A Mixed-Methods Exploration of the Needs of People Living with HIV (PLWH) Enrolled in Access to Care, a National HIV Linkage, Retention and Re-Engagement in Medical Care Program.
A Mixed-Methods Exploration of the Needs of People Living with HIV (PLWH) Enrolled in Access to Care, a National HIV Linkage, Retention and Re-Engagement in Medical Care Program.
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DOI：
10.1007/s10461-017-1809-3
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发表时间：
2018-03
影响因子：
4.4
通讯作者：
Holtgrave DR
中科院分区：
文献类型：
--
作者：
Maulsby C;Enobun B;Batey DS;Jain KM;Access to Care Intervention Team;Riordan M;Werner M;Holtgrave DR
相互竞争的需求对参与艾滋病毒医疗保健构成障碍。使用混合方法来探索和描述参加“获得护理”（Access to Care）项目的参与者的需求。“获得护理”是一个全国性的艾滋病毒联系、保留和重新参与护理（LRC）项目，为知道自己状况但未参与护理的艾滋病毒感染者提供服务。当被要求优先考虑其最迫切的需求时，参与者报告了住房或住所（31%）、艾滋病毒医疗服务（24%）和就业（8%）。当我们通过需求状态评估HIV连续护理时，我们发现在有和没有基本需求的参与者之间，在联系、保留或病毒抑制方面没有显著差异。与项目工作人员的定性访谈将参与者面临的艾滋病毒医疗保健障碍置于背景下，并探讨了LRC项目用于满足参与者需求的策略。研究结果将用于未来的规划，并对艾滋病毒政策产生影响，特别是国家艾滋病毒/艾滋病战略（2015-2020）的实施。
Competing needs pose barriers to engagement in HIV medical care. Mixed methods were used to explore and describe the needs of participants enrolled in Access to Care, a national HIV linkage, retention and re-engagement in care (LRC) program that served people living with HIV who knew their status but were not engaged in care. When asked to prioritize their most urgent needs, participants reported housing or shelter (31%), HIV medical services (24%), and employment (8%). When we assessed the HIV continuum of care by needs status, we found no significant differences in linkage, retention, or viral suppression between participants with and without basic needs. Qualitative interviews with program staff contextualized the barriers to HIV medical care faced by participants and explored the strategies used by LRC programs to address participant needs. Study findings will be of use to future programs and have implications for HIV policy, in particular the implementation of the National HIV/AIDS Strategy (2015–2020).
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DOI：
10.1097/qai.0b013e3182a99c19
发表时间：
2013-11-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Bauman LJ;Braunstein S;Calderon Y;Chhabra R;Cutler B;Leider J;Rivera A;Sclafane J;Tsoi B;Watnick D
通讯作者：
Watnick D
影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
DOI：
10.1097/qai.0b013e318273762f
发表时间：
2012-12-15
影响因子：
3.6
作者：
Mugavero, Michael J.;Westfall, Andrew O.;Giordano, Thomas P.
通讯作者：
Giordano, Thomas P.
影响因子：
4.9
作者：
Rajabiun, Serena;Cabral, Howard;Relf, Michael
通讯作者：
Relf, Michael
影响因子：
39
作者：
Skarbinski, Jacek;Rosenberg, Eli;Mermin, Jonathan H.
通讯作者：
Mermin, Jonathan H.