"Treatment is not yet necessary": delays in seeking access to HIV treatment in Uganda and Zimbabwe

被引:22
作者
Kawuma, Rachel [1 ,2 ,3 ]
Seeley, Janet [1 ,2 ,3 ,4 ]
Mupambireyi, Zivai [5 ]
Cowan, Frances [5 ,6 ]
Bernays, Sarah [7 ]
机构
[1] MRC, Uganda Virus Res Inst, Entebbe, Uganda
[2] London Sch Hyg & Trop Med, MRC, UVRI, Entebbe, Uganda
[3] LSHTM, Uganda Res Unit, Entebbe, Uganda
[4] London Sch Hyg & Trop Med, Global Hlth & Dev Dept, London, England
[5] Ctr Sexual Hlth & HIV AIDS Res, Harare, Zimbabwe
[6] Univ Liverpool Liverpool Sch Trop Med, Int Publ Hlth Dept, Liverpool, Merseyside, England
[7] Univ Sydney, Sch Publ Hlth, Sydney, NSW, Australia
来源
AJAR-AFRICAN JOURNAL OF AIDS RESEARCH | 2018年 / 17卷 / 03期
基金
英国医学研究理事会; 英国惠康基金;
关键词
Africa; antiretroviral therapy; HIV; treatment delays; universal test and treat; ANTIRETROVIRAL THERAPY; INITIATION; INFECTION; TIME; ROUTINES; AFRICA; WOMEN; LIFE; CARE;
D O I
10.2989/16085906.2018.1490785
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We examined the logic that individuals use to account for delaying HIV testing and/or initiating HIV treatment. Our qualitative study, situated within the REALITY trial (Reduction of EArly mortaLITY in HIV infected adults and children starting antiretroviral therapy), was conducted in Uganda and Zimbabwe in 2015. Forty-eight participants (different age groups, sex and viral load/WHO disease stage) were included. Each participant had 2 interviews (1 after 4 weeks of participation in the trial the other after 12 weeks). If a person could manage presenting symptoms, they felt they had "more time" before starting antiretroviral therapy (ART). Their reluctance to have an HIV test (despite deteriorating health) arose from a belief that they were not "sick", that treatment was "not yet necessary . People in our study did not consider themselves as presenting "late , and treatment was not considered urgent as long as they considered their health to be "good enough".
引用
收藏
页码:217 / 225
页数:9
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