Utilization of HIV/AIDS treatment services: comparing injecting drug users and other clients

This study compared healthcare utilization by injection drug users (IDUs) and non-IDUs. Data were abstracted from patients' medical records, admitted on HIV/AIDS treatment centers, between 1986 and 2002, forming a non-concurrent cohort study. Variables included: sociodemographics, HIV/AIDS expo...

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Detalhes bibliográficos
Autores: Melo, Angelita Cristine de, Caiaffa, Waleska Teixeira, César, Cibele Comini, Dantas, Ricardo Vieira, Couttolenc, Bernard François
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2006
País:Brasil
Recursos:Fundação Oswaldo Cruz (FIOCRUZ)
Repositório:Cadernos de Saúde Pública
Idioma:inglês
OAI Identifier:oai:ojs.teste-cadernos.ensp.fiocruz.br:article/2747
Acesso em linha:https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2747
Access Level:Acceso aberto
Palavra-chave:Health Services
HIV
Acquired Immunodeficiency Syndrome
Street Drugs
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spelling Utilization of HIV/AIDS treatment services: comparing injecting drug users and other clientsHealth ServicesHIVAcquired Immunodeficiency SyndromeStreet DrugsThis study compared healthcare utilization by injection drug users (IDUs) and non-IDUs. Data were abstracted from patients' medical records, admitted on HIV/AIDS treatment centers, between 1986 and 2002, forming a non-concurrent cohort study. Variables included: sociodemographics, HIV/AIDS exposure group, healthcare utilization (consultations, procedures, and prescriptions). Descriptive analyses included age-period and cohort effects. Out of 170 patients, with an average age of 30 years, 39.4% were IDUs, 71.8% were males and had low levels of education. At the first consultation, 86.5% neither received an ARV prescription nor had a request for CD4 or viral load. Injection drug users, as compared to non-IDUs, were less likely to receive ARV prescriptions and requests for CD4 lymphocyte and viral load counts, even though the number of consultations did not differ between the two groups. Healthcare utilization increased in calendar-year in the non-IDUs group, parallel to the implementation of the Brazilian health policy of universal care. However, this favorable trend was not observed among IDUs. Differential outcomes for HIV/AIDS among IDUs, towards worse prognosis, suggest difficulties in terms of adherence and follow-up of ARV therapy in this population.Objetivou-se descrever a utilização de serviços, comparando usuários de drogas injetáveis (UDIs) e não-UDIs. Informações coletadas nos prontuários de pacientes em atendimento para HIV/AIDS, de 1986 a 2002, estabeleceram uma coorte não concorrente. As variáveis incluíam: dados sócio-demográficos, exposição ao HIV/AIDS e utilização de serviço (consultas, prescrições e solicitações de exames). Análises descritivas e verificação dos efeitos calendário e de coorte foram realizadas. Dos 170 pacientes, com trinta anos na mediana idade, 39,4% eram UDIs, 71,8% homens e com baixa escolaridade; 86,5% não receberam, na primeira consulta, prescrição ARV, solicitação de CD4 ou carga viral. Usuários de drogas injetáveis tiveram menor chance de receber prescrição de ARV, solicitação de CD4/carga viral, seja na primeira consulta, seja nas demais, apesar de o número de consultas não diferir em virtude de ser ou não UDIs. Observou-se incremento na utilização dos serviços para pacientes não-UDIs ao longo do tempo, coincidindo com a implementação de políticas públicas visando à ampliação do acesso; porém, tal impacto não foi observado entre UDIs. Evolução diferencial da infecção pelo HIV, com piores prognósticos entre os UDIs, sugere deficiências na adesão e manutenção do tratamento ARV.Reports in Public HealthCadernos de Saúde Pública2006-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2747Reports in Public Health; Vol. 22 No. 4 (2006): AprilCadernos de Saúde Pública; v. 22 n. 4 (2006): Abril1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2747/5522https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2747/5523info:eu-repo/semantics/openAccessMelo, Angelita Cristine deCaiaffa, Waleska TeixeiraCésar, Cibele CominiDantas, Ricardo VieiraCouttolenc, Bernard François2024-03-06T15:27:12Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/2747Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:03:11.813786Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Utilization of HIV/AIDS treatment services: comparing injecting drug users and other clients
title Utilization of HIV/AIDS treatment services: comparing injecting drug users and other clients
spellingShingle Utilization of HIV/AIDS treatment services: comparing injecting drug users and other clients
Melo, Angelita Cristine de
Health Services
HIV
Acquired Immunodeficiency Syndrome
Street Drugs
title_short Utilization of HIV/AIDS treatment services: comparing injecting drug users and other clients
title_full Utilization of HIV/AIDS treatment services: comparing injecting drug users and other clients
title_fullStr Utilization of HIV/AIDS treatment services: comparing injecting drug users and other clients
title_full_unstemmed Utilization of HIV/AIDS treatment services: comparing injecting drug users and other clients
title_sort Utilization of HIV/AIDS treatment services: comparing injecting drug users and other clients
dc.creator.none.fl_str_mv Melo, Angelita Cristine de
Caiaffa, Waleska Teixeira
César, Cibele Comini
Dantas, Ricardo Vieira
Couttolenc, Bernard François
author Melo, Angelita Cristine de
author_facet Melo, Angelita Cristine de
Caiaffa, Waleska Teixeira
César, Cibele Comini
Dantas, Ricardo Vieira
Couttolenc, Bernard François
author_role author
author2 Caiaffa, Waleska Teixeira
César, Cibele Comini
Dantas, Ricardo Vieira
Couttolenc, Bernard François
author2_role author
author
author
author
dc.subject.por.fl_str_mv Health Services
HIV
Acquired Immunodeficiency Syndrome
Street Drugs
topic Health Services
HIV
Acquired Immunodeficiency Syndrome
Street Drugs
description This study compared healthcare utilization by injection drug users (IDUs) and non-IDUs. Data were abstracted from patients' medical records, admitted on HIV/AIDS treatment centers, between 1986 and 2002, forming a non-concurrent cohort study. Variables included: sociodemographics, HIV/AIDS exposure group, healthcare utilization (consultations, procedures, and prescriptions). Descriptive analyses included age-period and cohort effects. Out of 170 patients, with an average age of 30 years, 39.4% were IDUs, 71.8% were males and had low levels of education. At the first consultation, 86.5% neither received an ARV prescription nor had a request for CD4 or viral load. Injection drug users, as compared to non-IDUs, were less likely to receive ARV prescriptions and requests for CD4 lymphocyte and viral load counts, even though the number of consultations did not differ between the two groups. Healthcare utilization increased in calendar-year in the non-IDUs group, parallel to the implementation of the Brazilian health policy of universal care. However, this favorable trend was not observed among IDUs. Differential outcomes for HIV/AIDS among IDUs, towards worse prognosis, suggest difficulties in terms of adherence and follow-up of ARV therapy in this population.
publishDate 2006
dc.date.none.fl_str_mv 2006-04-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2747
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2747
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2747/5522
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2747/5523
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 22 No. 4 (2006): April
Cadernos de Saúde Pública; v. 22 n. 4 (2006): Abril
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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score 15,301603

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