title: Longitudinal relationships between use of highly active antiretroviral therapy and satisfaction with care among women living with HIV/AIDS.
abstract: OBJECTIVE
  We used longitudinal data to examine the roles of 4 dimensions of patient satisfaction as both predictors and outcomes of use of highly active antiretroviral therapy (HAART) among women in the United States with HIV/AIDS.
  
  
  METHODS
  Generalized estimating equations were used to analyze time-lagged satisfaction-HAART relationships over 8 years in the Women's Interagency HIV Study.
  
  
  RESULTS
  Multivariate models showed that, over time, HAART use was associated with higher patient satisfaction with care in general, with providers, and with access/convenience of care; however, patient satisfaction was not associated with subsequent HAART use. Symptoms of depression and poor health-related quality of life were associated with less satisfaction with care on all 4 dimensions assessed, whereas African American race/ethnicity, illegal drug use, and fewer primary care visits were associated with less HAART use.
  
  
  CONCLUSIONS
  Our findings suggest that dissatisfaction with care is not a reason for underuse of HAART among women with HIV and that providers should not be discouraged from recommending HAART to dissatisfied patients. Rather, increasing women's access to primary care could result in both increased HAART use and greater patient satisfaction.
authors: Center on Mental Health Services Research and Policy, University of Illinois at Chicago, 104 S Michigan Ave, Suite 900, Chicago, IL 60603, USA. jburke@psych.uic.edu
authors: Jane K
authors: JK
authors: Burke-Miller
authors: Judith A
authors: JA
authors: Cook
authors: Mardge H
authors: MH
authors: Cohen
authors: Nancy A
authors: NA
authors: Hessol
authors: Tracey E
authors: TE
authors: Wilson
authors: Jean L
authors: JL
authors: Richardson
authors: Pete
authors: P
authors: Williams
authors: Stephen J
authors: SJ
authors: Gange