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

抗逆转录病毒药物的出现，高效抗逆转录病毒疗法（HAART）的引入， 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， 可控疾病这些延长生命的治疗可以降低与下列疾病相关的发病率和死亡率： 艾滋病毒/艾滋病感染者（PLWHA）的疾病。参与护理对艾滋病毒治疗至关重要 在个人和群体层面上的成功。尽管寻求艾滋病毒护理的经济障碍 虽然通过《瑞安白色法案》等机制减少了艾滋病毒/艾滋病感染者人数，但很大一部分艾滋病毒/艾滋病感染者并没有留在 1 2 在乎¿ 确定影响艾滋病毒护理利用模式的个人、组织和环境因素 艾滋病毒/艾滋病感染者和艾滋病毒/艾滋病患者之间的接触对于制定战略， 在护理和保留方面，以及那些具有间歇性护理利用模式的人。艾滋病护理的目标 研究项目是与当地社区合作，以确定和记录社会心理，文化， 结构性障碍，阻止艾滋病毒/艾滋病感染者在农村，非洲裔美国人占多数，南南卡罗来纳州（SC） 县发起和继续艾滋病毒护理。这项研究的结果将为试点项目的开发提供信息， 社区发起的干预措施，以改善艾滋病毒感染者/艾滋病患者艾滋病毒护理的启动和持续。

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.