Abstract
Objectives. We used longitudinal data to examine the roles of 4 dimensions of patient satisfaction as both predictors and outcomes of use of highly active antiretroviral therapy (HAART) among women in the United States with HIV/AIDS. Methods. Generalized estimating equations were used, to analyze time-lagged satisfaction-HAART relationships over 8 years in the Women's Interagency HIV Study. Results. Multivariate models showed that, over time, HAART use was associated with higher patient satisfaction with care in general, with providers, and with access/convenience of care; however, patient satisfaction was not associated with subsequent HAART use. Symptoms of depression and poor health-related quality of life were associated with less satisfaction with care on all 4 dimensions assessed, whereas African American race/ethnicity, illegal drug use, and fewer primary care visits were associated with less HAART use. Conclusions. Our findings suggest that dissatisfaction with care is not a reason for underuse of HAART among women with HIV and that providers should not be discouraged from recommending HAART to dissatisfied patients. Rather, increasing women's access to primary care could result in both increased HAART use and greater patient satisfaction.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1044-1051 |
| Number of pages | 8 |
| Journal | American Journal of Public Health |
| Volume | 96 |
| Issue number | 6 |
| DOIs | |
| State | Published - Jun 2006 |
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ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
Cite this
Longitudinal relationships between use of highly active antiretroviral therapy and satisfaction with care among women living with HIV/AIDS. / Burke-Miller, Jane K.; Cook, Judith A.; Cohen, Mardge H.; Hessol, Nancy A.; Wilson, Tracey E.; Richardson, Jean L.; Williams, Pete; Gange, Stephen J.
In: American Journal of Public Health, Vol. 96, No. 6, 06.2006, p. 1044-1051.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Longitudinal relationships between use of highly active antiretroviral therapy and satisfaction with care among women living with HIV/AIDS
AU - Burke-Miller, Jane K.
AU - Cook, Judith A.
AU - Cohen, Mardge H.
AU - Hessol, Nancy A.
AU - Wilson, Tracey E.
AU - Richardson, Jean L.
AU - Williams, Pete
AU - Gange, Stephen J
PY - 2006/6
Y1 - 2006/6
N2 - Objectives. We used longitudinal data to examine the roles of 4 dimensions of patient satisfaction as both predictors and outcomes of use of highly active antiretroviral therapy (HAART) among women in the United States with HIV/AIDS. Methods. Generalized estimating equations were used, to analyze time-lagged satisfaction-HAART relationships over 8 years in the Women's Interagency HIV Study. Results. Multivariate models showed that, over time, HAART use was associated with higher patient satisfaction with care in general, with providers, and with access/convenience of care; however, patient satisfaction was not associated with subsequent HAART use. Symptoms of depression and poor health-related quality of life were associated with less satisfaction with care on all 4 dimensions assessed, whereas African American race/ethnicity, illegal drug use, and fewer primary care visits were associated with less HAART use. Conclusions. Our findings suggest that dissatisfaction with care is not a reason for underuse of HAART among women with HIV and that providers should not be discouraged from recommending HAART to dissatisfied patients. Rather, increasing women's access to primary care could result in both increased HAART use and greater patient satisfaction.
AB - Objectives. We used longitudinal data to examine the roles of 4 dimensions of patient satisfaction as both predictors and outcomes of use of highly active antiretroviral therapy (HAART) among women in the United States with HIV/AIDS. Methods. Generalized estimating equations were used, to analyze time-lagged satisfaction-HAART relationships over 8 years in the Women's Interagency HIV Study. Results. Multivariate models showed that, over time, HAART use was associated with higher patient satisfaction with care in general, with providers, and with access/convenience of care; however, patient satisfaction was not associated with subsequent HAART use. Symptoms of depression and poor health-related quality of life were associated with less satisfaction with care on all 4 dimensions assessed, whereas African American race/ethnicity, illegal drug use, and fewer primary care visits were associated with less HAART use. Conclusions. Our findings suggest that dissatisfaction with care is not a reason for underuse of HAART among women with HIV and that providers should not be discouraged from recommending HAART to dissatisfied patients. Rather, increasing women's access to primary care could result in both increased HAART use and greater patient satisfaction.
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UR - http://www.scopus.com/inward/citedby.url?scp=33744755742&partnerID=8YFLogxK
U2 - 10.2105/AJPH.2005.061929
DO - 10.2105/AJPH.2005.061929
M3 - Article
C2 - 16670232
AN - SCOPUS:33744755742
VL - 96
SP - 1044
EP - 1051
JO - American Journal of Public Health
JF - American Journal of Public Health
SN - 0090-0036
IS - 6
ER -