(Dis)integrated Care: Barriers to Health Care Utilization for Trans Women Living With HIV

Munro, Lauren; Marshall, Zack; Bauer, Greta R.; Hammond, Rebecca; Nault, Caleb; Travers, Robb

doi:10.1016/j.jana.2017.06.001

Cited by 28 publications

(30 citation statements)

References 4 publications

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“…Navigation is recommended as a strategy specifically for MSM and TW to provide support in negotiating the multi-level, intersecting barriers to timely linkage to HIV care [20,21]. Limited evidence exists, however, of the outcomes of such approaches.…”

Section: Introductionmentioning

confidence: 99%

Making the Link: A Pilot Health Navigation Intervention to Improve Timely Linkage to Care for Men Who have Sex with Men and Transgender Women Recently Diagnosed with HIV in Guatemala City

Loya-Montiel

Davis²,

Aguilar-Martínez

et al. 2018

AIDS Behav

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Introduction: Men who have sex with men and transgender women across the globe experience barriers to timely linkage-to-HIV care. Health navigation is a strengths-based approach, originally developed for cancer patients, to address these barriers and provide support. We piloted a health navigation strategy to improve timely linkage-to-care among men who have sex with men and transgender women recently diagnosed with HIV in three sexual health clinics in Guatemala City. Methods: Participants included individuals who were at least 18 years old, identified as a cisgender man or transgender woman, reported having had sex with a man in the past 12 months, and had received a positive HIV diagnosis at one of the participating clinics. Three health navigators were trained in health navigation including: assets-based counselling and support; health system information; and advocacy. We used a combination of quantitative data collected during clinic visits and qualitative data collected through in-depth interviews with participants who accepted navigation to characterize the acceptability, effectiveness, and our primary outcome of time to linkage, defined as having the first clinical care visit. Results: Out of 61 men who have sex with men and transgender women diagnosed at the participating clinics during the study period, 54 were offered participation and enrolled in our pilot (n=52 men who have sex with men; n=2 transgender women). Fifty participants (92.6%) accepted navigation, all who accepted were successfully linked-to-care. The median time to linkage was 3 days (Interquartile Range 2–5 days). In qualitative interviews, participants expressed feeling extremely scared and alone following their diagnosis and appreciated the support of a navigator especially when they did not feel they could access their existing support networks. Conclusions: Navigation was a highly acceptable and effective strategy for facilitating timely linkage-to-care among newly diagnosed men who have sex with men at participating clinics in Guatemala City. Differentiated approaches should be used to improve engagement with transgender women. Based on these findings, navigation strategies are currently being integrated into HIV prevention and care models in the Central American region. Rigorous implementation science research and evaluation should continue to explore the use of health navigation with key populations recently diagnosed with HIV.

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Section: Introductionmentioning

confidence: 99%

Making the Link: A Pilot Health Navigation Intervention to Improve Timely Linkage to Care for Men Who have Sex with Men and Transgender Women Recently Diagnosed with HIV in Guatemala City

Loya-Montiel

Davis²,

Aguilar-Martínez

et al. 2018

AIDS Behav

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“…Although members of KP sub-groups may have different patterns of behaviour and social mixing that influence their HIV/STI risks, their vulnerabilities are augmented by common factors (Table 1). Often, KP experience structural barriers and societal discrimination that may increase their HIV/STI vulnerability by encumbering their access to healthcare [12][13][14][15][16][17]. Moreover, structural factors may not only directly affect susceptibility (e.g.…”

mentioning

confidence: 99%

Similar, but different: drivers of the disproportionate HIV and sexually transmitted infection burden of key populations

Mayer

Allan‐Blitz

2019

J Intern AIDS Soc

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“…espite advancements in scientific knowledge and clinical management strategies since the first reported case of AIDS (Centers for Disease Control and Prevention, 1982), people living with HIV/AIDS (PLHIV) continue to experience stigmatization and discrimination throughout the world (Munro et al, 2017;Wagner, Girard, McShane, Margolese, & Hart, 2017). Discriminatory behaviors and fears about contracting the virus persist in nursing (Stringer et al, 2016;Vorasane et al, 2017;Waluyo, Culbert, Levy, & Norr, 2015) with positive correlations between negative attitudes toward caring for PLHIV and advanced age, homophobia, having children, race, and religion (Peate, Suominen, Välimäki, Lohrmann, & Muinonen, 2002;Stringer et al, 2016).…”

mentioning

confidence: 99%

Faculty Attitudes About Caring for People Living With HIV/AIDS: A Comparative Study

Leyva‐Moral¹,

Domínguez-Cancino²,

Guevara-Vásquez³

et al. 2019

J Nurs Educ

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Background: People living with HIV/AIDS (PLHIV) experience stigma and discrimination. Negative attitudes of nursing faculty about caring for PLHIV can adversely affect student perceptions and their nursing care. The study purpose was to describe nursing faculty attitudes and beliefs about caring for PLHIV. Method: The HPASS (Healthcare Provider HIV/AIDS Stigma Scale), Spanish version, was delivered to nursing faculty in Colombia and Peru. Results: The HPASS was completed by 98 nursing faculty. The overall mean score was 2.41 (SD = 0.69), with subscale scores: stereotypes, 2.55 (SD = 0.84); discrimination, 2.28 (SD = 0.74); and prejudices, 2.41 (SD = 0.63). Peruvian faculty had the highest scores, statistically correlated with the importance of religion, whereas Colombia had the lowest. Conclusion: Nursing faculty attitudes toward PLHIV were slightly positive in Colombia to slightly negative in Peru; however, both countries had negative stereotypes. Knowledge deficiencies about HIV persist and attitudes appear to be influenced by culture and religion. [

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(Dis)integrated Care: Barriers to Health Care Utilization for Trans Women Living With HIV

Cited by 28 publications

References 4 publications

Making the Link: A Pilot Health Navigation Intervention to Improve Timely Linkage to Care for Men Who have Sex with Men and Transgender Women Recently Diagnosed with HIV in Guatemala City

Making the Link: A Pilot Health Navigation Intervention to Improve Timely Linkage to Care for Men Who have Sex with Men and Transgender Women Recently Diagnosed with HIV in Guatemala City

Similar, but different: drivers of the disproportionate HIV and sexually transmitted infection burden of key populations

Faculty Attitudes About Caring for People Living With HIV/AIDS: A Comparative Study

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