Open AccessEffect of Violence on Utilization of Services and Access to Care in Persons with HIV
Author(s) -
Eisenman David P.,
Cunningham William E.,
Zierler Sally,
Nakazono Terry T.,
Shapiro Martin F.
Publication year - 2003
Publication title -
journal of general internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.746
H-Index - 180
eISSN - 1525-1497
pISSN - 0884-8734
DOI - 10.1046/j.1525-1497.2003.20518.x
Subject(s) - medicine , odds ratio , confidence interval , odds , health care , emergency department , human immunodeficiency virus (hiv) , multivariate analysis , family medicine , demography , gerontology , psychiatry , logistic regression , economics , economic growth , sociology
We analyzed the HIV Costs and Service Utilization Study data to determine the association of violence, assessed at baseline, with utilization of and access to health care at follow‐up, among gay/bisexual male, heterosexual female, and heterosexual male HIV/AIDS patients. In multivariate analyses, male gay/bisexual violence victims had increased odds of reporting emergency department visits (odds ratio [OR], 1.74; 95% confidence interval [95% CI], 1.20 to 2.52), going without needed medical care because of expense (OR, 1.83; 95% CI, 1.06 to 3.18), and having poor ability to access medical specialists (OR, 1.96; 95% CI, 1.05 to 3.67). Further research is required to understand the association of violence with health care among gay/bisexual men with HIV/AIDS.