Ecological barriers to HIV service access among young men who have sex with men and high-risk young women from low-resourced urban communities

Danielle Chiaramonte, Trevor Strzyzykowski, Ignacio Acevedo-Polakovich, Robin Lin Miller, Cherrie B. Boyer, Jonathan Ellen

Research output: Contribution to journalArticle

Abstract

Using an ecological perspective, we sought to elucidate the perceived barriers preventing HIV service access among two groups of U.S. youth (ages 12–24) disproportionately affected by HIV, men who have sex with men, and high-risk women. We content analyzed interviews with 318 key informants to identify distinct service access barriers. The 29 barriers informants named were organized into six categories (service-seeking demands, stigmas, knowledge and awareness, service quality, powerful opposition, and negative emotions). Findings suggest that barriers impacting access to HIV prevention, testing, and linkage-to-care services are remarkably similar and point to the need for comprehensive approaches to improving youth’s access services that address both individual-level barriers and extra-individual barriers simultaneously. Findings can be used to guide future research, programming, and interventions to reduce the disproportionate spread of HIV among U.S. youth.

Original languageEnglish (US)
JournalJournal of HIV/AIDS and Social Services
DOIs
StateAccepted/In press - Jan 1 2018

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HIV
community
Emotions
Interviews
opposition
emotion
programming
interview
Group

Keywords

  • adolescents and young adults
  • HIV service access
  • service barriers
  • youth-responsive services

ASJC Scopus subject areas

  • Health(social science)

Cite this

Ecological barriers to HIV service access among young men who have sex with men and high-risk young women from low-resourced urban communities. / Chiaramonte, Danielle; Strzyzykowski, Trevor; Acevedo-Polakovich, Ignacio; Miller, Robin Lin; Boyer, Cherrie B.; Ellen, Jonathan.

In: Journal of HIV/AIDS and Social Services, 01.01.2018.

Research output: Contribution to journalArticle

Chiaramonte, Danielle ; Strzyzykowski, Trevor ; Acevedo-Polakovich, Ignacio ; Miller, Robin Lin ; Boyer, Cherrie B. ; Ellen, Jonathan. / Ecological barriers to HIV service access among young men who have sex with men and high-risk young women from low-resourced urban communities. In: Journal of HIV/AIDS and Social Services. 2018.
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