Considerations for Equitable Distribution of Digital Healthcare for People Who Use Drugs DOI Creative Commons
Zoi Papalamprakopoulou, Sotirios Roussos,

Elisavet Ntagianta

et al.

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 20, 2024

Abstract Background Telehealth holds the potential to expand healthcare access for people who use drugs (PWUD). However, approaches increase PWUDs’ digital are not well-understood. We studied accessibility among PWUD. Methods employed respondent-driven sampling recruit 162 PWUD in Athens, Greece collect data via a structured questionnaire. Participants were aged at least 18 years and had an injection drug (IDU) history. assessed current internet computer access, experience with telemedicine. utilized logistic regression evaluate sociodemographic associations. Results Participants’ mean (standard deviation) age was 45.9 (8.8) years, 84.0% male, 90.1% Greek, 77.8% reported IDU within past year, 85.2% linked opioid treatment, 50.0% currently experiencing homelessness. Only 1.9% 46.3% familiarity Internet by 66.0% 31.5% of participants, respectively. Compared participants secure housing, those homelessness decreased (50.6% vs 81.5%, p<0.001) (11.1% 51.9%, p<0.001). Multivariable analyses revealed that older (per 1-year increase: odds ratio [OR]=0.94, 95% confidence interval [CI] [0.89, 0.99], p=0.03), year (0.29 [0.10, 0.88], (0.29, [0.13, 0.65], p=0.003) associated lower access. Homelessness (0.17, [0.07, 0.41], Conclusions infrastructure challenges, homelessness, literacy gaps should be considered bridge divide ensure equitable distribution Clintrials.gov registration number: NCT05794984

Language: Английский

HIV Prevention in Syringe Service Programs Since the Start of COVID-19: Where Do We Go From Here? DOI
Mary A. Hatch, Melissa M. Ertl,

David Closs

et al.

Current HIV/AIDS Reports, Journal Year: 2025, Volume and Issue: 22(1)

Published: Jan. 15, 2025

Language: Английский

Citations

0
“We really need to surround people with care:” a qualitative examination of service providers’ perspectives on barriers to HIV care in Manitoba, Canada DOI Creative Commons

Cheryl Sobie,

Katharina Maier,

Margaret Haworth-Brockman

et al.

BMC Health Services Research, Journal Year: 2025, Volume and Issue: 25(1)

Published: March 26, 2025

To identify barriers to HIV care from the perspectives of service providers in Manitoba (MB), Canada during 2020–2022 period COVID-19 pandemic. In this qualitative study, we conducted semi-structured interviews with between October 2022 and January 2023. Purposive sampling was used include a cross-section 27 (clinicians, nurses, social workers, pharmacists, program managers, health education facilitators). The main themes explored included: (1) provider roles organization; (2) facilitators care; (3) harm reduction sexually transmitted blood-borne infections prevention practices; (4) impacts pandemic on (5) policies related Manitoba. Using Social Ecological Model Health framework, our analysis identified at four different levels: structural level barriers, including limitations public support systems, geographic policy inefficiencies; socio-cultural/community such as experiences racism, stigma discrimination leading people living HIV's (PLHIV) reduced trust system; institutional which describe how lack primary for PLHIV, delivery model Manitoba, system capacity have created missed opportunities linkage intrapersonal that reflect interaction structural, socio-cultural, challenge providers' role performance exacerbate risk burnout moral distress. Our findings demonstrate multi-level intersect create challenges both PLHIV providers, limiting where receive impeding ability perform their provide effective, consistent care. Given key facilitating care, social/community, changes are needed, is further research examine causes develop meaningful interventions mental well-being.

Language: Английский

Citations

0
Considerations for equitable distribution of digital healthcare for people who use drugs DOI Creative Commons
Zoi Papalamprakopoulou, Sotirios Roussos,

Elisavet Ntagianta

et al.

BMC Health Services Research, Journal Year: 2025, Volume and Issue: 25(1)

Published: April 10, 2025

Language: Английский

Citations

0
Challenges of Integrating HIV Prevention and Treatment in China's Border Mountain Regions: A Grounded Theory Study DOI

Sixian Du,

Haoran Niu, Feng Jiang

et al.

Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown

Published: April 21, 2025

Abstract Background HIV remains a critical global public health challenge, with 39 million people living as of 2022 and over 40.4 lives lost to the epidemic. In China, burden is similarly significant, 1.33 cases reported 2024. The challenges are particularly acute in western regions like Yunnan Province, which face resource limitations, socio-demographic disparities, high prevalence among ethnic minorities. Objectives This study examines HIV/AIDS diagnosis, treatment, prevention across various institutions including government bodies, hospitals, disease control centers, primary healthcare institutions. It aims provide insights for optimizing treatment strategies areas minorities impoverished mountainous regions. Methods employs Grounded Theory examine systemic, socio-demographic, cultural barriers integrating M City, resource-limited border region Province. Data were collected through semi-structured interviews 23 participants, individuals HIV, village doctors, providers, policymakers, gain comprehensive understanding management. Results identifies several treatment. Patients’ low awareness, poor medication adherence driven by stigma, weak family support, high-risk behaviors such condom use migration significantly exacerbate transmission risks. Village doctors logistical stigma conducting follow-ups, while hospitals overburdened insufficient staff resources manage increasing patient loads. Additionally, inter-agency collaboration inadequate referral mechanisms hinder coordinated care timely interventions. managing comorbidities ART-related complications, osteoporosis liver dysfunction, further strains under-resourced system. These collectively underscore urgent need integrated, multisectoral solutions. Conclusion highlights complex prevention, integration economically underdeveloped regions, emphasizing improved system efficiency, cross-institutional collaboration. Future research should focus on multi-center, longitudinal studies real-world implementation refine scale model sustainable these

Language: Английский

Citations

0
Considerations for Equitable Distribution of Digital Healthcare for People Who Use Drugs DOI Creative Commons
Zoi Papalamprakopoulou, Sotirios Roussos,

Elisavet Ntagianta

et al.

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 20, 2024

Abstract Background Telehealth holds the potential to expand healthcare access for people who use drugs (PWUD). However, approaches increase PWUDs’ digital are not well-understood. We studied accessibility among PWUD. Methods employed respondent-driven sampling recruit 162 PWUD in Athens, Greece collect data via a structured questionnaire. Participants were aged at least 18 years and had an injection drug (IDU) history. assessed current internet computer access, experience with telemedicine. utilized logistic regression evaluate sociodemographic associations. Results Participants’ mean (standard deviation) age was 45.9 (8.8) years, 84.0% male, 90.1% Greek, 77.8% reported IDU within past year, 85.2% linked opioid treatment, 50.0% currently experiencing homelessness. Only 1.9% 46.3% familiarity Internet by 66.0% 31.5% of participants, respectively. Compared participants secure housing, those homelessness decreased (50.6% vs 81.5%, p<0.001) (11.1% 51.9%, p<0.001). Multivariable analyses revealed that older (per 1-year increase: odds ratio [OR]=0.94, 95% confidence interval [CI] [0.89, 0.99], p=0.03), year (0.29 [0.10, 0.88], (0.29, [0.13, 0.65], p=0.003) associated lower access. Homelessness (0.17, [0.07, 0.41], Conclusions infrastructure challenges, homelessness, literacy gaps should be considered bridge divide ensure equitable distribution Clintrials.gov registration number: NCT05794984

Language: Английский

Citations

1