title: Effect of violence on utilization of services and access to care in persons with HIV.
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.
authors.affiliation: 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
authors.forename: David P
authors.initials: DP
authors.lastname: Eisenman
authors.forename: William E
authors.initials: WE
authors.lastname: Cunningham
authors.forename: Sally
authors.initials: S
authors.lastname: Zierler
authors.forename: Terry T
authors.initials: TT
authors.lastname: Nakazono
authors.forename: Martin F
authors.initials: MF
authors.lastname: Shapiro
mesh_terms: 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