Enhancing Public Health HIV Interventions: A Qualitative Meta-Synthesis and Systematic Review of Studies to Improve Linkage to Care, Adherence, and Retention
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, anti...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2017-03-01
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| Series: | EBioMedicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352396417300403 |
| _version_ | 1811196005843992576 |
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| author | Joseph D. Tucker Lai Sze Tso Brian Hall Qingyan Ma Rachel Beanland John Best Haochu Li Mellanye Lackey Gifty Marley Zachary C. Rich Ka-lon Sou Meg Doherty |
| author_facet | Joseph D. Tucker Lai Sze Tso Brian Hall Qingyan Ma Rachel Beanland John Best Haochu Li Mellanye Lackey Gifty Marley Zachary C. Rich Ka-lon Sou Meg Doherty |
| author_sort | Joseph D. Tucker |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-12T00:51:49Z |
| format | Article |
| id | doaj.art-acdc36b8849443c287ca4fa3035c5819 |
| institution | Directory Open Access Journal |
| issn | 2352-3964 |
| language | English |
| last_indexed | 2024-04-12T00:51:49Z |
| publishDate | 2017-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | EBioMedicine |
| spelling | doaj.art-acdc36b8849443c287ca4fa3035c58192022-12-22T03:54:43ZengElsevierEBioMedicine2352-39642017-03-0117C16317110.1016/j.ebiom.2017.01.036Enhancing Public Health HIV Interventions: A Qualitative Meta-Synthesis and Systematic Review of Studies to Improve Linkage to Care, Adherence, and RetentionJoseph D. Tucker0Lai Sze Tso1Brian Hall2Qingyan Ma3Rachel Beanland4John Best5Haochu Li6Mellanye Lackey7Gifty Marley8Zachary C. Rich9Ka-lon Sou10Meg Doherty11University of North Carolina Project-China, Guangzhou, ChinaUniversity of North Carolina Project-China, Guangzhou, ChinaGlobal and Community Mental Health Research Group, Department of Psychology, University of Macau, Macau, ChinaUniversity of North Carolina Project-China, Guangzhou, ChinaHIV Department, World Health Organization, Geneva, SwitzerlandSchool of Medicine, University of California, San Francisco, San Francisco, USAUniversity of North Carolina Project-China, Guangzhou, ChinaEccles Health Sciences Library, University of Utah, Salt Lake City, UT, USAUniversity of North Carolina Project-China, Guangzhou, ChinaUniversity of North Carolina Project-China, Guangzhou, ChinaUniversity of North Carolina Project-China, Guangzhou, ChinaHIV Department, World Health Organization, Geneva, SwitzerlandAlthough 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.http://www.sciencedirect.com/science/article/pii/S2352396417300403HIVPublic healthInterventionQualitativeSystematic review |
| spellingShingle | Joseph D. Tucker Lai Sze Tso Brian Hall Qingyan Ma Rachel Beanland John Best Haochu Li Mellanye Lackey Gifty Marley Zachary C. Rich Ka-lon Sou Meg Doherty Enhancing Public Health HIV Interventions: A Qualitative Meta-Synthesis and Systematic Review of Studies to Improve Linkage to Care, Adherence, and Retention EBioMedicine HIV Public health Intervention Qualitative Systematic review |
| title | Enhancing Public Health HIV Interventions: A Qualitative Meta-Synthesis and Systematic Review of Studies to Improve Linkage to Care, Adherence, and Retention |
| title_full | Enhancing Public Health HIV Interventions: A Qualitative Meta-Synthesis and Systematic Review of Studies to Improve Linkage to Care, Adherence, and Retention |
| title_fullStr | Enhancing Public Health HIV Interventions: A Qualitative Meta-Synthesis and Systematic Review of Studies to Improve Linkage to Care, Adherence, and Retention |
| title_full_unstemmed | Enhancing Public Health HIV Interventions: A Qualitative Meta-Synthesis and Systematic Review of Studies to Improve Linkage to Care, Adherence, and Retention |
| title_short | Enhancing Public Health HIV Interventions: A Qualitative Meta-Synthesis and Systematic Review of Studies to Improve Linkage to Care, Adherence, and Retention |
| title_sort | enhancing public health hiv interventions a qualitative meta synthesis and systematic review of studies to improve linkage to care adherence and retention |
| topic | HIV Public health Intervention Qualitative Systematic review |
| url | http://www.sciencedirect.com/science/article/pii/S2352396417300403 |
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