Evidence map›Paper›PMID 38589818›Full record

ArticleBMC public health2024

What may encourage or deter health services utilization by people living with or at the risk of HIV/AIDS in special health centers? Qualitative evidence from a stigmatized community.

Mohammad Bazyar, Samaneh Tahmasebi Ghorabi, Jamil Sadeghifar, Mohammad Ranjbar, Reza Pakzad, Fatemeh Bonyadi, Keyvan Khasi, Ebrahim Shakiba, Mahtab Nourbakhsh, Leila Rezeghian and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.6field-weighted citation impact, top 19% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
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

14 authors at 4 institutions in 1 country.

Mohammad BazyarHealth Management and Economics Department, Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran.
Samaneh Tahmasebi GhorabiClinical Research Development Unit, Emam Khomeini Hospital, Ilam University of Medical Sciences, Ilam, Iran.
Jamil SadeghifarHealth Management and Economics Department, Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran.
Mohammad RanjbarHealth Policy & Management Research Center, Department of Health Management and Economics, School of Public Health, Shahid Sadoughi University of Medical sciences, Yazd, Iran.
Reza PakzadDepartment of Epidemiology, Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran.
Fatemeh BonyadiDepartment of Public Health, Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran.
Keyvan KhasiBehavioral Diseases Research Center, Public Health Deputy, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Ebrahim ShakibaBehavioral Diseases Research Center, Public Health Deputy, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Mahtab NourbakhshDepartment of Public Health, Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran.
Leila RezeghianBehavioral Diseases Research Center, Public Health Deputy, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Boshra NoshadiDepartment of Public Health, Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran.
Mehrdad BavandpourBehavioral Diseases Research Center, Public Health Deputy, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Azim HasanBeigiCommunicable Diseases Department, Public Health Deputy, Ilam University of Medical Sciences, Ilam,, Iran.
Anahita BehzadiHealth Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran. a_behzadi@kmu.ac.ir.ORCID 0000-0002-6988-3759
Medical University of Ilam · IRKermanshah University of Medical Sciences · IRKerman University of Medical Sciences · IRShahid Sadoughi University of Medical Sciences and Health Services · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBehavioral Diseases Counseling Centers (BDCCs) and Vulnerable Women's Counseling Centers (VWCCs) in Iran are the main peripheral centers that offer educational, counseling, diagnostic, preventive, curative and protective services to individuals living with or at high risk of contracting HIV/AIDS and female sex workers respectively. Due to the social stigma surrounding HIV in Iran, this study aims to identify the factors that may hinder or encourage HIV/AIDS patients and women with risky sexual behaviors from visiting these centers.

methodsConducted in 2023, this qualitative study involved individuals visiting BDCCs and VWCCs in two western provinces of Iran, Ilam and Kermanshah. The study participants included 21 health staff members working in BDCCs and VWCCs and 20 HIV/AIDS patients and vulnerable women with unsafe sexual behaviors referring to these centers. Purposive, snowball and maximum variation sampling techniques were applied to interview the participants. Interviews were conducted between January 5th and May 21st, 2023, using a semi-structure guideline. Interviews were transcribed and content analysis approach was applied to analyze data using MAXQDA20 software.

resultsAccording to the findings, the barriers and facilitators of visiting specialized centers for HIV/AIDS patients and vulnerable women were categorized into three main categories, 10 subcategories and 35 sub-subcategories including: Medical and operational processes (4 subcategories and 12 sub-subcategories), mutual interactions between the personnel and visitors (people living with and at the risk of getting HIV/AIDS) (3 subcategory and 13 sub-subcategories), and physical characteristics of the centers (3 subcategories and 10 sub-subcategories).

conclusionsTo improve the performance of BDCCs and VWCCs and encourage people living with and at the risk of contracting HIV/AIDS to visit these centers regularly, health policy makers should consider modifying clinical processes, physical features, personnel behaviors and visitors' concerns raised by the interviewees and the issues identified in this study.

Indexed as

Acquired Immunodeficiency SyndromeHIV InfectionsSex WorkersFacilities and Services UtilizationFemaleHumansPatient Acceptance of Health CareQualitative ResearchAIDSBehavioral diseases Counseling centersFacilitatorsHIVIranVulnerable women’s Counseling centers

Identifiers

PMID38589818
PMCPMC11000400
OpenAlexW4394576970

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.