Uso y valoración de los servicios sanitarios y de la medicación antirretroviral en personas diagnosticadas de infección por el virus de la inmunodeficiencia humana
Bibliographic record
Abstract
Examinar las diferencias entre la toma o no de antirretrovirales (ART) en personas infectadas por el virus de la inmunodeficiencia humana (VIH) en relación con el uso y la valoración de los servicios sanitarios y las características sociodemográficas. Los datos se recogieron con un cuestionario realizado a 108 personas infectadas por el VIH, en la ciudad de Granada (España), entre julio y septiembre de 2005. Los participantes fueron contactados desde tres ámbitos: Un servicio de enfermedades infecciosas, una asociación no gubernamental de personas infectadas por el VIH y del trabajo de calle a partir del contacto por iguales. La edad media de los participantes fue de 40 años, y eran seropositivos desde hacía 12 años como media. El 55,6% consumía drogas ilegales y el 63,9% había usado alguna vez la vía inyectada. El 25% no tomaba ART, el 15,7% cumplía el tratamiento y el 59,3% al menos alguna vez incumplía las pautas prescritas. Los participantes tienen una percepción positiva de la medicación ART y bastante acertada. El grupo de los cumplidores presenta las mejores puntuaciones, y quienes no toman ART las más bajas, en casi la totalidad de las variables estudiadas. Se debería seguir mejorando el acceso a los recursos sociosanitarios, implementar estrategias de motivación para los pacientes que llevan muchos años con el tratamiento e integrar en la red asistencial a aquellos que viven procesos de exclusión social. To analyze the use or not of antirretrovirals (ART) human inmunodeficiency virus (HIV) diagnosed people in relation to the utilization and evaluation of the health care services and sociodemographic profiles. The data was collected with a questionnaire to 108 HIV people, in the city of Granada (Spain) between July and September 2005. Participants were contacted from three sources: infectious diseases service, HIV's nongovernmental association and from the street through peers. The mean age was 40 years, and the participants knew that they were seropositives since a mean of 12 years ago. At the moment of the interview, 55.6% consumed illegal drugs (cannabis not included), and 63.9% were former injecting drug users. In relation to ART, 25% did not take it, 15.7% were totally adherent, and 59.3% were in treatment but failed in the intake of the medication as prescribed. In general, participants have a positive and accurate perception of ART. The group of the adherents showed the best scores and those who do not take ART the lowest, in almost the totality of the studied variables. The present study suggests that is important continuing to improve the access to the health and social resources, to implement strategies of motivation for patients who have been many years in HIV treatment and to integrate in the health care system social excluded HIV positive people.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.005 | 0.011 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.001 | 0.003 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; both teacher heads agree on what is shown here.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".