Desire for Patient-Centered HIV Care Among Inconsistently Engaged Racial and Ethnic Minority People Living With HIV

J Assoc Nurses AIDS Care. 2018 May-Jun;29(3):426-438. doi: 10.1016/j.jana.2018.01.001. Epub 2018 Jan 8.

Abstract

Many low-income people of color living with HIV are not virally suppressed. More research is needed to understand how socially marginalized, disengaged, or inconsistently engaged people living with HIV (PLWH) contend with antiretroviral therapy (ART)-related challenges, particularly in the context of interactions with HIV care providers. Twenty-seven semi-structured interviews were conducted with low-income Black and Hispanic PLWH in the New York City area who were currently, or recently, disengaged from outpatient HIV health care at the time of the interview. Participants valued patient-centered health care in which they felt genuinely heard and cared for by their HIV clinicians. This desire was particularly pronounced in the context of wanting to change one's ART regimen. Participant emphasis on wanting to manage ART-related challenges with their providers suggests that HIV providers have an instrumental role in helping their patients feel able to manage their HIV.

Keywords: HIV care; HIV care providers; HIV disparities; adherence; antiretroviral therapy; patient-centered care; retention in care.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Anti-HIV Agents / therapeutic use*
  • Black or African American / psychology*
  • Continuity of Patient Care / organization & administration*
  • Female
  • HIV Infections / drug therapy*
  • HIV Infections / ethnology
  • HIV Infections / psychology
  • Health Services Needs and Demand
  • Healthcare Disparities*
  • Hispanic or Latino / psychology*
  • Humans
  • Interviews as Topic
  • Male
  • Medication Adherence / ethnology
  • Medication Adherence / psychology*
  • New York City
  • Patient-Centered Care*
  • Qualitative Research
  • Retention in Care
  • Vulnerable Populations

Substances

  • Anti-HIV Agents