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Journal of Immigrant and Minority Health

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01-06-2018 | Original Paper

Co-morbid Non-communicable Diseases and Associated Health Service Use in African and Caribbean Immigrants with HIV

Authors: Khatundi-Irene Masindi, Nathaniel Jembere, Claire E. Kendall, Ann N. Burchell, Ahmed M. Bayoumi, Mona Loutfy, Janet Raboud, Sean B. Rourke, Henry Luyombya, Tony Antoniou

Published in: Journal of Immigrant and Minority Health | Issue 3/2018

Abstract

We sought to characterize non-communicable disease (NCD)-related and overall health service use among African and Caribbean immigrants living with HIV between April 1, 2010 and March 31, 2013. We conducted two population-based analyses using Ontario’s linked administrative health databases. We studied 1525 persons with HIV originally from Africa and the Caribbean. Compared with non-immigrants with HIV (n = 11,931), African and Caribbean immigrants had lower rates of hospital admissions, emergency department visits and non-HIV specific ambulatory care visits, and higher rates of health service use for hypertension and diabetes. Compared with HIV-negative individuals from these regions (n = 228,925), African and Caribbean immigrants with HIV had higher rates of health service use for chronic obstructive pulmonary disease [rate ratio (RR) 1.78; 95% confidence interval (CI) 1.36–2.34] and malignancy (RR 1.20; 95% CI 1.19–1.43), and greater frequency of hospitalizations for mental health illness (RR 3.33; 95% CI 2.44–4.56), diabetes (RR 1.37; 95% CI 1.09–1.71) and hypertension (RR 1.85; 95% CI 1.46–2.34). African and Caribbean immigrants with HIV have higher rates of health service use for certain NCDs than non-immigrants with HIV. The evaluation of health services for African and Caribbean immigrants with HIV should include indicators of NCD care that disproportionately affect this population.

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Title: Co-morbid Non-communicable Diseases and Associated Health Service Use in African and Caribbean Immigrants with HIV
Authors: Khatundi-Irene Masindi
Nathaniel Jembere
Claire E. Kendall
Ann N. Burchell
Ahmed M. Bayoumi
Mona Loutfy
Janet Raboud
Sean B. Rourke
Henry Luyombya
Tony Antoniou
Publication date: 01-06-2018
Publisher: Springer US
Published in: Journal of Immigrant and Minority Health / Issue 3/2018
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI: https://doi.org/10.1007/s10903-017-0681-6

At a glance: The STEP trials

Springer Medicine

Co-morbid Non-communicable Diseases and Associated Health Service Use in African and Caribbean Immigrants with HIV

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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