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Deprecated: Implicit conversion from float 269.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 AIDS+Care 2014 ; 26 (10): 1249-57 Nephropedia Template TP
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Lost-to-Care and Engaged-in-Care HIV Patients in Leningrad Oblast, Russian Federation: Barriers and Facilitators to Medical Visit Retention #MMPMID24666174
AIDS Care 2014[Oct]; 26 (10): 1249-57 PMID24666174show ga
Sixty-nine percent of the 1.5 million Eastern Europeans and Central Asians with HIV live in the Russian Federation (RF). Antiretroviral therapy (ART) is effective but cannot help those who leave treatment. Focus groups with patients who dropped out of ART for ? 12 months (Lost-to-Care, LTCs, n=21), or continued for ? 12 months (Engaged-in-Care; EICs; n= 24) were conducted in St. Petersburg. Structural barriers included: stigma/discrimination; and problems with providers and accessing treatment. Individual barriers included: employment and caring for dependents; inaccurate beliefs about ART (LTC only); side-effects; substance use (LTCs, present; EICs, past); and depression. Desire to live, social support, and spirituality were facilitators for both; EICs also identified positive thinking and experiences with ART and healthcare/professionals. Interventions to facilitate retention and adherence are discussed.