Department of Medicine, St. John's Medical College, Bangalore, India.
Department of Medicine, University of California, San Francisco, CA, USA.
Health Care Women Int. 2020 May;41(5):553-566. doi: 10.1080/07399332.2019.1623799. Epub 2019 Jun 26.
HIV seropositive adherence-challenged women, who reported being on ART for at least four months were interviewed. Data on healthcare history, anti-retroviral therapy, clinic visits, doctor communication, disclosure and fear of stigma were collected. Better engagement in care was significantly more likely among older women, ≥ 10 years of education, higher income, HIV status disclosure to family, with higher community stigma fears and fewer healthcare access barriers. To promote retention, women may be encouraged to consider disclosing their HIV serostatus to supportive household members. A variety of possible interventions to overcome the prevalent barriers to care are provided.
对报告接受抗逆转录病毒治疗（ART）至少四个月的 HIV 血清阳性、服药依从性有挑战的妇女进行了访谈。收集了有关医疗保健史、抗逆转录病毒治疗、就诊、与医生沟通、告知和对污名的恐惧的数据。在以下人群中，更好地参与治疗的可能性显著更高：年龄较大的妇女（≥10 年教育程度、较高的收入、向家人告知 HIV 状况、对社区污名的恐惧程度较高，以及较少面临医疗保健获取障碍的妇女。为了促进保留，可能鼓励妇女考虑向支持性的家庭成员透露其 HIV 血清阳性状况。提供了各种可能的干预措施，以克服普遍存在的护理障碍。
