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Distance to HIV care and treatment adherence: Adjusting for socio-demographic and geographical heterogeneity.
Amram, O; Shoveller, J; Hogg, R; Wang, L; Sereda, P; Barrios, R; Montaner, J; Lima, V.
Afiliación
  • Amram O; Department of Nutrition and Exercise Physiology, Elson S. Floyd College of Medicine, Washington State University, 412 E Spokane Falls Blvd, Spokane, WA 99202, USA. Electronic address: ofer.amram@wsu.edu.
  • Shoveller J; Epidemiology and population health program, British Columbia centre for excellence in HIV/AIDS, 608 - 1081 Burrard street, Vancouver, British Columbia, Canada v6z 1y6. Electronic address: jshoveller@cfenet.ubc.ca.
  • Hogg R; Epidemiology and population health program, British Columbia centre for excellence in HIV/AIDS, 608 - 1081 Burrard street, Vancouver, British Columbia, Canada v6z 1y6. Electronic address: bobhogg@cfenet.ubc.ca.
  • Wang L; Epidemiology and population health program, British Columbia centre for excellence in HIV/AIDS, 608 - 1081 Burrard street, Vancouver, British Columbia, Canada v6z 1y6. Electronic address: cwang@cfenet.ubc.ca.
  • Sereda P; Epidemiology and population health program, British Columbia centre for excellence in HIV/AIDS, 608 - 1081 Burrard street, Vancouver, British Columbia, Canada v6z 1y6. Electronic address: psereda@cfenet.ubc.ca.
  • Barrios R; Epidemiology and population health program, British Columbia centre for excellence in HIV/AIDS, 608 - 1081 Burrard street, Vancouver, British Columbia, Canada v6z 1y6. Electronic address: rbarrios@cfenet.ubc.ca.
  • Montaner J; British Columbia centre for excellence in HIV/AIDS, University of British Columbia, 613 - 1081 Burrard street, Vancouver, British Columbia, Canada v6z 1y6. Electronic address: jmontaner@cfenet.ubc.ca.
  • Lima V; Epidemiology and population health program, British Columbia centre for excellence in HIV/AIDS, 608 - 1081 Burrard street, Vancouver, British Columbia, Canada v6z 1y6. Electronic address: vlima@cfenet.ubc.ca.
Spat Spatiotemporal Epidemiol ; 27: 29-35, 2018 11.
Article en En | MEDLINE | ID: mdl-30409374
Distance to health services plays an important role in determining access to care and an individual's health. This study aims to examine the relationship between distance to antiretroviral therapy (ART) prescribing physician and adherence to HIV treatment in British Columbia, Canada. Only participants who provided highly accurate locational data for both place of residence and their physician were used in the analysis. Using logistic regression, a multivariable confounder model was created to assess the association between distance and adherence. A geographically weighted logistic regression was also performed to adjust for spatial dependency. There were 1528 participants in the analysis, for a median distance of 17.85km. The final model showed further away from ART prescribing physician had a higher chance of incomplete adherence to ART (adjusted odds ratio 1.31; 95% Confidence Interval 1.04-1.65). Mobile services could potentially increase adherence rates for population residing further away from their ART prescribing physician.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Cumplimiento y Adherencia al Tratamiento / Accesibilidad a los Servicios de Salud Aspecto: Determinantes_sociais_saude Límite: Adult / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Spat Spatiotemporal Epidemiol Año: 2018 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Cumplimiento y Adherencia al Tratamiento / Accesibilidad a los Servicios de Salud Aspecto: Determinantes_sociais_saude Límite: Adult / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Spat Spatiotemporal Epidemiol Año: 2018 Tipo del documento: Article Pais de publicación: Países Bajos