wow-inequalities/02-data/intermediate/wos_sample/2a038db057a8e7059e9c5bf893e70007-hoffmann-michael-an/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Global and national HIV/AIDS policies utilize the care cascade to
emphasize the importance of continued engagement in HIV services from
diagnosis to viral suppression. Several studies have documented barriers
that men experience in accessing services at specific stages of care,
but few have analyzed how these barriers operate along the care cascade.
Brazil offers a unique setting for analyzing barriers to HIV care
because it is a middle-income country with a large HIV epidemic and
free, universal access to HIV/AIDS services. Semi-structured interviews
were conducted in 2011 with HIV-infected men (n=25) receiving care at
the only HIV/AIDS state reference center in Salvador, Brazil, the third
largest city in the country. Interviews were transcribed and coded for
analysis. Researchers identified barriers to services along the care
cascade: health service-related obstacles (poor-quality care, lengthy
wait times, and drug supply problems); psychosocial and emotional
challenges (fear of disclosure and difficulty accepting HIV diagnosis);
indirect costs (transportation and absenteeism at work or school); low
perceived risk of HIV; and toxicity and complexity of antiretroviral
drug (ARV) regimens. The stages of the care cascade interrupted by each
barrier were also identified. Most barriers affected multiple, and often
all, stages of care, while toxicity and complexity of ARV regimens was
only present at a single care stage. Efforts to eliminate more prevalent
barriers have the potential to improve care continuity at multiple
stages. Going forward, assessing the relative impact of barriers along
one''s entire care trajectory can help tailor improvements in service
provision, facilitate achievement of viral suppression, and improve
access to life-saving testing, treatment, and care.'
affiliation: 'Hoffmann, M (Corresponding Author), Brown Univ, Sch Publ Hlth, 121 South
Main St,Suite 810, Providence, RI 02912 USA.
Hoffmann, Michael; Batson, Ashley; Nunn, Amy, Brown Univ, Sch Publ Hlth, Providence,
RI 02912 USA.
Hoffmann, Michael; Batson, Ashley; Nunn, Amy, Miriam Hosp, Providence, RI 02912
USA.
MacCarthy, Sarah, RAND Corp, Santa Monica, CA 90407 USA.
Crawford-Roberts, Ann, Icahn Sch Med Mt Sinai, New York, NY 10029 USA.
Rasanathan, Jennifer, Montefiore Med Ctr, Dept Family \& Social Med, Bronx, NY 10467
USA.
Silva, Luis Augusto; Dourado, Ines, Univ Fed Bahia, Inst Collect Hlth, Salvador,
BA, Brazil.'
author: Hoffmann, Michael and MacCarthy, Sarah and Batson, Ashley and Crawford-Roberts,
Ann and Rasanathan, Jennifer and Nunn, Amy and Silva, Luis Augusto and Dourado,
Ines
author-email: michael.tg.hoffmann@gmail.com
author_list:
- family: Hoffmann
given: Michael
- family: MacCarthy
given: Sarah
- family: Batson
given: Ashley
- family: Crawford-Roberts
given: Ann
- family: Rasanathan
given: Jennifer
- family: Nunn
given: Amy
- family: Silva
given: Luis Augusto
- family: Dourado
given: Ines
da: '2023-09-28'
doi: 10.1080/09540121.2015.1062462
eissn: 1360-0451
files: []
issn: 0954-0121
journal: AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV
keywords: HIV; AIDS; care cascade; barriers; men; delay; Brazil
keywords-plus: 'ANTIRETROVIRAL THERAPY; DIAGNOSIS; AIDS; PREDICTORS; PREVENTION;
SPECTRUM; COHORT; ADULTS; SEX; MSM'
language: English
month: JAN 2
number: '1'
number-of-cited-references: '36'
orcid-numbers: 'Dourado, Ines/0000-0003-1675-2146
Crawford-Roberts, Ann/0000-0002-0630-4430'
pages: 57-62
papis_id: 165f732aa6f5e1b5ba728e8a2b6e476e
ref: Hoffmann2016barrierscare
researcherid-numbers: 'Dourado, Ines/Q-6535-2016
'
times-cited: '15'
title: Barriers along the care cascade of HIV-infected men in a large urban center
of Brazil
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000368505200007
usage-count-last-180-days: '0'
usage-count-since-2013: '6'
volume: '28'
web-of-science-categories: 'Health Policy \& Services; Public, Environmental \& Occupational
Health;
Psychology, Multidisciplinary; Respiratory System; Social Sciences,
Biomedical'
year: '2016'