抗逆转录病毒疗法改变了艾滋病毒感染的医疗保险受益人过渡到长期护理
Brianne Olivieri-Mui1,2, Ira B Wilson3, Ellen P McCarthy2
1Department of Public Health and Health Sciences, Northeastern University, Boston, Massachusetts.
JAMA network open
|December 12, 2025
概括
大多数在养老院的艾滋病毒感染者保持或开始抗逆转录病毒疗法 (ART). 长期护理机构的停留与更好的ART使用有关,特别是那些以前没有使用ART的人.
科学领域:
- 公共卫生 公共卫生
- 老年学是指老年学的学科.
- 传染性疾病 传染性疾病
背景情况:
- 抗逆转录病毒疗法 (ART) 的使用在养老院 (NH) 居民中低于预期.
- 在从社区到长期NH护理的过渡期间,ART使用的变化尚未得到充分理解.
研究的目的:
- 检查抗逆转录病毒疗法 (ART) 对艾滋病毒感染者从社区过渡到长期养老院 (NH) 住宿的使用变化.
主要方法:
- 使用长期NH逗留 (≥30天) 5%的医疗保险索赔 (2014-2019) 的回顾性队列研究.
- 在社区到NH过渡期间分析了ART使用的变化 (覆盖日数的比例,从未/失去/获得ART的风险).
- 使用线性和层次的多项逻辑回归模型.
主要成果:
- 在713个长期NH停留中,57%总是有ART,26%从未有ART,14%获得ART,3%失去ART.
- 黑人种族,多药和残疾与从未接受ART的风险较低有关.
- 营利性NHs与从未获得ART的风险更高,而多药制则降低了获得ART的风险.
结论:
- 长期的NH停留可能会改善艾滋病毒感染者对ART的使用.
- 大多数在NH期间没有ART的个人在入院前没有使用过它.
- 需要进一步研究NH环境中的ART接入和遵守方面的差异.
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