Effect of violence on utilization of services and access to care in persons with HIV.
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.
Eisenman
David P
DP
Division of General Internal Medicine and Health Services Research, Department of Medicine, University of California-Los Angeles, Los Angeles, Calif., USA. deisenman@mednet.ucla.edu
Cunningham
William E
WE
Zierler
Sally
S
Nakazono
Terry T
TT
Shapiro
Martin F
MF
D000328:Adult; D017281:Cost of Illness; D019548:Crime Victims / Q000523:psychology*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000191:economics; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D019529:Sexuality / Q000145:classification* / Q000523:psychology; D014754:Violence