Barriers and facilitators to HIV testing and linkage to primary care: narratives of people with advanced HIV in the Southeast

被引:26
|
作者
McCoy, Sandra I. [1 ]
Miller, William C. [1 ,2 ]
MacDonald, Pia D. M. [1 ]
Hurt, Christopher B. [2 ]
Leone, Peter A. [1 ,2 ,3 ]
Eron, Joseph J. [1 ,2 ]
Strauss, Ronald P. [4 ]
机构
[1] Univ N Carolina, Dept Epidemiol, Chapel Hill, NC 27515 USA
[2] Univ N Carolina, Dept Med, Chapel Hill, NC USA
[3] N Carolina Dept Hlth & Human Serv, Raleigh, NC USA
[4] Univ N Carolina, Dept Dent Ecol, Chapel Hill, NC USA
关键词
HIV infection; voluntary counseling and testing; delivery of health care; Southeastern USA; social support; UNITED-STATES; SUICIDAL IDEATION; INFECTED PERSONS; MEDICAL-CARE; WOMEN; DELAY; AIDS;
D O I
10.1080/09540120902803174
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Persons with unrecognized HIV infection forgo timely clinical intervention and may unknowingly transmit HIV to partners. However, in the USA, unrecognized infection and late diagnosis are common. To understand barriers and facilitators to HIV testing and care, we conducted a qualitative study of 24 HIV infected persons attending a Southeastern HIV clinic who presented with clinically advanced illness. The primary barrier to HIV testing prior to diagnosis was perception of risk; consequently, most participants were diagnosed after the onset of clinical symptoms. While most patients were anxious to initiate care rapidly after diagnosis, some felt frustrated by the passive process of connecting to specialty care. The first visit with an HIV care provider was identified as critical in the coping process for many patients. Implications for the implementation of Centers for Disease Control and Prevention HIV routine screening guidelines are discussed.
引用
收藏
页码:1313 / 1320
页数:8
相关论文
共 50 条
  • [1] Barriers and Facilitators of Linkage to HIV Primary Care in New York City
    Bauman, Laurie J.
    Braunstein, Sarah
    Calderon, Yvette
    Chhabra, Rosy
    Cutler, Blayne
    Leider, Jason
    Rivera, Angelic
    Sclafane, Jamie
    Tsoi, Benjamin
    Watnick, Dana
    [J]. JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2013, 64 : S20 - S26
  • [2] Barriers and Facilitators to Routine HIV Testing in VA Primary Care
    Barbara G. Bokhour
    Jeffrey L. Solomon
    Herschel Knapp
    Steven M. Asch
    Allen L. Gifford
    [J]. Journal of General Internal Medicine, 2009, 24 : 1109 - 1114
  • [3] Barriers and facilitators to routine HIV testing in VA primary care
    Bokhour, B. G.
    Solomon, J. L.
    Knapp, H.
    Asch, S. M.
    Gifford, A. L.
    [J]. JOURNAL OF GENERAL INTERNAL MEDICINE, 2008, 23 : 256 - 256
  • [4] Barriers and Facilitators to Routine HIV Testing in VA Primary Care
    Bokhour, Barbara G.
    Solomon, Jeffrey L.
    Knapp, Herschel
    Asch, Steven M.
    Gifford, Allen L.
    [J]. JOURNAL OF GENERAL INTERNAL MEDICINE, 2009, 24 (10) : 1109 - 1114
  • [5] Barriers and Facilitators to HIV Testing in Primary Care Among Health Care Providers
    Simmons, Emma M.
    Brown, Monique J.
    Sly, Kaye
    Ma, Mindy
    Sutton, Madeline Y.
    McLellan-Lemal, Eleanor
    [J]. JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION, 2011, 103 (05) : 432 - 438
  • [6] The Boundary of HIV Care: Barriers and Facilitators to Care Engagement Among People with HIV in the United States
    Padilla, Mabel
    Carter, Brittani
    Gutierrez, Mariana
    Fagan, Jennifer
    [J]. AIDS PATIENT CARE AND STDS, 2022, 36 (08) : 321 - 331
  • [7] Facilitators and barriers in HIV linkage to care interventions: a qualitative evidence review
    Sze, Lai
    Best, John
    Beanland, Rachel
    Doherty, Meg
    Lackey, Mellanye
    Ma, Qingyan
    Hall, Brian J.
    Yang, Bin
    Tucker, Joseph D.
    [J]. AIDS, 2016, 30 (10) : 1639 - 1653
  • [8] Barriers and facilitators to adolescent HIV testing
    Peralta, Ligia
    Deeds, Bethany Griffin
    Hipszer, Sandra
    Ghalib, Kareem
    [J]. AIDS PATIENT CARE AND STDS, 2007, 21 (06) : 400 - 408
  • [9] Barriers and facilitators to HIV care engagement: Recommendations from people with HIV in rural Arkansas
    Marshall, Sarah Alexandra
    Tao, Jun
    Horton, Heather K.
    Montgomery, Madeline C.
    Baloh, Jure
    Gu, Mofan
    Mabin, Cornelius
    Cima, Mike
    Nunn, Amy S.
    Chan, Philip A.
    Zaller, Nickolas D.
    [J]. JOURNAL OF RURAL HEALTH, 2023, 39 (02): : 459 - 468
  • [10] Barriers and facilitators to HIV testing in people age 50 and above: a systematic review
    Youssef, Elaney
    Cooper, Vanessa
    Delpech, Valerie
    Davies, Kevin
    Wright, Juliet
    [J]. CLINICAL MEDICINE, 2017, 17 (06) : 508 - 520