자료유형  

 학위논문

Control Number  

0016935031

International Standard Book Number  

9798380391931

Dewey Decimal Classification Number  

614.4

Main Entry-Personal Name  

Lammert, Sara.

Publication, Distribution, etc. (Imprint  

[S.l.] : University of Minnesota., 2023

Publication, Distribution, etc. (Imprint  

Ann Arbor : ProQuest Dissertations & Theses, 2023

Physical Description  

1 online resource(137 p.)

General Note  

Source: Dissertations Abstracts International, Volume: 85-03, Section: B.

General Note  

Advisor: Horvath, Keith;MacLehose, Richard.

Dissertation Note  

Thesis (Ph.D.)--University of Minnesota, 2023.

Restrictions on Access Note  

This item must not be sold to any third party vendors.

Summary, Etc.  

요약Key targets on the HIV Continuum of Care include diagnosis, receiving HIV-specific care, and viral suppression. However, many persons living with HIV are not reaching these important thresholds. The goal of this dissertation was to examine facilitators and barriers to achieving these steps on the HIV Continuum of Care.First, I examined the role of user engagement with three major components of Thrive with Me (TWM), an mHealth intervention, on viral suppression. Among users, engagement with the TWM intervention was high. High overall engagement with TWM was found to be associated with viral suppression at the end of the active intervention period. Of the individual TWM components, only engagement with asynchronous peer exchanges was associated with achieving viral suppression.Second, I evaluated the relationship between individual-level and social-level factors on patient activation, a measure of an individual's ability to be engaged with their health care, among a sample of men who have sex with men living with HIV. Overall patient activation was high in this sample. Social support and antiretroviral therapy (ART) related information, motivation, and behavioral skills may increase patient activation while increased life chaos, perceived stress, HIV-related stigma, and stimulant drug use may decrease patient activation.Finally, I examined the association of individual, social, and structural level facilitators and barriers to engagement in care among Ethiopians initiating HIV care. Decreased HIV knowledge, the inability to carry out normal activities, social isolation, and transportation were barriers to being retained in HIV care within one-year of initiating HIV treatment. In the long-term, HIV disclosure and social support may facilitate sustained engagement in HIV care.The results of the manuscripts presented in this dissertation help to identify potential areas of intervention to improve steps on the HIV Continuum of Care, including retention in care and viral suppression.

Subject Added Entry-Topical Term  

Epidemiology.

Subject Added Entry-Topical Term  

Public health.

Subject Added Entry-Topical Term  

Sexuality.

Subject Added Entry-Topical Term  

Virology.

Index Term-Uncontrolled  

Antiretroviral therapy

Index Term-Uncontrolled  

HIV continuum

Index Term-Uncontrolled  

HIV-specific care

Index Term-Uncontrolled  

Viral suppression

Index Term-Uncontrolled  

Ethiopians

Added Entry-Corporate Name  

University of Minnesota Epidemiology

Host Item Entry  

Dissertations Abstracts International. 85-03B.

Host Item Entry  

Dissertation Abstract International

Electronic Location and Access  

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Control Number  

joongbu:642446