Paper Title
Linkage to Care for HIV-Positive Adolescents: A Multisite Study of the Adolescent Medicine Trials Units of the Adolescent Trials Network
Keywords
- hiv
- linkage to care
- adolescents
- adolescent medicine
- hiv-positive youth
- specialty care
- health services
- hiv testing
- stigma
- confidentiality
- social support
- barriers to care
- mental health
- substance use
- transportation barriers
- healthcare access
- hiv treatment
- community relationships
- care models
- public health
- adolescent health
- patient navigation
- retention in care
- health disparities
- youth engagement
- support systems
- healthcare coordination
- multisite study
- qualitative research
- adolescent trials network
- hiv prevention
Article Type
Original Article
Journal
Research Impact Tools
Publication Info
Volume: 51 | Issue: 6 | Pages: 551–556
Published On
December, 2012
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Abstract
Purpose To understand linkage to care practices at sites providing clinical services to newly diagnosed HIV-positive adolescents. Methods Qualitative analysis of detailed interviews conducted with 28 personnel involved in linkage to care at 15 sites providing specialty care to HIV-positive adolescents. Results We showed that multiple models exist for linkage to care, and that both formal and informal community relationships are important for successful linkage to care. Stigma was seen as a universal issue, enhancing the importance of the balance of confidentiality and social support. Barriers to care, such as mental health issues, substance use, and transportation, are common. Conclusions We conclude that the complexity of linkage to care requires thought and planning as HIV testing is expanded to lower-risk populations.
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