Exploring Treatment Needs and Expectations for People Living with HIV in South Africa: A Qualitative Study
Exploring Treatment Needs and Expectations for People Living with HIV in South Africa: A Qualitative Study
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DOI：
10.1007/s10461-018-2101-x
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发表时间：
2018-08-01
影响因子：
4.4
通讯作者：
Katz, Ingrid T.
中科院分区：
文献类型：
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作者：
Earnshaw, Valerie A.;Bogart, Laura M.;Katz, Ingrid T.
联合国艾滋病规划署的90-90-90治疗目标旨在到2020年大幅增加开始抗逆转录病毒治疗的人数。更好地了解在南非等高流行率国家启动抗逆转录病毒治疗的障碍至关重要。定性半结构化访谈进行了30名参与者在Gugulethu镇，南非，包括10个医疗服务提供者和20人艾滋病毒感染者（PLWH）谁没有启动ART。访谈探讨了ART启动的障碍和可接受的理论为基础的干预策略，以优化ART启动。归纳内容分析法适用于数据。与三元影响理论相一致，ART启动的障碍被确定在个人，社会和结构层面。结果表明，高接受干预策略，涉及南非艾滋病毒感染者和医疗服务提供者之间的培训艾滋病毒阳性的同行。需要开展研究，以评估这些方案在艾滋病毒高流行率国家的可行性和有效性。
The UNAIDS 90-90-90 treatment targets aim to dramatically increase the number of people who initiate antiretroviral therapy (ART) by 2020. Greater understanding of barriers to ART initiation in high prevalence countries like South Africa is critical. Qualitative semi-structured interviews were conducted with 30 participants in Gugulethu Township, South Africa, including 10 healthcare providers and 20 people living with HIV (PLWH) who did not initiate ART. Interviews explored barriers to ART initiation and acceptability of theory-based intervention strategies to optimize ART initiation. An inductive content analytic approach was applied to the data. Consistent with the Theory of Triadic Influence, barriers to ART initiation were identified at the individual, social, and structural levels. Results suggested high acceptability for intervention strategies involving trained HIV-positive peers among South African PLWH and healthcare providers. Research is needed to evaluate their feasibility and efficacy in high HIV prevalence countries.