Browsing by Author "Özdemir, Hülya Özkan"

Now showing 1 - 3 of 3

Citation - WoS: 5
Citation - Scopus: 6
Health care cost of socioeconomic inequalities: A pioneering population-wide study
(American Public Health Association Inc. ajph.subscriptions@apha.org, 2019) Durmuş Özdemir; Hulya Ozkan Ozdemir; Özdemir, Durmuş; Özdemir, Hülya Özkan
[No abstract available]
Citation - WoS: 3
Citation - Scopus: 4
The impact of socioeconomic factors on the healthcare costs of people living with HIV in Turkey
(BMC, 2020) Hulya Ozkan Ozdemir; Selma Tosun; Fatma Nur Karaman Kabadurmus; Durmus Ozdemir; Özdemir, Hülya Özkan; Özdemir, Durmuş; Tosun, Selma; Kabadurmuş, Fatma Nur Karaman
BackgroundThis study addresses an important field within HIV research the impact of socioeconomic factors on the healthcare costs of people living with HIV/AIDS (PLHIV). We aimed to understand how different socioeconomic factors could create diverse healthcare costs for PLHIV in Turkey.MethodsData were collected between January 2017 and December 2017. HIV-positive people attending the clinic who had been referred to the national ART programme from January 1992 until December 2017 were surveyed. The questionnaire collected socioeconomic data. The cost data for the same patients was taken from the electronic database Probel Hospital Information Management System (PHIMS) for the same period. The PHIMS data include costs for medication (highly active antiretroviral therapy or HAART) laboratory pathology radiology polyclinic examination and consultation hospitalisation surgery and intervention blood and blood products supplies and other costs. Data were analysed using STATA 14.2 to estimate the generalised linear model (GLM).ResultsThe findings of our GLM indicate that age gender marital and parental status time since diagnosis employment wealth status illicit drug use and CD4 cell count are the factors significantly related to the healthcare cost of patients. We found that compared with people who have AIDS (CD4 cells <200 cells/mm(3)) people who have a normal range of CD4 cells ( 500 cells/mm(3)) have $1046 less in expenditures on average. Compared to younger people (19-39years) older people (>= 55) have $1934 higher expenditures on average. Costs are $644 higher on average for married people and $401 higher on average for people who have children. Healthcare costs are $518 and $651 higher on average for patients who are addicted to drugs and who use psychiatric drug(s) respectively. Compared to people who were recently diagnosed with HIV people who were diagnosed >= 10years ago have $743 lower expenditures on average.ConclusionOur results suggest that in addition to immunological status socioeconomic factors play a substantial role in the healthcare costs of PLHIV. The key factors influencing the healthcare costs of PLHIV are also critical for public policy makers healthcare workers health ministries and employment community programs.
Citation - WoS: 1
The Impact of Socioeconomic Factors on the HIV-Related Stigma of People Living With HIV in Turkey
(SAGE PUBLICATIONS INC, 2025) Hulya Ozkan Ozdemir; Fatma Nur Karaman Kabadurmus; Durmus Ozdemir; Özdemir, Hülya Özkan; Karaman Kabadurmuş, Fatma Nur; Özdemir, Durmuş; Kabadurmus, Fatma Nur Karaman
This study includes clinical cohort data on 202 People Living with HIV/AIDS (PLWHA) in Izmir Turkey. Study is conducted at the Izmir Bozyaka Education and Training Hospital Department of Infectious Diseases and Clinical Microbiology and analyzes the impact of demographic socio-economic and clinical factors of HIV stigma which includes three dimensions of stigma: internalized anticipated and enacted. This paper uses clinic data recorded by patients and healthcare professionals of the outpatient clinic. In order to obtain socio-economic measures patients were interviewed face-to-face. We employ a logistics regression model that aligns with our binary stigma variables. Robustness checks include Ordinary Least Squares and Ordered Logistics models. Our results show that age and marital status are the 2 important demographic factors that affect stigmatized attitudes. Divorced PLWHA have a higher degree of both internalized and anticipated stigma. We find that educated people have a lower degree of internalized stigma. In addition a higher-income level is found to be inversely associated with enacted stigma. Our results also reveal that LGBTs drug users and people who have chronic illnesses have experienced higher stigma levels. This paper explores the complex ways socioeconomic factors contribute to stigma in the Turkish context addressing a significant gap in the literature since the cultural and social dynamics of stigma in Turkey are frequently overlooked. Recognizing the protective influence of education and income policies such as integrating HIV education into school curricula and offering financial assistance to PLWHA especially those from low-income backgrounds can help reduce stigma.