Changes in the AIDS epidemiologic situation in Puerto Rico following health care reform and the introduction of HAART Cambios en la situación epidemiológica del sida en Puerto Rico tras la reforma sanitaria y la introducción de la TARGA
OBJECTIVES: To compare the occurrence of AIDS as well as the sociodemographic and clinical profiles of AIDS patients in Puerto Rico before and after the introduction of highly active antiretroviral therapy (HAART) and the privatization of the island’s public health care system. METHODS: We compared...
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Pan American Health Organization
2005
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ftdoajarticles:oai:doaj.org/article:1a82da9b72e548859739fc318b966f65 2023-05-15T15:19:07+02:00 Changes in the AIDS epidemiologic situation in Puerto Rico following health care reform and the introduction of HAART Cambios en la situación epidemiológica del sida en Puerto Rico tras la reforma sanitaria y la introducción de la TARGA Doris V. Báez-Feliciano James C. Thomas María A. Gómez Sandra Miranda Diana M. Fernández Miriam Velázquez Eddy Ríos-Olivares Robert F. Hunter-Mellado 2005-02-01T00:00:00Z https://doaj.org/article/1a82da9b72e548859739fc318b966f65 EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892005000200005 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/1a82da9b72e548859739fc318b966f65 Revista Panamericana de Salud Pública, Vol 17, Iss 2, Pp 92-101 (2005) Síndrome de inmunodeficiencia adquirida abuso de sustancias intravenosas hispanoamericanos Puerto Rico Acquired immunodeficiency syndrome substance abuse intravenous Hispanic Americans Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2005 ftdoajarticles 2022-12-31T02:31:37Z OBJECTIVES: To compare the occurrence of AIDS as well as the sociodemographic and clinical profiles of AIDS patients in Puerto Rico before and after the introduction of highly active antiretroviral therapy (HAART) and the privatization of the island’s public health care system. METHODS: We compared the incident AIDS cases for two three-year periods, 1992-1994 and 1998-2000, in four populations: (1) entire United States, (2) Puerto Rico, (3) Bayamón Health Region (located in north-central Puerto Rico, it includes 11 of the island’s 78 municipalities), and (4) an HIV cohort enrolled at the Universidad Central del Caribe (UCC) School of Medicine. The UCC is located in Bayamón, Puerto Rico, within an academic medical complex that houses the teaching hospital (Ramón Ruíz Arnaú University Hospital), the ambulatory health care facilities (Immunology Clinics) for patients with HIV, and administrative buildings. This represents the major government-sponsored health care infrastructure within the Bayamón Health Region. RESULTS: Incident AIDS declined substantially between the two periods in each of the four populations studied. The 48.1% decline in Puerto Rico exceeded the 40.9% decline in the United States. The decline in Puerto Rico likely resulted from increased availability and implementation of HAART and the delivery of health care to HIV/AIDS patients in an integrated fashion within each regional ambulatory clinic. In spite of this improvement, the absolute number of patients with AIDS on the island remains high. Substantial resources for treatment and prevention are required. The proportion of new AIDS cases was lower among women, persons 40 years of age or older, the less educated, and those living alone. Injection drug use remains the predominant mode of transmission in Puerto Rico. CONCLUSIONS: Further gains in Puerto Rico’s fight against AIDS will depend on the island’s ability to reduce the transmission that occurs through injection drug use; the use of HAART on a larger number of vulnerable patients, ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Sida ENVELOPE(101.683,101.683,67.800,67.800) |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Síndrome de inmunodeficiencia adquirida abuso de sustancias intravenosas hispanoamericanos Puerto Rico Acquired immunodeficiency syndrome substance abuse intravenous Hispanic Americans Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Síndrome de inmunodeficiencia adquirida abuso de sustancias intravenosas hispanoamericanos Puerto Rico Acquired immunodeficiency syndrome substance abuse intravenous Hispanic Americans Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Doris V. Báez-Feliciano James C. Thomas María A. Gómez Sandra Miranda Diana M. Fernández Miriam Velázquez Eddy Ríos-Olivares Robert F. Hunter-Mellado Changes in the AIDS epidemiologic situation in Puerto Rico following health care reform and the introduction of HAART Cambios en la situación epidemiológica del sida en Puerto Rico tras la reforma sanitaria y la introducción de la TARGA |
topic_facet |
Síndrome de inmunodeficiencia adquirida abuso de sustancias intravenosas hispanoamericanos Puerto Rico Acquired immunodeficiency syndrome substance abuse intravenous Hispanic Americans Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVES: To compare the occurrence of AIDS as well as the sociodemographic and clinical profiles of AIDS patients in Puerto Rico before and after the introduction of highly active antiretroviral therapy (HAART) and the privatization of the island’s public health care system. METHODS: We compared the incident AIDS cases for two three-year periods, 1992-1994 and 1998-2000, in four populations: (1) entire United States, (2) Puerto Rico, (3) Bayamón Health Region (located in north-central Puerto Rico, it includes 11 of the island’s 78 municipalities), and (4) an HIV cohort enrolled at the Universidad Central del Caribe (UCC) School of Medicine. The UCC is located in Bayamón, Puerto Rico, within an academic medical complex that houses the teaching hospital (Ramón Ruíz Arnaú University Hospital), the ambulatory health care facilities (Immunology Clinics) for patients with HIV, and administrative buildings. This represents the major government-sponsored health care infrastructure within the Bayamón Health Region. RESULTS: Incident AIDS declined substantially between the two periods in each of the four populations studied. The 48.1% decline in Puerto Rico exceeded the 40.9% decline in the United States. The decline in Puerto Rico likely resulted from increased availability and implementation of HAART and the delivery of health care to HIV/AIDS patients in an integrated fashion within each regional ambulatory clinic. In spite of this improvement, the absolute number of patients with AIDS on the island remains high. Substantial resources for treatment and prevention are required. The proportion of new AIDS cases was lower among women, persons 40 years of age or older, the less educated, and those living alone. Injection drug use remains the predominant mode of transmission in Puerto Rico. CONCLUSIONS: Further gains in Puerto Rico’s fight against AIDS will depend on the island’s ability to reduce the transmission that occurs through injection drug use; the use of HAART on a larger number of vulnerable patients, ... |
format |
Article in Journal/Newspaper |
author |
Doris V. Báez-Feliciano James C. Thomas María A. Gómez Sandra Miranda Diana M. Fernández Miriam Velázquez Eddy Ríos-Olivares Robert F. Hunter-Mellado |
author_facet |
Doris V. Báez-Feliciano James C. Thomas María A. Gómez Sandra Miranda Diana M. Fernández Miriam Velázquez Eddy Ríos-Olivares Robert F. Hunter-Mellado |
author_sort |
Doris V. Báez-Feliciano |
title |
Changes in the AIDS epidemiologic situation in Puerto Rico following health care reform and the introduction of HAART Cambios en la situación epidemiológica del sida en Puerto Rico tras la reforma sanitaria y la introducción de la TARGA |
title_short |
Changes in the AIDS epidemiologic situation in Puerto Rico following health care reform and the introduction of HAART Cambios en la situación epidemiológica del sida en Puerto Rico tras la reforma sanitaria y la introducción de la TARGA |
title_full |
Changes in the AIDS epidemiologic situation in Puerto Rico following health care reform and the introduction of HAART Cambios en la situación epidemiológica del sida en Puerto Rico tras la reforma sanitaria y la introducción de la TARGA |
title_fullStr |
Changes in the AIDS epidemiologic situation in Puerto Rico following health care reform and the introduction of HAART Cambios en la situación epidemiológica del sida en Puerto Rico tras la reforma sanitaria y la introducción de la TARGA |
title_full_unstemmed |
Changes in the AIDS epidemiologic situation in Puerto Rico following health care reform and the introduction of HAART Cambios en la situación epidemiológica del sida en Puerto Rico tras la reforma sanitaria y la introducción de la TARGA |
title_sort |
changes in the aids epidemiologic situation in puerto rico following health care reform and the introduction of haart cambios en la situación epidemiológica del sida en puerto rico tras la reforma sanitaria y la introducción de la targa |
publisher |
Pan American Health Organization |
publishDate |
2005 |
url |
https://doaj.org/article/1a82da9b72e548859739fc318b966f65 |
long_lat |
ENVELOPE(101.683,101.683,67.800,67.800) |
geographic |
Arctic Sida |
geographic_facet |
Arctic Sida |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 17, Iss 2, Pp 92-101 (2005) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892005000200005 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/1a82da9b72e548859739fc318b966f65 |
_version_ |
1766349302006808576 |