Effect of Violence on Utilization of Services and Access to Care in Persons with HIV

Published in: Journal of General Internal Medicine, v. 18, no. 2, Feb. 2003, p. 125-127

Posted on RAND.org on January 01, 2003

by David Eisenman, William Cunningham, Sally Zierler, Terry T Nakazono, Martin F. Shapiro

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The authors 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.

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