Historique
Périodique
Access to medical care and service utilization among injection drug users with HIV/AIDS
(Accès aux structures et accès aux soins pour les usagers de drogues par voie intraveineuse séropositifs)
Auteur(s) :
KNOWLTON A. R. ;
HOOVER, D. R. ;
CHUNG, S. ;
CELENTANO, D. D. ;
VLAHOV, D. ;
LATKIN, C. A.
Année :
2001
Page(s) :
55-62
Langue(s) :
Anglais
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
USAGER
;
VOIE INTRAVEINEUSE
;
ACCES AUX SOINS
;
SEROPOSITIVITE
;
SIDA
;
URGENCE
;
HOSPITALISATION
;
TRAITEMENT AMBULATOIRE
;
COMPARAISON
Note générale :
Drug and Alcohol Dependence, 2001, 64, (1), 55-62
Résumé :
FRANÇAIS :
Aux USA, un tiers des cas de Sida concerne des toxicomanes. Les trajectoires d'accès aux services de soins sont étudiées sur une population de patients usagers de drogues, séropositifs ou ayant un sida déclaré. En comparaison avec les personnes séropositives non consommatrices de drogue, les toxicomanes seraient plus nombreux a faire appel aux services d'hospitalisation et aux services d'urgences.
ENGLISH:
Access to care and optimal service utilization among 287 low income African American former and current drug injectors was examined. Results indicated suboptimal outpatient care, and no evidence of alternative use of hospital services. Participation in drug treatment and case management were associated with greater access to care and use of outpatient services, even after controlling for current drug use, gender, and insurance. AIDS and physical functioning limitation were associated with emergency room (ER) use and hospitalization. Participation in drug treatment and case management and an AIDS diagnosis were associated with optimal outpatient service use. Daily alcohol use was associated with ER as the usual facility for care. Integration of substance abuse treatment, case management, and medical services delivery may contribute to improved HIV care for this population. (Author' s abstract)
Aux USA, un tiers des cas de Sida concerne des toxicomanes. Les trajectoires d'accès aux services de soins sont étudiées sur une population de patients usagers de drogues, séropositifs ou ayant un sida déclaré. En comparaison avec les personnes séropositives non consommatrices de drogue, les toxicomanes seraient plus nombreux a faire appel aux services d'hospitalisation et aux services d'urgences.
ENGLISH:
Access to care and optimal service utilization among 287 low income African American former and current drug injectors was examined. Results indicated suboptimal outpatient care, and no evidence of alternative use of hospital services. Participation in drug treatment and case management were associated with greater access to care and use of outpatient services, even after controlling for current drug use, gender, and insurance. AIDS and physical functioning limitation were associated with emergency room (ER) use and hospitalization. Participation in drug treatment and case management and an AIDS diagnosis were associated with optimal outpatient service use. Daily alcohol use was associated with ER as the usual facility for care. Integration of substance abuse treatment, case management, and medical services delivery may contribute to improved HIV care for this population. (Author' s abstract)
Affiliation :
Dept. Health Policy Management, J. Hopkins Sch. Hygiene Public Health, 624 North Broadway, Baltimore, MD 21205
Etats-Unis. United States.
Etats-Unis. United States.