UM
Enhancing Public Health HIV Interventions: A Qualitative Meta-Synthesis and Systematic Review of Studies to Improve Linkage to Care, Adherence, and Retention
Tucker,Joseph D.1,2; Tso,Lai Sze1; Hall,Brian3,4; Ma,Qingyan1; Beanland,Rachel5; Best,John6; Li,Haochu1; Lackey,Mellanye7; Marley,Gifty1; Rich,Zachary C.1; Sou,Ka lon1; Doherty,Meg5
2017-03-01
Source PublicationEBioMedicine
ISSN23523964
Volume17Pages:163-171
AbstractAlthough HIV services are expanding, few have reached the scale necessary to support universal viral suppression of individuals living with HIV. The purpose of this systematic review was to summarize the qualitative evidence evaluating public health HIV interventions to enhance linkage to care, antiretroviral drug (ARV) adherence, and retention in care. We searched 19 databases without language restrictions. The review collated data from three separate qualitative evidence reviews addressing each of the three outcomes along the care continuum. 21,738 citations were identified and 24 studies were included in the evidence review. Among low and middle-income countries in Africa, men living with HIV had decreased engagement in interventions compared to women and this lack of engagement among men also influenced the willingness of their partners to engage in services. Four structural issues (poverty, unstable housing, food insecurity, lack of transportation) mediated the feasibility and acceptability of public health HIV interventions. Individuals living with HIV identified unmet mental health needs that interfered with their ability to access HIV services. Persistent social and cultural factors contribute to disparities in HIV outcomes across the continuum of care, shaping the context of service delivery among important subpopulations.
KeywordHIV Intervention Public health Qualitative Systematic review
DOI10.1016/j.ebiom.2017.01.036
URLView the original
Language英语
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Cited Times [WOS]:13   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionUniversity of Macau
Corresponding AuthorTucker,Joseph D.
Affiliation1.University of North Carolina Project-China,,Guangzhou,China
2.Institute for Global Health and Infectious Diseases at UNC-Chapel Hill,,Chapel Hill,United States
3.Global and Community Mental Health Research Group,Department of Psychology,University of Macau,,Macau,Macao
4.Johns Hopkins Bloomberg School of Public Health,Department of Health,Behavior and Society,,Baltimore,United States
5.HIV Department,World Health Organization,,Geneva,Switzerland
6.School of Medicine,University of California,,San Francisco,United States
7.Eccles Health Sciences Library,University of Utah,,Salt Lake City,United States
Recommended Citation
GB/T 7714
Tucker,Joseph D.,Tso,Lai Sze,Hall,Brian,et al. Enhancing Public Health HIV Interventions: A Qualitative Meta-Synthesis and Systematic Review of Studies to Improve Linkage to Care, Adherence, and Retention[J]. EBioMedicine,2017,17:163-171.
APA Tucker,Joseph D..,Tso,Lai Sze.,Hall,Brian.,Ma,Qingyan.,Beanland,Rachel.,...&Doherty,Meg.(2017).Enhancing Public Health HIV Interventions: A Qualitative Meta-Synthesis and Systematic Review of Studies to Improve Linkage to Care, Adherence, and Retention.EBioMedicine,17,163-171.
MLA Tucker,Joseph D.,et al."Enhancing Public Health HIV Interventions: A Qualitative Meta-Synthesis and Systematic Review of Studies to Improve Linkage to Care, Adherence, and Retention".EBioMedicine 17(2017):163-171.
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