Patterns of Treatment Use and Barriers to Care Among Hospitalized Adults with HIV

Cavaleri, Mary A.; Elwyn, Laura; Pilgrim, Alicene; London, Karyn; Indyk, Debbie; Jackson, Jerrold M.; McKay, Mary M.

doi:10.1080/15381501.2011.623902

Cited by 3 publications

(2 citation statements)

References 47 publications

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“…Both alcohol consumption and illicit drug use are common strategies that many people living with HIV/AIDS engage in to ease their diseaserelated symptoms [56,[59][60][61][62][63]. Palepu et al [61] found among their sample of 349 people with HIV that the most common risk factor was injection drug use, which was used as a self-care strategy.…”

Section: Proximal-self-management Behaviors: Symptom Management and Mmentioning

confidence: 97%

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A Self-Management Framework to Assess the Need for Nutritional Supplementation in People Living with HIV/AIDS

Ellis

2015

Health of HIV Infected People

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Section: Proximal-self-management Behaviors: Symptom Management and Mmentioning

confidence: 97%

“…Many people living with HIV/AIDS and a co-occurring mental health disorder such as depression have multiple hospitalizations [60]. The treatment for psychosis could hinder a person's ability to follow and adhere to the often very difficult instructions for his or her medication regimens.…”

Section: Proximal-self-management Behaviors: Symptom Management and Mmentioning

confidence: 99%

A Self-Management Framework to Assess the Need for Nutritional Supplementation in People Living with HIV/AIDS

Ellis

2015

Health of HIV Infected People

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Factors associated with antiretroviral treatment uptake and adherence: a review. Perspectives from Australia, Canada, and the United Kingdom

et al. 2015

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International focus on reducing onward HIV transmission emphasizes the need for routine HIV testing and early uptake of antiretroviral treatment (ART). Strategic targets have been set for 2020 to achieve the goal of 90% of people infected with HIV diagnosed, 90% of identified cases on treatment, and 90% of persons on treatment virally suppressed (90-90-90). It is vital to understand the complexity of factors influencing a person's treatment decisions over time and the context which may enable better adherence. In this paper we present findings from the review of published and gray literature (2003-2013) on the documented factors associated with treatment initiation and adherence in the general adult population of Australia, Canada, and the UK. A framework developed by Begley, McLaws, Ross, and Gold [2008. Cognitive and behavioural correlates of non-adherence to HIV anti-retroviral therapy: Theoretical and practical insight for clinical psychology and health psychology. Clinical Psychologist, 12(1), 9-17] in Australia was adapted to summarize the findings. A systematic database search using keywords and a set of inclusion criteria yielded 17 studies (Australia = 6; Canada = 8; UK = 3). In addition 11 reports were included in the review. We found that a person's abilities and motivations (intrapersonal factors, reported in 7 studies) to start and continue ART are influenced by a host of interconnected factors spanning relationship (interpersonal, 3 studies) and broader structural (extrapersonal, 15 studies) factors that are situated within social determinants of health. People therefore evaluate various costs and benefits of starting and staying on treatment, in which biomedical concerns play an important yet often subsidiary role. In this review the economic barriers to care were found to be significant and under-reported, highlighting the persistent health inequities in terms of access to services. Our understanding of the context around people's use of ART remains poor. Qualitative social research within HIV-positive communities is urgently needed to capture people's lived experiences and may address some of this deficit in understanding.

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Homelessness and residential instability as covariates of HIV risk behavior among residents of single room occupancy housing

Bowen

Mitchell

2016

Journal of HIV/AIDS & Social Services

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Patterns of Treatment Use and Barriers to Care Among Hospitalized Adults with HIV

Cited by 3 publications

References 47 publications

A Self-Management Framework to Assess the Need for Nutritional Supplementation in People Living with HIV/AIDS

A Self-Management Framework to Assess the Need for Nutritional Supplementation in People Living with HIV/AIDS

Factors associated with antiretroviral treatment uptake and adherence: a review. Perspectives from Australia, Canada, and the United Kingdom

Homelessness and residential instability as covariates of HIV risk behavior among residents of single room occupancy housing

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