乌干达北部新诊断为艾滋病毒的患者坚持第二次就诊的影响因素:一项混合方法研究

IF 1.5 Q4 INFECTIOUS DISEASES HIV AIDS-Research and Palliative Care Pub Date : 2023-01-01 DOI:10.2147/HIV.S405492
Mary Gorreth Nakate, Bernard Omech, Catherine Kwagala, Irene Gimbo, Augustine Bulitya, Julius Kyeswa, Enoch Katwere, Amir Kabunga, Samson Udho
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引用次数: 0

摘要

背景:“检测和治疗”政策可能会对新诊断为艾滋病毒的客户的依从性产生不利影响,因为他们没有准备好开始治疗。然而,很少有研究调查了影响新诊断为艾滋病毒的客户坚持第二次就诊状况的因素。我们检查了乌干达北部Apac地区新诊断为艾滋病毒的客户对第二次诊所就诊的依从性的影响因素。方法:本研究采用混合方法,于2020年7月至8月对292名新诊断为HIV的客户进行系统抽样调查,并对15名有目的的客户进行深度访谈。定量数据采用结构化问卷收集,定性数据采用访谈指南收集。定量数据采用描述性分析,定性数据采用主题分析。结果:研究对象平均年龄39.5±11岁,年龄18 ~ 72岁。接近四分之三的研究参与者坚持他们的第二次诊所访问74%(214/292)。影响被试第二次访视依从性的因素有充分的HIV前/后咨询、被试对HIV阳性诊断的积极态度、家庭支持和较长的等待时间。结论:在乌干达北部Apac地区,超过三分之二的新诊断为艾滋病毒的客户坚持第二次就诊。艾滋病毒/艾滋病服务提供者应加强艾滋病毒检测前/后咨询,为艾滋病毒/艾滋病感染者提供社会支持系统,并减少客户的等待时间,以提高新诊断为艾滋病毒的客户对第二次诊所就诊的依从性。
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Factors Influencing the Status of Adherence to Second Clinic Visit Among Clients Newly Diagnosed with HIV in Northern Uganda: A Mixed-Methods Study.

Background: The "test-and-treat" policy may adversely affect adherence to clinic visits of clients newly diagnosed with HIV due to unpreparedness to commence treatment. However, few studies have examined the factors influencing the status of adherence to second clinic visit among clients newly diagnosed with HIV. We examined the factors influencing the status of adherence to second clinic visit among clients newly diagnosed with HIV in Apac District, northern Uganda.

Methods: This was a mixed-methods study conducted among 292 systematically sampled clients newly diagnosed with HIV for the survey and 15 purposively sampled clients for the in-depth interview from July to August 2020. Quantitative data were collected using a structured questionnaire, while qualitative data were collected using an interview guide. Quantitative data were analyzed descriptively while qualitative data were analyzed thematically.

Results: The mean age of the study participants were 39.5±11 years and their age ranged from 18 to 72 years. Close to three-quarters of study participants adhered to their second clinic visit 74% (214/292). Factors that influenced participants' adherence to the second clinic visit were the adequate HIV pre/post-test counseling positive attitude of clients towards HIV-positive diagnosis, family support, and long waiting time.

Conclusion: More than two-thirds of clients newly diagnosed with HIV in Apac District, northern Uganda adhered to their second clinic visit. HIV/AIDS service providers should strengthen HIV pre/post-test counselling, social support systems for persons living with HIV/AIDS, and reduce clients' waiting time to improve adherence to second clinic visit among clients newly diagnosed with HIV.

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来源期刊
CiteScore
3.00
自引率
6.70%
发文量
61
审稿时长
16 weeks
期刊介绍: About Dove Medical Press Dove Medical Press Ltd is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC. We specialize in the publication of Open Access peer-reviewed journals across the broad spectrum of science, technology and especially medicine. Dove Medical Press was founded in 2003 with the objective of combining the highest editorial standards with the ''best of breed'' new publishing technologies. We have offices in Manchester and London in the United Kingdom, representatives in Princeton, New Jersey in the United States, and our editorial offices are in Auckland, New Zealand. Dr Scott Fraser is our Medical Director based in the UK. He has been in full time clinical practice for over 20 years as well as having an active research interest.
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