TY - JOUR
T1 - Barriers to Retention in Care among Adults with HIV in Developed Countries
T2 - An Integrative Review
AU - Sanders, Tea Nynne
AU - Roed, Anna Katrine Haslund
AU - Missel, Malene
AU - Berg, Selina Kikkenborg
AU - Nielsen, Susanne Dam
AU - Olesen, Mette Linnet
AU - Kirk, Ole
N1 - © 2025. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2025/7
Y1 - 2025/7
N2 - Focusing on factors hindering viral suppression is essential for improving the health outcomes of people with Human Immunodeficiency Virus (HIV) and working towards ending the HIV/AIDS epidemic. The aim of this integrative review is to create an overview of barriers to retention in care among adults with HIV living in developed countries. Based on a systematic literature search across EMBASE, PubMed, Scopus, CINAHL, and PsycInfo, 4,089 studies of various methodology were identified. A total of 52 studies met the inclusion criteria. Quality assessment was performed using the Mixed Method Appraisal Tool. Based on thematic analysis, the following five main themes were identified as most common barriers to retention in care: financial challenges, logistical challenges, stigma, mental health problems, and substance use. The integrative review highlights that various factors can hinder retention in care and underscores that strategies to promote retention in care should be person-centered and targeted the individual person's barriers to retention in care.
AB - Focusing on factors hindering viral suppression is essential for improving the health outcomes of people with Human Immunodeficiency Virus (HIV) and working towards ending the HIV/AIDS epidemic. The aim of this integrative review is to create an overview of barriers to retention in care among adults with HIV living in developed countries. Based on a systematic literature search across EMBASE, PubMed, Scopus, CINAHL, and PsycInfo, 4,089 studies of various methodology were identified. A total of 52 studies met the inclusion criteria. Quality assessment was performed using the Mixed Method Appraisal Tool. Based on thematic analysis, the following five main themes were identified as most common barriers to retention in care: financial challenges, logistical challenges, stigma, mental health problems, and substance use. The integrative review highlights that various factors can hinder retention in care and underscores that strategies to promote retention in care should be person-centered and targeted the individual person's barriers to retention in care.
KW - Adult
KW - Developed Countries
KW - HIV Infections/drug therapy
KW - Health Services Accessibility
KW - Humans
KW - Retention in Care/statistics & numerical data
KW - Social Stigma
KW - Substance-Related Disorders
KW - Integrative review
KW - Engagement in care
KW - HIV
KW - Barriers
KW - Adults
KW - Retention in care
UR - http://www.scopus.com/inward/record.url?scp=105002141384&partnerID=8YFLogxK
U2 - 10.1007/s10461-025-04685-z
DO - 10.1007/s10461-025-04685-z
M3 - Review
C2 - 40185958
SN - 1090-7165
VL - 29
SP - 2205
EP - 2225
JO - AIDS and Behavior
JF - AIDS and Behavior
IS - 7
ER -