Abstract
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.
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The HIV Cost and Services Utilization Study is being conducted under cooperative agreement U-01HS08578 (M. F. Shapiro, Pl; S. A. Bozzette, Co-Pl) between RAND and the Agency for Health Care Policy and Research. Substantial additional funding for this cooperative agreement was provided by the Health Resources and Services Administration, the National Institute of Mental Health, the National Institute on Drug Abuse, and the National Institutes of Health Office of Research on Minority Health through the National Institute of Dental Research. Additional support was provided by Merck and Company, Inc., Glaxo-Wellcome, Inc., the National Institute on Aging, and the Office of the Assistant Secretary for Planning and Evaluation in the U.S. Department of Health and Human Services. Dr. Cunningham is a Doris Duke Charitable Foundation Clinical Scientist.
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Eisenman, D.P., Cunningham, W.E., Zierler, S. et al. Effect of violence on utilization of services and access to care in persons with HIV. J GEN INTERN MED 18, 125–127 (2003). https://doi.org/10.1046/j.1525-1497.2003.20518.x
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DOI: https://doi.org/10.1046/j.1525-1497.2003.20518.x