Improving HIV medical care engagement by attending to status disclosure and social support
Improving HIV medical care engagement by attending to status disclosure and social support
复制标题
DOI：
10.1080/09540121.2020.1718588
复制
发表时间：
2020-01-29
影响因子：
1.7
通讯作者：
Bessler, Patricia A.
中科院分区：
文献类型：
--
作者：
Carnes, Neal A.;Carey, James W.;Bessler, Patricia A.
医疗护理领域的快速联系和持续参与对于艾滋病毒感染者 (PWH) 的健康非常重要。促进联系和参与的一种理论涉及披露艾滋病毒状况以动员社会支持。为了评估披露和社会支持与联系和参与的关系，我们对美国男男性行为者（有色男男性接触者）进行了一项定性研究。参与者的叙述呈现出不同的结果。例如，一些报告延迟、不一致的访问或脱离护理的参与者也报告说出于支持目的而披露信息，但零星的参与表明他们的披露或任何后续的社会支持并没有起到帮助作用。这些发现为质疑披露和社会支持对护理参与的影响的文献做出了贡献，特别是在脱离环境和意图的情况下。我们的研究结果表明，如果想要影响结果，尤其是在有色人种男男性接触者中，披露和社会支持的机制需要有计划地实施。根据研究结果，我们探索了可能支持旨在锚定医疗保健参与的干预措施的步骤。
Expeditious linkage and consistent engagement in medical care is important for people with HIV's (PWH) health. One theory on fostering linkage and engagement involves HIV status disclosure to mobilize social support. To assess disclosure and social support's association with linkage and engagement, we conducted a qualitative study sampling black and Latino men who have sex with men (MSM of color) in the U.S. Participants' narratives presented mixed results. For instance, several participants who reported delaying, inconsistent access, or detachment from care also reported disclosing for support purposes, yet sporadic engagement suggests that their disclosure or any subsequent social support have not assisted. The findings contribute to the literature that questions disclosure and social support's influence on care engagement, especially when decontextualized from circumstances and intentions. Our findings suggest the mechanics of disclosure and social support require planned implementation if intending to affect outcomes, especially among MSM of color. From the findings, we explore steps that may bolster interventions seeking to anchor medical care engagement.