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Co-morbid Non-communicable Diseases and Associated Health Service Use in African and Caribbean Immigrants with HIV.
- Source :
-
Journal of Immigrant & Minority Health . Jun2018, Vol. 20 Issue 3, p536-545. 10p. - Publication Year :
- 2018
-
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]
Details
- Language :
- English
- ISSN :
- 15571912
- Volume :
- 20
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Journal of Immigrant & Minority Health
- Publication Type :
- Academic Journal
- Accession number :
- 129425917
- Full Text :
- https://doi.org/10.1007/s10903-017-0681-6