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首页> 外文期刊>AIDS care. >Transportation vulnerability as a barrier to service utilization for HIV-positive individuals
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Transportation vulnerability as a barrier to service utilization for HIV-positive individuals

机译：交通运输脆弱性是艾滋病毒抗体阳性人士使用服务的障碍

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Research suggests that transportation vulnerability can negatively impact adherence to HIV-related medical treatment. Moreover, transportation can be a barrier to accessing ancillary services which can increase positive health outcomes for HIV-positive individuals. This study examines transportation vulnerability and its impact on HIV-related health and ancillary service utilization in the Mid-South Region. Focus groups and interviews were conducted with service providers and HIV-positive individuals, and survey data were collected from HIV-positive individuals (N=309) using the five A's of access to frame transportation vulnerability: availability, accessibility, accommodation, affordability, and acceptability. Study results indicate that transportation vulnerability can present significant barriers to service utilization for HIV-positive individuals, including insufficient transportation infrastructure, incompatible fit between transportation and health systems, and insensitivity to privacy issues. One consequence of transportation vulnerability is reliance upon weaving together multiple modes of transport to access care and ancillary services, creating additional barriers to service utilization and medical adherence. The research team recommends more investment in public transit systems, expanded services, and innovative approaches to solving procedural problems.
机译：研究表明，交通运输脆弱性可能会对依从性相关的艾滋病治疗产生负面影响。此外，交通运输可能成为获得辅助服务的障碍，这会为艾滋病毒呈阳性的人增加积极的健康成果。这项研究考察了中南部地区的交通运输脆弱性及其对与HIV相关的健康和辅助服务利用的影响。与服务提供者和HIV阳性个体进行了焦点小组和访谈，并使用获得框架运输脆弱性的五个A渠道从HIV阳性个体（N = 309）收集了调查数据：可用性，可及性，住宿，可负担性和可接受性。研究结果表明，运输脆弱性可能给艾滋病毒呈阳性的个人提供严重的服务利用障碍，包括运输基础设施不足，运输与卫生系统之间的配伍不兼容以及对隐私问题不敏感。运输脆弱性的后果之一是依赖于将多种运输方式编织在一起以获得护理和辅助服务，这为服务利用和医疗依从性增加了障碍。研究团队建议在公共交通系统，扩展服务和解决程序问题的创新方法上增加投资。

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