Navigation Links
Personal chaos in HIV patients' lives may be a barrier to regular medical care, UCLA Study Shows
Date:9/11/2007

Unstable and unpredictable lifestyles are significant factors in determining access to health care among low-income HIV-positive people, a new UCLA study has found.

The study, to be published in the September issue of the Journal of General Internal Medicine, found that when HIV patients lead chaotic lives meaning they are disorganized or experience too many unexpected events that chaos can act as a barrier to regular medical care. The researchers also developed a new scale to gauge the level of chaos in an adults life.

The findings suggest a possible new alternative to help ensure that low-income patients get the care they need, said the studys lead author, Dr. Mitchell Wong, an assistant professor of general internal medicine and health services research at the David Geffen School of Medicine at UCLA.

Many people have barriers to care, such as problems with transportation, housing, child care and health insurance. Traditionally, we look to solve these problems with case managers who can help reduce these barriers, Wong said. But theres a whole potential other mechanism which might be happening that people are just having trouble managing and organizing their lives. I think many of us take for granted the support mechanisms that we have, but many people who are living in poverty dont have that support network. They dont have that buffer zone to cope with the unexpected things. Perhaps enhancing stability and organization in peoples lives can also help them get the regular care that they need.

Some 220 low-income HIV-positive patients participated in the study. Of those, 45 percent were African American, 40 percent were Latino and 20 percent were women. About one-third did not graduate from high school, approximately 75 percent had a history of homelessness and half had used drugs in the previous 30 days. In addition, 45 percent were uninsured and 75 percent had one or more unmet social-service need. In the six months prior to the study, 83 percent had seen a physician for HIV care at least twice, 46 percent missed two or more visits, and one-third had gone to a hospital emergency room at least once.

In developing the new scale to measure chaos in adults lives, the researchers took as their model the 15-item Confusion, Hubbub, and Order Scale (CHAOS), designed for parents to assess chaos affecting childrens home lives. The researchers changed some questions in the CHAOS scale to reflect a persons life in general and whittled the assessment down to six simple statements designed to key in on the level of chaos in patients lives. These statements had a five-point response ranging from strongly agree to strongly disagree.

The statements were:

  • My life is organized.
  • My life is unstable.
  • My routine is the same from week to week.
  • My daily activities from week to week are unpredictable.
  • Keeping a schedule is difficult for me.
  • I do not like to make appointments too far in advance because I do not know what might come up.

The researchers found that those patients who did not have spouses or partners and those with at least one unmet social-service need, such as transportation or housing, scored highest on the chaos scale. They also found that patients with more chaos in their lives were less likely to have had two or more outpatient HIV care visits and were more likely to have missed two or more visits in the six months prior to enrolling in the study. These patients also had lower mental health status, both when they enrolled in the survey and at follow-up. The researchers, however, did not find an association between life chaos and emergency department visits or physical health status.


'/>"/>

Contact: Enrique Rivero
erivero@mednet.ucla.edu
310-794-2273
University of California - Los Angeles
Source:Eurekalert

Related medicine news :

1. Personality Impacts Arthritis
2. Dealing with personality disorders
3. Advent of New, More Effective and Personalized Medicines
4. Personality profiles of gamblers and substance abusers are similar
5. Treatment of postpartum depression needs to be personalized
6. Feelings Of Sympathy And Empathy Dictated by Personal Experience
7. Reflecting On Personal Values Can Lower Stress Responses
8. Fear Factor Found To Be Crucial In Shaping An Individual’s Personalit
9. Bill Gates Takes Personal Interest in AIDS Program
10. Kylies Personal Battle Against Breast Cancer May Soon Come To An End
11. One million people to donate their DNA and personal information
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/27/2016)... ... June 27, 2016 , ... "FCPX editors can now reveal their media with ... X," said Christina Austin - CEO of Pixel Film Studios. , ProSlice Color ... users can now reveal the media of their split screens with growing colorful ...
(Date:6/27/2016)... ... June 27, 2016 , ... ... patient payment industry today announced its strategic partnership with Connance, a healthcare ... , The two companies’ proven, proprietary technology combine to provide health systems, ...
(Date:6/27/2016)... Park, KS (PRWEB) , ... June 27, 2016 , ... ... in retailers of Eyeglasses . , Millions of individuals in the United States ... eyeglasses have become a way to both correct vision and make a fashion statement. ...
(Date:6/26/2016)... Battle Creek, Michigan (PRWEB) , ... June 26, 2016 , ... ... abuse, joined as sponsor of the 2016 Cereal Festival and World’s Longest Breakfast Table ... held in honor of the city’s history as home to some of the world’s ...
(Date:6/26/2016)... ... ... PawPaws brand pet supplements owned by Whole Health Supply is ... of felines. The formula is all-natural and is made from Chinese herbs that have ... Kidney Support Supplement Soft Chews are Astragalus Root Extract and Rehmannia Root Extract ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016 ... appointment of Dr. Edward Futcher to ... Director, effective June 23, 2016.Dr. Futcher was also ... and Governance Committees.  As a non-executive member of ... expertise and strategic counsel to VolitionRx in connection ...
(Date:6/23/2016)... June 23, 2016 Research and ... Excipients Market by Type (Organic Chemical (Sugar, Petrochemical, Glycerin), ... Topical, Coating, Parenteral) - Global Forecast to 2021" ... The global pharmaceutical excipients market is projected ... CAGR of 6.1% in the forecast period 2016 to ...
(Date:6/23/2016)... 23, 2016 Research and Markets has ... 52" report to their offering. ... creates a favourable commercial environment for MedImmune to enter. The ... that will serve to drive considerable growth for effective anti-influenza ... to cap sales considerably, but development is still in its ...
Breaking Medicine Technology: