Factors Affecting Linkage to Care and Engagement in Care for Newly Diagnosed HIV-Positive Adolescents Within Fifteen Adolescent Medicine Clinics in the United States

Philbin, Morgan M.; Tanner, Amanda E.; DuVal, Anna; Ellen, Jonathan M.; Xu, Jiahong; Kapogiannis, Bill G.; Bethel, Jim; Fortenberry, J. Dennis; Interventions, Aids

doi:10.1007/s10461-013-0650-6

Cited by 79 publications

(76 citation statements)

References 29 publications

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“…As a best practice for HIV care, linking PHAs to care resulted in an urgency to connect PHAs to care, which in turn minimized the loss to follow-up. Without transition support, retention in care may be suboptimal; studies have demonstrated that about 50% of newly diagnosed persons living with HIV are not linked to care within 6 months of their diagnosis (Philbin et al, 2013). By linking PHAs to care, both their immediate and long-term concerns were addressed.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of best practices in HIV care

Maina

Mill

Chaw-Kant

et al. 2016

Journal of HIV/AIDS & Social Services

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Best practices in HIV care have the potential to improve patient outcomes and inform practice. We conducted a systematic review of best practices in HIV care that were published from 2003 to 2013. Practices that demonstrated success in achieving desired results based on their objectives were included in the review. Two themes emerged from the eight articles reviewed: (a) the importance of linking newly diagnosed people living with HIV to care and (b) the role of integrated and comprehensive service provision in improving patient outcomes. Inconsistencies in reporting and arbitrary use of the term "best practices" were hurdles in this review.

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Section: Discussionmentioning

confidence: 99%

A systematic review of best practices in HIV care

Maina

Mill

Chaw-Kant

et al. 2016

Journal of HIV/AIDS & Social Services

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“…In addition, young sexual minority males are less likely than older MSM to have received an HIV test and the least likely out of any age group to be linked to HIV care 67891011121314 . Despite research indicating that nearly half of gay and bisexual male high school students have had sexual intercourse 1 little is known about attitudinal and experiential factors facilitating or impeding youth seeking and receiving health services for prevention, detection and treatment of HIV and STIs.…”

Section: Introductionmentioning

confidence: 99%

Patient–Provider Communication Barriers and Facilitators to HIV and STI Preventive Services for Adolescent MSM

et al. 2018

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Adolescent males who have sex with males (AMSM) are at increased risk of contracting HIV/AIDS and other sexually transmitted infections (STIs). Healthcare providers are a critical source of HIV/STI prevention, yet little is known about AMSM patient-provider sexual health communications and services. To explore this issue, we surveyed a national sample of 198 AMSM 14 – 17 years. Four online psychometrically validated scales indicated over half the youth avoided communicating their sexual orientation and sexual health concerns to providers due to fear of heterosexist bias, concern their sexual health information would be disclosed to parents, and a general belief that sexual minority youth did not receive equitable treatment in health care settings. Youth who reported their physicians had initiated discussion about their sexual orientation were significantly more likely to have received HIV/STI preventive services and testing. Discussion includes the need for medical training that meets the unique sexual health needs of AMSM.

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“…Micro-level structural factors refer to the immediate demographic and social context within which individuals' interactions with others take place (e.g., insurance status and knowledge of health services). 29,30 …”

mentioning

confidence: 99%

Factors Influencing Health Care Access Perceptions and Care-seeking Behaviors of Immigrant Latino Sexual Minority Men and Transgender Individuals: Baseline Findings from the HOLA Intervention Study

Tanner¹,

Reboussin²,

Mann³

et al. 2014

hpu

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Little is known about immigrant Latino sexual minorities' health seeking behaviors. This study examined factors associated with perceptions of access and actual care behaviors among this population in North Carolina. Methods A community-based participatory research partnership recruited 180 Latino sexual minority men and transgender individuals within preexisting social networks to participate in a sexual health intervention. Mixed-effects logistic regression models examined factors influencing health care access perceptions and use of services (HIV testing and routine check-ups). Results Results indicate that perceptions of access and actual care behaviors are low and affected by individual and structural factors, including: years living in NC, reported poor general health, perceptions of discrimination, micro-, meso-, and macro-level barriers, and residence in a Medically Underserved Area. Discussion To improve Latino sexual minority health, focus must be placed on multiple levels, individual characteristics (e.g., demographics), clinic factors (e.g., provider competence and clinic environment), and structural factors (e.g., discrimination).

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Factors Affecting Linkage to Care and Engagement in Care for Newly Diagnosed HIV-Positive Adolescents Within Fifteen Adolescent Medicine Clinics in the United States

Cited by 79 publications

References 29 publications

A systematic review of best practices in HIV care

A systematic review of best practices in HIV care

Patient–Provider Communication Barriers and Facilitators to HIV and STI Preventive Services for Adolescent MSM

Factors Influencing Health Care Access Perceptions and Care-seeking Behaviors of Immigrant Latino Sexual Minority Men and Transgender Individuals: Baseline Findings from the HOLA Intervention Study

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