The HIV Care Continuum in Small Cities of Southern New England: Perspectives of People Living with HIV/AIDS, Public Health Experts, and HIV Service Providers.

The HIV Care Continuum in Small Cities of Southern New England: Perspectives of People Living with HIV/AIDS, Public Health Experts, and HIV Service Providers.
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新英格兰南部小城市的艾滋病毒护理连续体:艾滋病毒/艾滋病感染者、公共卫生专家和艾滋病毒服务提供者的观点。

DOI:
10.1007/s10461-020-03049-z
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发表时间:
2021-03
期刊:
影响因子:
4.4
通讯作者:
Stopka TJ
Stopka TJ
中科院分区:
医学2区
文献类型:
--
作者:
Grau LE;Brothers S;Kim JY;Khwaja A;Heimer R;Stopka TJ

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艾滋病毒护理连续体包括五个步骤(筛查、与护理的联系、治疗启动、保留和病毒抑制),用于监测向艾滋病毒携带者(PLWH)提供的治疗。主要集中在情况可能与小城市不同的大城市或大都市地区。通过对新英格兰南部较小城市的艾滋病毒服务提供者、公共卫生专家和PLWH进行的两项定性研究的分析,确定了影响肝细胞癌结果的三个主题(即知识、耻辱和稳定性)。研究结果表明,提高肝细胞癌的预后需要多管齐下的方法,包括针对个人和组织层面的干预措施,以提高健康素养、工作人员沟通技能、评估患者的宗教/精神信仰的普遍筛查以及补充服务需求。在较小的城市,进一步确保患者保密以及艾滋病毒和其他保健服务的同一地点和协调的干预措施尤为重要。
The HIV care continuum (HCC), comprised of five steps (screening, linkage to care, treatment initiation, retention, and viral suppression), is used to monitor treatment delivery to people living with HIV (PLWH). The HCC has primarily focused on large urban or metropolitan areas where the situation may differ from that in smaller cities. Three themes (i.e., knowledge, stigma, stability) that shaped HCC outcomes were identified from analysis of two qualitative studies involving HIV service providers, public health experts, and PLWH in smaller cities of southern New England. The findings suggest that enhancing HCC outcomes require a multiprong approach that targets both the individual and organizational levels and includes interventions to increase health literacy, staff communication skills, universal screening to assess patients’ religiosity/spirituality and supplemental service needs. Interventions that further ensure patient confidentiality and the co-location and coordination of HIV and other healthcare services are particularly important in smaller cities.
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