Next Article in Journal
Pattern of Road Traffic Injuries in Rural Bangladesh: Burden Estimates and Risk Factors
Previous Article in Journal
BUS TRIPS—A Self-Management Program for People with Cognitive Impairments after Stroke
Article Menu
Issue 11 (November) cover image

Export Article

Open AccessArticle
Int. J. Environ. Res. Public Health 2017, 14(11), 1355; doi:10.3390/ijerph14111355

Factors That Influence Linkages to HIV Continuum of Care Services: Implications for Multi-Level Interventions

1
School of Social Work, University of Michigan—Ann Arbor, 1080 South University, Room 3792, Ann Arbor, MI 48109, USA
2
School of Social Work, Columbia University, 1255 Amsterdam Avenue, 8th Floor, New York, NY 10027, USA
3
Department of Political Science, Purchase College, 735 Anderson Hill Road, Purchase, NY 10577, USA
*
Author to whom correspondence should be addressed.
Received: 28 September 2017 / Revised: 26 October 2017 / Accepted: 2 November 2017 / Published: 7 November 2017
View Full-Text   |   Download PDF [497 KB, uploaded 7 November 2017]   |  

Abstract

Worldwide, the human immunodeficiency virus (HIV) continuum of care involves health promotion providers (e.g., social workers and health educators) linking patients to medical personnel who provide HIV testing, primary care, and antiretroviral treatments. Regrettably, these life-saving linkages are not always made consistently and many patients are not retained in care. To design, test and implement effective interventions, we need to first identify key factors that may improve linkage-making. To help close this gap, we used in-depth interviews with 20 providers selected from a sample of 250 participants in a mixed-method longitudinal study conducted in New York City (2012–2017) in order to examine the implementation of HIV services for at-risk populations. Following a sociomedical framework, we identified provider-, interpersonal- and environmental-level factors that influence how providers engage patients in the care continuum by linking them to HIV testing, HIV care, and other support services. These factors occurred in four domains of reference: Providers’ Professional Knowledge Base; Providers’ Interprofessional Collaboration; Providers’ Work-Related Changes; and Best Practices in a Competitive Environment. Of particular importance, our findings show that a competitive environment and a fear of losing patients to other agencies may inhibit providers from engaging in linkage-making. Our results suggest relationships between factors within and across all four domains; we recommend interventions to modify factors in all domains for maximum effect toward improving care continuum linkage-making. Our findings may be applicable in different areas of the globe with high HIV prevalence. View Full-Text
Keywords: HIV continuum of care; service providers; linkage to care; multi-level interventions HIV continuum of care; service providers; linkage to care; multi-level interventions
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

Scifeed alert for new publications

Never miss any articles matching your research from any publisher
  • Get alerts for new papers matching your research
  • Find out the new papers from selected authors
  • Updated daily for 49'000+ journals and 6000+ publishers
  • Define your Scifeed now

SciFeed Share & Cite This Article

MDPI and ACS Style

Pinto, R.M.; Witte, S.S.; Filippone, P.L.; Baird, K.L.; Whitman, W.R. Factors That Influence Linkages to HIV Continuum of Care Services: Implications for Multi-Level Interventions. Int. J. Environ. Res. Public Health 2017, 14, 1355.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top