title: The influence of perceptions of HIV infection, care, and identity on care entry.
abstract: The benefits of accessing HIV care after diagnosis (e.g., improved clinical outcomes and reduced transmission) are well established. However, many persons who are aware that they are HIV infected have never received HIV medical care. During 2008-2010, we conducted 43 in-depth interviews in three health department jurisdictions among adults who had received an HIV diagnosis but who had never accessed HIV medical care. Respondents were selected from the HIV/AIDS Reporting System, a population-based surveillance system. We explored how respondents perceived HIV infection and HIV medical care. Most respondents associated HIV with death. Many respondents said that HIV medical care was not necessary until one is sick. Further, we explored how these perceptions may have conflicted with one's identity and thus served as barriers to timely care entry. Most respondents perceived themselves as healthy. All respondents acknowledged their HIV serostatus, but many did not self-identify as HIV-positive. Several respondents expressed that they were not ready to receive HIV care immediately but felt that they would eventually attempt to access care. Some stated that they needed time to accept their HIV diagnosis before entering care. To improve timely linkage to care, we suggest that during the posttest counseling session and subsequent linkage-to-care activities, counselors and service providers discuss patient perceptions of HIV, particularly to address beliefs that HIV infection is a "death sentence" or that HIV care is necessary only for those who exhibit symptoms.
authors.affiliation: Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA. jfagan@cdc.gov
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Fagan
authors.forename: Linda
authors.initials: L
authors.lastname: Beer
authors.forename: Pamela
authors.initials: P
authors.lastname: Garland
authors.forename: Eduardo
authors.initials: E
authors.lastname: Valverde
authors.forename: Maria
authors.initials: M
authors.lastname: Courogen
authors.forename: Daniel
authors.initials: D
authors.lastname: Hillman
authors.forename: Kathleen
authors.initials: K
authors.lastname: Brady
authors.forename: Jeanne
authors.initials: J
authors.lastname: Bertolli
mesh_terms: D000293:Adolescent; D000328:Adult; D018791:CD4 Lymphocyte Count; D003695:Delivery of Health Care / Q000706:statistics & numerical data*; D005260:Female; D006679:HIV Seropositivity / Q000453:epidemiology / Q000276:immunology / Q000523:psychology*; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D010465:Perception; D018571:Sentinel Surveillance; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D055815:Young Adult