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Enhancing Public Health HIV Interventions: A Qualitative Meta-Synthesis and Systematic Review of Studies to Improve Linkage to Care, Adherence, and Retention
Tucker, Joseph D.; Tso, Lai Sze; Hall, Brian; Ma, Qingyan; Beanland, Rachel; Best, John; Li, Haochu; Lackey, Mellanye; Marley, Gifty; Rich, Zachary C.; Sou, Ka-lon; Doherty, Meg
2017-03
Source PublicationEBIOMEDICINE
ISSN2352-3964
Volume17Pages:163-171
Abstract

Although HIV services are expanding, few have reached the scale necessary to support universal viral suppression of individuals living with HIV. The purpose of this systematic review was to summarize the qualitative evidence evaluating public health HIV interventions to enhance linkage to care, antiretroviral drug (ARV) adherence, and retention in care. We searched 19 databases without language restrictions. The review collated data from three separate qualitative evidence reviews addressing each of the three outcomes along the care continuum. 21,738 citations were identified and 24 studies were included in the evidence review. Among low and middle-income countries in Africa, men living with HIV had decreased engagement in interventions compared to women and this lack of engagement among men also influenced the willingness of their partners to engage in services. Four structural issues (poverty, unstable housing, food insecurity, lack of transportation) mediated the feasibility and acceptability of public health HIV interventions. Individuals living with HIV identified unmet mental health needs that interfered with their ability to access HIV services. Persistent social and cultural factors contribute to disparities in HIV outcomes across the continuum of care, shaping the context of service delivery among important subpopulations. (C) 2017 The Authors. Published by Elsevier B.V.

KeywordHiv Public Health Intervention Qualitative Systematic Review
DOI10.1016/j.ebiom.2017.01.036
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaGeneral & Internal Medicine ; Research & Experimental Medicine
WOS SubjectMedicine, General & Internal ; Medicine, Research & Experimental
WOS IDWOS:000398075700027
PublisherELSEVIER SCIENCE BV
The Source to ArticleWOS
Scopus ID2-s2.0-85011324145
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionUniversity of Macau
Recommended Citation
GB/T 7714
Tucker, Joseph D.,Tso, Lai Sze,Hall, Brian,et al. Enhancing Public Health HIV Interventions: A Qualitative Meta-Synthesis and Systematic Review of Studies to Improve Linkage to Care, Adherence, and Retention[J]. EBIOMEDICINE, 2017, 17, 163-171.
APA Tucker, Joseph D.., Tso, Lai Sze., Hall, Brian., Ma, Qingyan., Beanland, Rachel., Best, John., Li, Haochu., Lackey, Mellanye., Marley, Gifty., Rich, Zachary C.., Sou, Ka-lon., & Doherty, Meg (2017). Enhancing Public Health HIV Interventions: A Qualitative Meta-Synthesis and Systematic Review of Studies to Improve Linkage to Care, Adherence, and Retention. EBIOMEDICINE, 17, 163-171.
MLA Tucker, Joseph D.,et al."Enhancing Public Health HIV Interventions: A Qualitative Meta-Synthesis and Systematic Review of Studies to Improve Linkage to Care, Adherence, and Retention".EBIOMEDICINE 17(2017):163-171.
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