Responding to racial and ethnic disparities in use of HIV drugs: analysis of state policies

Morin, Stephen F.; Sengupta, Sohini; Cozen, Myrna; Richards, T. Anne; Shriver, Michael D.; Palacio, Herminia; Kahn, James G.

doi:10.1016/s0033-3549(04)50160-7

Cited by 40 publications

(22 citation statements)

References 7 publications

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“…Taking all the above into consideration, this is one of the first empirical studies that focuses on sexual risk and its relations to HIV medications and viral load among homosexually active Latino men. Most studies with this population focus on access to medications and adherence (Kemppainen et al ., 2001;Molitor et al ., 2002;Morin et al ., 2002;Schoenbaum et al ., 2002;Wallace, 2003).…”

Section: Discussionmentioning

confidence: 99%

Sexual risk behaviour, viral load, and perceptions of HIV transmission among homosexually active Latino men: an exploratory study

2005

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The objective of the paper was to describe awareness of HIV medications and HIV viral load, and to assess the impact of HIV medications (including highly active antiretroviral therapy) and notions of viral load on sexual risk practices. This was an exploratory cross-sectional study of a non-random sample of 395 homosexually active Latino men in New York City. An anonymous self-administered questionnaire was used focusing on perceptions about HIV/AIDS, HIV treatment medications and viral load, risk perceptions, HIV status, and sexual partners and practices in the past 6 months. HIV-positive participants taking HIV medications, those who knew their viral loads, and those who had undetectable viral loads did not report significantly different frequencies of high-risk (receptive or insertive) unprotected anal intercourse (UAI) in comparison to other HIV-positive individuals in the sample. Perceptions about HIV status (assuming same status) and viral load (penetrating partner or letting partner penetrate one) were related to significantly higher high-risk UAI in the past 6 months. HIV prevention strategies for homosexually active Latino men should not only address the basic issue of assuming similar HIV status but also need to examine misconstructions of the transmissibility of HIV as a result of undetectable viral load.

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Section: Discussionmentioning

confidence: 99%

Sexual risk behaviour, viral load, and perceptions of HIV transmission among homosexually active Latino men: an exploratory study

2005

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“…This integrated approach places data and statistical analyses at its core to examine policy impacts. Regression analyses is chosen as the primary statistical technique because it is the most popular analytical method applied in policy research and is taught in public policy curricula in North America (Mark et al, 2000;Heineman et al, 2002;Morin et al, 2002;Obach, 2002;Hess and Leal, 2003;UCLA, 2004) and is intuitive and easily explainable (Hughes, 1974;Berry and Sanders, 2000). Regression analysis derives a statistical equation for making quantitative predictions of one variable from the values of other variables.…”

Section: The Integrated Methods For Socio-economic Analysis Of Paddy Fmentioning

confidence: 99%

Socio-economic driving forces of arable land conversion: A case study of Wuxian City, China

Xie

Tian

et al. 2005

Global Environmental Change

173

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“…Companion articles from our project provide a comprehensive literature review, 10 describe patient and provider perceptions regarding programs and antiretroviral therapy, 17 and assess state and federal policy issues and implications. 18 …”

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confidence: 99%

Access to and Use of HIV Antiretroviral Therapy: Variation by Race/Ethnicity in Two Public Insurance Programs in the U.S.

Kahn

Zhang²,

Cross³

et al. 2002

Public Health Reports

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SYNOPSISObjectives. To examine access to and use of HIV highly active antiretroviral therapy (HAART) by race/ethnicity in Medicaid and the AIDS Drug Assistance Program (ADAP) in 1998 in four states.Methods. The authors analyzed reimbursement claims and AIDS surveillance data in California, Florida, New York, and Texas. Study subjects were identified using diagnostic or medication codes specific to HIV. The race/ethnicity of program enrollees was compared to representation in the HIV epidemic to examine access. Claims for antiretroviral (ARV) use were compared to U.S. Public Health Service treatment guidelines to assess HAART use.Results. The authors identified 151,000 HIV-infected individuals in these two programs in the four states. Evidence of AIDS or symptomatic HIV was present in 78%-88% of enrollees in Medicaid, versus 31%-48% in ADAP. African Americans participated in Medicaid 10%-53% above and in ADAP 17%-31% below representation in the epidemic. Non-Latino whites exhibited the opposite pattern, being in Medicaid 5%-38% below and in ADAP 9%-65% above epidemic representation. Latinos participated more in ADAP (7%-31%), except in New York. HAART use over 90 days (July-September) ranged from 38% to 76% by program and state. Differences by race/ethnicity were inconsistent and small: African Americans had lower HAART use by 6%-14% in California and Florida Medicaid, and Latinos had higher HAART use by 2%-11% in ADAP and in Texas Medicaid.Conclusions. African Americans were more likely to access HIV drugs through Medicaid than through ADAP, which may reflect differences in program eligibility criteria as well as care seeking later in HIV disease. Differences in the use of HAART by race/ethnicity within state programs were small.

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Responding to racial and ethnic disparities in use of HIV drugs: analysis of state policies

Abstract: State policies play a significant role in determining access to HIV drugs, and state policies can be used to reduce racial/ethnic disparities in pharmaceutical access. Overall, eliminating racial/ethnic disparities in access to HIV pharmaceuticals appears to be an achievable goal.

Cited by 40 publications

References 7 publications

Sexual risk behaviour, viral load, and perceptions of HIV transmission among homosexually active Latino men: an exploratory study

Sexual risk behaviour, viral load, and perceptions of HIV transmission among homosexually active Latino men: an exploratory study

Socio-economic driving forces of arable land conversion: A case study of Wuxian City, China

Access to and Use of HIV Antiretroviral Therapy: Variation by Race/Ethnicity in Two Public Insurance Programs in the U.S.

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