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
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