Evidence map›Paper›PMID 26767534›Full record

ArticleAIDS and behavior2016

Barriers and Facilitators of HIV Care Engagement: Results of a Qualitative Study in St. Petersburg, Russia.

Anna V Kuznetsova, Anastasia Y Meylakhs, Yuri A Amirkhanian, Jeffrey A Kelly, Alexey A Yakovlev, Vladimir B Musatov, Anastasia G Amirkhanian

Abstract read
In one paragraph

Article in AIDS and behavior, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 54 citations in OpenAlex.

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  3. Challenges and Enablers of Antiretroviral Therapy Adherence Among Ethiopian Adolescents: A Qualitative Study.International journal of sexual health : official journal of the World Association for Sexual Health · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Anna V KuznetsovaBotkin Hospital for Infectious Diseases, Interdisciplinary Center for AIDS Research and Training (ICART), St. Petersburg, Russia.
Anastasia Y MeylakhsBotkin Hospital for Infectious Diseases, Interdisciplinary Center for AIDS Research and Training (ICART), St. Petersburg, Russia.
Yuri A AmirkhanianBotkin Hospital for Infectious Diseases, Interdisciplinary Center for AIDS Research and Training (ICART), St. Petersburg, Russia. yuri@mcw.edu.
Jeffrey A KellyDepartment of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Center for AIDS Intervention Research (CAIR), 2071 North Summit Avenue, Milwaukee, WI, 53202, USA.
Alexey A YakovlevBotkin Hospital for Infectious Diseases, Interdisciplinary Center for AIDS Research and Training (ICART), St. Petersburg, Russia.
Vladimir B MusatovBotkin Hospital for Infectious Diseases, Interdisciplinary Center for AIDS Research and Training (ICART), St. Petersburg, Russia.
Anastasia G AmirkhanianBotkin Hospital for Infectious Diseases, Interdisciplinary Center for AIDS Research and Training (ICART), St. Petersburg, Russia.
Botkin Hospital · RUSt Petersburg University · RUMedical College of Wisconsin · US

Funding

QUANTITATIVE COREP30MH052776 · NIMH · MEDICAL COLLEGE OF WISCONSIN · PI MCAULIFFE, TIMOTHY L · 1994 to 2018
$33.2M
Social Network Intervention to Engage Out-of-Care PLH Into TreatmentR01MH098729 · NIMH · MEDICAL COLLEGE OF WISCONSIN · PI AMIRKHANIAN, YURI A, KELLY, JEFFREY A · 2013 to 2017
$2.8M
Increasing Social Support to Improve HIV Care Engagement and AdherenceR21MH102193 · NIMH · MEDICAL COLLEGE OF WISCONSIN · PI AMIRKHANIAN, YURI A, KELLY, JEFFREY A · 2014 to 2015
$408k
NIMH NIH HHS P30 MH052776NIMH NIH HHS R01 MH098729NIMH NIH HHS R21 MH102193
6 · The paper itself

Abstract

Russia has a large HIV epidemic, but medical care engagement is low. Eighty HIV-positive persons in St. Petersburg completed in-depth interviews to identify barriers and facilitators of medical HIV care engagement. The most commonly-reported barriers involved difficulties accessing care providers, dissatisfaction with the quality of services, and negative attitudes of provider staff. Other barriers included not having illness symptoms, life stresses, low value placed on health, internalized stigma and wanting to hide one's HIV status, fears of learning about one's true health status, and substance abuse. Care facilitators were feeling responsible for one's health and one's family, care-related support from other HIV-positive persons, and the onset of health decline and fear of death. Substance use remission facilitated care engagement, as did good communication from providers and trust in one's doctor. Interventions are needed in Russia to address HIV care infrastructural barriers and integrate HIV, substance abuse, care, and psychosocial services.

Indexed as

Social StigmaAdolescentAdultAnti-HIV AgentsContinuity of Patient CareDrug MonitoringFemaleHealth Services AccessibilityHealth StatusHIV InfectionsHumansInterviews as TopicMaleMiddle AgedPatient Acceptance of Health CareQualitative ResearchAnti-HIV AgentsHIV care linkage and retentionHIV medical careHIV-positiveHIV servicesPersons living with HIV (PLHIV)Russia

Identifiers

PMID26767534
PMCPMC4945482
OpenAlexW2288481612

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.