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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Spatial and social inequities in HIV testing utilization in the context of rapid scale-up of HIV/AIDS services in rural Mozambique</title><author><name sortKey="Yao, Jing" sort="Yao, Jing" uniqKey="Yao J" first="Jing" last="Yao">Jing Yao</name><affiliation><nlm:aff id="A1"> Centre for GeoInformatics, School of Geography and Geosciences, University of St Andrews, St Andrews, Fife KY16 9AL, Scotland, UK</nlm:aff></affiliation></author><author><name sortKey="Agadjanian, Victor" sort="Agadjanian, Victor" uniqKey="Agadjanian V" first="Victor" last="Agadjanian">Victor Agadjanian</name><affiliation><nlm:aff id="A2"> Center for Population Dynamics, T. Denny Sanford School of Social and Family Dynamics, Arizona State University, Tempe, AZ 85287, USA</nlm:aff></affiliation></author><author><name sortKey="Murray, Alan T" sort="Murray, Alan T" uniqKey="Murray A" first="Alan T." last="Murray">Alan T. Murray</name><affiliation><nlm:aff id="A3"> GeoDa Center for Geospatial Analysis and Computation, School of Geographical Sciences and Urban Planning, Arizona State University, AZ 85287, USA</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24835024</idno><idno type="pmc">4609644</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4609644</idno><idno type="RBID">PMC:4609644</idno><idno type="doi">10.1016/j.healthplace.2014.04.007</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001E98</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001E98</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Spatial and social inequities in HIV testing utilization in the context of rapid scale-up of HIV/AIDS services in rural Mozambique</title><author><name sortKey="Yao, Jing" sort="Yao, Jing" uniqKey="Yao J" first="Jing" last="Yao">Jing Yao</name><affiliation><nlm:aff id="A1"> Centre for GeoInformatics, School of Geography and Geosciences, University of St Andrews, St Andrews, Fife KY16 9AL, Scotland, UK</nlm:aff></affiliation></author><author><name sortKey="Agadjanian, Victor" sort="Agadjanian, Victor" uniqKey="Agadjanian V" first="Victor" last="Agadjanian">Victor Agadjanian</name><affiliation><nlm:aff id="A2"> Center for Population Dynamics, T. Denny Sanford School of Social and Family Dynamics, Arizona State University, Tempe, AZ 85287, USA</nlm:aff></affiliation></author><author><name sortKey="Murray, Alan T" sort="Murray, Alan T" uniqKey="Murray A" first="Alan T." last="Murray">Alan T. Murray</name><affiliation><nlm:aff id="A3"> GeoDa Center for Geospatial Analysis and Computation, School of Geographical Sciences and Urban Planning, Arizona State University, AZ 85287, USA</nlm:aff></affiliation></author></analytic><series><title level="j">Health & place</title><idno type="ISSN">1353-8292</idno><idno type="eISSN">1873-2054</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P2">The massive scale-up of HIV counseling, testing, and treatment services in resource-limited sub-Saharan settings with high HIV prevalence has significant implications for the course of the HIV/AIDS epidemic. It also offers important broader policy lessons for improving access to critical health services. Applying GIS-based methods and multilevel regression analysis to unique longitudinal three-wave survey data from rural Mozambique, this study investigates the impact of a rapid expansion of HIV-related services on access to and utilization of HIV testing. The results illustrate the declining importance of spatial barriers to utilization of HIV testing services as these services expanded. In addition, the expansion of HIV-related services decreased the spatial variability of HIV testing among the survey respondents. At the same time, some important non-spatial variation, such as that in educational level, persisted despite the expansion of services. These results illustrate the process and consequences of health service diffusion.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9510067</journal-id><journal-id journal-id-type="pubmed-jr-id">21632</journal-id><journal-id journal-id-type="nlm-ta">Health Place</journal-id><journal-id journal-id-type="iso-abbrev">Health Place</journal-id><journal-title-group><journal-title>Health & place</journal-title></journal-title-group><issn pub-type="ppub">1353-8292</issn><issn pub-type="epub">1873-2054</issn></journal-meta><article-meta><article-id pub-id-type="pmid">24835024</article-id><article-id pub-id-type="pmc">4609644</article-id><article-id pub-id-type="doi">10.1016/j.healthplace.2014.04.007</article-id><article-id pub-id-type="manuscript">NIHMS728837</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Spatial and social inequities in HIV testing utilization in the context of rapid scale-up of HIV/AIDS services in rural Mozambique</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Yao</surname><given-names>Jing</given-names></name><xref ref-type="aff" rid="A1">a</xref><xref ref-type="corresp" rid="CR1">*</xref></contrib><contrib contrib-type="author"><name><surname>Agadjanian</surname><given-names>Victor</given-names></name><xref ref-type="aff" rid="A2">b</xref></contrib><contrib contrib-type="author"><name><surname>Murray</surname><given-names>Alan T.</given-names></name><xref ref-type="aff" rid="A3">c</xref></contrib></contrib-group><aff id="A1"><label>a</label> Centre for GeoInformatics, School of Geography and Geosciences, University of St Andrews, St Andrews, Fife KY16 9AL, Scotland, UK</aff><aff id="A2"><label>b</label> Center for Population Dynamics, T. Denny Sanford School of Social and Family Dynamics, Arizona State University, Tempe, AZ 85287, USA</aff><aff id="A3"><label>c</label> GeoDa Center for Geospatial Analysis and Computation, School of Geographical Sciences and Urban Planning, Arizona State University, AZ 85287, USA</aff><author-notes><corresp id="CR1"><label>*</label> Corresponding author. Tel.: +44 1334 464026; fax: +44 1334 463949. <email>jing.yao@st-andrews.ac.uk</email> (J. Yao)</corresp><fn id="FN1"><p id="P1"><email>victor.agadjanian@asu.edu</email> (V. Agadjanian), <email>atmurray@asu.edu</email> (A.T. Murray).</p></fn></author-notes><pub-date pub-type="nihms-submitted"><day>8</day><month>10</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>16</day><month>5</month><year>2014</year></pub-date><pub-date pub-type="ppub"><month>7</month><year>2014</year></pub-date><pub-date pub-type="pmc-release"><day>19</day><month>10</month><year>2015</year></pub-date><volume>28</volume><fpage>133</fpage><lpage>141</lpage><pmc-comment>elocation-id from pubmed: 10.1016/j.healthplace.2014.04.007</pmc-comment>
<abstract><p id="P2">The massive scale-up of HIV counseling, testing, and treatment services in resource-limited sub-Saharan settings with high HIV prevalence has significant implications for the course of the HIV/AIDS epidemic. It also offers important broader policy lessons for improving access to critical health services. Applying GIS-based methods and multilevel regression analysis to unique longitudinal three-wave survey data from rural Mozambique, this study investigates the impact of a rapid expansion of HIV-related services on access to and utilization of HIV testing. The results illustrate the declining importance of spatial barriers to utilization of HIV testing services as these services expanded. In addition, the expansion of HIV-related services decreased the spatial variability of HIV testing among the survey respondents. At the same time, some important non-spatial variation, such as that in educational level, persisted despite the expansion of services. These results illustrate the process and consequences of health service diffusion.</p></abstract><kwd-group><kwd>Health care</kwd><kwd>Access</kwd><kwd>Utilization</kwd><kwd>GIS</kwd><kwd>HIV/AIDS</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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