Analysis of a population-based Pneumocystis carinii pneumonia Index as an outcome measure of access and quality of care for the treatment of HIV disease

Peter S. Arno, Marc N. Gourevitch, Ernest Drucker, Jing Fang, Clara Goldberg, Margaret Memmott, Karen Bonuck, Nandini Deb, Ellie Schoenbaum

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives. A population-based Pneumocystis carinii pneumonia (PCP) Index was developed in New York City to identify geographic areas and subpopulations at increased risk for PCP. Methods. A zip code-level PCP Index was created from AIDS surveillance and hospital discharge records and defined as (number of PCP-related hospitalizations)/(number of persons living with AIDS). Results. In 1997, there were 2262 hospitalizations for PCP among 39 740 persons living with AIDS in New York City (PCP Index = .05691). PCP Index values varied widely across neighborhoods with high AIDS prevalence (West Village = .02532 vs Central Harlem = .08696). Some neighborhoods with moderate AIDS prevalence had strikingly high rates (Staten Island = .14035; northern Manhattan = .08756). Conclusions. The PCP Index highlights communities in particular need of public health interventions to improve HIV-related service delivery.

Original languageEnglish (US)
Pages (from-to)395-398
Number of pages4
JournalAmerican journal of public health
Volume92
Issue number3
DOIs
StatePublished - 2002

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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