title: What high-risk women are telling us about access to primary and reproductive health care and HIV prevention services.
abstract: Focus group discussions on barriers to health care and attitudes toward family planning, reproductive health services, and condom use were conducted with 63 women at high risk for HIV due to their own injection drug use, sex with injection drug users, sex industry work, or a history of multiple sexually transmitted diseases. Barriers identified include the high cost of health care, perceived poor quality of care and experiences of discrimination and stigmatization, geographic accessibility, fear of legal/social services punitive actions, misperceptions about the efficacy of birth control methods and condom usage, lack of sterilization services, and lack of male involvement. Where possible, findings from the focus groups are supported with quantitative survey data from a sample of high-risk women (n = 723). Recommendations are made for improving care for high-risk women.
authors.affiliation: University of California, San Francisco, 94118, USA. dyleli@itsa.ucsf.edu
authors.forename: G
authors.initials: G
authors.lastname: Oliva
authors.forename: J
authors.initials: J
authors.lastname: Rienks
authors.forename: M
authors.initials: M
authors.lastname: McDermid
mesh_terms: D000328:Adult; D005193:Family Planning Services / Q000706:statistics & numerical data*; D005260:Female; D017144:Focus Groups / Q000379:methods; D015658:HIV Infections / Q000517:prevention & control*; D015497:HIV-1; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000706:statistics & numerical data / Q000639:trends*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000706:statistics & numerical data*; D018456:Reproductive Medicine; D012307:Risk Factors; D012495:San Francisco; D014505:Urban Population / Q000706:statistics & numerical data; D014932:Women's Health Services / Q000706:statistics & numerical data*