TY - JOUR
T1 - Barriers to HIV care
T2 - An exploration of the complexities that influence engagement in and utilization of treatment
AU - Cavaleri, Mary A.
AU - Kalogerogiannis, Kosta
AU - Mckay, Mary M.
AU - Vitale, Laura
AU - Levi, Erika
AU - Jones, Sian
AU - Wallach, Fran
AU - Flynn, Erin
PY - 2010/11
Y1 - 2010/11
N2 - This study is an exploration of engagement in outpatient medical care, medication utilization, and barriers to treatment utilization among 24 predominantly low-income, ethnic minority adults who were admitted to an urban hospital for HIV-related illnesses. A semi-structured interview was administered during the sample's hospital stay to explore patterns of service use and identify barriers to care. The majority of the sample was connected to an outpatient provider and satisfied with the care they received; however, most missed treatment appointments and skipped medication dosages. Health and treatment-related barriers, competing demands, and co-occurring mental health symptoms and illicit substance use were identified as barriers to care. Multiple obstacles indigenous to the individual, their treatment, and the environment prevented consistent treatment use among an economically disadvantaged ethnic minority sample: Implications and future directions in engaging vulnerable populations into health care for HIV are discussed.
AB - This study is an exploration of engagement in outpatient medical care, medication utilization, and barriers to treatment utilization among 24 predominantly low-income, ethnic minority adults who were admitted to an urban hospital for HIV-related illnesses. A semi-structured interview was administered during the sample's hospital stay to explore patterns of service use and identify barriers to care. The majority of the sample was connected to an outpatient provider and satisfied with the care they received; however, most missed treatment appointments and skipped medication dosages. Health and treatment-related barriers, competing demands, and co-occurring mental health symptoms and illicit substance use were identified as barriers to care. Multiple obstacles indigenous to the individual, their treatment, and the environment prevented consistent treatment use among an economically disadvantaged ethnic minority sample: Implications and future directions in engaging vulnerable populations into health care for HIV are discussed.
KW - Barriers to medical care
KW - HIV service use
KW - HIV treatment engagement and adherence
KW - Patient compliance
UR - http://www.scopus.com/inward/record.url?scp=78649467940&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=78649467940&partnerID=8YFLogxK
U2 - 10.1080/00981389.2010.514563
DO - 10.1080/00981389.2010.514563
M3 - Article
C2 - 21113849
AN - SCOPUS:78649467940
SN - 0098-1389
VL - 49
SP - 934
EP - 945
JO - Social Work in Health Care
JF - Social Work in Health Care
IS - 10
ER -