Health Care Experiences of Youth Living With HIV Who Were Lost to Follow-up in Western Kenya
| Autor: | Bonnie Halpern-Felsher, Hilary T. Wolf, Craig R. Cohen, Colette L. Auerswald, Elizabeth A. Bukusi, Maureen E. Lyon, Katharine S. Davidoff |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Social Stigma Human immunodeficiency virus (HIV) Psychological intervention Context (language use) HIV Infections medicine.disease_cause Health Services Accessibility 03 medical and health sciences Young Adult 0302 clinical medicine Health care medicine Retention in Care Community health workers Humans 030212 general & internal medicine Lost to follow-up Qualitative Research Advanced and Specialized Nursing Physician-Patient Relations 030505 public health business.industry Continuity of Patient Care Focus group Kenya Test (assessment) Family medicine Patient Compliance Female Lost to Follow-Up 0305 other medical science business Delivery of Health Care |
| Zdroj: | The Journal of the Association of Nurses in AIDS Care : JANAC. 30(5) |
| ISSN: | 1552-6917 |
| Popis: | HIV is the leading cause of mortality for youth in sub-Saharan Africa. Youth are more likely than any other age group to be lost to follow-up (LTFU) from care. We investigated the health care-related experiences of youth living with HIV (YLWH) who were LTFU (i.e., had not returned to care for at least 4 months), as well as the perceptions of the community health workers who supported them. Data were collected from two focus group discussions with community health workers (n = 18) who worked with YLWH and 27 semistructured interviews with YLWH (ages 15-21 years) who were LTFU. Attitudes toward health care were presented in the context of a social-ecological model. Respondents highlighted the need for improved youth-oriented services, including youth-friendly clinics and training for care providers about specific needs of YLWH. Researchers should develop and test the impact of these interventions to improve retention of YLWH in care. |
| Databáze: | OpenAIRE |
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