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M94A1814.TXT
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1994-10-24
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Document 1814
DOCN M94A1814
TI HIV positive IVDUs perceptions of health care.
DT 9412
AU Tellier A; Sobel A; ARGOS 94, Hopital Henri Mondor, France.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):445 (abstract no. PD0390). Unique
Identifier : AIDSLINE ICA10/94370761
AB OBJECTIFS: Our research's purpose has been to investigate HIV+/IVDU's
perceptions of health system and actual achevement of the care offer.
Actually, hospitals have developed alternate pathways, but care teams'
difficulties about I.V.D.U. may have induced incomplete care. About
customers, a poor and disinformed recourse to medical institutions is
underlined. We would like to emphasize the requirement for increasing
knowledge on patients who seem to avoid and scape regular care. METHODS:
A qualitative approach has been chosen and realized in the south-east
suburban area of Ile-de-France targeting 40 HIV+/IVDUs. Data was
collected through in-depth interviews, that have been processed by
thematic analysis of speeches. RESULTS: Our data show that the recourse
of HIV+/IVDUs to medical institutions is linked to a) social
representations of AIDS; b) the knowledge of symptoms and disease
process; c) peers' representations on HIV treatments; d) health care's
previous experiences; e) influence of social-environment; f) the team's
representations of drug users (stigma) and the quality of care
relationships. CONCLUSIONS: HIV+/IVDUs appear to base their recourse to
health care on representations of AIDS and health system. Developing
secondaire preventive action to outreach HIV+/IVDUs is necessary, as
well as to change care givers' representations, in order to improve
assistance's quality.
DE Attitude France Health Services/*UTILIZATION Human HIV
Seropositivity/*COMPLICATIONS/PSYCHOLOGY Substance Abuse,
Intravenous/*COMPLICATIONS/PSYCHOLOGY MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).