Linkage to Care for HIV-Positive Adolescents: A Multisite Study of the Adolescent Medicine Trials Units of the Adolescent Trials Network
Linkage to Care for HIV-Positive Adolescents: A Multisite Study of the Adolescent Medicine Trials Units of the Adolescent Trials Network
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DOI：
10.1016/j.jadohealth.2012.03.012
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发表时间：
2012-12-01
影响因子：
7.6
通讯作者：
Monte, Dina
中科院分区：
文献类型：
--
作者：
Fortenberry, J. Dennis;Martinez, Jaime;Monte, Dina
目的：为了了解链接到护理实践的网站提供临床服务，以新诊断的HIV阳性的青少年。方法：定性分析进行了详细的访谈，28名人员参与了链接到护理在15个网站提供专业护理，以HIV阳性的青少年。我们发现，存在多种模式的联系，以照顾，正式和非正式的社区关系对于成功地与护理挂钩都很重要。成见被认为是一个普遍问题，因此强调了保密和社会支持之间平衡的重要性。护理障碍，如心理健康问题，物质使用和交通，是common.Conclusions：我们的结论是，连接到护理的复杂性，需要思考和规划的艾滋病毒检测扩展到低风险人群。(C)2012年青少年健康和医学协会。All rights reserved.
Purpose: To understand linkage to care practices at sites providing clinical services to newly diagnosed HIV-positive adolescents.Methods: Qualitative analysis of detailed interviews conducted with 28 personnel involved in linkage to care at 15 sites providing specialty care to HIV-positive adolescents.Results: We showed that multiple models exist for linkage to care, and that both formal and informal community relationships are important for successful linkage to care. Stigma was seen as a universal issue, enhancing the importance of the balance of confidentiality and social support. Barriers to care, such as mental health issues, substance use, and transportation, are common.Conclusions: We conclude that the complexity of linkage to care requires thought and planning as HIV testing is expanded to lower-risk populations. (C) 2012 Society for Adolescent Health and Medicine. All rights reserved.