Journal article
Barriers and Facilitators to Engagement of Vulnerable Populations in HIV Primary Care in New York City
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, v 69(Supplement 1), pp S16-S24
01 May 2015
PMID: 25867774
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: Engagement in HIV care helps to maximize viral suppression, which in turn, reduces morbidity and mortality and prevents further HIV transmission. With more HIV cases than any other US city, New York City reported in 2012 that only 41% of all persons estimated to be living with HIV (PLWH) had a suppressed viral load, whereas nearly three-quarters of those in clinical care achieved viral suppression. Thus, retaining PLWH in HIV care addresses this central goal of both the US National HIV/AIDS Strategy and Governor Cuomo's plan to end the AIDS epidemic in New York State.
Methods: We conducted 80 in-depth qualitative interviews with PLWH in 4 New York City populations that were identified as being inconsistently engaged in HIV medical care: African immigrants, previously incarcerated adults, transgender women, and young men who have sex with men.
Results: Barriers to and facilitators of HIV care engagement fell into 3 domains: (1) system factors (eg, patient-provider relationship, social service agencies, transitions between penal system and community), (2) social factors (eg, family and other social support; stigma related to HIV, substance use, sexual orientation, gender identity, and incarceration), and (3) individual factors (eg, mental illness, substance use, resilience). Similarities and differences in these themes across the 4 populations as well as research and public health implications were identified.
Conclusions: Engagement in care is maximized when the social challenges confronted by vulnerable groups are addressed, patient-provider communication is strong, and coordinated services are available, including housing, mental health and substance use treatment, and peer navigation.
Metrics
Details
- Title
- Barriers and Facilitators to Engagement of Vulnerable Populations in HIV Primary Care in New York City
- Creators
- Robert H. Remien - New York Psychoanalytic Society and InstituteLaurie J. Bauman - Albert Einstein College of MedicineJoanne E. Mantell - New York Psychoanalytic Society and InstituteBenjamin Tsoi - New York City Department of Health and Mental HygieneJavier Lopez-Rios - New York Psychoanalytic Society and InstituteRosy Chhabra - Albert Einstein College of MedicineAbby DiCarlo - New York Psychoanalytic Society and InstituteDana Watnick - Albert Einstein College of MedicineAngelic Rivera - Albert Einstein College of MedicineNehama Teitelman - Albert Einstein College of MedicineBlayne Cutler - Public Health Foundation EnterprisesPatricia Warne - New York Psychoanalytic Society and Institute
- Publication Details
- JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, v 69(Supplement 1), pp S16-S24
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 9
- Grant note
- P30MH043520 / NATIONAL INSTITUTE OF MENTAL HEALTH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) P30AI087714 / NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Allergy & Infectious Diseases (NIAID)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000440417200003
- Scopus ID
- 2-s2.0-84988878382
- Other Identifier
- 991021894659104721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Immunology
- Infectious Diseases