Correlates of health care utilization among HIV-seropositive injection drug users

Bibliographic Data

ID19443201
AuthorsYuko Mizuno (0000-0002-8426-0066), James D Wilkinson (0000-0003-1945-5622, University of Miami), Scott Santibañez (0000-0003-3505-8176), Carol Dawson Rose (University of Baltimore), Amy R Knowlton (0000-0001-9124-4315, Johns Hopkins University), A Knowlton (d Johns Hopkins University, Baltimore), K Handley (e Health Resources and Services Administration, Rockville, MD), Kimberley N Handley (Health Resources and Services Administration), Marc N Gourevitch (0000-0001-6865-2126, New York University), Inspire Team (a Centers for Disease Control and Prevention,, Atlanta), I H F American Heart Association Implement-Hf Team
Year2006
Volume18
Issue5
Pages417-425
Publication date2006-07-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540120500162247
PMID16777632
OpenAlexW2005825603
LanguageEN
Citations received9
References cited9

This study sought to identify correlates of poor health care utilization among HIV-positive injection drug users (IDUs) using Andersen's behavioural health model. We used baseline data from INSPIRE, a study of HIV-positive IDUs (n=1161) to identify predisposing, enabling, and need factors related to poor utilization (defined as fewer than two outpatient visits in the past six months, or identification of emergency room (ER) as the usual place for care). Using bivariate and multivariate models, we found a number of enabling factors that could facilitate the use of health care services such as having health insurance, having seen a case manager, and better engagement with health care providers. These enabling factors could be modified through interventions targeting HIV-positive IDUs. In addition, health insurance and case management appear to be important factors to address because they contributed in making other factors (e.g. lower education, lack of stable housing) non-significant barriers to outpatient care utilization. In the future, these findings may be used to inform the development of interventions that maximize use of scarce HIV resources and improve health care utilization among HIV-positive IDUs

Ambulatory care · Bivariate analysis · Emergency department · Environmental health · Family medicine · Health care · Multivariate analysis · Psychological intervention · HIV Research and Treatment · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Gerontology · Internal Medicine