Barriers and facilitators of linkage to HIV care among HIV-infected young Chinese men who have sex with men: a qualitative study
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Li, Haochu, et al. Barriers and Facilitators of Linkage to Hiv Care Among Hiv-infected Young Chinese Men Who Have Sex with Men: a Qualitative Study. BioMed Central, 2017. https://doi.org/10.17615/p2y8-ca15APA
Li, H., Wei, C., Tucker, J., Kang, D., Liao, M., Holroyd, E., Zheng, J., Qi, Q., & Ma, W. (2017). Barriers and facilitators of linkage to HIV care among HIV-infected young Chinese men who have sex with men: a qualitative study. BioMed Central. https://doi.org/10.17615/p2y8-ca15Chicago
Li, Haochu, Chongyi Wei, Joseph Tucker, Dianmin Kang, Meizhen Liao, Eleanor Holroyd, Jietao Zheng et al. 2017. Barriers and Facilitators of Linkage to Hiv Care Among Hiv-Infected Young Chinese Men Who Have Sex with Men: a Qualitative Study. BioMed Central. https://doi.org/10.17615/p2y8-ca15- Creator
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Li, Haochu
- Affiliation: School of Medicine, Institute for Global Health and Infectious Diseases
- Other Affiliation: Shandong University
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Wei, Chongyi
- Other Affiliation: University of California - San Francisco
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Tucker, Joseph
- Affiliation: School of Medicine, Institute for Global Health and Infectious Diseases
- Other Affiliation: UNC Project-China
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Kang, Dianmin
- Other Affiliation: Shandong Provincial Center for Disease Control and Prevention
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Liao, Meizhen
- Other Affiliation: Shandong Provincial Center for Disease Control and Prevention
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Holroyd, Eleanor
- Other Affiliation: Auckland University of Technology
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Zheng, Jietao
- Other Affiliation: Shandong University
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Qi, Qian
- Other Affiliation: Shandong University
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Ma, Wei
- Other Affiliation: Shandong University
- Abstract
- Abstract Background The Four Free and One Care Policy (HIV/AIDS-related free services) has been in place in China since 2004. However, linkage to human immunodeficiency virus (HIV) care is not yet achieved very well among people living with HIV. We conducted a qualitative study to explore individual and contextual factors that may influence a linkage to HIV care from the perspective of young HIV-infected men who have sex with men (MSM) in a highly centralized HIV care context of China. Methods Purposive sampling was used to recruit 21 HIV-infected MSM in Shandong Province, with in-depth interviews conducted between March and July 2015. Thematic content analysis was subsequently used for data analysis. Results Key barriers and facilitators related to a linkage to HIV care emerged from participants’ narratives. The barriers included perceived healthy status, low health literacy, and stigma associated with receiving HIV care. The facilitators included an awareness of responsibility, knowledge associated with health literacy, social support, and trusting and relying on services provided by the Center for Disease Control and Prevention (CDC) and the government. These were related to the quality of current HIV counselling and testing, service promotion, and the cost and placement of these HIV services. Conclusions In order to improve the MSM linkage to HIV care in China, it is imperative to improve the quality of the current on-going counselling and testing. Further critical linkage support includes increasing supportive services among local CDC systems, designated hospitals and community-based organizations (CBOs), and more financial support for HIV/AIDS related testing, medical checkups and treatments.
- Date of publication
- March 16, 2017
- DOI
- Identifier
- Resource type
- Article
- Rights statement
- In Copyright
- Rights holder
- The Author(s).
- Journal title
- BMC Health Services Research
- Journal volume
- 17
- Journal issue
- 1
- Language
- English
- Bibliographic citation
- BMC Health Services Research. 2017 Mar 16;17(1):214
- Publisher
- BioMed Central
- Date uploaded
- March 17, 2017
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