Lost-to-care and engaged-in-care HIV patients in Leningrad Oblast, Russian Federation: barriers and facilitators to medical visit retention

PECORARO, Anna ; MIMIAGA, Matthew J ; et al.

In: AIDS Care (Print), Jg. 26 (2014), Heft 9-10, S. 1249-1257

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Sixty-nine percent of the 1.5 million Eastern Europeans and Central Asians with HIV live in the Russian Federation. Antiretroviral therapy (ART) is effective but cannot help those who leave treatment. Focus groups with patients who dropped out of ART for ≥12 months (lost-to-care, LTCs, n = 21) or continued for ≥12 months (engaged-in-care; EICs; n = 24) were conducted in St. Petersburg. Structural barriers included stigma/discrimination and problems with providers and accessing treatment. Individual barriers included employment and caring for dependents, inaccurate beliefs about ART (LTC only), side-effects, substance use (LTCs, present; EICs, past), and depression. Desire to live, social support, and spirituality were facilitators for both; EICs also identified positive thinking and experiences with ART and healthcare/professionals. Interventions to facilitate retention and adherence are discussed.

Titel:	Lost-to-care and engaged-in-care HIV patients in Leningrad Oblast, Russian Federation: barriers and facilitators to medical visit retention
Autor/in / Beteiligte Person:	PECORARO, Anna ; MIMIAGA, Matthew J ; O'CLEIRIGH, Conall ; SAFREN, Steven A ; BLOKHINA, Elena ; VERBITSKAYA, Elena ; KRUPITSKY, Evgeny ; DVORIAK, Sergii ; WOODY, George
Link:	Full Text Finder (Volltext) View record from FRANCIS Archive
Zeitschrift:	AIDS Care (Print), Jg. 26 (2014), Heft 9-10, S. 1249-1257
Veröffentlichung:	Abingdon: Taylor & Francis, 2014
Medientyp:	academicJournal
Umfang:	print; 9; 3/4 p
ISSN:	0954-0121 (print)
Schlagwort:	Eurasie Russie Immunodéficit Immune deficiency Inmunodeficiencia Immunopathologie Immunopathology Inmunopatología Infection Infección Lentivirus Retroviridae Traitement Treatment Tratamiento Virose Viral disease Virosis Virus Abandon traitement Treatment dropout Abandono tratamiento Antirétroviral Antiretroviral agent Antiretroviral Antiviral Attrition Atrición Environnement social Social environment Contexto social Groupe de discussion Focus group Grupo de discusión Homme Human Hombre Observance médicamenteuse Drug compliance Observancia de la medicación Pharmacothérapie Pharmacotherapy Farmacoterapia Psychologie positive Positive psychology Psicología positiva SIDA AIDS Santé mentale Mental health Salud mental Santé publique Public health Salud pública Virus immunodéficience humaine Human immunodeficiency virus HIV Russian Federation attrition positive psychology retention Sciences biologiques et medicales Biological and medical sciences Sciences biologiques fondamentales et appliquees. Psychologie Fundamental and applied biological sciences. Psychology Psychologie. Psychophysiologie Psychology. Psychophysiology Psychologie et médecine Psychology and medicine Maladie et personnalité Illness and personality Personnalité, comportement et santé Personality, behavior and health Sciences medicales Medical sciences Pathologie infectieuse Infectious diseases Viroses Viral diseases Viroses humaines Human viral diseases Viroses du tissu lymphoïde et du sang. Sida Viral diseases of the lymphoid tissue and the blood. Aids Immunodéficits. Immunoglobulinopathies Immunodeficiencies. Immunoglobulinopathies Immunodéficits Immunodeficiencies Psychologie. Psychanalyse. Psychiatrie Psychology. Psychoanalysis. Psychiatry Personnalité comportement et santé Cognition Immunology, immunopathology, allergology Immunologie, immunopathologie, allergologie Psychology, psychopathology, psychiatry Psychologie, psychopathologie, psychiatrie Subject Geographic: Eurasie Russie
Sonstiges:	Nachgewiesen in: FRANCIS Archive Sprachen: English Original Material: INIST-CNRS Document Type: Article File Description: text Language: English Author Affiliations: Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States ; Delaware Valley Node, NIDA Clinical Trials Network, Philadelphia, PA, United States ; Department of Psychiatry, Harvard Medical School/Massachusetts General Hospital, Boston, MA, United States ; Department of Epidemiology, Harvard School of Public Health, Boston, MA, United States ; Pavlov State Medical University, St. Petersburg, Russian Federation ; The Ukrainian Institute on Public Health Policy, Kyiv, Ukraine Rights: Copyright 2015 INIST-CNRS ; CC BY 4.0 ; Sauf mention contraire ci-dessus, le contenu de cette notice bibliographique peut être utilisé dans le cadre d’une licence CC BY 4.0 Inist-CNRS / Unless otherwise stated above, the content of this bibliographic record may be used under a CC BY 4.0 licence by Inist-CNRS / A menos que se haya señalado antes, el contenido de este registro bibliográfico puede ser utilizado al amparo de una licencia CC BY 4.0 Inist-CNRS

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