Barriers and Facilitators of HIV Care Engagement: Results of a Qualitative Study in St. Petersburg, Russia

Autor: Alexey Yakovlev, Anna V. Kuznetsova, Jeffrey A. Kelly, Anastasia G Amirkhanian, Vladimir B Musatov, Yuri A. Amirkhanian, Anastasia Meylakhs
Rok vydání: 2016
Předmět:
Adult
Male
medicine.medical_specialty
Social Psychology
Adolescent
Anti-HIV Agents
Substance-Related Disorders
media_common.quotation_subject
Health Status
Social Stigma
Psychological intervention
Alternative medicine
HIV Infections
Health Services Accessibility
Article
Medication Adherence
Russia
Interviews as Topic
03 medical and health sciences
0302 clinical medicine
Medicine
Humans
030212 general & internal medicine
Psychiatry
Qualitative Research
media_common
030505 public health
business.industry
Public health
Public Health
Environmental and Occupational Health
virus diseases
Social Support
Continuity of Patient Care
Middle Aged
Patient Acceptance of Health Care
medicine.disease
Substance abuse
Health psychology
Infectious Diseases
Feeling
Family medicine
Female
0305 other medical science
business
Psychosocial
Qualitative research
Zdroj: AIDS and behavior. 20(10)
ISSN: 1573-3254
Popis: Russia has a large HIV epidemic, but medical care engagement is low. Eighty HIV-positive persons in St. Petersburg completed in-depth interviews to identify barriers and facilitators of medical HIV care engagement. The most commonly-reported barriers involved difficulties accessing care providers, dissatisfaction with the quality of services, and negative attitudes of provider staff. Other barriers included not having illness symptoms, life stresses, low value placed on health, internalized stigma and wanting to hide one's HIV status, fears of learning about one's true health status, and substance abuse. Care facilitators were feeling responsible for one's health and one's family, care-related support from other HIV-positive persons, and the onset of health decline and fear of death. Substance use remission facilitated care engagement, as did good communication from providers and trust in one's doctor. Interventions are needed in Russia to address HIV care infrastructural barriers and integrate HIV, substance abuse, care, and psychosocial services.
Databáze: OpenAIRE
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