Linkage to Care for HIV-Positive Adolescents: A Multisite Study of the Adolescent Medicine Trials Units of the Adolescent Trials Network

被引：48
作者：
Fortenberry, J. Dennis [1 ]
Martinez, Jaime [2 ]
Rudy, Bret J. [3 ]
Monte, Dina [4 ]
机构：
[1] Indiana Univ Sch Med, Sect Adolescent Med, Indianapolis, IN 46202 USA
[2] Stroger Hosp Cook County, Div Adolescent Med, CORE Ctr, Chicago, IL USA
[3] NYU, Dept Pediat, Sch Med, New York, NY 10016 USA
[4] WESTAT Corp, Dept Pediat, Rockville, MD 20850 USA
来源：
JOURNAL OF ADOLESCENT HEALTH | 2012年 / 51卷 / 06期
基金：
美国国家卫生研究院;
关键词：
Adolescents; HIV-related care; Linkage to care; Youth; ANTIRETROVIRAL TREATMENT ACCESS; INFECTED YOUTH; HEALTH; COMMUNITY; INTERVENTION; SERVICES; PREVALENCE; THERAPY; SYSTEM; MODEL;
D O I：
10.1016/j.jadohealth.2012.03.012
中图分类号：
B844 [发展心理学（人类心理学）];
学科分类号：
040202 ;
摘要：
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. (C) 2012 Society for Adolescent Health and Medicine. All rights reserved.
引用
收藏
页码：551 / 556
页数：6
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