Analysis of PLWH switching to medical insurance ART: a cross-sectional study in six Chinese provinces

Antiretroviral therapy (ART) security policy in China has entered a new stage of diversification, and there are free ART, medical insurance ART, self-funded ART. In recent years, some people living with human immunodeficiency virus(PLWH) have switched to medical insurance ART from free ART. Therefor...

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Bibliographic Details
Published in:BMC public health 2024-12, Vol.24 (1), p.3361-10, Article 3361
Main Authors: Hu, Jingkun, Kang, Wenting, Guo, Jiahuan, Xu, Jie, Tang, Houlin, Zhao, Decai, Wang, Xinlun, Xu, Peng, Lyu, Fan, Zhang, Guang
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adult
AIDS
AIDS virus carriers
Anti-Retroviral Agents - therapeutic use
Antiretroviral agents
Antiretroviral drugs
Antiretroviral therapy
Antiviral agents
Chi-square test
China
Cross-Sectional Studies
Cross-sectional study
Disease control
Disease transmission
Drug therapy
Federal government
Female
Finance
Health insurance
HIV
HIV Infections - drug therapy
Hospitals
Households
Human immunodeficiency virus
Humans
Income
Infections
Insurance
Insurance policies
Insurance, Health - statistics & numerical data
Investigations
Life expectancy
Male
Medical aid
Medical insurance
Middle Aged
Mortality
People living with human immunodeficiency virus
Poverty
Prevention
Provinces
Questionnaires
Security
Statistical analysis
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Summary:Antiretroviral therapy (ART) security policy in China has entered a new stage of diversification, and there are free ART, medical insurance ART, self-funded ART. In recent years, some people living with human immunodeficiency virus(PLWH) have switched to medical insurance ART from free ART. Therefore, this study analyzed the information of those PLWH to provide reference for improving ART security policy in China. A cross-sectional survey was used to collect the general characteristics, economic status, and ART status of PLWH from 18 cities in 6 provinces. The Chi-square test was used to analyse whether the differences between PLWH who switched to medical insurance ART and those who did not were statistically significant. Multivariable logistic regression was used to analyse the factors associated with switching to medical insurance ART. Among the 1371 participants, 17.3% switched to medical insurance ART. The differences between PLWH who switched to medical insurance ART and those who did not were statistically significant (p 
ISSN:1471-2458
1471-2458
DOI:10.1186/s12889-024-20728-x