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Titolo:
Association of provider and patient characteristics with HIV-infected women's antiretroviral therapy regimen
Autore:
Turner, BJ; Zhang, DZ; Laine, C; Pomerantz, RJ; Cosler, L; Hauck, WW;
Indirizzi:
Univ Penn, Dept Med, Div Gen Internal Med, Philadelphia, PA 19104 USA UnivPenn Philadelphia PA USA 19104 ernal Med, Philadelphia, PA 19104 USA Thomas Jefferson Univ, Jefferson Med Coll, Ctr Res Med Educ & Hlth Care, Philadelphia, PA 19107 USA Thomas Jefferson Univ Philadelphia PA USA 19107 hiladelphia, PA 19107 USA Thomas Jefferson Univ, Jefferson Med Coll, Div Clin Pharmacol, Philadelphia, PA 19107 USA Thomas Jefferson Univ Philadelphia PA USA 19107 hiladelphia, PA 19107 USA Thomas Jefferson Univ, Jefferson Med Coll, Dept Med, Div Infect Dis, Philadelphia, PA 19107 USA Thomas Jefferson Univ Philadelphia PA USA 19107 hiladelphia, PA 19107 USA New York State Dept Hlth, Albany, NY USA New York State Dept Hlth Albany NY USA k State Dept Hlth, Albany, NY USA
Titolo Testata:
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
fascicolo: 1, volume: 27, anno: 2001,
pagine: 20 - 29
SICI:
1525-4135(20010501)27:1<20:AOPAPC>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
INJECTION-DRUG USERS; CLINICAL-TRIALS; UNITED-STATES; AIDS; ADHERENCE; CARE; RECOMMENDATIONS; PARTICIPATION; SURVIVAL; PANEL;
Keywords:
antiretroviral agents; physicians' practice patterns; practice guidelines; quality of health care; substance abuse;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
28
Recensione:
Indirizzi per estratti:
Indirizzo: Turner, BJ Univ Penn, Dept Med, Div Gen Internal Med, 1122 Blockley Hall,423 GuardianDr, Philadelphia, PA 19104 USA Univ Penn 1122 Blockley Hall,423 Guardian Dr Philadelphia PA USA 19104
Citazione:
B.J. Turner et al., "Association of provider and patient characteristics with HIV-infected women's antiretroviral therapy regimen", J ACQ IMM D, 27(1), 2001, pp. 20-29

Abstract

Objective: We explored the effect of patient and provider factors on the type of antiretroviral regimen among women receiving therapy. Patients: Five hundred ninety-five New York State nonpregnant HIV+ women with full Medicaid eligibility and at least 1 month of a prescribed antiretroviral regimen in federal fiscal years (FEY) 1997-1998 and intervals in FFY1997-1998, who had delivered a liveborn baby within 5 years. Measurements: From pharmacy claims in 4 6-month intervals in FFY 1997-1998, data were extracted on (1) an acceptable greater than or equal to2 antiretroviral combination regimen per expert guidelines; and (2) a highly activeregimen, including a protease inhibitor or nonnucleoside analog (highly active antiretroviral therapy [HAART]). Results: Of 1514 woman-6-month intervals with filled antiretroviral prescriptions, 82% had an acceptable regimen, and of 1246 woman-6-month intervalson acceptable antiretroviral therapy, half demonstrated the use of HAART. Adjusted odds ratios (AORs) of acceptable antiretroviral therapy were higher (p < .05) for HIV specialty care (AOR = 1.71 for one or two visits; AOR =2.10 for 3+ visits) or HIV clinical trials site care (AOR = 1.43; 95% confidence interval [CI]: 1.01, 2.04). Among women on acceptable antiretroviralregimens, those aged older than 25 years (AOR = 1.69; CI: 1.13, 2.53) or who were high school graduates (AOR = 1.50; CI: 1.09, 2.06) had higher odds of HAART. Methadone-treated women had twofold and nearly three-fold higher AORs of acceptable antiretroviral regimens and HAART, respectively, than current drug users. Conclusion: Provider HIV expertise is associated with receipt of an acceptable antiretroviral regimen in women, although receipt of HAART is affectedmore by age, education, and current drug abuse. Methadone treatment seems to improve access to acceptable antiretroviral regimens as well as to HAART.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/10/20 alle ore 14:47:44