title: Factors associated with HIV-infected women's delay in seeking medical care.
abstract: Data from an investigation of HIV-infected African-American, Puerto Rican and non-Hispanic white women's treatment behaviour and decision-making are presented. Findings are based on a thematic analysis of the narrative accounts of 31 women who exhibited significant delay in seeing a physician about their HIV infection after testing positive for HIV antibodies. Analysis of the women's qualitative interview data indicated that a variety of barriers impeded them from actively pursuing treatment. The women's psychological responses to learning their serostatus were the most pervasive factors associated with delaying seeking care. Implications of the analysis for informing the design of secondary prevention efforts to move women into treatment earlier are discussed, such as the need to develop interventions or supportive services designed to assist women in coming to terms with their infected status.
authors.affiliation: Columbia University, School of Public Health, Division of Sociomedical Sciences, New York, NY 10032, USA. vhr1@columbia.edu
authors.forename: V H
authors.initials: VH
authors.lastname: Raveis
authors.forename: K
authors.initials: K
authors.lastname: Siegel
authors.forename: E
authors.initials: E
authors.lastname: Gorey
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology; D001294:Attitude to Health; D003657:Decision Making; D003717:Denial, Psychological; D004644:Emotions; D005260:Female; D015658:HIV Infections / Q000208:ethnology / Q000523:psychology / Q000628:therapy*; D006801:Humans; D008019:Life Style; D008875:Middle Aged; D009519:New York City / Q000453:epidemiology; D010342:Patient Acceptance of Health Care / Q000208:ethnology; D011647:Puerto Rico / Q000208:ethnology; D013240:Stereotyping; D019966:Substance-Related Disorders / Q000523:psychology; D013997:Time Factors