A qualitative assessment of retention in HIV care among adolescents and young adults (AYA) living with HIV in New York City.

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-11-01 Epub Date: 2024-07-08 DOI:10.1080/09540121.2024.2373402
Eva Liang, Chigozie A Nkwonta, Lloyd A Goldsamt, Ann-Margaret Dunn Navarra
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Abstract

Retention in HIV care is a critical precursor to ending the epidemic yet remains suboptimal in the United States. Gaining an understanding of the challenges faced by adolescents and young adults (AYA) living with HIV is essential to improving retention in HIV care. This study explored the barriers and facilitators to retention in care among Black and Hispanic AYA living with HIV. Audio-recorded semi-structured interviews were conducted with 20 AYA living with HIV ages 16-29 years in New York City. Our methods entailed an inductive content analysis to explore key concepts, reconcile codes, and identify a theme, categories, and subcategories. Bronfenbrenner's socioecological model evolved as an organizing framework around barriers and facilitators to retention in care at the individual, interpersonal, healthcare system, and structural level. Data analysis yielded one overarching theme-the influence of psychosocial factors on retention in HIV care. Psychological struggles, powerlessness, clinic-level characteristics, and socioeconomic struggles were barriers reported by participants. Self-responsibility, social support, patient-friendly healthcare services, and socioeconomic resources emerged as facilitators. Retention in HIV care among AYA living with HIV is a multifaceted and complex phenomenon that involves multiple systems. Strengthening patients, healthcare system, and community partnerships can help address some of the HIV-related health disparities.

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对纽约市感染艾滋病毒的青少年和年轻成人(AYA)继续接受艾滋病毒护理的情况进行定性评估。
继续接受艾滋病治疗是结束艾滋病流行的关键先决条件,但在美国,继续接受艾滋病治疗的情况仍然不尽如人意。了解感染艾滋病毒的青少年和年轻成人(AYA)所面临的挑战对于改善继续接受艾滋病毒治疗至关重要。本研究探讨了黑人和西班牙裔感染 HIV 的青少年和年轻成人继续接受治疗的障碍和促进因素。我们对纽约市 20 名年龄在 16-29 岁的 HIV 感染者进行了半结构式录音访谈。我们的方法包括归纳式内容分析,以探索关键概念、协调代码并确定主题、类别和子类别。布朗芬布伦纳的社会生态模型是围绕个人、人际关系、医疗保健系统和结构层面上继续接受护理的障碍和促进因素而形成的组织框架。数据分析得出了一个最重要的主题--社会心理因素对继续接受艾滋病护理的影响。心理挣扎、无能为力、诊所层面的特征以及社会经济挣扎是参与者报告的障碍。自我责任感、社会支持、患者友好型医疗保健服务和社会经济资源则是促进因素。感染艾滋病毒的青壮年继续接受艾滋病毒护理是一个多方面的复杂现象,涉及多个系统。加强患者、医疗保健系统和社区之间的合作有助于解决一些与 HIV 相关的健康差异问题。
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CiteScore
3.50
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0.00%
发文量
172
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