艾滋病毒护理参与和护理连续过程中的挑战与障碍：观点
Challenges and barriers to HIV care engagement and care cascade: viewpoint.
作者信息
Bouabida Khayreddine, Chaves Breitner Gomes, Anane Enoch
机构信息
Research Center of the Hospital Center of the University of Montreal (CRCHUM), Montreal, MTL, Canada.
École de Santé Publique, Université de Montréal, Montreal, QC, Canada.
出版信息
Front Reprod Health. 2023 Jul 20;5:1201087. doi: 10.3389/frph.2023.1201087. eCollection 2023.
Abstract
Patients with human immunodeficiency virus (HIV) are subject to long-term management and a complex care process. Patients with HIV are clinically, socially, and emotionally vulnerable, face many challenges, and are often stigmatized. Healthcare providers should engage them with diligence in the HIV care cascade process. In this paper, we discuss from our viewpoint certain social and public health barriers and challenges that should be considered by healthcare providers to better engage patients in the HIV care cascade process and maximize its outcomes.
摘要
感染人类免疫缺陷病毒（HIV）的患者需要长期管理，并经历复杂的护理过程。HIV患者在临床、社会和情感方面都很脆弱，面临许多挑战，而且常常受到污名化。医疗服务提供者应勤勉地让他们参与到HIV护理连续过程中。在本文中，我们从自身观点出发，探讨了一些社会和公共卫生方面的障碍及挑战，医疗服务提供者应予以考虑，以便更好地让患者参与到HIV护理连续过程中，并使其效果最大化。
相似文献
1
Challenges and barriers to HIV care engagement and care cascade: viewpoint.艾滋病毒护理参与和护理连续过程中的挑战与障碍：观点
Front Reprod Health. 2023 Jul 20;5:1201087. doi: 10.3389/frph.2023.1201087. eCollection 2023.
2
A state transition framework for patient-level modeling of engagement and retention in HIV care using longitudinal cohort data.一种使用纵向队列数据对艾滋病护理中的参与度和留存率进行患者层面建模的状态转换框架。
Stat Med. 2018 Jan 30;37(2):302-319. doi: 10.1002/sim.7502. Epub 2017 Nov 22.
3
Experiences of HIV-infected adults and healthcare providers with healthcare delivery practices that influence engagement in US primary healthcare settings: a qualitative systematic review.美国初级医疗环境中，感染艾滋病毒的成年人及医疗服务提供者在影响参与度的医疗服务实践方面的经历：一项定性系统综述
JBI Database System Rev Implement Rep. 2019 Jun;17(6):1154-1228. doi: 10.11124/JBISRIR-2017-003756.
4
"Who are You and What are You Doing Here?": Social Capital and Barriers to Movement along the HIV Care Cascade among Tajikistani Migrants with HIV to Russia.“你是谁，你来这里做什么？”：塔吉克斯坦艾滋病毒感染者移民俄罗斯过程中 HIV 护理链中断的社会资本和障碍。
AIDS Behav. 2021 Oct;25(10):3115-3127. doi: 10.1007/s10461-021-03359-w. Epub 2021 Jun 30.
5
Barriers and facilitators to engagement and retention in care among transgender women living with human immunodeficiency virus.跨性别女性艾滋病毒感染者获得并维持治疗的障碍和促进因素。
Ann Behav Med. 2014 Feb;47(1):5-16. doi: 10.1007/s12160-013-9565-8.
6
The impact of criminalization of HIV non-disclosure on the healthcare engagement of women living with HIV in Canada: a comprehensive review of the evidence.加拿大将不披露感染艾滋病毒情况定为犯罪对感染艾滋病毒女性医疗保健参与度的影响：证据综述
J Int AIDS Soc. 2015 Dec 22;18(1):20572. doi: 10.7448/IAS.18.1.20572. eCollection 2015.
7
Barriers along the care cascade of HIV-infected men in a large urban center of Brazil.巴西一个大型城市中心感染艾滋病毒男性的治疗流程中的障碍。
AIDS Care. 2016;28(1):57-62. doi: 10.1080/09540121.2015.1062462. Epub 2015 Aug 20.
9
Enroling and retaining human immunodeficiency virus (HIV) patients in their care: A metasynthesis of qualitative studies.让人类免疫缺陷病毒（HIV）患者参与并持续接受治疗：定性研究的元综合分析
Int J Nurs Stud. 2016 Oct;62:126-36. doi: 10.1016/j.ijnurstu.2016.07.016. Epub 2016 Jul 25.
10
Experiences and expectations of patients living with HIV on their engagement with care in Western Kenya.肯尼亚西部感染艾滋病毒患者在接受治疗过程中的经历与期望
Patient Prefer Adherence. 2018 Aug 1;12:1393-1400. doi: 10.2147/PPA.S168664. eCollection 2018.
引用本文的文献
1
The Ketogenic Diet in Obesity Management: Friend or Foe?生酮饮食在肥胖管理中的作用：是福是祸？
Cell Biochem Biophys. 2025 Aug 29. doi: 10.1007/s12013-025-01878-0.
2
Chimeric Antigen Receptor Immunotherapy for Infectious Diseases: Current Advances and Future Perspectives.用于传染病的嵌合抗原受体免疫疗法：当前进展与未来展望
Pathogens. 2025 Aug 5;14(8):774. doi: 10.3390/pathogens14080774.
3
Time-dependent predictors of loss to follow-up in HIV care in low-resource settings: A competing risks approach.资源匮乏地区HIV护理失访的时间依赖性预测因素：一种竞争风险方法。
PLoS One. 2025 Jul 24;20(7):e0329132. doi: 10.1371/journal.pone.0329132. eCollection 2025.
4
Assessing differences in healthcare access by HIV status to inform cervical cancer and HIV screening in rural Uganda.评估乌干达农村地区因艾滋病毒感染状况导致的医疗服务可及性差异，以为宫颈癌和艾滋病毒筛查提供信息。
PLOS Glob Public Health. 2025 Jul 21;5(7):e0003918. doi: 10.1371/journal.pgph.0003918. eCollection 2025.
5
Bridging the gap: telemedicine as a solution for HIV care inequities in rural and vulnerable communities.弥合差距：远程医疗作为解决农村和弱势群体中艾滋病毒护理不平等问题的一种方案。
Int J Equity Health. 2025 Jul 14;24(1):205. doi: 10.1186/s12939-025-02584-2.
6
A qualitative examination of barriers and facilitators to HIV prevention and treatment for people involved with the criminal justice system.对涉及刑事司法系统人员的艾滋病毒预防和治疗的障碍及促进因素进行定性研究。
Health Justice. 2025 Jun 6;13(1):37. doi: 10.1186/s40352-025-00344-6.
7
Prevalence and management of syphilis at primary healthcare level in the Free State, South Africa.南非自由邦初级卫生保健层面梅毒的患病率及管理情况
S Afr J Infect Dis. 2025 May 31;40(1):724. doi: 10.4102/sajid.v40i1.724. eCollection 2025.
8
Effectiveness of health education in improving treatment adherence among patients with chronic communicable diseases: A systematic review and meta-analysis.健康教育对提高慢性传染病患者治疗依从性的有效性：一项系统评价与荟萃分析
Trop Med Int Health. 2025 Jul;30(7):598-612. doi: 10.1111/tmi.14133. Epub 2025 May 27.
9
Treatment of Advanced HIV in the Modern Era.现代时代晚期HIV的治疗
Drugs. 2025 May 12. doi: 10.1007/s40265-025-02181-1.
10
Characterising the effects of displacement on gender-based violence among women living with HIV in Ukraine: a cross-sectional study.描述流离失所对乌克兰感染艾滋病毒妇女基于性别的暴力行为的影响：一项横断面研究。
BMJ Glob Health. 2025 May 8;10(5):e016478. doi: 10.1136/bmjgh-2024-016478.
本文引用的文献
1
Clinical Characteristics of Retroviral Rebound Syndrome: A Case Report and Literature Review.逆转录病毒反弹综合征的临床特征：一例病例报告及文献复习。
Intern Med. 2023;62(7):1089-1093. doi: 10.2169/internalmedicine.9661-22. Epub 2023 Apr 1.
2
Prevalence of undernutrition and associated factors among adults taking antiretroviral therapy in sub-Saharan Africa: A systematic review and meta-analysis.撒哈拉以南非洲地区接受抗逆转录病毒疗法的成年人营养不良的患病率及相关因素：系统评价和荟萃分析。
PLoS One. 2023 Mar 24;18(3):e0283502. doi: 10.1371/journal.pone.0283502. eCollection 2023.
3
HIV care cascade for women living with HIV in the Greater Toronto Area versus the rest of Ontario and Canada.安大略省大多伦多地区与安大略省其他地区和加拿大的 HIV 感染妇女的 HIV 护理链。
Int J STD AIDS. 2023 Jan;34(1):4-17. doi: 10.1177/09564624221108034. Epub 2022 Nov 21.
4
Measuring patient engagement with HIV care in sub-Saharan Africa: a scoping study.测量撒哈拉以南非洲地区艾滋病毒护理中患者的参与度：一项范围研究。
J Int AIDS Soc. 2022 Oct;25(10):e26025. doi: 10.1002/jia2.26025.
5
Epidemiology of HIV in the USA: epidemic burden, inequities, contexts, and responses.美国的 HIV 流行病学：流行负担、不平等、背景和应对措施。
Lancet. 2021 Mar 20;397(10279):1095-1106. doi: 10.1016/S0140-6736(21)00395-0. Epub 2021 Feb 19.
6
Trends in Low-Value Health Service Use and Spending in the US Medicare Fee-for-Service Program, 2014-2018.2014 - 2018年美国医疗保险按服务收费计划中低价值医疗服务使用及支出趋势
JAMA Netw Open. 2021 Feb 1;4(2):e2037328. doi: 10.1001/jamanetworkopen.2020.37328.
7
Hospital-acquired SARS-CoV-2 pneumonia in a person living with HIV.一名艾滋病毒感染者的医院获得性新型冠状病毒肺炎
Int J STD AIDS. 2020 Nov;31(13):1320-1322. doi: 10.1177/0956462420957528. Epub 2020 Sep 21.
8
HIV and stigma in the healthcare setting.艾滋病毒与医疗环境中的污名。
Oral Dis. 2020 Sep;26 Suppl 1:103-111. doi: 10.1111/odi.13585.
9
Loss of Preexisting Immunological Memory Among Human Immunodeficiency Virus-Infected Women Despite Immune Reconstitution With Antiretroviral Therapy.抗逆转录病毒治疗后，人类免疫缺陷病毒感染女性患者的预先存在的免疫记忆丧失。
J Infect Dis. 2020 Jun 29;222(2):243-251. doi: 10.1093/infdis/jiz678.
10
Treatment as Prevention: Concepts and Challenges for Reducing HIV Incidence.治疗即预防：降低艾滋病毒感染率的概念与挑战
J Acquir Immune Defic Syndr. 2019 Dec 1;82 Suppl 2(2):S104-S112. doi: 10.1097/QAI.0000000000002168.
Zotero 插件