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首页> 外文期刊>AIDS care. >Lost-to-care and engaged-in-care HIV patients in Leningrad Oblast, Russian Federation: Barriers and facilitators to medical visit retention
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Lost-to-care and engaged-in-care HIV patients in Leningrad Oblast, Russian Federation: Barriers and facilitators to medical visit retention

机译：俄罗斯联邦列宁格勒州失联照护和从事护理工作的艾滋病毒患者：保留就诊的障碍和促进者

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Sixty-nine percent of the 1.5 million Eastern Europeans and Central Asians with HIV live in the Russian Federation. Antiretroviral therapy (ART) is effective but cannot help those who leave treatment. Focus groups with patients who dropped out of ART for ≥12 months (lost-to-care, LTCs, n = 21) or continued for ≥12 months (engaged-in-care; EICs; n = 24) were conducted in St. Petersburg. Structural barriers included stigma/discrimination and problems with providers and accessing treatment. Individual barriers included employment and caring for dependents, inaccurate beliefs about ART (LTC only), side-effects, substance use (LTCs, present; EICs, past), and depression. Desire to live, social support, and spirituality were facilitators for both; EICs also identified positive thinking and experiences with ART and healthcare/ professionals. Interventions to facilitate retention and adherence are discussed.
机译：150万东欧和中亚感染艾滋病毒的人中有69％生活在俄罗斯联邦。抗逆转录病毒疗法（ART）是有效的，但不能帮助那些离开治疗的人。在圣保罗州进行了焦点小组研究，这些小组的患者退出ART≥12个月（失去治疗，LTC，n = 21）或持续≥12个月（从事治疗; EIC，n = 24）。彼得斯堡。结构性障碍包括污名/歧视以及提供者和获得治疗的问题。个人障碍包括就业和照料家属，对抗逆转录病毒疗法（仅LTC）的不正确信念，副作用，药物使用（LTC，目前; EIC，过去）和抑郁症。生活的渴望，社会的支持和灵性都是两者的促进者。 EIC还确定了与ART和医疗保健/专业人员的积极思考和经验。讨论了有助于保留和坚持的干预措施。

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