Qualitative to assessment of barriers and facilitators to HIV treatment.
Qualitative to assessment of barriers and facilitators to HIV treatment.
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DOI：
10.1016/j.jana.2010.11.001
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发表时间：
2011-07
影响因子：
2
通讯作者：
Konkle-Parker, Deborah
中科院分区：
文献类型：
--
作者：
Williams, Bryman;Amico, K. Rivet;Konkle-Parker, Deborah
艾滋病毒有效治疗的出现为数百万艾滋病毒感染者（PLWH）提供了延长寿命和提高生活质量的机会（Jelsma，MacLean，Hughes，Tinise，& Darder，2005）。获得这些治疗的必要先决条件是注册并随后留在临床护理中。参与艾滋病毒护理的程度可以从一个连续体上看到：“从初步诊断到全面参与护理的一系列病人护理”（Cheever，2007年，第117页）。由于尚未充分探索和了解的原因，美国相当大一部分艾滋病毒携带者没有充分参与艾滋病毒护理，这里将其定义为及时登记护理，随后按建议的时间间隔参加护理，以进行监测和随访。在护理的各个方面，美国有相当大比例的艾滋病毒携带者没有参与护理。据报道，在美国，20%至40%的PLWH目前不知道他们的HIV感染，20%至40%的知道他们的HIV感染的PLWH没有及时进入护理，并且大约33%的进入护理的人没有在推荐的时间间隔内使用它（Mugavero等人，2009年）。显然，需要努力更好地了解从事艾滋病毒护理的障碍和促进因素，以便制定和实施有效的干预措施，提高整个护理过程的利用率。通过国家倡议，在成人卫生保健环境中促进常规快速艾滋病毒检测的相当大的努力，旨在减少仍然不知道自己艾滋病毒状况的人数（疾病控制和预防中心[CDC]，2007年）。然而，可以说，艾滋病毒感染的知识是在个人、社区或流行病学层面更好地控制艾滋病毒的必要但不充分的条件。需要有效的医疗和持续的艾滋病毒护理，以实现和维持病毒抑制，这可以进一步减少传播风险，并为个人的健康和长寿提供一系列好处。然而，目前，在文献中，一旦启动，留在艾滋病毒护理的障碍和促进因素探索不足，限制了制定和实施有效的保留护理干预措施所需的经验指导。
The advent of effective treatments for HIV has offered millions of people living with HIV (PLWH) the opportunity to improve their longevity and quality of life (Jelsma, MacLean, Hughes, Tinise, & Darder, 2005). A necessary prerequisite for accessing these treatments is enrolling and subsequently remaining in clinical care. Levels of engagement in HIV care can be seen on a continuum:‘‘a spectrum of patient care, ranging from initial diagnosis to full engagement in care’’(Cheever, 2007, p. 117). For reasons that remain underexplored and poorly understood, a sizable portion of PLWH in the United States do not fully engage in HIV care, which is defined here as enrolling in care in a timely manner and subsequently attending care at the recommended intervals for monitoring and follow-up. Across all points on the continuum of care, there are considerable proportions of PLWH in the United States who are not engaged in care. A reported 20% to 40% of PLWH in the United States are presently unaware of their HIV infection, 20% to 40% of PLWH who are aware of their HIV infection do not enter care in a timely manner, and approximately 33% of those who enter care do not use it at the recommended intervals (Mugavero et al., 2009). Clearly, efforts are needed to better understand barriers and facilitators to engaging in HIV care so as to develop and implement effective interventions that will promote higher rates of utilization over the care continuum.Presently, considerable efforts through national initiatives to promote routine rapid HIV testing in adult health care settings target reducing the number of individuals who remain unaware of their HIV status (Centers for Disease Control and Prevention [CDC], 2007). Arguably, however, knowledge of HIV infection is a necessary but insufficient condition for better control of HIV at a personal, community, or epidemiological level. Effective medical treatment and persistence in HIV care are needed to achieve and sustain viral suppression, which could further reduce transmission risk and would offer a host of benefits to the health and longevity of the individual. Presently, however, barriers and facilitators to staying in HIV care once initiated are underexplored in the literature, limiting the empirical guidance needed to develop and implement effective retention-in-care interventions.
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影响因子：
4.9
作者：
Tobias, Carol R.;Cunningham, William;Drainoni, Mari-Lynn
通讯作者：
Drainoni, Mari-Lynn
DOI：
10.1080/09540120412331336652
发表时间：
2005-08-01
影响因子：
1.7
作者：
Giordano, TP;Visnegarwala, F;Grimes, RM
通讯作者：
Grimes, RM
DOI：
10.1080/09540120412331299780
发表时间：
2005-04-01
影响因子：
1.7
作者：
Stewart, KE;Cianfrini, LR;Walker, JF
通讯作者：
Walker, JF
DOI：
10.1086/595705
发表时间：
2009-01-15
期刊：
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
影响因子：
--
作者：
Mugavero MJ;Lin HY;Willig JH;Westfall AO;Ulett KB;Routman JS;Abroms S;Raper JL;Saag MS;Allison JJ
通讯作者：
Allison JJ
DOI：
10.1016/j.jana.2010.06.002
发表时间：
2011-03
影响因子：
2
作者：
Konkle-Parker, Deborah J.;Amico, K. Rivet;Henderson, Harold M.
通讯作者：
Henderson, Harold M.