Influence of socio-demographic factors on distances travelled to access HIV services: enhanced surveillance of HIV patients in north west England

Cook, Penny A.; Downing, Jennifer; Wheater, C. Philip; Bellis, Mark A; Tocque, Karen; Syed, Qutub; Phillips-Howard, Penelope A.

doi:10.1186/1471-2458-9-78

Cited by 34 publications

(38 citation statements)

References 17 publications

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“…Some of those findings are consistent with previous studies in London and elsewhere in England (16)(17)(18)(19)(20), although few specifically looked at patterns of STI care for gonorrhoea and few addressed GUM access for the population as a whole, focusing instead on particular population groups such as teenagers, 16 MSM 17,18 or black ethnic minority groups. 19 The finding that MSM tend to travel to non-local services is consistent with studies on HIV care in London and elsewhere in England, the majority of whom are MSM.…”

Section: Discussionsupporting

confidence: 88%

Factors associated with travel to non-local genitourinary medicine clinics for gonorrhoea: an analysis of patients diagnosed in London, 2009–10

Waroux

Hughes²,

Maguire

et al. 2013

Int J STD AIDS

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We analysed factors associated with travelling to non-local genitourinary medicine clinics for gonorrhoea care in London. We used surveillance data on London residents attending genitourinary medicine clinics in 2009-10 and calculated distances between patients' areas of residence and both the nearest genitourinary medicine clinic and the clinic attended. Non-local clinics were attended by 5408 (46.7%) patients. Men having sex with men attended non-local services more than heterosexuals (OR 3.83, p < 0.001). Among heterosexual men, black Africans and black Caribbeans were more likely, and South Asians less likely, to attend non-local services compared to whites (OR [95%CI] 1.33 [1.04-1.72], 1.36 [1.11-1.67] and 0.46 [0.31-0.70] respectively). Similar associations, although not statistically significant, were found in women. People were more likely to attend local services if their local clinic provided walk-in and young people's services, weekend consultations and long opening hours. These findings could help design services meeting local population needs and facilitate prompt and equitable access to care.

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Section: Discussionsupporting

confidence: 88%

Factors associated with travel to non-local genitourinary medicine clinics for gonorrhoea: an analysis of patients diagnosed in London, 2009–10

Waroux

Hughes²,

Maguire

et al. 2013

Int J STD AIDS

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“…However, it is not possible to distinguish these unmet needs from those of the general population, but patients with HIV may be more burdened by these needs because of their medical conditions. Previous studies in developing countries have shown that similar barriers to care along with medical and social needs exist and pose an obstacle that must be overcome to achieve necessary coverage of HIV/AIDS medical treatment (26)(27)(28)(29)(30)(31)(32). However, what is unique amongst the Albanian population relative to other Central European countries seems to be the generalized widespread unmet social needs.…”

Section: Discussionmentioning

confidence: 99%

“…These barriers can be rooted within the population or healthcare sector and have dramatic effects on treatment and prevention of HIV/AIDS (26). Fear of social stigma, limited knowledge of HIV/AIDS by both healthcare providers and the general population, and inability to locate proper care are common barriers in resource-limited countries (27)(28)(29)(30)(31)(32). Patients that fail to navigate these barriers may not get the care they need.…”

Section: Introductionmentioning

confidence: 99%

Barriers to Care, and Current Medical and Social Needs of HIV-Positive Patients in Albania

Morrison

Banushi²,

Sarnquist³

et al. 2011

Cent Eur J Public Health

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SUMMARYObjective: As HIV/AIDS prevalence rises in Eastern Europe, assessment of local epidemics in the bordering Central European region, especially South Eastern Europe, is vital in order to meet treatment and prevention needs. Understanding current medical and social needs and barriers to care experienced by HIV-positive patients in these regions may provide insight into how to best respond to the local epidemics, increase patients' access to treatment, and reduce loss to follow-up.Design: This study assesses the patient characteristics, barriers to care, and current medical and social needs of HIV-positive patients in Albania. Semi-structured interviews were used in this cross-sectional study.Methods: We interviewed 79 of 85 patients (93% response rate) followed at the University Hospital Center of Tirana (UHCT) HIV/AIDS Ambulatory Clinic, which represented the majority of patients under HIV care in Albania during 2009.Results: The local HIV epidemic seems to be comprised mainly of heterosexual men who have spent an average of 3.6 years abroad. The vast majority of patients under care at UHCT HIV/AIDS Ambulatory Clinic had experienced barriers to care associated with social stigma (97.4%), lack of knowledge of HIV medical care (76.6%), and medical provider's lack of knowledge of HIV (70.9%). Social needs of the patients were also overwhelmingly unmet (90.0-95.7%).Conclusions: In addressing HIV/AIDS in Albania, it will be crucial to educate the healthcare sector in ways to identify and address barriers to care and current medical and social needs of HIV-positive patients.

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“…In other disease areas, centralised services increase the practical hardship of travel for patients8 9 and can be associated with delayed intervention 10. This appears to be a particular issue in geographically larger and less affluent regions 11. The increased practical or financial challenges of travelling to a specialist clinic may therefore discourage some individuals from accessing services in a timely and regular fashion.…”

Section: Barriers To Successful Implementationmentioning

confidence: 99%

Specialised commissioning for severe asthma: oxymoron or opportunity?

Kane¹,

Cramb

Hudson

et al. 2015

Thorax

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Influence of socio-demographic factors on distances travelled to access HIV services: enhanced surveillance of HIV patients in north west England

Cited by 34 publications

References 17 publications

Factors associated with travel to non-local genitourinary medicine clinics for gonorrhoea: an analysis of patients diagnosed in London, 2009–10

Factors associated with travel to non-local genitourinary medicine clinics for gonorrhoea: an analysis of patients diagnosed in London, 2009–10

Barriers to Care, and Current Medical and Social Needs of HIV-Positive Patients in Albania

Specialised commissioning for severe asthma: oxymoron or opportunity?

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