艾滋病毒感染者的健康检查差异;全国范围内有组织的检查环境

IF 4.7 3区 医学 Q1 INFECTIOUS DISEASES Journal of Infection and Public Health Pub Date : 2024-10-22 DOI:10.1016/j.jiph.2024.102567
Boyoung Park , Yoonyoung Jang , Taehwa Kim , Yunsu Choi , Kyoung Hwan Ahn , Jung Ho Kim , Hye Seong , Youn Jeong Kim , Jun Yong Choi , Joon Young Song , Shin-Woo Kim , Sang Il Kim
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引用次数: 0

摘要

背景我们确定了艾滋病病毒感染者(PLWH)使用健康筛查服务的情况,并将筛查率与普通人群进行了比较,以确定与艾滋病病毒感染者使用筛查服务相关的因素。方法这项基于人群的研究使用了韩国国民健康保险(覆盖所有居民的单一强制性健康保险制度)的数据。2010-2020年间,韩国国民健康检查项目免费或以最低成本提供了普通健康、胃癌和大肠癌筛查服务。结果2010-2019年间,普通健康、胃癌和结肠直肠癌筛查在 PLWH 中的接受率有所上升,但在 2020 年有所下降。标准化筛查比率显示,2019 年 PLWH 一般健康、胃癌和结直肠癌筛查率较低,分别为 0.80(95 % 置信区间 (CI) = 0.77-0.83)、0.64(95 % CI = 0.61-0.67)和 0.67(95 % CI = 0.64-0.71)。年龄、查尔森综合指数(Charlson Comorbidity Index)和艾滋病诊断年限的增加与艾滋病感染者筛查率的增加有关。此外,与支付保险费高于 50% 的 PLWH 相比,接受医疗援助计划的 PLWH 每次接受筛查的比例较低。高活性抗逆转录病毒疗法药物拥有率的增加与一般健康和胃癌筛查接受率的下降有关,但与结肠直肠癌筛查接受率的增加有关。
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Health screening disparities in people living with HIV; A nationwide organized screening setting

Background

We identified the uptake of people living with HIV (PLWH) using health-screening services and compared the screening rate with the general population, to identify factors associated with the use of screening services by PLWH.

Methods

This population-based study used data from the Korean National Health Insurance, a single mandatory health insurance system covering all residents. The uptake rates for screening for general health, gastric cancer, and colorectal cancer, which were provided by a national health screening program with free of charge or minimal cost in Korea from 2010–2020. Factors associated with general health, gastric cancer, and colorectal cancer screening were also explored.

Results

Screening uptake rates for general health, gastric cancer, and colorectal cancer in PLWH increased from 2010–2019 but decreased in 2020. The standardized screening ratio showed lower screening rates for general health, gastric cancer, and colorectal cancer in PLWH with 0.80 (95 % confidence interval (CI) = 0.77–0.83), 0.64 (95 % CI = 0.61–0.67), and 0.67 (95 % CI = 0.64–0.71) in 2019. Increased age, Charlson Comorbidity Index, and years since HIV diagnosis were associated with increased screening uptake in PLWH. Otherwise, PLWH recipients of medical aid programs received less for each screening compared to PLWH who paid insurance premiums higher than 50 %. An increased medication possession ratio of highly active antiretroviral therapy was associated with decreased general health and gastric cancer screening uptake but increased colorectal cancer screening uptake.

Conclusions

Significant disparities in health-screening uptake were observed in PLWH compared to the general population in a nationwide organized screening setting without cost barriers.
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来源期刊
Journal of Infection and Public Health
Journal of Infection and Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -INFECTIOUS DISEASES
CiteScore
13.10
自引率
1.50%
发文量
203
审稿时长
96 days
期刊介绍: The Journal of Infection and Public Health, first official journal of the Saudi Arabian Ministry of National Guard Health Affairs, King Saud Bin Abdulaziz University for Health Sciences and the Saudi Association for Public Health, aims to be the foremost scientific, peer-reviewed journal encompassing infection prevention and control, microbiology, infectious diseases, public health and the application of healthcare epidemiology to the evaluation of health outcomes. The point of view of the journal is that infection and public health are closely intertwined and that advances in one area will have positive consequences on the other. The journal will be useful to all health professionals who are partners in the management of patients with communicable diseases, keeping them up to date. The journal is proud to have an international and diverse editorial board that will assist and facilitate the publication of articles that reflect a global view on infection control and public health, as well as emphasizing our focus on supporting the needs of public health practitioners. It is our aim to improve healthcare by reducing risk of infection and related adverse outcomes by critical review, selection, and dissemination of new and relevant information in the field of infection control, public health and infectious diseases in all healthcare settings and the community.
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