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:2/5/2016)... ... February 05, 2016 , ... US Sports Camps ... in Dover, NH to direct high-performance kids yoga training. ChildLight Yoga Studio is centrally ... one hour from Boston. , ChildLight Yoga Studio founder Lisa Flynn expresses her excitement, ...
(Date:2/5/2016)... ... February 05, 2016 , ... The American public tends to feel uncomfortable about ... than regular municipal or well water. The recent experience with lead contaminated water in ... a long way toward increasing public acceptance of recycled waste water as drinking water. ...
(Date:2/5/2016)... ... ... Give To Cure today announced that it is working with ... Cure’s campaign that is crowdfunding clinical trials to help find cures faster for Alzheimer’s ... smart device. In 2015 alone, Venmo processed $7.5 billion in transactions among users. , ...
(Date:2/5/2016)... ... February 05, 2016 , ... Pivot Point Consulting, ... in KLAS: Software & Services for HIT Implementation Support & Staffing report with ... ranks vendor performance by healthcare executives, managers and clinicians representing over 4,500 hospitals ...
(Date:2/5/2016)... , ... February 05, 2016 , ... Dr. Justin Scott ... their 2nd Annual No Cost Dental Day to individuals in need. The event is ... of this No Cost Dental Day is to provide dental care to community members ...
Breaking Medicine News(10 mins):
(Date:2/5/2016)... , Feb. 5, 2016  As people age, it ... multitude of recommended screenings and tests that are linked ... priority. However, for the majority of aging individuals, hearing ... planning. For the 37.5 million American adults who report ... present to make hearing health a 2016 healthy aging ...
(Date:2/5/2016)... 2016 http://www.researchandmarkets.com/research/jsc97m/global ... "Global Musculoskeletal Partnering 2010-2016: Deal trends, ... their offering. --> http://www.researchandmarkets.com/research/jsc97m/global ... "Global Musculoskeletal Partnering 2010-2016: Deal trends, ... their offering. --> Research ...
(Date:2/5/2016)... --> --> ... the global active pharmaceuticals ingredients (APIs) market stood at ... US$185.9 bn by 2020. It is expected to expand ... The title of the report is "Active Pharmaceutical Ingredients ... by Therapeutic Area) - Global Industry Analysis, Size, Share, ...
Breaking Medicine Technology: