伴随性疾病负担和因物质使用而导致的医疗保健利用率 佛罗里达州艾滋病毒感染者中的疾病模式
Yiyang Liu1, Preeti Manavalan2, Khairul Siddiqi3
1Department of Epidemiology, College of Public Health and Health Professions and College of Medicine, University of Florida, 2004 Mowry Road, PO Box 100231, Gainesville, FL, 32610-0231, USA. yliu26@ufl.edu.
AIDS and behavior
|March 29, 2024
概括
药物使用障碍 (SUD) 在艾滋病毒感染者 (PWH) 中很常见,导致更多的慢性疾病和医疗保健使用增加. 综合护理对于管理SUD和改善PWH的健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 临床研究 临床研究
- 流行病学 流行病学
背景情况:
- 药物使用障碍 (SUD) 是艾滋病毒感染者 (PWH) 的重要并发症.
- 患有SUD的PWH面临HIV的不良临床结果和并发症.
- 关于佛罗里达州PWH与SUD的慢性疾病发病率和医疗保健利用模式的数据有限.
研究的目的:
- 根据SUD状态,调查PWH中慢性疾病的发生率和并发症负担的变化.
- 分析医疗保健利用模式,包括急诊室 (ED) 和住院访问,在有和没有SUD的PWH中.
- 突出需要PWH与SUD的综合护理策略.
主要方法:
- 使用来自OneFlorida+临床研究数据网络的电子健康记录 (EHR).
- 确定了一个42271名PWH的队列,至少有3年的EHR数据HIV诊断后.
- 使用国际疾病分类 (ICD) 代码来识别SUD和使用查尔森并发症指数 (CCI) 的并发症.
主要成果:
- 在PWH中SUD的流行率为45.1%.
- SUD与大多数CCI条件的更高发病率和CCI得分的更快增长有关 (率比=1.45).
- 患有SUD的PWH有更多的医疗保健访问,包括更高的ED率 (3.5比2.0) 和住院访问 (8.5比24.5).
结论:
- 在PWH中,SUD的流行率很高,并显著增加了并发症负担和医疗保健利用率.
- 调查结果强调,迫切需要加强SUD查,治疗和PWH综合护理模型.
- 解决SUD对于改善临床结果和减少PWH人口中的医疗保健差异至关重要.
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