Evidence map›Paper›PMID 39623349›Full record

ArticleBMC public health2024

Analysis of PLWH switching to medical insurance ART: a cross-sectional study in six Chinese provinces.

Jingkun Hu, Wenting Kang, Jiahuan Guo, Jie Xu, Houlin Tang, Decai Zhao, Xinlun Wang, Peng Xu, Fan Lyu, Guang Zhang

Abstract read
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Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Jingkun HuNational Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Wenting KangChinese Association of STD&AIDS Prevention and Control, Beijing, China.
Jiahuan GuoNational Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Jie XuNational Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Houlin TangNational Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Decai ZhaoNational Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Xinlun WangChinese Association of STD&AIDS Prevention and Control, Beijing, China.
Peng XuNational Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. xupeng2007@163.com.
Fan LyuNational Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. fanlv@chinaaids.cn.
Guang ZhangNational Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. zhangguang2000@chinaaids.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntiretroviral therapy (ART) security policy in China has entered a new stage of diversification, and there are free ART, medical insurance ART, self-funded ART. In recent years, some people living with human immunodeficiency virus(PLWH) have switched to medical insurance ART from free ART. Therefore, this study analyzed the information of those PLWH to provide reference for improving ART security policy in China.

methodsA cross-sectional survey was used to collect the general characteristics, economic status, and ART status of PLWH from 18 cities in 6 provinces. The Chi-square test was used to analyse whether the differences between PLWH who switched to medical insurance ART and those who did not were statistically significant. Multivariable logistic regression was used to analyse the factors associated with switching to medical insurance ART.

resultsAmong the 1371 participants, 17.3% switched to medical insurance ART. The differences between PLWH who switched to medical insurance ART and those who did not were statistically significant (p < 0.05) in education, occupation, type of basic medical insurance, average annual income of family members, personal annual income, changes in personal annual income, whether is the government medical aid recipient or households registered as living under the poverty line, year of initiating ART, level of ART hospital, distance to ART hospital, and whether adverse medicine reactions occur. Government agency/public institution/state-owned enterprise employees (aOR = 2.34, 95% CI: 1.29-4.26), basic medical insurance for urban employed (aOR = 1.93, 95% CI: 1.28-2.90), average annual income of family members were ≥ $13,972 (aOR = 2.12, 95% CI: 1.27-3.54), personal annual income were ≥ $13,972 (aOR = 2.39, 95% CI: 1.43-4.00), initiated ART before 2012 (aOR = 1.67, 95% CI: 1.02-2.75), provincial hospitals (aOR = 2.00, 95% CI: 1.30-3.09) were factors associated with switching to medical insurance ART.

conclusions17.3% PLWH switched to medical insurance ART, indicating the attractiveness of medical insurance ART. The characteristics of PLWH who switched to medical insurance ART and the factors associated with switching should be fully considered, so as to provide targeted ART services and improve ART security policy in China.

Indexed as

HIV InfectionsInsurance, HealthAdultAnti-Retroviral AgentsChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedAnti-Retroviral AgentsAntiretroviral therapyCross-sectional studyMedical insurancePeople living with human immunodeficiency virus

Identifiers

PMID39623349
PMCPMC11613854

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