Barriers to Retention in Care among Adults with HIV in Developed Countries: An Integrative Review.

Focusing on factors hindering viral suppression is essential for improving the health outcomes of people with Human Immunodeficiency Virus (HIV) and working towards ending the HIV/AIDS epidemic. The aim of this integrative review is to create an overview of barriers to retention in care among adults...

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Publicado en:AIDS & Behavior Vol. 29; no. 7; pp. 2205 - 2226
Autores principales: Sanders, Tea Nynne, Roed, Anna Katrine Haslund, Missel, Malene, Berg, Selina Kikkenborg, Nielsen, Susanne Dam, Olesen, Mette Linnet, Kirk, Ole
Formato: research systematic review tables/charts Journal Article
Publicado: Springer Nature Jul2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Barriers to Retention in Care among Adults with HIV in Developed Countries: An Integrative Review.
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        au:
          Sanders, Tea Nynne
          Roed, Anna Katrine Haslund
          Missel, Malene
          Berg, Selina Kikkenborg
          Nielsen, Susanne Dam
          Olesen, Mette Linnet
          Kirk, Ole
        affil: https://ror.org/03mchdq19 Department of Infectious Diseases, Copenhagen University Hospital Rigshospitalet, Esther Møllers Vej 6, 2100, Copenhagen, Denmark
      sug:
        subj:
          HIV Infections Prevention and Control
          HIV-Positive Persons
          Developed Countries
          Patient Compliance In Adulthood
          Patient Participation Psychosocial Factors
          Human
          Systematic Review
          Adult
          Embase
          PubMed
          CINAHL Database
          Psycinfo
          Quality Assessment
          Thematic Analysis
          Financial Stress
          Stigma
          Mental Disorders
          Substance Use Disorders
          Patient Centered Care
          Funding Source
          Adult: 19-44 years
      ab: Focusing on factors hindering viral suppression is essential for improving the health outcomes of people with Human Immunodeficiency Virus (HIV) and working towards ending the HIV/AIDS epidemic. The aim of this integrative review is to create an overview of barriers to retention in care among adults with HIV living in developed countries. Based on a systematic literature search across EMBASE, PubMed, Scopus, CINAHL, and PsycInfo, 4,089 studies of various methodology were identified. A total of 52 studies met the inclusion criteria. Quality assessment was performed using the Mixed Method Appraisal Tool. Based on thematic analysis, the following five main themes were identified as most common barriers to retention in care: financial challenges, logistical challenges, stigma, mental health problems, and substance use. The integrative review highlights that various factors can hinder retention in care and underscores that strategies to promote retention in care should be person-centered and targeted the individual person's barriers to retention in care.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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