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AIDS and Behavior

, Volume 18, Issue 4, pp 776–782 | Cite as

Travel Distance to HIV Medical Care: A Geographic Analysis of Weighted Survey Data from the Medical Monitoring Project in Philadelphia, PA

  • M. G. Eberhart
  • C. D. Voytek
  • A. Hillier
  • D. S. Metzger
  • M. B. Blank
  • K. A. Brady
Original Paper

Abstract

Decisions regarding where patients access HIV care are not well understood. The purpose of this analysis was to examine differences in travel distance to care among persons receiving care in Philadelphia. A multi-stage sampling design was utilized to identify 400 potential participants. 65 % (260/400) agreed to be interviewed. Participants were asked questions about medical care, supportive services, and geographic location. Distances were calculated between residence and care location. 46.3 % travelled more than three miles beyond the nearest facility. Uninsured travelled further (6.9 miles, 95 % CI 3.9–9.8) than persons with public insurance (3.3 miles, 2.9–3.6). In multivariate analyses, no insurance (20/260) was associated with increased distance (p = 0.0005) and Hispanic ethnicity was associated with decreased distance (p = 0.0462). Persons without insurance travel further but insurance status alone does not explain the variability in distance travelled to care. In Philadelphia, Hispanic populations, and providers that may be most accessible to them, are spatially contained.

Keywords

HIV/AIDS Travel distance Medical care Geographic information systems (GIS) Survey data 

Notes

Acknowledgments

The data collection and analysis for this manuscript was supported by the Centers for Disease Control and Prevention grant number 5U62PS001608, distributed as part of the Medical Monitoring Project (FOA PS09-937). Additional support for the collaboration between Philadelphia Department of Public Health and the University of Pennsylvania Center for AIDS Research was provided by Grant numbers AI-045008 and P30 AI 087714.

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • M. G. Eberhart
    • 1
  • C. D. Voytek
    • 2
  • A. Hillier
    • 3
  • D. S. Metzger
    • 2
  • M. B. Blank
    • 4
  • K. A. Brady
    • 1
  1. 1.AIDS Activities Coordinating OfficePhiladelphia Department of Public HealthPhiladelphiaUSA
  2. 2.Perelman School of MedicineUniversity of PennsylvaniaPhiladelphiaUSA
  3. 3.School of Social Policy and PracticeUniversity of PennsylvaniaPhiladelphiaUSA
  4. 4.Center for Mental Health Policy and Services ResearchUniversity of PennsylvaniaPhiladelphiaUSA

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