Martin Shapiro

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BACKGROUND There have been no previous nationally representative estimates of the prevalence of mental disorders and drug use among adults receiving care for human immunodeficiency virus (HIV) disease in the United States. It is also not known which clinical and sociodemographic factors are associated with these disorders. SUBJECTS AND METHODS We enrolled(More)
OBJECTIVE To establish population-based estimates of the prevalence of any alcohol consumption and heavy drinking among individuals who tested positive for human immunodeficiency virus (HIV) and to identify the factors associated with alcohol consumption and heavy drinking in this population. METHOD Data from the HIV Cost and Services Utilization Study(More)
PURPOSE To measure health-related quality of life among adult patients with human immunodeficiency virus (HIV) disease; to compare the health-related quality of life of adults with HIV with that of the general population and with patients with other chronic conditions; and to determine the associations of demographic variables and disease severity with(More)
CONTEXT Studies of selected populations suggest that not all persons infected with human immunodeficiency virus (HIV) receive adequate care. OBJECTIVE To examine variations in the care received by a national sample representative of the adult US population infected with HIV. DESIGN Cohort study that consisted of 3 interviews from January 1996 to January(More)
1 Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA. 2 Health Sciences and Research Development, Ann Arbor Veterans Administration Medical Center and University of Michigan, Ann Arbor, MI. 3 Department of Health Policy and Administration, University of North Carolina at Chapel Hill, Chapel Hill,(More)
OBJECTIVES This study estimated the proportion of HIV-infected adults who have been assaulted by a partner or someone important to them since their HIV diagnosis and the extent to which they reported HIV-seropositive status as a cause of the violence. METHODS Study participants were from a nationally representative probability sample of 2864 HIV-infected(More)
OBJECTIVE To employ the behavioral model of health services use in examining the extent to which predisposing, enabling, and need factors explain the treatment of the HIV-positive population in the United States with highly active antiretroviral therapy (HAART). DATA SOURCE A national probability sample of 2,776 adults under treatment for human(More)
BACKGROUND AND METHODS In order to elucidate the medical care of patients with human immunodeficiency virus (HIV) infection in the United States, we randomly sampled HIV-infected adults receiving medical care in the contiguous United States at a facility other than military, prison, or emergency department facility during the first two months of 1996. We(More)
BACKGROUND The need for mental health and substance abuse services is great among those with human immunodeficiency virus (HIV), but little information is available on services used by this population or on individual factors associated with access to care. METHODS Data are from the HIV Cost and Services Utilization Study, a national probability survey of(More)
BACKGROUND Mortality from all causes is higher for persons with fewer years of education and for blacks, but it is unknown which diseases contribute most to these disparities. METHODS We estimated cause-specific risks of death from data from the National Health Interview Survey conducted from 1986 through 1994 and from linked vital statistics. Using these(More)