Barriers and facilitators to engagement in care and medication adherence for women living with HIV in the Southern United States.
| Autor: | Sommer SB; School of Nursing, Vanderbilt University, Nashville, U.S.A., Barroso JV; School of Nursing, Vanderbilt University, Nashville, U.S.A., Bass SB; Department of Social and Behavioural Sciences, Temple University, Philadelphia, U.S.A., Congema MR; College of Nursing, East Carolina University, Greenville, U.S.A., Schoemann AM; Department of Psychology, East Carolina University, Greenville, U.S.A., Caiola CE; College of Nursing, East Carolina University, Greenville, U.S.A. |
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| Jazyk: | angličtina |
| Zdroj: | AIDS care [AIDS Care] 2024 Jan; Vol. 36 (1), pp. 130-138. Date of Electronic Publication: 2023 Aug 03. |
| DOI: | 10.1080/09540121.2023.2233498 |
| Abstrakt: | Women living in the South have the second highest rate of HIV and the lowest rate of viral suppression among women in all regions in the United States (U.S.). Viral suppression is achieved by successfully linking women to HIV care and supporting adherence to antiretroviral therapy (ART). We aimed to qualitatively explore perceived barriers and facilitators to HIV care engagement and ART adherence among women living with HIV in the South. Participants (N = 40) were recruited across a broad geographic area of the South, assisted by a location-specific Community/Clinician Advisory Board (CCAB). Qualitative research methods were used to generate in-depth descriptions of women's experiences in accessing HIV care and adhering to ART. Intrapersonal qualities expressed through resilience and self-efficacy were amongst the most prominent themes for both engagement in care and adherence to medications. Structural barriers such as transportation and distance to care continued to be a barrier to engagement, while medication delivery facilitated adherence. Conclusion: Our findings highlight the complexity and interrelated nature of factors impacting care and adherence. Multilevel interventions that incorporate structural factors in addition to individual-level behavioral change are needed to facilitate engagement in care and adherence to ART. |
| Databáze: | MEDLINE |
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