Engagement in Care Among Newly Diagnosed HIV-Positive Gay, Bisexual, and Other Men Who Have Sex With Men in the United States: Results From the Together 5,000 Study.

IF 1.6 4区医学 Q2 EDUCATION & EDUCATIONAL RESEARCH

Aids Education and Prevention Pub Date : 2022-10-01 DOI:10.1521/aeap.2022.34.5.349

Javier López Rios, Cody Lentz, Iván C Balán, Nicholas Grosskopf, Alexa D'Angelo, Matthew Stief, Christian Grov

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Abstract

One-quarter of gay, bisexual, and other men who have sex with men (GBMSM) with diagnosed HIV are not engaged in HIV care. Between 2018 and 2019, 50 GBMSM completed qualitative interviews 3 months after receiving an HIV-positive result. Interviews explored barriers to and facilitators of engagement and retention in HIV testing and care. Thematic analysis revealed five major themes: (1) reason for HIV testing (e.g., self-testing), (2) linkage to care (e.g., appointment/logistic issues and social support as encouragement), (3) barriers to engagement in care (e.g., financial burden, competing priorities, and fear/stigma), (4) facilitators of engagement (e.g., financial assistance, patient-provider relationships, auxiliary support services, and health agency), and (5) PrEP as a missed prevention opportunity. Addressing individual-, social-, and policy-level barriers could improve GBMSM's engagement in HIV care. Further, capitalizing on GBMSM's health agency through partnerships with local agencies and fostering better patient-provider relationships could optimize HIV care continuity.

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美国新诊断为 HIV 阳性的男同性恋、双性恋和其他男男性行为者参与护理的情况：共同 5,000 人研究的结果》。

在确诊感染艾滋病毒的男同性恋、双性恋和其他男男性行为者（GBMSM）中，有四分之一的人没有接受艾滋病毒关怀。2018 年至 2019 年间，50 名男同性恋、双性恋和其他男男性行为者在获得 HIV 阳性结果 3 个月后完成了定性访谈。访谈探讨了参与和保留 HIV 检测和护理的障碍和促进因素。主题分析揭示了五大主题：(1) HIV 检测的原因（如自我检测），(2) 与护理的联系（如预约/后勤问题和作为鼓励的社会支持），(3) 参与护理的障碍（如经济负担、相互竞争的优先事项和恐惧/污名化），(4) 参与的促进因素（如经济援助、患者与提供者的关系、辅助支持服务和医疗机构），以及 (5) PrEP 是一个错失的预防机会。解决个人、社会和政策层面的障碍可以提高 GBMSM 对 HIV 护理的参与度。此外，通过与当地机构合作，充分利用 GBMSM 的医疗机构，并促进患者与医疗服务提供者之间更好的关系，可以优化 HIV 护理的连续性。

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来源期刊

Aids Education and Prevention Multiple-

CiteScore

2.20

自引率

5.60%

发文量

期刊介绍： Presenting state-of-the-art research and information, AIDS Education and Prevention is a vital addition to the library collections of medical schools, hospitals, and other institutions and organizations with HIV/AIDS research programs. The journal integrates public health, psychosocial, sociocultural, and public policy perspectives on issues of key concern nationally and globally.