Engagement in Care Among Newly Diagnosed HIV-Positive Gay, Bisexual, and Other Men Who Have Sex With Men in the United States: Results From the Together 5,000 Study.
Engagement in Care Among Newly Diagnosed HIV-Positive Gay, Bisexual, and Other Men Who Have Sex With Men in the United States: Results From the Together 5,000 Study.
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DOI：
10.1521/aeap.2022.34.5.349
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发表时间：
2022-10
影响因子：
1.8
通讯作者：
Grov, Christian
中科院分区：
文献类型：
--
作者：
Rios, Javier Lopez;Lentz, Cody;Balan, Ivan C.;Grosskopf, Nicholas;D'Angelo, Alexa;Stief, Matthew;Grov, Christian
四分之一的同性恋、双性恋和其他男男性行为者(GBMSM)确诊为艾滋病毒携带者，他们没有从事艾滋病毒护理。2018年至2019年，50名GBMSM在收到艾滋病毒阳性结果后3个月完成了定性访谈。访谈探讨了参与和保留艾滋病毒检测和护理的障碍和促进者。专题分析揭示了五个主要主题：(1)艾滋病毒检测的原因(例如，自我检测)，(2)与护理的联系(例如，预约/后勤问题和社会支持作为鼓励)，(3)参与护理的障碍(例如，财政负担、相互竞争的优先事项和恐惧/耻辱)，(4)参与的促进者(例如，财政援助、患者与提供者的关系、辅助支助服务和卫生机构)，以及(5)PrEP作为错过的预防机会。解决个人、社会和政策层面的障碍可以提高GBMSM对艾滋病毒护理的参与度。此外，通过与当地机构的伙伴关系利用GBMSM的卫生机构，并促进更好的患者-提供者关系，可以优化艾滋病毒护理的连续性。
One-quarter of gay, bisexual, and other men who have sex with men (GBMSM) with diagnosed HIV are not engaged in HIV care. Between 2018 and 2019, 50 GBMSM completed qualitative interviews 3 months after receiving an HIV-positive result. Interviews explored barriers to and facilitators of engagement and retention in HIV testing and care. Thematic analysis revealed five major themes: (1) reason for HIV testing (e.g., self-testing), (2) linkage to care (e.g., appointment/logistic issues and social support as encouragement), (3) barriers to engagement in care (e.g., financial burden, competing priorities, and fear/stigma), (4) facilitators of engagement (e.g., financial assistance, patient-provider relationships, auxiliary support services, and health agency), and (5) PrEP as a missed prevention opportunity. Addressing individual-, social-, and policy-level barriers could improve GBMSM’s engagement in HIV care. Further, capitalizing on GBMSM’s health agency through partnerships with local agencies and fostering better patient-provider relationships could optimize HIV care continuity.
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影响因子：
12.7
作者：
Eaton LA;Driffin DD;Kegler C;Smith H;Conway-Washington C;White D;Cherry C
通讯作者：
Cherry C
影响因子：
4.4
作者：
Balan, Ivan C.;Carballo-Dieguez, Alex;Frasca, Timothy;Dolezal, Curtis;Ibitoye, Mobolaji
通讯作者：
Ibitoye, Mobolaji
纽约市艾滋病毒初级保健中脆弱人群参与的障碍和促进者。
DOI：
10.1097/qai.0000000000000577
发表时间：
2015-05-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Remien RH;Bauman LJ;Mantell JE;Tsoi B;Lopez-Rios J;Chhabra R;DiCarlo A;Watnick D;Rivera A;Teitelman N;Cutler B;Warne P
通讯作者：
Warne P
DOI：
10.1037/hea0000606
发表时间：
2018-06
期刊：
Health psychology : official journal of the Division of Health Psychology, American Psychological Association
影响因子：
--
作者：
Rooks-Peck CR;Adegbite AH;Wichser ME;Ramshaw R;Mullins MM;Higa D;Sipe TA;Prevention Research Synthesis Project
通讯作者：
Prevention Research Synthesis Project
影响因子：
2.1
作者：
Canoy, Nico A.;Ofreneo, Mira Alexis P.
通讯作者：
Ofreneo, Mira Alexis P.