The Boundary of HIV Care: Barriers and Facilitators to Care Engagement Among People with HIV in the United States

Details

• Alternative Title:
  AIDS Patient Care STDS
• Personal Author:
  Padilla, Mabel ; Carter, Brittani ; Gutierrez, Mariana ; Fagan, Jennifer
• Description:
  Treating people with HIV (PWH) quickly and effectively to achieve viral suppression is a key strategy for Ending the HIV Epidemic. Understanding barriers and facilitators to HIV care engagement could improve outcomes among PWH and reduce HIV infections. We sampled PWH who participated in the Medical Monitoring Project from June 2018 to May 2019 and were not engaged in HIV care to participate in 60-min semistructured telephone interviews on barriers and facilitators to HIV care engagement. We used applied thematic analysis and placed codes into themes based on their frequency and salience. Participants reported various intrapersonal, health system, and structural barriers to care. We conceptualize the boundary of care as the space between the stages of the HIV care continuum, where PWH may find themselves when they lack intrapersonal, health system, and structural support. Research and interventions tackling these barriers are needed to improve outcomes among PWH and reduce HIV infections.
• Subjects:
  • Continuity of Patient Care
  • HIV
  • HIV Infections
  • Health Personnel
  • Health Services Accessibility
  • Patient Acceptance of Health Care
• Source:
  AIDS Patient Care STDS. 36(8):321-331
• Pubmed ID:
  35951449
• Pubmed Central ID:
  PMC10123534
• Document Type:
  Text
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Genre:
  Journal Article
• Place as Subject:
  United States
• CIO:
  National Center for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP)
• Topic:
  Diseases & Conditions
• Location:
  North America
• Pages in Document:
  17 pdf pages
• Volume:
  36
• Issue:
  8
• Download URL:
  https://stacks.cdc.gov/view/cdc/127530/cdc_127530_DS1.pdf
• File Type:
  [PDF - 500.95 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:ddf55043cf19714d20a2f4e6eb8a1a69277ab32847d1cbbc6e54750f0b657e5fb1f54a2025298a722266745c906f9daef87ef7e1ccc1db1e08ec7e4b7bfe7ff5