Cargill Victoria A
National Institutes of Health, Bethesda, MD, USA.
Top Antivir Med. 2013 Sep-Oct;21(4):133-7.
There are disparities in engagement and retention in HIV care and outcomes of care across segments of society. For example, HIV mortality rates remain markedly elevated among black women and men compared with their white counterparts. These differences reflect broader disparities across social, economic, and cultural lines. Improvement in engagement and retention in HIV care requires interventions that account for forces present in the socioecologic framework of health behaviors. Improvement in linkage to care at HIV testing is crucial to overall engagement and retention in care. Strategies for linkage to care at testing can help overcome many of the forces that result in failure to engage and remain in care by starting the patient on a solid path to clinical care. This article summarizes a presentation by Victoria A. Cargill, MD, MSCE, at the IAS-USA continuing education program held in New York, New York, in May 2013.
在社会各阶层中，参与和坚持接受艾滋病病毒治疗以及治疗结果存在差异。例如，与白人相比，黑人女性和男性的艾滋病病毒死亡率仍然显著升高。这些差异反映了社会、经济和文化层面更广泛的不平等。提高艾滋病病毒治疗的参与度和坚持率需要采取干预措施，这些措施要考虑到健康行为社会生态框架中存在的各种因素。在艾滋病病毒检测时改善与治疗的衔接对于总体治疗参与度和坚持率至关重要。检测时与治疗衔接的策略可以通过让患者走上坚实的临床治疗之路，帮助克服许多导致无法参与和坚持治疗的因素。本文总结了医学博士、医学科学硕士维多利亚·A·卡吉尔于2013年5月在纽约举行的美国国际艾滋病学会继续教育项目上的一次演讲。
