Understanding the Unique Barriers and Facilitators that Affect Men's Initiation and Retention in HIV Care: A Qualitative Study to Inform Interventions for Men Across the Treatment Cascade in Malawi.
Understanding the Unique Barriers and Facilitators that Affect Men's Initiation and Retention in HIV Care: A Qualitative Study to Inform Interventions for Men Across the Treatment Cascade in Malawi.
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DOI：
10.1007/s10461-022-03909-w
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发表时间：
2023-06
影响因子：
4.4
通讯作者：
Dovel, Kathryn
中科院分区：
文献类型：
--
作者：
Coursey, Kate;Phiri, Khumbo;Choko, Augustine T.;Kalande, Pericles;Chamberlin, Stephanie;Hubbard, Julie;Thorp, Marguerite;Hoffman, Risa;Coates, Thomas J.;Dovel, Kathryn
Men in sub-Saharan Africa are underrepresented in antiretroviral therapy (ART) programs. Our secondary analysis of 40 in-depth interviews with Malawian men living with HIV examined barriers and facilitators for ART initiation versus retention. Interviewees included men who never initiated or initiated ART late (initiation respondents, n = 19); and men who initiated ART but were late for an appointment (retention respondents, n = 21). Transcribed interviews were coded using deductive and inductive coding techniques and analyzed using constant comparison methods. Long wait times, frequent facility visits, and insufficient in-clinic privacy were barriers for initiation and retention. Poor knowledge of ART was primarily a barrier for initiation; unexpected travel was a barrier for retention. Key facilitators for initiation and retention included previous positive experiences with health facilities. Having examples of successful men using ART primarily facilitated initiation; support from spouses and male peers facilitated retention. Results may inform interventions to increase men’s engagement in ART services.
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影响因子：
4.4
作者：
Lambert, R. Frederick;Orrell, Catherine;Haberer, Jessica E.
通讯作者：
Haberer, Jessica E.
DOI：
10.2471/blt.06.036574
发表时间：
2007-11-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Janssens, B;Van Damme, W;Zachariah, R
通讯作者：
Zachariah, R
影响因子：
2.2
作者：
Magaco, Amilcar;Dovel, Kathryn;Chicumbe, Sergio
通讯作者：
Chicumbe, Sergio
影响因子：
3.7
作者：
Lince-Deroche N;Leuner R;Kgowedi S;Moolla A;Madlala S;Manganye P;Xhosa B;Govathson C;White Ndwanya T;Long L
通讯作者：
Long L
影响因子：
34.3
作者：
Hoffman, Risa M.;Moyo, Crispin;Rosen, Sydney
通讯作者：
Rosen, Sydney