Lost-to-care and engaged-in-care HIV patients in Leningrad Oblast, Russian Federation

Barriers and facilitators to medical visit retention

Anna Pecoraro, Matthew J. Mimiaga, Conall O'Cleirigh, Steven Safren, Elena Blokhina, Elena Verbitskaya, Evgeny Krupitsky, Sergii Dvoriak, George Woody

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1249-1257
Number of pages9
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume26
Issue number10
DOIs
StatePublished - Oct 3 2014
Externally publishedYes

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patient care
Patient Care
Russia
HIV
Therapeutics
spirituality
social support
Spirituality
discrimination
Focus Groups
Social Support
present
Depression
Delivery of Health Care
experience
Group

Keywords

  • AIDS
  • attrition
  • HIV
  • positive psychology
  • retention
  • Russian Federation

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Social Psychology
  • Medicine(all)

Cite this

Lost-to-care and engaged-in-care HIV patients in Leningrad Oblast, Russian Federation : Barriers and facilitators to medical visit retention. / Pecoraro, Anna; Mimiaga, Matthew J.; O'Cleirigh, Conall; Safren, Steven; Blokhina, Elena; Verbitskaya, Elena; Krupitsky, Evgeny; Dvoriak, Sergii; Woody, George.

In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Vol. 26, No. 10, 03.10.2014, p. 1249-1257.

Research output: Contribution to journalArticle

Pecoraro, Anna ; Mimiaga, Matthew J. ; O'Cleirigh, Conall ; Safren, Steven ; Blokhina, Elena ; Verbitskaya, Elena ; Krupitsky, Evgeny ; Dvoriak, Sergii ; Woody, George. / Lost-to-care and engaged-in-care HIV patients in Leningrad Oblast, Russian Federation : Barriers and facilitators to medical visit retention. In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV. 2014 ; Vol. 26, No. 10. pp. 1249-1257.
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