دورية أكاديمية
"Take care of their hierarchy of needs first": strategies used by data-to-care staff to address barriers to HIV care engagement.
| العنوان: | "Take care of their hierarchy of needs first": strategies used by data-to-care staff to address barriers to HIV care engagement. |
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| المؤلفون: | Roland KB; Centers for Disease Control and Prevention, Division of HIV Prevention, Atlanta, GA, USA., Carey JW; Centers for Disease Control and Prevention, Division of HIV Prevention, Atlanta, GA, USA., Bessler PA; Centers for Disease Control and Prevention, Division of HIV Prevention, Atlanta, GA, USA., Langer Tesfaye C; Research Support Services, Inc., Evanston, ILL, USA., Randall LA; School of Medicine & Rollins School of Public Health, Emory University, Atlanta, GA, USA., Betley V; IMPAQ International, Columbia, MD, USA., Schoua-Glusberg A; Research Support Services, Inc., Evanston, ILL, USA., Frew PM; School of Medicine & Rollins School of Public Health, Emory University, Atlanta, GA, USA. |
| المصدر: | AIDS care [AIDS Care] 2023 May; Vol. 35 (5), pp. 764-771. Date of Electronic Publication: 2022 May 25. |
| نوع المنشور: | Journal Article; Research Support, U.S. Gov't, P.H.S. |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 8915313 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1360-0451 (Electronic) Linking ISSN: 09540121 NLM ISO Abbreviation: AIDS Care Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: Abingdon, Oxfordshire, U.K. : Carfax Pub. Co., c1989- |
| مواضيع طبية MeSH: | HIV Infections* , Mental Health Services*, Humans ; Public Health ; Poverty ; Program Development |
| مستخلص: | Data-to-Care (D2C) is a public health strategy designed to engage out-of-care (OOC) persons with HIV (PWH) in HIV care. OOC PWH are identified through review of state and local HIV data and engaged in care through individualized efforts that address barriers to HIV care. Perspectives of D2C program staff can contribute to D2C program development and sustainability. We conducted semi-structured interviews in 2017 with 20 D2C program staff from Louisiana ( n = 10) and Virginia ( n = 10), states with distinct D2C programs. We used content and thematic analysis to analyze interview transcripts. In both states, common barriers to care for OOC PWH include limited transportation, stigma, substance use, poverty, homelessness, and mental illness. To address these barriers and engage OOC clients in HIV care, staff and programs provided transportation vouchers and housing assistance, integrated substance use and mental health services into care engagement processes, provided empathy and compassion, and assessed and addressed basic unmet needs. Identifying and addressing social and structural barriers to HIV care is a critical and often a necessary first step in engaging OOC clients in HIV care. These findings can be used for D2C program design and implementation, facilitating engagement in HIV care for OOC PWH. |
| فهرسة مساهمة: | Keywords: HIV; data to care; program; qualitative analyses; surveillance |
| تواريخ الأحداث: | Date Created: 20220525 Date Completed: 20230503 Latest Revision: 20230508 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1080/09540121.2022.2077296 |
| PMID: | 35611755 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1360-0451 |
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| DOI: | 10.1080/09540121.2022.2077296 |