Measuring Unmet Needs among Persons Living with HIV at Different Stages of the Care Continuum

被引:0
作者
Thurka Sangaramoorthy
Meredith Haddix
Anya Agopian
Hannah Yellin
Farah Mouhanna
Hibo Abdi
Kerri Dorsey
James Peterson
Michael Kharfen
Amanda D. Castel
机构
[1] University of Maryland,Department of Anthropology
[2] The George Washington University Milken Institute School of Public Health,District of Columbia Department of Health HIV/AIDS
[3] Emory University Rollins School of Public Health,Department of Epidemiology
[4] Hepatitis,undefined
[5] STD,undefined
[6] and TB Administration,undefined
[7] The Milken Institute School of Public Health,undefined
来源
AIDS and Behavior | 2021年 / 25卷
关键词
HIV; Engagement in care; Unmet needs; Continuum of care;
D O I
暂无
中图分类号
学科分类号
摘要
Unmet needs can impede optimal care engagement, impacting the health and well-being of people living with HIV (PLWH); yet, whether unmet needs differ by care engagement status is not well understood. Using surveys and qualitative interviews, we examined and compared unmet needs for PLWH (n = 172) at different levels of care engagement. Unmet needs varied only slightly by care status. Survey findings revealed that provision of housing, emergency financial assistance, employment assistance, and food security were the greatest unmet need; for those in care, housing was the greatest unmet need, whereas for those sporadically in care or out of care, employment assistance was the greatest unmet needs. Qualitative interviews likewise illustrated that a lack of financial resources including insurance, housing, employment, and transportation presented barriers to care engagement across all care groups. Our findings indicate that unmet needs among PLWH are complex and multi-faceted across care engagement status.
引用
收藏
页码:1954 / 1967
页数:13
相关论文
共 240 条
[41]  
Siegler A(2014)Perceived stigma reductions following participation in mental health services integrated within community-based HIV primary care AIDS Care 55 S98-221
[42]  
Dombrowski JC(2017)Come as you are: improving care engagement and viral load suppression among HIV care coordination clients with lower mental health functioning, unstable housing, and hard drug use AIDS Behav. 33 1411-2974
[43]  
Simoni JM(2008)Psychological distress and engagement in HIV-related services among individuals seeking mental health care AIDS Care 22 819-82
[44]  
Katz DA(2019)Pharmacologic treatment of psychiatric disorders and time with unsuppressed HIV viral load in a clinical HIV cohort JAIDS J Acquir Immune Defic Syndr. 31 213-490
[45]  
Golden MR(2006)Barriers to antiretroviral adherence: the importance of depression, abuse, and other traumatic events AIDS Patient Care STDS 24 2966-708
[46]  
Coyle RP(2016)Barriers to HIV medication adherence: examining distinct anxiety and depression symptoms among women living with HIV who experienced childhood sexual abuse Behav Med. 65 77-72
[47]  
Schneck CD(2013)Barriers and facilitators to testing, treatment entry, and engagement in care by HIV-positive women of color AIDS Patient Care STDS 29 475-993
[48]  
Morrow M(2003)State agency policy and program coordination in response to the co-occurrence of HIV, chemical dependency, and mental illness Public Health Rep. 40 702-319
[49]  
Chartier M(2004)Literature on integrated HIV care: a review AIDS Care 72 65-S43
[50]  
Maier M(2017)Interventions and approaches to integrating HIV and mental health services: a systematic review Health Policy Plan 38 976-250