Barriers and facilitators to testing, treatment entry, and engagement in care by HIV-positive women of color.

Abstract:

:Women of color (WOC) are at increased risk of dying from HIV/AIDS, a disparity that may be partially explained by the care barriers they face. Based in a health care disparity model and the socio-ecological framework, the objective of this study was to identify the barriers and facilitators to HIV care at three points along the HIV continuum: HIV testing, entry/early care, and engagement. Two focus groups (n=11 women) and 19 semi-structured interviews were conducted with HIV-positive WOC in an academic medical setting in North Carolina. Content was analyzed and interpreted. We found barriers and facilitators to be present at multiple levels of the ecological framework, including personal-, provider-, clinic-, and community-levels. The barriers reported by women were aligned with the racial health care disparity model constructs and varied by stage of HIV. Identifying the salient barriers and facilitators at multiple ecological levels along the HIV care continuum may inform intervention development.

journal_name

AIDS Patient Care STDS

authors

Messer LC,Quinlivan EB,Parnell H,Roytburd K,Adimora AA,Bowditch N,DeSousa N

doi

10.1089/apc.2012.0435

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

398-407

issue

7

eissn

1087-2914

issn

1557-7449

journal_volume

27

pub_type

杂志文章
  • Low levels of adherence to antiretroviral therapy in HIV-1-infected women with menstrual disorders.

    abstract::We evaluated the prevalence of menstrual disorders in HIV-1-infected women and explored the association between such disorders and adherence to antiretroviral therapy, sexual functioning, and depressive symptoms in a group of HIV-1-infected women aged younger than 46 years and on antiretroviral therapy. Participants w...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2009.0016

    authors: Fumaz CR,Muñoz-Moreno JA,Ferrer MJ,Negredo E,Pérez-Alvarez N,Tarrats A,Clotet B

    更新日期:2009-06-01 00:00:00

  • Adherence to HAART regimens.

    abstract::The problem of inadequate adherence to prescribed highly active antiretroviral therapy (HAART) drug regimens to treat HIV infection and AIDS is ubiquitous. Adherence can be inadequate despite both provider and patient understanding of the consequences of nonadherence. Successful long-term treatment of HIV/AIDS require...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,评审

    doi:10.1089/108729103321619773

    authors: Chesney M

    更新日期:2003-04-01 00:00:00

  • Protease inhibitor resistance update: where are we now?

    abstract::The introduction of protease inhibitors (PIs) and highly active antiretroviral therapy in the mid-1990s dramatically altered the treatment of HIV infection, enabling suppression of viral replication to undetectable levels and preventing disease progression. Most PIs present a strong barrier against viral resistance; t...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2007.0099

    authors: Kim R,Baxter JD

    更新日期:2008-04-01 00:00:00

  • Age of menopause and menopausal symptoms in HIV-infected women.

    abstract::The objective of this study was to examine the median age of menopause, factors associated with postmenopausal status, and the prevalence of menopausal symptoms in HIV-infected women. We surveyed 120 HIV-infected women between 40 and 57 years old who attended an inner city infectious diseases clinic. Ninety-five perce...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2005.19.703

    authors: Fantry LE,Zhan M,Taylor GH,Sill AM,Flaws JA

    更新日期:2005-11-01 00:00:00

  • Does access to health care impact survival time after diagnosis of AIDS?

    abstract::Lack of access to health care is often blamed for poor health outcomes, but this effect is not supported by existing HIV/AIDS literature. The authors examined the association between access to care and survival time after progression to AIDS, using survival analysis methods. This study combined data from two CDC spons...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/10872910252972276

    authors: Montgomery JP,Gillespie BW,Gentry AC,Mokotoff ED,Crane LR,James SA

    更新日期:2002-05-01 00:00:00

  • New onset diabetes mellitus in an HIV-positive adolescent.

    abstract::The authors report an 18-year-old girl with HIV infection who developed new-onset insulin-dependent diabetes mellitus (IDDM) in association with anemia. IDDM among patients with HIV infection has been infrequently reported and suggested to be caused by different etiologies. Susceptibility to autoimmune diseases, such ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,评审

    doi:10.1089/apc.1998.12.167

    authors: Abdel-Khalek I,Moallem HJ,Fikrig S,Castells S

    更新日期:1998-03-01 00:00:00

  • Retention strategies and factors associated with missed visits among low income women at increased risk of HIV acquisition in the US (HPTN 064).

    abstract::Women at high-risk for HIV acquisition often face challenges that hinder their retention in HIV prevention trials. These same challenges may contribute to missed clinical care visits among HIV-infected women. This article, informed by the Gelberg-Andersen Behavioral Model for Vulnerable Populations, identifies factors...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2013.0366

    authors: Haley DF,Lucas J,Golin CE,Wang J,Hughes JP,Emel L,El-Sadr W,Frew PM,Justman J,Adimora AA,Watson CC,Mannheimer S,Rompalo A,Soto-Torres L,Tims-Cook Z,Carter Y,Hodder SL,HPTN 064 Study Team.

    更新日期:2014-04-01 00:00:00

  • Improving HIV Care Engagement in the South from the Patient and Provider Perspective: The Role of Stigma, Social Support, and Shared Decision-Making.

    abstract::Initial linkage to medical care is a critical step in the HIV care continuum leading to improved health outcomes, reduced morbidity and mortality, and decreased HIV transmission risk. We explored differences in perspectives on engagement in HIV care between people living with HIV who attended (Arrived) their initial m...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2018.0039

    authors: Taylor BS,Fornos L,Tarbutton J,Muñoz J,Saber JA,Bullock D,Villarreal R,Nijhawan AE

    更新日期:2018-09-01 00:00:00

  • Stigma and sexual health risk in HIV-positive African American young men who have sex with men.

    abstract::Understanding the multiple forms of stigma experienced by young HIV-positive African American men who have sex with men and how they relate to sexual risk behaviors is essential to design effective HIV prevention programs. This study of 40 African American young MSM found that 90% of those surveyed experienced sexual ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2010.0020

    authors: Radcliffe J,Doty N,Hawkins LA,Gaskins CS,Beidas R,Rudy BJ

    更新日期:2010-08-01 00:00:00

  • Correlates of Never Testing for HIV Among Sexually Active Internet-Recruited Gay, Bisexual, and Other Men Who Have Sex with Men in the United States.

    abstract::In the United States, gay, bisexual, and other men who have sex with men (GBMSM) are disproportionately affected by the HIV/AIDS epidemic. Despite great strides in HIV prevention, including biobehavioral HIV prevention strategies such as pre-exposure prophylaxis and treatment as prevention, there has been relatively l...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2017.0244

    authors: Nelson KM,Pantalone DW,Gamarel KE,Carey MP,Simoni JM

    更新日期:2018-01-01 00:00:00

  • Collectivism culture, HIV stigma and social network support in Anhui, China: a path analytic model.

    abstract::HIV stigma is rooted in culture and, therefore, it is essential to investigate it within the context of culture. The objective of this study was to examine the interrelationships among individualism-collectivism, HIV stigma, and social network support. A social network study was conducted among 118 people living with ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2014.0015

    authors: Zang C,Guida J,Sun Y,Liu H

    更新日期:2014-08-01 00:00:00

  • Implementation and evaluation of a clinic-based behavioral intervention: positive steps for patients with HIV.

    abstract::We conducted a demonstration project to design, implement, and evaluate a risk-reduction intervention delivered by medical providers to patients with HIV during routine care in 2005 and 2006. Medical providers at seven HIV clinics in the United States received training to deliver an intervention in which they screened...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2007.0210

    authors: Gardner LI,Marks G,O'Daniels CM,Wilson TE,Golin C,Wright J,Quinlivan EB,Bradley-Springer L,Thompson M,Raffanti S,Thrun M

    更新日期:2008-08-01 00:00:00

  • Impact of service delivery model on health care access among HIV-positive women in New York City.

    abstract::As the New York City HIV=AIDS epidemic began generalizing beyond traditionally high-risk groups in the early 1990s, AIDS Service Organizations (ASO) sought to increase access to medical care and broaden service offerings to incorporate the needs of low-income women and their families. Strategies to achieve entry into ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2008.0056

    authors: Pillai NV,Kupprat SA,Halkitis PN

    更新日期:2009-01-01 00:00:00

  • Individual variability in barriers affecting people's decision to take HAART: a qualitative study identifying barriers to being on HAART.

    abstract::The efficacy of highly active antiretroviral therapy (HAART) has been well documented, particularly among HIV-infected individuals with CD4 cell counts below 200/mm(3). Despite this, eligible individuals may continue to show some reluctance to use HAART. The present study explored the factors influencing patients' dec...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2006.20.848

    authors: Alfonso V,Bermbach N,Geller J,Montaner JS

    更新日期:2006-12-01 00:00:00

  • Factors associated with sustained virologic suppression in patients receiving antiretroviral therapy in an urban HIV care clinic.

    abstract::Clinical trials commonly measure rates of virologic suppression at a specific time point, whereas sustained virologic suppression is the goal of highly active antiretroviral therapy (HAART). We explored factors associated with sustained virologic suppression in an urban clinic population. The study population was draw...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2005.19.785

    authors: Purkayastha T,Wasi F,Shuter J

    更新日期:2005-12-01 00:00:00

  • Buffering effects of general and medication-specific social support on the association between substance use and HIV medication adherence.

    abstract::The success of highly active antiretroviral therapy (HAART) among persons living with HIV is largely dependent on strict medication adherence. Recent research suggests that alcohol and other drug use (AOD) may be an important barrier to HAART adherence. In this study, we examined the impact of AOD on HAART adherence a...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2010.0314

    authors: Lehavot K,Huh D,Walters KL,King KM,Andrasik MP,Simoni JM

    更新日期:2011-03-01 00:00:00

  • Feasibility, acceptability, and preliminary efficacy of the unity workshop: an internalized stigma reduction intervention for African American women living with HIV.

    abstract::Observational studies have examined the prevalence and impact of internalized stigma among African American women living with HIV, but there are no intervention studies investigating stigma reduction strategies in this population. Based on qualitative data previously collected, we adapted the International Center for ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2012.0106

    authors: Rao D,Desmond M,Andrasik M,Rasberry T,Lambert N,Cohn SE,Simoni J

    更新日期:2012-10-01 00:00:00

  • Preintervention Profiles of Information, Motivational, and Behavioral Self-Efficacy for Methamphetamine Use and HIV Medication Adherence Among Gay and Bisexual Men.

    abstract::Although rates of crystal methamphetamine use in the United States have fallen from their peak in the mid-2000s, use remains a major public health concern, which disproportionately affects gay and bisexual men (GBM). It poses a particular challenge for HIV-positive men, for whom it has been linked to medication adhere...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2016.0196

    authors: Starks TJ,Millar BM,Lassiter JM,Parsons JT

    更新日期:2017-02-01 00:00:00

  • HIV testing factors associated with delayed entry into HIV medical care among HIV-infected persons from eighteen states, United States, 2000-2004.

    abstract::Despite the importance of timely entry into care after HIV diagnosis, the timing of care entry has not been described recently in a large, diverse population of persons with HIV. Dates of HIV diagnosis and entry into HIV care were obtained by interview of HIV-infected adults, most of whom had entered care for HIV, in ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2008.0213

    authors: Reed JB,Hanson D,McNaghten AD,Bertolli J,Teshale E,Gardner L,Sullivan P

    更新日期:2009-09-01 00:00:00

  • Early virologic failure in a pilot study evaluating the efficacy of therapy containing once-daily abacavir, lamivudine, and tenofovir DF in treatment-naive HIV-infected patients.

    abstract::Previous investigational data using abacavir (ABC), lamuvidine (3TC), and zidovudine has suggested the possibility of triple nucleoside analogue reverse transcriptase inhibitors (NRTI) therapy as an option in the treatment of HIV infection. We performed a pilot study to assess the potency of once daily ABC+ 3TC+ tenof...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2005.19.135

    authors: Khanlou H,Yeh V,Guyer B,Farthing C

    更新日期:2005-03-01 00:00:00

  • Characteristics and treatment of hepatitis C virus infection in HIV-coinfected subjects.

    abstract::Hepatitis C virus (HCV) and HIV share the same parenteral routes of transmission. This common epidemiology explains the high frequency of combined infections by HCV and HIV. The aim of this review is to clarify some important issues dealing with the reciprocal impact of HIV and HCV-associated infections, including the...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,评审

    doi:10.1089/apc.1998.12.11

    authors: Zylberberg H,Pol S

    更新日期:1998-01-01 00:00:00

  • HIV risk and healthcare attitudes among detained adolescents in rural Alabama.

    abstract::This qualitative study explored the dynamics of adolescent HIV risk through focus group interviews of male and female adolescents at an Alabama juvenile detention facility, key informant interviews, and through interviews of HIV-positive and -negative adults in institutional settings and public health clinics in Alaba...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/108729100317894

    authors: Lichtenstein B

    更新日期:2000-03-01 00:00:00

  • A comprehensive evaluation of survey questions for adherence to antiretroviral medications and exploratory analyses for identifying optimal sets of survey questions.

    abstract::Although many methods for assessing adherence have been developed, most are not feasible for busy clinical settings. Using patients from the Adherence and Efficacy of Protease inhibitor Therapy (ADEPT) study (1998-2000), we systematically evaluated the relationship between psychosocial, environmental, clinical, and ot...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2006.20.760

    authors: Liu H,Miller LG,Hays RD,Golin CE,Zhao H,Wenger NS,Kaplan AH

    更新日期:2006-11-01 00:00:00

  • Legislated human immunodeficiency virus testing in New York State Emergency Departments: reported experience from Emergency Department providers.

    abstract::In 2010, New York (NY) passed new legislation mandating Emergency Departments (EDs) to offer HIV tests to patients 13-64 presenting for care. We evaluated the requirement's implementation and determined differences based on HIV prevalence or site-specific designated AIDS centers (DACs). We also evaluated policies for ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2013.0124

    authors: Egan DJ,Cowan E,Fitzpatrick L,Savitsky L,Kushner J,Calderon Y,Agins BD

    更新日期:2014-02-01 00:00:00

  • A Mixed Methods Study of Anticipated and Experienced Stigma in Health Care Settings Among Women Living with HIV in the United States.

    abstract::Among places where people living with HIV experience and anticipate HIV-related stigma, stigma in health care settings may be particularly harmful. Utilizing an exploratory sequential mixed methods approach, we conducted interviews (n = 76) and questionnaires (N = 460) with older adult women living with HIV enrolled i...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2018.0282

    authors: Rice WS,Turan B,Fletcher FE,Nápoles TM,Walcott M,Batchelder A,Kempf MC,Konkle-Parker DJ,Wilson TE,Tien PC,Wingood GM,Neilands TB,Johnson MO,Weiser SD,Turan JM

    更新日期:2019-04-01 00:00:00

  • HIV-1 infected women and prenatal care utilization: barriers and facilitators.

    abstract::In an effort to understand issues affecting prenatal care access and utilization from the perspectives of human immunodeficiency virus (HIV)-infected women who receive inadequate prenatal care, we conducted three in-depth qualitative and quantitative interviews. From a thematic analysis of the narrative interviews, fo...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/108729100416623

    authors: Napravnik S,Royce R,Walter E,Lim W

    更新日期:2000-08-01 00:00:00

  • Primary HIV-1 infection: a review of clinical manifestations, immunologic and virologic changes.

    abstract::In the past few years, major advances have been made in the field of primary HIV-1 infection. Several studies have reevaluated the clinical syndrome. The emergence of new molecular laboratory techniques has permitted a detailed analysis of viral dynamics and subsequent immunologic changes. Measurements of subsets of T...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,评审

    doi:10.1089/apc.1998.12.759

    authors: Kaufmann GR,Duncombe C,Zaunders J,Cunningham P,Cooper D

    更新日期:1998-10-01 00:00:00

  • Burkitt's/Burkitt's-like lymphoma presenting as bacterial sinusitis in two HIV-infected children.

    abstract::Two children (ages 12 and 13 years) with transfusion-acquired human immunodeficiency virus (HIV) infection presented with facial pain and rhinorrhea. Radiographic imaging showed extensive paranasal sinus disease, presumed to be bacterial sinusitis, and the patients were treated with broad-spectrum oral antibiotics. Bo...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/108729101753145439

    authors: Robinson MR,Salit RB,Bryant-Greenwood PK,Zeichner SL,Wood LV,Jaffe ES,van Waes C,Magrath IT

    更新日期:2001-09-01 00:00:00

  • Predictive factors for loss to postpartum follow-up among low income HIV-infected women in Texas.

    abstract::Guidelines for HIV primary care include visits every 3 months (up to 6 months in those with stable HIV). During pregnancy, women with HIV commonly attend once weekly to once monthly visits; however, after delivery, many are lost to follow-up. Our goal was to assess the frequency of loss to primary care follow-up postp...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2013.0321

    authors: Siddiqui R,Bell T,Sangi-Haghpeykar H,Minard C,Levison J

    更新日期:2014-05-01 00:00:00

  • Prevalence, predictors, and outcomes of early adherence after starting or changing antiretroviral therapy.

    abstract::The objectives of this research were to assess prevalence and predictors of early antiretroviral therapy adherence using multiple indicators and to estimate effects of early adherence on subsequent HIV viral load and CD4+ lymphocyte responses. Study subjects were adults with HIV infection referred to an antiretroviral...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/10872910252930867

    authors: Mathews WC,Mar-Tang M,Ballard C,Colwell B,Abulhosn K,Noonan C,Barber RE,Wall TL

    更新日期:2002-04-01 00:00:00