Reducing"Not in Care" Status among PLWHA in Rural So Carolina

减少南卡罗来纳州农村地区感染者的“不在护理”状态

• 批准号: 8580138
• 负责人: Rebecca Bullard-Dillard
• 金额: $ 10.07万
• 依托单位: UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-03-04 至 2015-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8580138
• 关键词: AIDS/HIV problem; Acute Disease; Address; Affect; African American; Agreement; Anti-Retroviral Agents; Area; Behavioral; Caring; Case Manager; Chronic; Communities; Community Health; County; Data; Development; Disease; Environmental Risk Factor; Equipment and supply inventories; Faculty; Focus Groups; Future; Goals; HIV; Health Promotion; Health Services; Highly Active Antiretroviral Therapy; Human Resources; Individual; Intervention; Interview; Leadership; Learning; Life; Malignant Neoplasms; Maps; Mentors; Minority; Minority AIDS; Morbidity - disease rate; Outcome; Participant; Pattern; Patterns of Care; Persons; Population; Provider; Qualitative Research; Recruitment Activity; Research; Research Personnel; Research Project Grants; Resources; Rural; Rural Community; Secure; South Carolina; Staging; Structure; Techniques; Terminal Disease; Testing; Work; care seeking; community intervention; contextual factors; experience; health equity; improved; informant; member; mortality; outreach; psychosocial; social; success

The advent of anti-retroviral nnedications, introduction of highly active anti-retroviral therapy (HAART), and advances in treatment options have transformed HIV disease from an acute terminal disease to a chronic manageable disease. These life-extending treatments can reduce the morbidity and mortality associated with the disease among persons living with HIV/AIDS (PLWHA). Engagement in care is vital for HIV treatment success at both the individual and population levels.^ Although financial barriers to seeking HIV care have been reduced through mechanisms such as the Ryan White Act, a large subset of PLWHA does not remain in 1 2 care. ¿ Identifying personal, organizational, and environmental factors that influence patterns of utilization of HIV care among PLWHA is critical to developing strategies to increase initiation of care among them, those who are not in care and retention, and those who have episodic patterns of care utilization. The goal of the HIV care research project is to work with a local community to identify and document psychosocial, cultural, and structural barriers that deter PLWHA in a rural, majority African-American, southern South Carolina (SC) county from initiating and continuing HIV care. Findings of this study will inform development of a pilot, community-initiated intervention to improve initiation and continuation of HIV care among PLWHA.

抗逆转录病毒疗法的出现、高效抗逆转录病毒疗法（HAART）的引入以及 治疗方案的进步已将艾滋病毒疾病从急性晚期疾病转变为慢性疾病 可以控制的疾病。这些延长生命的治疗可以降低与以下疾病相关的发病率和死亡率 艾滋病毒/艾滋病感染者 (PLWHA) 中的疾病。参与护理对于艾滋病毒治疗至关重要 在个人和人口层面都取得了成功。^ 尽管寻求艾滋病毒护理的经济障碍已经存在 通过《瑞恩·怀特法案》等机制减少了感染者的数量，很大一部分 PLWHA 不再留在国内 1 2 关心。 ¿ 确定影响艾滋病毒护理利用模式的个人、组织和环境因素 对于制定战略以增加对感染者、非感染者和非感染者的护理启动至关重要 护理和保留方面的人员，以及具有间歇性护理利用模式的人员。 HIV护理的目标 研究项目是与当地社区合作，确定并记录社会心理、文化和 在南卡罗来纳州南部 (SC) 农村地区（大多数为非裔美国人），结构性障碍阻碍了艾滋病毒感染者的感染 县禁止启动和继续艾滋病毒护理。这项研究的结果将为试点的开发提供信息， 社区发起的干预措施，以改善艾滋病毒感染者中艾滋病毒护理的启动和持续。