The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2012
Linkage to care for HIV-positive adolescents: a multisite study of the adolescent medicine trials units of the adolescent trials network.
СтатьяПоддержка NIH: внешняя программаПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Fortenberry J Dennis, Martinez Jaime, Rudy Bret J, Monte Dina, Adolescent Trials Network for HIV/AIDS Interventions
Аннотация
PURPOSE: To understand linkage to care practices at sites providing clinical services to newly diagnosed HIV-positive adolescents.
METHODS: Qualitative analysis of detailed interviews conducted with 28 personnel involved in linkage to care at 15 sites providing specialty care to HIV-positive adolescents.
RESULTS: We showed that multiple models exist for linkage to care, and that both formal and informal community relationships are important for successful linkage to care. Stigma was seen as a universal issue, enhancing the importance of the balance of confidentiality and social support. Barriers to care, such as mental health issues, substance use, and transportation, are common.
CONCLUSIONS: We conclude that the complexity of linkage to care requires thought and planning as HIV testing is expanded to lower-risk populations.
METHODS: Qualitative analysis of detailed interviews conducted with 28 personnel involved in linkage to care at 15 sites providing specialty care to HIV-positive adolescents.
RESULTS: We showed that multiple models exist for linkage to care, and that both formal and informal community relationships are important for successful linkage to care. Stigma was seen as a universal issue, enhancing the importance of the balance of confidentiality and social support. Barriers to care, such as mental health issues, substance use, and transportation, are common.
CONCLUSIONS: We conclude that the complexity of linkage to care requires thought and planning as HIV testing is expanded to lower-risk populations.
Предметные рубрики MeSH
AdolescentAdolescent Health ServicesAttitude of Health PersonnelCase ManagementChildClinical Trials as TopicConfidentialityHIV SeropositivityHealth Services AccessibilityHumansInterviews as TopicMulticenter Studies as TopicPuerto RicoQualitative ResearchReferral and ConsultationSocial StigmaSocial SupportUnited StatesYoung Adult