Matches in SemOpenAlex for { <https://semopenalex.org/work/W2035401900> ?p ?o ?g. }
- W2035401900 endingPage "114" @default.
- W2035401900 startingPage "106" @default.
- W2035401900 abstract "People who inject drugs (PWID) experience poor outcomes and fuel HIV epidemics in middle-income countries in Eastern Europe and Central Asia. We assess integrated/co-located (ICL) healthcare for HIV-infected PWID, which despite international recommendations, is neither widely available nor empirically examined. A 2010 cross-sectional study randomly sampled 296 HIV-infected opioid-dependent PWID from two representative HIV-endemic regions in Ukraine where ICL, non-co-located (NCL) and harm reduction/outreach (HRO) settings are available. ICL settings provide onsite HIV, addiction, and tuberculosis services, NCLs only treat addiction, and HROs provide counseling, needles/syringes, and referrals, but no opioid substitution therapy (OST). The primary outcome was receipt of quality healthcare, measured using a quality healthcare indicator (QHI) composite score representing percentage of eight guidelines-based recommended indicators met for HIV, addiction and tuberculosis treatment. The secondary outcomes were individual QHIs and health-related quality-of-life (HRQoL). On average, ICL-participants had significantly higher QHI composite scores compared to NCL- and HRO-participants (71.9% versus 54.8% versus 37.0%, p < 0.001) even after controlling for potential confounders. Compared to NCL-participants, ICL-participants were significantly more likely to receive antiretroviral therapy (49.5% versus 19.2%, p < 0.001), especially if CD4 ≤ 200 (93.8% versus 62.5% p < 0.05); guideline-recommended OST dosage (57.3% versus 41.4%, p < 0.05); and isoniazid preventive therapy (42.3% versus 11.2%, p < 0.001). Subjects receiving OST had significantly higher HRQoL than those not receiving it (p < 0.001); however, HRQoL did not differ significantly between ICL- and NCL-participants. These findings suggest that OST alone improves quality-of-life, while receiving care in integrated settings collectively and individually improves healthcare quality indicators for PWID." @default.
- W2035401900 created "2016-06-24" @default.
- W2035401900 creator A5003540436 @default.
- W2035401900 creator A5005988996 @default.
- W2035401900 creator A5016999961 @default.
- W2035401900 creator A5058849441 @default.
- W2035401900 creator A5071331987 @default.
- W2035401900 creator A5081616426 @default.
- W2035401900 date "2014-01-01" @default.
- W2035401900 modified "2023-09-27" @default.
- W2035401900 title "Integration of health services improves multiple healthcare outcomes among HIV-infected people who inject drugs in Ukraine" @default.
- W2035401900 cites W1571869247 @default.
- W2035401900 cites W1626968569 @default.
- W2035401900 cites W1866450565 @default.
- W2035401900 cites W1963500770 @default.
- W2035401900 cites W1965769429 @default.
- W2035401900 cites W1973390501 @default.
- W2035401900 cites W1979908284 @default.
- W2035401900 cites W1980300049 @default.
- W2035401900 cites W1980972454 @default.
- W2035401900 cites W1985877825 @default.
- W2035401900 cites W1989822829 @default.
- W2035401900 cites W1991242973 @default.
- W2035401900 cites W1991565490 @default.
- W2035401900 cites W1998922421 @default.
- W2035401900 cites W2001592123 @default.
- W2035401900 cites W2004485374 @default.
- W2035401900 cites W2007847532 @default.
- W2035401900 cites W2019100161 @default.
- W2035401900 cites W2021847155 @default.
- W2035401900 cites W2023468678 @default.
- W2035401900 cites W2023613783 @default.
- W2035401900 cites W2024374498 @default.
- W2035401900 cites W2024687546 @default.
- W2035401900 cites W2024864392 @default.
- W2035401900 cites W2029601014 @default.
- W2035401900 cites W2031425152 @default.
- W2035401900 cites W2043394588 @default.
- W2035401900 cites W2046895647 @default.
- W2035401900 cites W2048283094 @default.
- W2035401900 cites W2056599181 @default.
- W2035401900 cites W2056648197 @default.
- W2035401900 cites W2060310166 @default.
- W2035401900 cites W2062715454 @default.
- W2035401900 cites W2069186876 @default.
- W2035401900 cites W2070467328 @default.
- W2035401900 cites W2076453284 @default.
- W2035401900 cites W2078802489 @default.
- W2035401900 cites W2080407003 @default.
- W2035401900 cites W2081879316 @default.
- W2035401900 cites W2097295466 @default.
- W2035401900 cites W2097433639 @default.
- W2035401900 cites W2105296046 @default.
- W2035401900 cites W2108791771 @default.
- W2035401900 cites W2112269252 @default.
- W2035401900 cites W2116961958 @default.
- W2035401900 cites W2117818945 @default.
- W2035401900 cites W2122458133 @default.
- W2035401900 cites W2122850496 @default.
- W2035401900 cites W2125031440 @default.
- W2035401900 cites W2125542878 @default.
- W2035401900 cites W2130163789 @default.
- W2035401900 cites W2132660799 @default.
- W2035401900 cites W2133039181 @default.
- W2035401900 cites W2133107560 @default.
- W2035401900 cites W2134310115 @default.
- W2035401900 cites W2142481435 @default.
- W2035401900 cites W2144010669 @default.
- W2035401900 cites W2148841767 @default.
- W2035401900 cites W2149789275 @default.
- W2035401900 cites W2152505869 @default.
- W2035401900 cites W2153796879 @default.
- W2035401900 cites W2155524218 @default.
- W2035401900 cites W2162097818 @default.
- W2035401900 cites W2164779028 @default.
- W2035401900 cites W2165227164 @default.
- W2035401900 cites W2275737843 @default.
- W2035401900 cites W2333543794 @default.
- W2035401900 cites W4230308422 @default.
- W2035401900 cites W4253895700 @default.
- W2035401900 cites W4292806894 @default.
- W2035401900 doi "https://doi.org/10.1016/j.drugalcdep.2013.09.020" @default.
- W2035401900 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3865106" @default.
- W2035401900 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/24128379" @default.
- W2035401900 hasPublicationYear "2014" @default.
- W2035401900 type Work @default.
- W2035401900 sameAs 2035401900 @default.
- W2035401900 citedByCount "74" @default.
- W2035401900 countsByYear W20354019002014 @default.
- W2035401900 countsByYear W20354019002015 @default.
- W2035401900 countsByYear W20354019002016 @default.
- W2035401900 countsByYear W20354019002017 @default.
- W2035401900 countsByYear W20354019002018 @default.
- W2035401900 countsByYear W20354019002019 @default.
- W2035401900 countsByYear W20354019002020 @default.
- W2035401900 countsByYear W20354019002021 @default.
- W2035401900 countsByYear W20354019002022 @default.
- W2035401900 countsByYear W20354019002023 @default.