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March 2002, Vol 92, No. 3 | American Journal of Public Health 395-398
© 2002 American Public Health Association

RESEARCH AND PRACTICE

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, PhD, Marc N. Gourevitch, MD, MPH, Ernest Drucker, PhD, Jing Fang, MD, Clara Goldberg, BA, Margaret Memmott, MPH, Karen Bonuck, PhD, Nandini Deb, MA and Ellie Schoenbaum, MD

The authors are with Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY.

Correspondence: Requests for reprints should be sent to Peter S. Arno, PhD, Department of Epidemiology and Social Medicine, Montefiore Medical Center, 111 E 210 St, Bronx, NY 10467 (e-mail: parno{at}montefiore.org).

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. (Am J Public Health. 2002;92:395–398)




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