% were IDUs, 71.8% were males and had low levels of education. At the first consultation, 86.5% neither received an ARV prescription nor had a request for CD4 or viral load. Injection drug users, as compared to non-IDUs, were less likely to receive ARV prescriptions and requests for CD4 lymphocyte and viral load counts, even though the number of consultations did not differ between the two groups. Healthcare utilization increased in calendar-year in the non-IDUs group, parallel to the implementation of the Brazilian health policy of universal care. However, this favorable trend was not observed among IDUs. Differential outcomes for HIV/AIDS among IDUs, towards worse prognosis, suggest difficulties in terms of adherence and follow-up of ARV ...Continue Reading

References

Sep 21, 1995·The New England Journal of Medicine·R E ChaissonR D Moore
Jul 2, 1997·JAMA : the Journal of the American Medical Association·D BangsbergA R Moss
Aug 26, 1998·JAMA : the Journal of the American Medical Association·S A StrathdeeR S Hogg
Jan 8, 1999·Cadernos de saúde pública·F de A AcurcioM D Guimarães
Jul 1, 1999·JAMA : the Journal of the American Medical Association·M F ShapiroS A Bozzette
Nov 25, 2000·Medical Care Research and Review : MCRR·T A Waidmann, S Rajan
May 24, 2003·Cadernos de saúde pública·Cláudio Viveiros de CarvalhoJosué Laguardia
Aug 24, 2004·AIDS·Paulo R TeixeiraJhoney Barcarolo
Aug 24, 2004·AIDS·Maria I B NemesMaria F M Souza
Dec 4, 2004·AIDS·Carmen AceijasUNKNOWN United Nations Reference Group on HIV/AIDS Prevention and Care among IDU in Developing and Transitional Countries
Apr 14, 2006·Cadernos de saúde pública·David Vlahov, David D Celentano
Apr 14, 2006·Cadernos de saúde pública·Aline Dayrell FerreiraUNKNOWN Projeto AjUDE-Brasil II
Apr 14, 2006·Cadernos de saúde pública·Mauro Nogueira CardosoUNKNOWN Projeto AjUDE-Brasil II

❮ Previous
Next ❯

Citations

Dec 1, 2011·Dialectical Anthropology·Samuel R Friedman, Diana Rossi
Aug 14, 2009·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Monica MaltaSteffanie A Strathdee
May 16, 2014·Current Opinion in HIV and AIDS·E Jennifer EdelmanDavid A Fiellin

❮ Previous
Next ❯

Related Concepts

Related Feeds

Addiction

This feed focuses mechanisms underlying addiction and addictive behaviour including heroin and opium dependence, alcohol intoxication, gambling, and tobacco addiction.

Related Papers

Journal of Health Care for the Poor and Underserved
Elizabeth Tesh BarashEyasu Teshale
Tropical Medicine & International Health : TM & IH
Ellie R CarmodyHenry S Sacks
The Brazilian Journal of Infectious Diseases : an Official Publication of the Brazilian Society of Infectious Diseases
Unaí TupinambásDirceu Greco
© 2022 Meta ULC. All rights reserved