Author:
SoleimanvandiAzar Neda,Karimi Salah Eddin,Ahmadi Sina,Irandoost Seyed Fahim,Amirkafi Ali,Azimi Amir
Abstract
Abstract
Background
Health service utilization among people living with HIV is vital for their survival and quality of life. This study aims to exploring the determinants influencing health service utilization among people living with HIV.
Methods
We conducted a qualitative study involving 16 men and women aged 18–64 living with HIV in Tehran. Data were collected between September and December 2021 through semi-structured interviews conducted via telephone and online platforms, utilizing the purposeful sampling method. Data were analyzed by MAXQDA-2018 software using conventional content analysis approaches and the Granheim and Landman method.
Results
Two main themes, seven categories, and 21 subcategories were obtained from the interviews. The main themes included facilitators of health service utilization (positive personality traits, social factors, and structural-behavioral determinants) and inhibitors of health service utilization (personal conditions, insufficient knowledge and understanding of the disease, negative consequences of disease disclosure, and difficult access to services).
Conclusion
This study underscores the need to invest and expand specialized services for people living with HIV by policy makers, while simultaneously increasing public awareness to reduce the social stigma.
Publisher
Springer Science and Business Media LLC
Reference48 articles.
1. SoleimanvandiAzar N, Kamal SHM, Sajjadi H, Ardakani HM, Forouzan AS, Karimi SE, et al. Outpatient health service utilization and associated factors: a cross-sectional population-based study in Tehran in 2019. Med J Islamic Repub Iran. 2021;35:71.
2. Luseno WK, Wechsberg WM, Kline TL, Ellerson RM. Health services utilization among South African women living with HIV and reporting sexual and substance-use risk behaviors. AIDS Patient Care STDs. 2010;24(4):257–64.
3. Asghari S, Hurd J, Marshall Z, Maybank A, Hesselbarth L, Hurley O, et al. Challenges with access to healthcare from the perspective of patients living with HIV: a scoping review & framework synthesis. AIDS Care. 2018;30(8):963–72.
4. SoleimanvandiAzar N, Zanjari N, Karimi SE, Irandoost SF, Gharehghani MAM, Ziapour A, et al. Investigating the effect of social support, social capital, and coping on the positive state of mind of Iranian older people with human immunodeficiency virus/acquired immunodeficiency syndrome. J Educ Health Promotion. 2021. 10.
5. Sajadipour M, Rezaei S, Irandoost SF, Ghaumzadeh M, Salmani nadushan M, Gholami M, et al. What explains gender inequality in HIV Infection among high-risk people? A Blinder-Oaxaca decomposition. Archives of Public Health. 2022;80(1):2.