title: Risk factors for perceived unmet medical needs in human immunodeficiency virus-infected adults in Seoul, Korea.
abstract: To identify the factors associated with perceived unmet medical needs in human immunodeficiency virus (HIV)-infected adults, we analyzed the results from a series of city-wide cross-sectional surveys of HIV-infected adults living in Seoul, Korea. Multivariate logistic regression analysis was used to identify factors related to unmet medical needs. Among the 775 subjects included in the study, 15.4% had perceived unmet medical needs. Significant factors included age group (35-49 years; adjusted odds ratio [aOR], 1.80; 95% confidence interval [CI], 1.06-3.06), lower monthly income (aOR, 3.75 for the <$900/mo group and 2.44 for the $900-$1800/mo group; 95% CI, 1.68-8.35 and 1.18-5.04, respectively), beneficiaries of the National Medical Aid Program (aOR, 1.78; 95% CI, 1.01-3.17), recent CD4 cell counts <500/µL (aOR, 1.53; 95% CI, 1.01-2.33). Taken together, these data reveal strong associations of middle age and low socioeconomic status with perceived unmet medical needs among HIV-infected adults.
authors.affiliation: a Seoul Center for Infectious Disease Control , Seoul , South Korea.|b Institute of Endemic Diseases, Seoul National University College of Medicine , Seoul , South Korea.
authors.forename: Cho Ryok
authors.initials: CR
authors.lastname: Kang
authors.affiliation: a Seoul Center for Infectious Disease Control , Seoul , South Korea.|c Division of Infectious Diseases , Seoul Metropolitan Government-Seoul National University Boramae Medical Center , Seoul , South Korea.
authors.forename: Ji Hwan
authors.initials: JH
authors.lastname: Bang
authors.affiliation: a Seoul Center for Infectious Disease Control , Seoul , South Korea.|d Department of Epidemiology , Seoul National University Graduate School of Public Health , Seoul , South Korea.
authors.forename: Sung-Il
authors.initials: SI
authors.lastname: Cho
authors.affiliation: e Division of Life & Health , Seoul Metropolitan Government , Seoul , South Korea.
authors.forename: Kui Nam
authors.initials: KN
authors.lastname: Kim
authors.affiliation: e Division of Life & Health , Seoul Metropolitan Government , Seoul , South Korea.
authors.forename: Hee-Jin
authors.initials: HJ
authors.lastname: Lee
authors.affiliation: a Seoul Center for Infectious Disease Control , Seoul , South Korea.|d Department of Epidemiology , Seoul National University Graduate School of Public Health , Seoul , South Korea.
authors.forename: Young Hwa
authors.initials: YH
authors.lastname: Lee
authors.affiliation: a Seoul Center for Infectious Disease Control , Seoul , South Korea.|b Institute of Endemic Diseases, Seoul National University College of Medicine , Seoul , South Korea.
authors.forename: Bo Yeong
authors.initials: BY
authors.lastname: Ryu
authors.affiliation: a Seoul Center for Infectious Disease Control , Seoul , South Korea.|b Institute of Endemic Diseases, Seoul National University College of Medicine , Seoul , South Korea.
authors.forename: Soo Kyung
authors.initials: SK
authors.lastname: Cho
authors.affiliation: a Seoul Center for Infectious Disease Control , Seoul , South Korea.|f Department of Internal Medicine , Seoul National University College of Medicine , Seoul , South Korea.
authors.forename: Myoung-Don
authors.initials: MD
authors.lastname: Oh
authors.affiliation: a Seoul Center for Infectious Disease Control , Seoul , South Korea.|g Department of Family Medicine , Seoul National University College of Medicine , Seoul , South Korea.
authors.forename: Jong-Koo
authors.initials: JK
authors.lastname: Lee
mesh_terms: D000328:Adult; D000367:Age Factors; D018791:CD4 Lymphocyte Count; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000188:drug therapy* / Q000276:immunology / Q000523:psychology; D006301:Health Services Needs and Demand; D006801:Humans; D007182:Income; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D066106:Seoul; D011795:Surveys and Questionnaires
keywords: AIDS; HIV; Korea; Seoul; unmet medical needs