Adjustment to acute or early HIV-1 infection diagnosis to prompt linkage to care and ART initiation: qualitative insights from coastal Kenya
| Autor: | Eduard J. Sanders, Bernadette Kombo, E M van der Elst, Don Operario, Jennifer Kanungi, Oscar Chirro, Peter M. Mugo, Susan M. Graham, Alexander N Thiong'o, Elizabeth Wahome |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty early ART initiation Art initiation Human immunodeficiency virus (HIV) HIV Infections Disclosure Emotional Adjustment medicine.disease_cause Article Cohort Studies 03 medical and health sciences 0302 clinical medicine Medicine Humans 030212 general & internal medicine Intensive care medicine Applied Psychology Qualitative Research behavioral adjustment linkage to care Linkage (software) Sex Workers business.industry Transmission (medicine) virus diseases Infection diagnosis Kenya 3. Good health 030227 psychiatry Psychiatry and Mental health Clinical Psychology Early Diagnosis Anti-Retroviral Agents Grounded Theory Acute and early HIV-1 infection HIV-1 Female Contact Tracing business Qualitative research |
| Zdroj: | Psychology, Health & Medicine |
| DOI: | 10.1080/13548506.2018.1549736 |
| Popis: | Diagnosing and treating patients with acute or early HIV-1 infection (AEHI) is an important strategy to prevent HIV-1 transmission. We used qualitative methods to understand factors that facilitate adjustment to AEHI diagnosis, prompt linkage to care and initiation of antiretroviral treatment (ART). Twenty-three AEHI patients (12 women, 11 men) included 18 participants identified at health facilities, and 5 participants identified in a sex worker cohort. Of these, 17 participants (9 women, 8 men) participated in qualitative interviews about their AEHI status 2 weeks after diagnosis. Thirteen participants (7 women, 6 men) returned for a second interview 12 weeks after diagnosis. Interviews explored participants’ experiences at the time of and following their diagnosis, and examined perceptions about ART initiation and behavior change recommendations, including disclosure and partner notification. A grounded theory framework was used for analysis, eliciting three important needs that should be addressed for AEHI patients: 1) the need to better understand AEHI and accept one’s status; 2) the need to develop healthy strategies and adjust to the reality of AEHI status; and 3) the need to protect self and others through ART initiation, adherence, safer sex, and disclosure. A preliminary conceptual framework to guide further intervention and research with AEHI populations is proposed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|