Please use this identifier to cite or link to this item: http://docs.prosentient.com.au/prosentientjspui/handle/1/10948
Title: The barriers to linkage and retention in care for women living with HIV in an high income setting where they comprise a minority group.
Authors: 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
Affiliation: a Department of Infectious Diseases , Alfred Health , Melbourne , Australia.. b Department of Obstetrics and Gynecology , Monash University , Melbourne , Australia..
a Department of Infectious Diseases , Alfred Health , Melbourne , Australia..
c Royal Adelaide Hospital , Adelaide , Australia..
d Melbourne Sexual Health Centre , Melbourne , Australia.. e Central Clinical School , Monash University , Melbourne , Australia..
f The Albion Centre , Sydney , Australia..
g Sexual Health and Blood Borne Virus Unit, Centre for Disease Control , Northern Territory , Darwin , Australia.. h Kirby Institute , University of New South Wales , Sydney , Australia..
i Department of Immunology , Royal Perth Hospital , Perth , Australia..
j Alice Springs Hospital , Alice Springs , Australia.. k Monash Infectious Diseases , Monash Health , Melbourne , Australia..
l Canberra Sexual Health Service , Canberra Hospital , Canberra , Australia.. m Australian National University , Canberra , Australia..
n Western Sydney Sexual Health Centre , Sydney , Australia..
o Statewide Sexual Health Service , Tasmania , Australia..
p Cairns Sexual Health Service , Cairns , Australia..
q Victorian Infectious Diseases Service , Royal Melbourne Hospital , Melbourne , Australia..
f The Albion Centre , Sydney , Australia.. r Department of Infectious Diseases, Prince of Wales Hospital , Sydney , Australia.. s Prince of Wales Clinical School , University of New South Wales , Sydney , Australia..
Issue Date: 12-Feb-2019
Citation: AIDS care 2019-02-12: 1-7
Abstract: 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.
URI: http://docs.prosentient.com.au/prosentientjspui/handle/1/10948
DOI: 10.1080/09540121.2019.1576843
Type: Journal Article
Subjects: HIV
linkage
retention
sex
women
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