HIV-positive migrants’ encounters with the Swedish health care system

Manijeh Mehdiyar, Rune Andersson, Katarina Hjelm, Lene Povlsen

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

153 Downloads (Pure)

Resumé

Background: There is limited knowledge about human immunodeficiency virus (HIV)-positive migrants and their experiences in the Swedish health care system. It is necessary to increase our knowledge in this field to improve the quality of care and social support for this vulnerable group of patients.

Objective: The aim of this study was to describe the experiences of HIV-positive migrants and their encounters with the health care system in Sweden.

Design: This is a Grounded Theory study based on qualitative interviews with 14 HIV-positive migrants living in Sweden, aged 29–55 years.

Results: ‘A hybrid of access and adversity’ was identified as the core category of the study. Three additional categories were ‘appreciation of free access to treatment’, ‘the impact of the Swedish Disease Act on everyday life’, and ‘encountering discrimination in the general health care system’. The main finding indicated that participants experienced frustration and discrimination because they were required to provide sexual partners with information about their HIV status, which is compulsory under the Swedish Disease Act. The study also showed that the bias or fear regarding HIV infection among general health care professionals outside of the infectious diseases clinics limited the access to the general health care system for HIV-positive migrants.

Conclusions: The HIV-positive migrants appreciated the free access to antiviral therapy, but wished to have more time for patient–physician communications. The participants of this study felt discrimination in health care settings outside of the infectious diseases clinics. There is a need to reduce the discrimination in general health care services and to optimize the social support system and social network of this vulnerable group.

Keywords: HIV-positive; migrants; health care system; Sweden; Grounded Theory
OriginalsprogEngelsk
Artikelnummer31753
TidsskriftGlobal Health Action
Vol/bind9
Udgave nummer1
Antal sider7
ISSN1654-9880
StatusUdgivet - 2016

Fingeraftryk

HIV
Delivery of Health Care
Health Services Accessibility
Frustration
Quality of Health Care
Sexual Partners
Virus Diseases
Health Services
Communication
Interviews
Grounded Theory

Citer dette

Mehdiyar, Manijeh ; Andersson, Rune ; Hjelm, Katarina ; Povlsen, Lene. / HIV-positive migrants’ encounters with the Swedish health care system. I: Global Health Action. 2016 ; Bind 9, Nr. 1.
@article{0e5ffbfd138c416a938dc742c78a9941,
title = "HIV-positive migrants’ encounters with the Swedish health care system",
abstract = "Background: There is limited knowledge about human immunodeficiency virus (HIV)-positive migrants and their experiences in the Swedish health care system. It is necessary to increase our knowledge in this field to improve the quality of care and social support for this vulnerable group of patients.Objective: The aim of this study was to describe the experiences of HIV-positive migrants and their encounters with the health care system in Sweden.Design: This is a Grounded Theory study based on qualitative interviews with 14 HIV-positive migrants living in Sweden, aged 29–55 years.Results: ‘A hybrid of access and adversity’ was identified as the core category of the study. Three additional categories were ‘appreciation of free access to treatment’, ‘the impact of the Swedish Disease Act on everyday life’, and ‘encountering discrimination in the general health care system’. The main finding indicated that participants experienced frustration and discrimination because they were required to provide sexual partners with information about their HIV status, which is compulsory under the Swedish Disease Act. The study also showed that the bias or fear regarding HIV infection among general health care professionals outside of the infectious diseases clinics limited the access to the general health care system for HIV-positive migrants.Conclusions: The HIV-positive migrants appreciated the free access to antiviral therapy, but wished to have more time for patient–physician communications. The participants of this study felt discrimination in health care settings outside of the infectious diseases clinics. There is a need to reduce the discrimination in general health care services and to optimize the social support system and social network of this vulnerable group.Keywords: HIV-positive; migrants; health care system; Sweden; Grounded Theory",
keywords = "HIV-positive; migrants; health care system; Sweden; Grounded Theory",
author = "Manijeh Mehdiyar and Rune Andersson and Katarina Hjelm and Lene Povlsen",
year = "2016",
language = "English",
volume = "9",
journal = "Global Health Action",
issn = "1654-9880",
publisher = "Co-Action Publishing",
number = "1",

}

Mehdiyar, M, Andersson, R, Hjelm, K & Povlsen, L 2016, 'HIV-positive migrants’ encounters with the Swedish health care system', Global Health Action, bind 9, nr. 1, 31753 .

HIV-positive migrants’ encounters with the Swedish health care system. / Mehdiyar, Manijeh; Andersson, Rune; Hjelm, Katarina; Povlsen, Lene.

I: Global Health Action, Bind 9, Nr. 1, 31753 , 2016.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - HIV-positive migrants’ encounters with the Swedish health care system

AU - Mehdiyar, Manijeh

AU - Andersson, Rune

AU - Hjelm, Katarina

AU - Povlsen, Lene

PY - 2016

Y1 - 2016

N2 - Background: There is limited knowledge about human immunodeficiency virus (HIV)-positive migrants and their experiences in the Swedish health care system. It is necessary to increase our knowledge in this field to improve the quality of care and social support for this vulnerable group of patients.Objective: The aim of this study was to describe the experiences of HIV-positive migrants and their encounters with the health care system in Sweden.Design: This is a Grounded Theory study based on qualitative interviews with 14 HIV-positive migrants living in Sweden, aged 29–55 years.Results: ‘A hybrid of access and adversity’ was identified as the core category of the study. Three additional categories were ‘appreciation of free access to treatment’, ‘the impact of the Swedish Disease Act on everyday life’, and ‘encountering discrimination in the general health care system’. The main finding indicated that participants experienced frustration and discrimination because they were required to provide sexual partners with information about their HIV status, which is compulsory under the Swedish Disease Act. The study also showed that the bias or fear regarding HIV infection among general health care professionals outside of the infectious diseases clinics limited the access to the general health care system for HIV-positive migrants.Conclusions: The HIV-positive migrants appreciated the free access to antiviral therapy, but wished to have more time for patient–physician communications. The participants of this study felt discrimination in health care settings outside of the infectious diseases clinics. There is a need to reduce the discrimination in general health care services and to optimize the social support system and social network of this vulnerable group.Keywords: HIV-positive; migrants; health care system; Sweden; Grounded Theory

AB - Background: There is limited knowledge about human immunodeficiency virus (HIV)-positive migrants and their experiences in the Swedish health care system. It is necessary to increase our knowledge in this field to improve the quality of care and social support for this vulnerable group of patients.Objective: The aim of this study was to describe the experiences of HIV-positive migrants and their encounters with the health care system in Sweden.Design: This is a Grounded Theory study based on qualitative interviews with 14 HIV-positive migrants living in Sweden, aged 29–55 years.Results: ‘A hybrid of access and adversity’ was identified as the core category of the study. Three additional categories were ‘appreciation of free access to treatment’, ‘the impact of the Swedish Disease Act on everyday life’, and ‘encountering discrimination in the general health care system’. The main finding indicated that participants experienced frustration and discrimination because they were required to provide sexual partners with information about their HIV status, which is compulsory under the Swedish Disease Act. The study also showed that the bias or fear regarding HIV infection among general health care professionals outside of the infectious diseases clinics limited the access to the general health care system for HIV-positive migrants.Conclusions: The HIV-positive migrants appreciated the free access to antiviral therapy, but wished to have more time for patient–physician communications. The participants of this study felt discrimination in health care settings outside of the infectious diseases clinics. There is a need to reduce the discrimination in general health care services and to optimize the social support system and social network of this vulnerable group.Keywords: HIV-positive; migrants; health care system; Sweden; Grounded Theory

KW - HIV-positive; migrants; health care system; Sweden; Grounded Theory

M3 - Journal article

VL - 9

JO - Global Health Action

JF - Global Health Action

SN - 1654-9880

IS - 1

M1 - 31753

ER -