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

抗逆转录病毒疗法的出现，高效抗逆转录病毒疗法的引入，以及 治疗方案的进步已经将艾滋病毒疾病从急性绝症转变为慢性疾病 可控制的疾病。这些延长生命的疗法可以降低与以下疾病相关的发病率和死亡率 艾滋病毒/艾滋病患者中的疾病。参与护理对艾滋病毒治疗至关重要 在个人和人群层面上都取得了成功。尽管寻求艾滋病毒治疗的经济障碍 通过瑞安·怀特法案等机制减少，PLWHA的一大部分没有保留在 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 在PLWHA中是至关重要的，以制定战略，在他们中增加护理的启动，那些没有 在护理和留存方面，以及那些有间歇性护理利用模式的人。艾滋病护理的目标是 研究项目是与当地社区合作，识别和记录心理社会、文化和 在南卡罗来纳州(SC)以非裔美国人为主的农村地区，阻碍PLWHA的结构性障碍 从启动和持续的艾滋病毒护理县。这项研究的结果将为试点的发展提供参考， 社区发起的干预措施，以改善艾滋病防治方案的启动和持续护理。

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.