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Effect of Violence on Utilization of Services and Access to Care in Persons with HIV

  1. David P. Eisenman MD, MSHS*,
  2. William E. Cunningham MD, MPH,
  3. Sally Zierler Dr PH,
  4. Terry T. Nakazono MA,
  5. Martin F. Shapiro MD, PhD,
  6. HCSUS Consortium

Article first published online: 28 JAN 2003

DOI: 10.1046/j.1525-1497.2003.20518.x

Issue

Journal of General Internal Medicine

Journal of General Internal Medicine

Volume 18, Issue 2, pages 125–127, February 2003

Additional Information

How to Cite

Eisenman, D. P., Cunningham, W. E., Zierler, S., Nakazono, T. T., Shapiro, M. F. and HCSUS Consortium (2003), Effect of Violence on Utilization of Services and Access to Care in Persons with HIV. Journal of General Internal Medicine, 18: 125–127. doi: 10.1046/j.1525-1497.2003.20518.x

Author Information

  1. Received from the Division of General Internal Medicine and Health Services Research, Department of Medicine (DPE, WEC, MFS), and the Department of Health Services, School of Public Health (WEC, TTN), University of California–Los Angeles, Los Angeles, Calif; the Department of Community Health, Brown University (SZ), Providence, RI; and RAND, Health Sciences Program (DPE, MFS), Santa Monica, Calif.

*Address correspondence and requests for reprints to Dr. Eisenman: Division of General Internal Medicine and Health Services Research, UCLA School of Medicine, 911 Broxton Plaza, Los Angeles, CA 90095-1736 (e-mail: deisenman@mednet.ucla.edu).

Publication History

  1. Issue published online: 28 JAN 2003
  2. Article first published online: 28 JAN 2003

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Keywords:

  • violence;
  • HIV;
  • AIDS;
  • utilization;
  • homosexual

We analyzed the HIV Costs and Service Utilization Study data to determine the association of violence, assessed at baseline, with utilization of and access to health care at follow-up, among gay/bisexual male, heterosexual female, and heterosexual male HIV/AIDS patients. In multivariate analyses, male gay/bisexual violence victims had increased odds of reporting emergency department visits (odds ratio [OR], 1.74; 95% confidence interval [95% CI], 1.20 to 2.52), going without needed medical care because of expense (OR, 1.83; 95% CI, 1.06 to 3.18), and having poor ability to access medical specialists (OR, 1.96; 95% CI, 1.05 to 3.67). Further research is required to understand the association of violence with health care among gay/bisexual men with HIV/AIDS.

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