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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Health Care Utilization and Access to Human Immunodeficiency Virus (HIV) Testing and Care and Treatment Services in a Rural Area with High HIV Prevalence, Nyanza Province, Kenya, 2007</title><author><name sortKey="Ackers, Marta Louise" sort="Ackers, Marta Louise" uniqKey="Ackers M" first="Marta-Louise" last="Ackers">Marta-Louise Ackers</name></author><author><name sortKey="Hightower, Allen" sort="Hightower, Allen" uniqKey="Hightower A" first="Allen" last="Hightower">Allen Hightower</name></author><author><name sortKey="Obor, David" sort="Obor, David" uniqKey="Obor D" first="David" last="Obor">David Obor</name></author><author><name sortKey="Ofware, Peter" sort="Ofware, Peter" uniqKey="Ofware P" first="Peter" last="Ofware">Peter Ofware</name></author><author><name sortKey="Ngere, Lilian" sort="Ngere, Lilian" uniqKey="Ngere L" first="Lilian" last="Ngere">Lilian Ngere</name></author><author><name sortKey="Kubaje, Adazu" sort="Kubaje, Adazu" uniqKey="Kubaje A" first="Adazu" last="Kubaje">Adazu Kubaje</name></author><author><name sortKey="Laserson, Kayla F" sort="Laserson, Kayla F" uniqKey="Laserson K" first="Kayla F." last="Laserson">Kayla F. Laserson</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24323517</idno><idno type="pmc">3919222</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3919222</idno><idno type="RBID">PMC:3919222</idno><idno type="doi">10.4269/ajtmh.13-0181</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001609</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001609</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Health Care Utilization and Access to Human Immunodeficiency Virus (HIV) Testing and Care and Treatment Services in a Rural Area with High HIV Prevalence, Nyanza Province, Kenya, 2007</title><author><name sortKey="Ackers, Marta Louise" sort="Ackers, Marta Louise" uniqKey="Ackers M" first="Marta-Louise" last="Ackers">Marta-Louise Ackers</name></author><author><name sortKey="Hightower, Allen" sort="Hightower, Allen" uniqKey="Hightower A" first="Allen" last="Hightower">Allen Hightower</name></author><author><name sortKey="Obor, David" sort="Obor, David" uniqKey="Obor D" first="David" last="Obor">David Obor</name></author><author><name sortKey="Ofware, Peter" sort="Ofware, Peter" uniqKey="Ofware P" first="Peter" last="Ofware">Peter Ofware</name></author><author><name sortKey="Ngere, Lilian" sort="Ngere, Lilian" uniqKey="Ngere L" first="Lilian" last="Ngere">Lilian Ngere</name></author><author><name sortKey="Kubaje, Adazu" sort="Kubaje, Adazu" uniqKey="Kubaje A" first="Adazu" last="Kubaje">Adazu Kubaje</name></author><author><name sortKey="Laserson, Kayla F" sort="Laserson, Kayla F" uniqKey="Laserson K" first="Kayla F." last="Laserson">Kayla F. Laserson</name></author></analytic><series><title level="j">The American Journal of Tropical Medicine and Hygiene</title><idno type="ISSN">0002-9637</idno><idno type="eISSN">1476-1645</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>We present health and demographic surveillance system data to assess associations with health care utilization and human immunodeficiency virus (HIV) service receipt in a high HIV prevalence area of western Kenya. Eighty-six percent of 15,302 residents indicated a facility/clinician for routine medical services; 60% reported active (within the past year) attendance. Only 34% reported a previous HIV test, and self-reported HIV prevalence was 6%. Active attendees lived only slightly closer to their reported service site (2.8 versus 3.1 km; <italic>P</italic> < 0.001) compared with inactive attendees. Multivariate analysis showed that younger respondents (< 30 years of age) and active and inactive attendees were more likely to report an HIV test compared with non-attendees; men were less likely to report HIV testing. Despite traveling farther for HIV services (median distance = 4.4 km), 77% of those disclosing HIV infection reported HIV care enrollment. Men and younger respondents were less likely to enroll in HIV care. Socioeconomic status was not associated with HIV service use. Distance did not appear to be the major barrier to service receipt. The health and demographic surveillance system data identified patterns of service use that are useful for future program planning.</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>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Trop Med Hyg</journal-id><journal-id journal-id-type="iso-abbrev">Am. J. Trop. Med. Hyg</journal-id><journal-id journal-id-type="publisher-id">tpmd</journal-id><journal-title-group><journal-title>The American Journal of Tropical Medicine and Hygiene</journal-title></journal-title-group><issn pub-type="ppub">0002-9637</issn><issn pub-type="epub">1476-1645</issn><publisher><publisher-name>The American Society of Tropical Medicine and Hygiene</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24323517</article-id><article-id pub-id-type="pmc">3919222</article-id><article-id pub-id-type="doi">10.4269/ajtmh.13-0181</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group></article-categories><title-group><article-title>Health Care Utilization and Access to Human Immunodeficiency Virus (HIV) Testing and Care and Treatment Services in a Rural Area with High HIV Prevalence, Nyanza Province, Kenya, 2007</article-title><alt-title alt-title-type="left-running-head">ACKERS AND OTHERS</alt-title><alt-title alt-title-type="right-running-head">HEALTHCARE USE IN NYANZA PROVINCE, KENYA</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Ackers</surname><given-names>Marta-Louise</given-names></name></contrib><contrib contrib-type="author"><name><surname>Hightower</surname><given-names>Allen</given-names></name></contrib><contrib contrib-type="author"><name><surname>Obor</surname><given-names>David</given-names></name></contrib><contrib contrib-type="author"><name><surname>Ofware</surname><given-names>Peter</given-names></name></contrib><contrib contrib-type="author"><name><surname>Ngere</surname><given-names>Lilian</given-names></name></contrib><contrib contrib-type="author"><name><surname>Kubaje</surname><given-names>Adazu</given-names></name><xref ref-type="corresp" rid="COR2">†</xref></contrib><contrib contrib-type="author"><name><surname>Laserson</surname><given-names>Kayla F.</given-names></name><xref ref-type="corresp" rid="COR1">*</xref></contrib></contrib-group><aff id="AFF1">Global HIV/AIDS Program and Division of Parasitic Diseases, Centers for Disease Control and Prevention, Nairobi, Kenya; Kenya Medical Research Institute/Centers for Disease Control and Prevention Research and Public Health Collaboration, Kisumu, Kenya, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia</aff><author-notes><corresp id="COR1">*Address correspondence to Kayla F. Laserson, Kenya Medical Research Institute/Centers for Disease Control and Prevention Research and Public Health Collaboration, Kisumu, Kenya. E-mail: <email>klaserson@cdc.gov</email></corresp><corresp id="COR2">†Deceased.</corresp></author-notes><pub-date pub-type="ppub"><day>05</day><month>2</month><year>2014</year></pub-date><volume>90</volume><issue>2</issue><fpage>224</fpage><lpage>233</lpage><history><date date-type="received"><day>8</day><month>4</month><year>2013</year></date><date date-type="accepted"><day>07</day><month>10</month><year>2013</year></date></history><permissions><copyright-statement>©The American Society of Tropical Medicine and Hygiene</copyright-statement><copyright-year>2014</copyright-year></permissions><abstract><p>We present health and demographic surveillance system data to assess associations with health care utilization and human immunodeficiency virus (HIV) service receipt in a high HIV prevalence area of western Kenya. Eighty-six percent of 15,302 residents indicated a facility/clinician for routine medical services; 60% reported active (within the past year) attendance. Only 34% reported a previous HIV test, and self-reported HIV prevalence was 6%. Active attendees lived only slightly closer to their reported service site (2.8 versus 3.1 km; <italic>P</italic> < 0.001) compared with inactive attendees. Multivariate analysis showed that younger respondents (< 30 years of age) and active and inactive attendees were more likely to report an HIV test compared with non-attendees; men were less likely to report HIV testing. Despite traveling farther for HIV services (median distance = 4.4 km), 77% of those disclosing HIV infection reported HIV care enrollment. Men and younger respondents were less likely to enroll in HIV care. Socioeconomic status was not associated with HIV service use. Distance did not appear to be the major barrier to service receipt. The health and demographic surveillance system data identified patterns of service use that are useful for future program planning.</p></abstract></article-meta><notes notes-type="disclaimer"><p>Disclaimer: The findings and conclusions of this work are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.</p></notes></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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