The influence of perceptions of HIV infection, care, and identity on care entry
The influence of perceptions of HIV infection, care, and identity on care entry
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DOI：
10.1080/09540121.2011.630360
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发表时间：
2012-01-01
影响因子：
1.7
通讯作者：
Bertolli, Jeanne
中科院分区：
文献类型：
--
作者：
Fagan, Jennifer L.;Beer, Linda;Bertolli, Jeanne
诊断后获得艾滋病毒护理的好处（e）例如，在一个实施例中，改善的临床结果和减少的传播）是公认的。然而，许多知道自己感染艾滋病毒的人从未接受过艾滋病毒治疗。在2008-2010年期间，我们在三个卫生部门管辖范围内对接受过艾滋病毒诊断但从未接受过艾滋病毒医疗护理的成年人进行了43次深入访谈。答卷人是从艾滋病毒/艾滋病报告系统这一基于人口的监测系统中挑选的。我们探讨了受访者如何看待艾滋病毒感染和艾滋病毒的医疗保健。大多数答复者将艾滋病毒与死亡联系在一起。许多答复者说，只有在患病时才需要艾滋病毒方面的医疗护理。此外，我们探讨了这些看法可能与一个人的身份冲突，从而成为及时进入护理的障碍。大多数受访者认为自己是健康的。所有受访者都承认自己的艾滋病毒血清状况，但许多人并没有自我认同为艾滋病毒阳性。一些答复者表示，他们还没有做好立即接受艾滋病毒护理的准备，但认为他们最终会尝试获得护理。有些人说，他们需要时间接受艾滋病毒诊断，然后才能接受护理。为了提高及时联系到护理，我们建议，在测试后的咨询会议和随后的联系到护理活动，咨询师和服务提供者讨论病人的艾滋病毒的看法，特别是要解决的信念，艾滋病毒感染是一个“死刑”或艾滋病毒的护理是必要的，只有那些表现出症状。
The benefits of accessing HIV care after diagnosis (e. g., improved clinical outcomes and reduced transmission) are well established. However, many persons who are aware that they are HIV infected have never received HIV medical care. During 2008-2010, we conducted 43 in-depth interviews in three health department jurisdictions among adults who had received an HIV diagnosis but who had never accessed HIV medical care. Respondents were selected from the HIV/AIDS Reporting System, a population-based surveillance system. We explored how respondents perceived HIV infection and HIV medical care. Most respondents associated HIV with death. Many respondents said that HIV medical care was not necessary until one is sick. Further, we explored how these perceptions may have conflicted with one's identity and thus served as barriers to timely care entry. Most respondents perceived themselves as healthy. All respondents acknowledged their HIV serostatus, but many did not self-identify as HIV-positive. Several respondents expressed that they were not ready to receive HIV care immediately but felt that they would eventually attempt to access care. Some stated that they needed time to accept their HIV diagnosis before entering care. To improve timely linkage to care, we suggest that during the posttest counseling session and subsequent linkage-to-care activities, counselors and service providers discuss patient perceptions of HIV, particularly to address beliefs that HIV infection is a "death sentence" or that HIV care is necessary only for those who exhibit symptoms.