title: Patients' satisfaction with sexual and reproductive health services delivered in HIV clinics across European regions.
abstract: BACKGROUND
  Throughout Europe, differences in satisfaction with HIV-care of people living with HIV (PLHIV) persist, despite a tendency towards harmonisation of policy and management.
  
  
  METHODS
  A European sample of 1,549 PLHIV responded to an anonymous questionnaire assessing demographic background, general health, mental health, sexual health, and HIV-service provision. We compared the results across 3 regions: Western, Southern and Central/Eastern Europe.
  
  
  RESULTS
  PLHIV differed in several socio-demographic variables (gender, migrant status, sexual orientation, and financial situation) as well as specific psychosocial aspects (HIV-related discrimination, satisfaction with sexual and reproductive health (SRH) services in HIV-care settings, and complaints about service provision). Using multivariate analysis, a predictive model for satisfaction with SRH services in HIV clinics was developed, resulting into region of residence, and participants' satisfaction with their own health status as significant predictors.
  
  
  CONCLUSIONS
  Better integration of SRH services in HIV-care should be encouraged. Service providers should be trained and encouraged to discuss SRH issues with their patients to create a supportive environment, free of discrimination. More time should be allocated to discuss SRH issues with individual patients.
authors.affiliation: Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium. tplatteau@itg.be
authors.forename: Tom
authors.initials: T
authors.lastname: Platteau
authors.affiliation: Department of Infectious Diseases, Medical Clinic and Policlinic IV, Ludwig Maximilian University, Munich, Germany.
authors.forename: Matthias C
authors.initials: MC
authors.lastname: Müller
authors.affiliation: University of Applied Sciences Northwestern Switzerland, School of Social Work, Institute for Integration and Participation, Olten, Switzerland.
authors.forename: Sibylle
authors.initials: S
authors.lastname: Nideröst
authors.affiliation: Department of Public Health, Semmelweis University, Budapest, Hungary.
authors.forename: Peter
authors.initials: P
authors.lastname: Csepe
authors.affiliation: European AIDS Treatment Group, Athens, Greece.
authors.forename: Nikos
authors.initials: N
authors.lastname: Dedes
authors.affiliation: Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
authors.forename: Ludwig
authors.initials: L
authors.lastname: Apers
authors.affiliation: University of Hasselt, Hasselt, Belgium.
authors.forename: Ward
authors.initials: W
authors.lastname: Schrooten
authors.affiliation: Department of Public Health and IHAC (ITM's HIV/AIDS Center), Institute of Tropical Medicine, Antwerp, Belgium.
authors.forename: Christiana
authors.initials: C
authors.lastname: Nöstlinger
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities / Q000458:organization & administration*; D005060:Europe; D005260:Female; D015658:HIV Infections / Q000523:psychology*; D006304:Health Status; D006801:Humans; D008297:Male; D008603:Mental Health; D017060:Patient Satisfaction; D011287:Prejudice; D034121:Reproductive Health Services / Q000458:organization & administration*; D012725:Sexual Behavior; D012959:Socioeconomic Factors