Last data update: May 13, 2024. (Total: 46773 publications since 2009)
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Query Trace: Pitts NL[original query] |
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HIV provider experiences engaging and retaining patients in HIV care and treatment: "A soft place to fall"
Gelaude DJ , Hart J , Carey JW , Denson D , Erickson C , Klein C , Mijares A , Pitts NL , Spitzer T . J Assoc Nurses AIDS Care 2017 28 (4) 491-503 Engaging and retaining persons with HIV in care and treatment is key to reducing new HIV infections in the United States. Understanding the experiences, barriers, and facilitators to engaging and retaining persons in HIV care from the perspective of HIV care providers could help provide insight into how best to achieve this goal. We present qualitative data from 30 HIV care providers in three cities. We identified three facilitators to HIV care: providing a medical home, team-based care and strategies for engaging and retaining patients in HIV care, and focus on provider-patient relationships. We identified two main barriers to care: facility-level policies and patient-level challenges. Our findings suggest that providers embrace the medical home model for engaging patients but need support to identify aspects of the model that promote engagement in long-term HIV care, improve the quality of the provider-patient relationship, and address persistent logistical barriers, such as transportation. |
Comprehensive HIV prevention for transgender persons
Neumann MS , Finlayson TJ , Pitts NL , Keatley J . Am J Public Health 2016 107 (2) e1-e6 Transgender persons are at high risk for HIV infection, but prevention efforts specifically targeting these people have been minimal. Part of the challenge of HIV prevention for transgender populations is that numerous individual, interpersonal, social, and structural factors contribute to their risk. By combining HIV prevention services with complementary medical, legal, and psychosocial services, transgender persons' HIV risk behaviors, risk determinants, and overall health can be affected simultaneously. For maximum health impact, comprehensive HIV prevention for transgender persons warrants efforts targeted to various impact levels-socioeconomic factors, decision-making contexts, long-lasting protections, clinical interventions, and counseling and education. We present current HIV prevention efforts that reach transgender persons and present others for future consideration. |
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