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Adjustment to acute or early HIV-1 infection diagnosis to prompt linkage to care and ART initiation: qualitative insights from coastal Kenya.

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Title: Adjustment to acute or early HIV-1 infection diagnosis to prompt linkage to care and ART initiation: qualitative insights from coastal Kenya.
Authors: Van Der Elst, EM, Kombo, B, Mugo, P, Thiong'o, A, Kanungi, J, Wahome, E, Chirro, O, Graham, SM, Operario, D, Sanders, EJ
Source: Psychology, Health & Medicine. Jun2019, Vol. 24 Issue 5, p631-641. 11p. 1 Diagram, 1 Chart.
Subjects: Diagnosis of HIV infections, Antiretroviral agents, Adaptability (Personality), Conceptual structures, Grounded theory, HIV infections, Psychology of HIV-positive persons, Interviewing, Sex work, Qualitative research, Disclosure, Early medical intervention, Early diagnosis
Geographic Terms: Kenya
Abstract: Diagnosing and treating patients with acute or early HIV-1 infection (AEHI) is an important strategy to prevent HIV-1 transmission. We used qualitative methods to understand factors that facilitate adjustment to AEHI diagnosis, prompt linkage to care and initiation of antiretroviral treatment (ART). Twenty-three AEHI patients (12 women, 11 men) included 18 participants identified at health facilities, and 5 participants identified in a sex worker cohort. Of these, 17 participants (9 women, 8 men) participated in qualitative interviews about their AEHI status 2 weeks after diagnosis. Thirteen participants (7 women, 6 men) returned for a second interview 12 weeks after diagnosis. Interviews explored participants' experiences at the time of and following their diagnosis, and examined perceptions about ART initiation and behavior change recommendations, including disclosure and partner notification. A grounded theory framework was used for analysis, eliciting three important needs that should be addressed for AEHI patients: 1) the need to better understand AEHI and accept one's status; 2) the need to develop healthy strategies and adjust to the reality of AEHI status; and 3) the need to protect self and others through ART initiation, adherence, safer sex, and disclosure. A preliminary conceptual framework to guide further intervention and research with AEHI populations is proposed. [ABSTRACT FROM AUTHOR]
Copyright of Psychology, Health & Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Adjustment to acute or early HIV-1 infection diagnosis to prompt linkage to care and ART initiation: qualitative insights from coastal Kenya.
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  Data: <searchLink fieldCode="AR" term="%22Van+Der+Elst%2C+EM%22">Van Der Elst, EM</searchLink><br /><searchLink fieldCode="AR" term="%22Kombo%2C+B%22">Kombo, B</searchLink><br /><searchLink fieldCode="AR" term="%22Mugo%2C+P%22">Mugo, P</searchLink><br /><searchLink fieldCode="AR" term="%22Thiong'o%2C+A%22">Thiong'o, A</searchLink><br /><searchLink fieldCode="AR" term="%22Kanungi%2C+J%22">Kanungi, J</searchLink><br /><searchLink fieldCode="AR" term="%22Wahome%2C+E%22">Wahome, E</searchLink><br /><searchLink fieldCode="AR" term="%22Chirro%2C+O%22">Chirro, O</searchLink><br /><searchLink fieldCode="AR" term="%22Graham%2C+SM%22">Graham, SM</searchLink><br /><searchLink fieldCode="AR" term="%22Operario%2C+D%22">Operario, D</searchLink><br /><searchLink fieldCode="AR" term="%22Sanders%2C+EJ%22">Sanders, EJ</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Psychology%2C+Health+%26+Medicine%22">Psychology, Health & Medicine</searchLink>. Jun2019, Vol. 24 Issue 5, p631-641. 11p. 1 Diagram, 1 Chart.
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  Data: <searchLink fieldCode="DE" term="%22Diagnosis+of+HIV+infections%22">Diagnosis of HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Antiretroviral+agents%22">Antiretroviral agents</searchLink><br /><searchLink fieldCode="DE" term="%22Adaptability+%28Personality%29%22">Adaptability (Personality)</searchLink><br /><searchLink fieldCode="DE" term="%22Conceptual+structures%22">Conceptual structures</searchLink><br /><searchLink fieldCode="DE" term="%22Grounded+theory%22">Grounded theory</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+HIV-positive+persons%22">Psychology of HIV-positive persons</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+work%22">Sex work</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Disclosure%22">Disclosure</searchLink><br /><searchLink fieldCode="DE" term="%22Early+medical+intervention%22">Early medical intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Early+diagnosis%22">Early diagnosis</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Kenya%22">Kenya</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Diagnosing and treating patients with acute or early HIV-1 infection (AEHI) is an important strategy to prevent HIV-1 transmission. We used qualitative methods to understand factors that facilitate adjustment to AEHI diagnosis, prompt linkage to care and initiation of antiretroviral treatment (ART). Twenty-three AEHI patients (12 women, 11 men) included 18 participants identified at health facilities, and 5 participants identified in a sex worker cohort. Of these, 17 participants (9 women, 8 men) participated in qualitative interviews about their AEHI status 2 weeks after diagnosis. Thirteen participants (7 women, 6 men) returned for a second interview 12 weeks after diagnosis. Interviews explored participants' experiences at the time of and following their diagnosis, and examined perceptions about ART initiation and behavior change recommendations, including disclosure and partner notification. A grounded theory framework was used for analysis, eliciting three important needs that should be addressed for AEHI patients: 1) the need to better understand AEHI and accept one's status; 2) the need to develop healthy strategies and adjust to the reality of AEHI status; and 3) the need to protect self and others through ART initiation, adherence, safer sex, and disclosure. A preliminary conceptual framework to guide further intervention and research with AEHI populations is proposed. [ABSTRACT FROM AUTHOR]
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  Label:
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  Data: <i>Copyright of Psychology, Health & Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=135462441
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/13548506.2018.1549736
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 631
    Subjects:
      – SubjectFull: Diagnosis of HIV infections
        Type: general
      – SubjectFull: Antiretroviral agents
        Type: general
      – SubjectFull: Adaptability (Personality)
        Type: general
      – SubjectFull: Conceptual structures
        Type: general
      – SubjectFull: Grounded theory
        Type: general
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Psychology of HIV-positive persons
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Sex work
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Disclosure
        Type: general
      – SubjectFull: Early medical intervention
        Type: general
      – SubjectFull: Early diagnosis
        Type: general
      – SubjectFull: Kenya
        Type: general
    Titles:
      – TitleFull: Adjustment to acute or early HIV-1 infection diagnosis to prompt linkage to care and ART initiation: qualitative insights from coastal Kenya.
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              M: 06
              Text: Jun2019
              Type: published
              Y: 2019
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