Barriers and Facilitators of Linkage to HIV Care Among HIV-infected Young Chinese Men Who Have Sex With Men: A Qualitative Study

Simple item page
aut.relation.articlenumber214en_NZ
aut.relation.journalBMC Health Services Researchen_NZ
aut.relation.volume17en_NZ
aut.researcherHolroyd, Eleanor
dc.contributor.authorLi, Hen_NZ
dc.contributor.authorWei, Cen_NZ
dc.contributor.authorTucker, Jen_NZ
dc.contributor.authorKang, Den_NZ
dc.contributor.authorLiao, Men_NZ
dc.contributor.authorHolroyd, Een_NZ
dc.contributor.authorZheng, Jen_NZ
dc.contributor.authorQi, Qen_NZ
dc.contributor.authorMa, Wen_NZ
dc.date.accessioned2020-08-31T01:34:33Z
dc.date.available2020-08-31T01:34:33Z
dc.date.copyright2017en_NZ
dc.date.issued2017en_NZ
dc.description.abstractBackground: 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.en_NZ
dc.identifier.citationBMC Health Serv Res 17, 214 (2017). https://doi.org/10.1186/s12913-017-2158-7
dc.identifier.doi10.1186/s12913-017-2158-7en_NZ
dc.identifier.issn1472-6963en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/13618
dc.relation.urihttps://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2158-7
dc.rights© The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectHIV; Linkage to care; Men who have sex with men; China; Qualitative
dc.titleBarriers and Facilitators of Linkage to HIV Care Among HIV-infected Young Chinese Men Who Have Sex With Men: A Qualitative Studyen_NZ
dc.typeJournal Article
pubs.elements-id275959
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Clinical Sciences
pubs.organisational-data/AUT/Health & Environmental Science/Nursing
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Barriers and facilitators of linkage to HIV care among HIV-infected young Chinese men who have sex with men: a qualitative study.pdf
Size:
379.44 KB
Format:
Adobe Portable Document Format
Description:
Journal article
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
AUT Grant of Licence for Tuwhera Aug 2018.pdf
Size:
276.29 KB
Format:
Adobe Portable Document Format
Description:
Download
Collections
School of Clinical Sciences