1. Co-morbid Non-communicable Diseases and Associated Health Service Use in African and Caribbean Immigrants with HIV.
- Author
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Masindi, Khatundi-Irene, Burchell, Ann N., Antoniou, Tony, Luyombya, Henry, Jembere, Nathaniel, Kendall, Claire E., Raboud, Janet, Bayoumi, Ahmed M., Loutfy, Mona, and Rourke, Sean B.
- Subjects
OBSTRUCTIVE lung disease treatment ,OUTPATIENT medical care ,CONFIDENCE intervals ,HIV-positive persons ,HOSPITAL emergency services ,IMMIGRANTS ,MEDICAL care ,MEDICAL care use ,POPULATION ,RESEARCH funding ,COMORBIDITY ,DATA analysis software - Abstract
We sought to characterize non-communicable disease (NCD)-related and overall health service use among African and Caribbean immigrants living with HIV between April 1, 2010 and March 31, 2013. We conducted two population-based analyses using Ontario’s linked administrative health databases. We studied 1525 persons with HIV originally from Africa and the Caribbean. Compared with non-immigrants with HIV (n = 11,931), African and Caribbean immigrants had lower rates of hospital admissions, emergency department visits and non-HIV specific ambulatory care visits, and higher rates of health service use for hypertension and diabetes. Compared with HIV-negative individuals from these regions (n = 228,925), African and Caribbean immigrants with HIV had higher rates of health service use for chronic obstructive pulmonary disease [rate ratio (RR) 1.78; 95% confidence interval (CI) 1.36-2.34] and malignancy (RR 1.20; 95% CI 1.19-1.43), and greater frequency of hospitalizations for mental health illness (RR 3.33; 95% CI 2.44-4.56), diabetes (RR 1.37; 95% CI 1.09-1.71) and hypertension (RR 1.85; 95% CI 1.46-2.34). African and Caribbean immigrants with HIV have higher rates of health service use for certain NCDs than non-immigrants with HIV. The evaluation of health services for African and Caribbean immigrants with HIV should include indicators of NCD care that disproportionately affect this population. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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