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首页> 外文期刊>AIDS care. >The barriers to linkage and retention in care for women living with HIV in an high income setting where they comprise a minority group
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The barriers to linkage and retention in care for women living with HIV in an high income setting where they comprise a minority group

机译：在高收入环境中携带艾滋病毒的妇女在少数民族群体中携带艾滋病毒的妇女的障碍

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摘要

Women comprise a minority population of individuals living with HIV in Australia, and are often poorly represented in research and clinical trials so their needs remain largely unknown. Data suggests that they are diagnosed later than men and start antiretroviral therapy at a lower CD4 cell count. This raises the question whether there are sex specific barriers to linkage and retention in care. This study analyzed 484 surveys received from clinicians collecting demographic, virological, and reproductive health data along with perceived barriers to linkage and retention in care. Most women (67%) were estimated to have been linked into care within 28 days of diagnosis. For women who were not linked into care for more than 28 days, the most commonly reason cited was fear of disclosure to others, followed by fear of disclosure to their partner. The main reasons given for non-retention in care were related to transport, carer responsibilities, financial pressure, health beliefs and concern about stigma or disclosure.
机译：妇女包括澳大利亚艾滋病毒患者的少数民族人群，并且在研究和临床试验中往往代表差，因此他们的需求仍然很大程度上未知。数据表明，它们在晚些后被诊断出来，并在降低CD4细胞计数时开始抗逆转录病毒治疗。这提出了涉及性行为和保留的性别特定障碍的问题。本研究分析了从临床学家收到的484次调查，收集人口统计学，病毒学和生殖健康数据以及感知的障碍，以便在护理中进行联系和保留。大多数女性（67％）估计在诊断后28天内被关注。对于没有被关心的女性超过28天，引用的最常见原因是担心对他人的披露，然后担心披露他们的伴侣。保留不保留的主要原因与运输，护理人员责任，财务压力，健康信仰和对耻辱或披露的关注有关。

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  • 来源
    《AIDS care.》 |2019年第6期|共7页
  • 作者

    Giles M. L.; MacPhail A.; Bell C.; Bradshaw C. S.; Furner V.; Gunathilake M.; John M.; Krishnaswamy S.; Martin S. J.; Ooi C.; Owen L.; Russell D.; Street A.; Post J. J.;

  • 作者单位

    Alfred Hlth Dept Infect Dis Melbourne Vic Australia;

    Alfred Hlth Dept Infect Dis Melbourne Vic Australia;

    Royal Adelaide Hosp Adelaide SA Australia;

    Melbourne Sexual Hlth Ctr Melbourne Vic Australia;

    Albion Ctr Sydney NSW Australia;

    Ctr Dis Control Sexual Hlth &

    Blood Borne Virus Unit Darwin NT Australia;

    Royal Perth Hosp Dept Immunol Perth WA Australia;

    Alice Springs Hosp Alice Springs NT Australia;

    Canberra Hosp Canberra Sexual Hlth Serv Canberra ACT Australia;

    Western Sydney Sexual Hlth Ctr Sydney NSW Australia;

    Statewide Sexual Hlth Serv Launceston Tas Australia;

    Cairns Sexual Hlth Serv Cairns Australia;

    Royal Melbourne Hosp Victorian Infect Dis Serv Melbourne Vic Australia;

    Albion Ctr Sydney NSW Australia;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 传染病;
  • 关键词

    HIV; women; sex; linkage; retention;

    机译：艾滋病毒;妇女;性别;联动;保留;

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