SidaSubSaharaV1, PubMed, Checkpoint, bibRecord, 001A12

Socioeconomic disparities in access to HIV/AIDS treatment programs in resource-limited settings.

Identifieur interne : 001A12 ( PubMed/Checkpoint ); précédent : 001A11; suivant : 001A13

Socioeconomic disparities in access to HIV/AIDS treatment programs in resource-limited settings.

Auteurs : Alexander C. Tsai [États-Unis] ; Mickey Chopra ; Paul M. Pronyk ; Neil A. Martinson

Source :

AIDS care [ 1360-0451 ] ; 2009.

RBID : pubmed:18780194

Descripteurs français

KwdFr :
- Accessibilité des services de santé, Adolescent, Adulte, Facteurs socioéconomiques, Femelle, Humains, Infections à VIH (traitement médicamenteux), Jeune adulte, Mâle, République d'Afrique du Sud, Services de santé ruraux (organisation et administration), Thérapie antirétrovirale hautement active, Zones de pauvreté.
MESH :
- organisation et administration : Services de santé ruraux.
- traitement médicamenteux : Infections à VIH.
- Accessibilité des services de santé, Adolescent, Adulte, Facteurs socioéconomiques, Femelle, Humains, Jeune adulte, Mâle, République d'Afrique du Sud, Thérapie antirétrovirale hautement active, Zones de pauvreté.
Wicri :
- geographic : Afrique du Sud.

English descriptors

KwdEn :
- Adolescent, Adult, Antiretroviral Therapy, Highly Active, Female, HIV Infections (drug therapy), Health Services Accessibility, Humans, Male, Poverty Areas, Rural Health Services (organization & administration), Socioeconomic Factors, South Africa, Young Adult.
MESH :
- geographic : South Africa.
- drug therapy : HIV Infections.
- organization & administration : Rural Health Services.
- Adolescent, Adult, Antiretroviral Therapy, Highly Active, Female, Health Services Accessibility, Humans, Male, Poverty Areas, Socioeconomic Factors, Young Adult.

Abstract

This study employs data from rural South Africa to determine whether there were socioeconomic differences in the profile of HIV-infected persons living in the community and HIV-infected patients presenting for hospital-based outpatient HIV/AIDS care and related services. There were 776 HIV-infected persons aged 18-35 years in Limpopo Province, South Africa who were included in the study, including 534 consecutive patients who presented for care at a hospital-based outpatient HIV clinic, and 242 persons living in the community. Persons seen in clinic had a higher overall socioeconomic profile compared to the community sample. They were more likely to have completed matric or tertiary education (P=0.04), less likely to be unemployed (P<0.001), and more likely to live in households with access to a private tap water supply (P<0.001). These differences persisted after multivariable adjustment. Our findings demonstrate that important socioeconomic differences in uptake of hospital-based HIV/AIDS care were identified among HIV-infected adults living in a rural region of South Africa. This suggests an important limitation in hospital-based HIV/AIDS care and underscores the need to monitor the equity implications of highly active antiretroviral therapy scale-up in resource-limited settings.

DOI: 10.1080/09540120802068811
PubMed: 18780194

Affiliations:

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pubmed:18780194

Le document en format XML

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<series><title level="j">AIDS care</title>
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<term>Health Services Accessibility</term>
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<term>Male</term>
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<term>Humains</term>
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<term>Jeune adulte</term>
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<term>Zones de pauvreté</term>
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<keywords scheme="MESH" type="geographic" xml:lang="en"><term>South Africa</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>HIV Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Services de santé ruraux</term>
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<keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Rural Health Services</term>
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<term>Antiretroviral Therapy, Highly Active</term>
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<front><div type="abstract" xml:lang="en">This study employs data from rural South Africa to determine whether there were socioeconomic differences in the profile of HIV-infected persons living in the community and HIV-infected patients presenting for hospital-based outpatient HIV/AIDS care and related services. There were 776 HIV-infected persons aged 18-35 years in Limpopo Province, South Africa who were included in the study, including 534 consecutive patients who presented for care at a hospital-based outpatient HIV clinic, and 242 persons living in the community. Persons seen in clinic had a higher overall socioeconomic profile compared to the community sample. They were more likely to have completed matric or tertiary education (P=0.04), less likely to be unemployed (P<0.001), and more likely to live in households with access to a private tap water supply (P<0.001). These differences persisted after multivariable adjustment. Our findings demonstrate that important socioeconomic differences in uptake of hospital-based HIV/AIDS care were identified among HIV-infected adults living in a rural region of South Africa. This suggests an important limitation in hospital-based HIV/AIDS care and underscores the need to monitor the equity implications of highly active antiretroviral therapy scale-up in resource-limited settings.</div>
</front>
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<DateCreated><Year>2008</Year>
<Month>12</Month>
<Day>16</Day>
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<DateCompleted><Year>2009</Year>
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<Issue>1</Issue>
<PubDate><Year>2009</Year>
<Month>Jan</Month>
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<Title>AIDS care</Title>
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<Abstract><AbstractText>This study employs data from rural South Africa to determine whether there were socioeconomic differences in the profile of HIV-infected persons living in the community and HIV-infected patients presenting for hospital-based outpatient HIV/AIDS care and related services. There were 776 HIV-infected persons aged 18-35 years in Limpopo Province, South Africa who were included in the study, including 534 consecutive patients who presented for care at a hospital-based outpatient HIV clinic, and 242 persons living in the community. Persons seen in clinic had a higher overall socioeconomic profile compared to the community sample. They were more likely to have completed matric or tertiary education (P=0.04), less likely to be unemployed (P<0.001), and more likely to live in households with access to a private tap water supply (P<0.001). These differences persisted after multivariable adjustment. Our findings demonstrate that important socioeconomic differences in uptake of hospital-based HIV/AIDS care were identified among HIV-infected adults living in a rural region of South Africa. This suggests an important limitation in hospital-based HIV/AIDS care and underscores the need to monitor the equity implications of highly active antiretroviral therapy scale-up in resource-limited settings.</AbstractText>
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<tree><noCountry><name sortKey="Chopra, Mickey" sort="Chopra, Mickey" uniqKey="Chopra M" first="Mickey" last="Chopra">Mickey Chopra</name>
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<country name="États-Unis"><region name="Californie"><name sortKey="Tsai, Alexander C" sort="Tsai, Alexander C" uniqKey="Tsai A" first="Alexander C" last="Tsai">Alexander C. Tsai</name>
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	Le SIDA en Afrique subsaharienne (serveur d'exploration)
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Le SIDA en Afrique subsaharienne (serveur d'exploration)

Socioeconomic disparities in access to HIV/AIDS treatment programs in resource-limited settings.

Socioeconomic disparities in access to HIV/AIDS treatment programs in resource-limited settings.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki