Positive Charge: Filling the Gaps in the US HIV Continuum of Care
Positive Charge: Filling the Gaps in the US HIV Continuum of Care
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DOI：
10.1007/s10461-015-1015-0
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发表时间：
2015-11-01
影响因子：
4.4
通讯作者：
Holtgrave, David
中科院分区：
文献类型：
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作者：
Maulsby, Cathy;Charles, Vignetta;Holtgrave, David
充分参与艾滋病毒护理对于实现最佳健康结果和减少艾滋病毒传播是必要的。 Positive Charge (PC) 是由 AIDS United 实施的全国艾滋病毒联系和重新参与护理计划。这项研究描述了三个 PC 项目、参与者的特征以及参与者护理的连续性。 88% 的参与者在 PC 注册后从事护理工作。 69% 的患者继续接受护理，46% 的患者在随访中病毒得到抑制。年龄较大的参与者更有可能参与、保留并受到病毒式压制。不同 PC 项目中艾滋病毒护理和治疗方面的种族和性别差异各不相同，反映了 PC 受资助者所采用的不同目标人群、地点和策略。迫切需要制定计划，促进弱势群体（包括感染艾滋病毒的年轻人）的艾滋病毒护理和治疗。还迫切需要进行更多研究来测试护理策略中有希望的联系和保留的有效性，例如同伴导航。
Adequate engagement in HIV care is necessary for the achievement of optimal health outcomes and for the reduction of HIV transmission. Positive Charge (PC) was a national HIV linkage and re-engagement in care program implemented by AIDS United. This study describes three PC programs, the characteristics of their participants, and the continuum of engagement in care for their participants. Eighty-eight percent of participants were engaged in care post PC enrollment. Sixty-nine percent were retained in care, and 46 % were virally suppressed at follow-up. Older participants were more likely to be engaged, retained, and virally suppressed. Differences by race and gender in HIV care and treatment varied across PC programs, reflecting the diverse target populations, locations, and strategies employed by the PC grantees. There is an urgent need for programs that promote HIV care and treatment among vulnerable populations, including young people living with HIV. There is also an urgent need for additional research to test the effectiveness of promising linkage and retention in care strategies, such as peer navigation.