{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T12:56:40Z","timestamp":1777553800616,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:00:00Z","timestamp":1472688000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:00:00Z","timestamp":1472688000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["AIDS Patient Care and STDs"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:p>\n                    Generally, women are less likely than men to disclose their HIV status. This analysis examined the relationship between HIV disclosure and (1) perceived barriers to care and (2) quality of life (QoL) for women with HIV. The ELLA (\n                    <jats:underline>E<\/jats:underline>\n                    pidemio\n                    <jats:underline>L<\/jats:underline>\n                    ogical study to investigate the popu\n                    <jats:underline>L<\/jats:underline>\n                    ation and disease characteristics, barriers to care, and qu\n                    <jats:underline>A<\/jats:underline>\n                    lity of life for women living with HIV) study enrolled HIV-positive women aged \u226518 years. Women completed the 12-item Barriers to Care Scale (BACS) questionnaire. QoL was assessed using the Health Status Assessment. BACS and QoL were stratified by dichotomized HIV disclosure status (to anyone outside the healthcare system). Multilevel logistic regression analysis was used to identify factors associated with disclosure. Of 1945 patients enrolled from Latin America, China, Central\/Eastern Europe, and Western Europe\/Canada between July 2012 and September 2013, 1929 were included in the analysis (disclosed,\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u20091724; nondisclosed,\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u2009205). Overall, 55% of patients lived with a husband\/partner, 53% were employed, and 88% were receiving antiretroviral therapy. Patients who were with a serodiscordant partner were more likely to disclose (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.0003). China had a disproportionately higher percentage of participants who did not disclose at all (nearly 30% vs. &lt;15% for other regions). Mean BACS severity scores for medical\/psychological service barriers and most personal resource barriers were significantly lower for the disclosed group compared with the nondisclosed group (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009\u2264\u20090.02 for all). Compared with the disclosed group, the nondisclosed group reported statistically significantly higher (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009\u2264\u20090.03) BACS item severity scores for 8 of the 12 potential barriers to care. The disclosed group reported better QoL. Overall, HIV nondisclosure was associated with more severe barriers to accessing healthcare by women with HIV.\n                  <\/jats:p>","DOI":"10.1089\/apc.2016.0049","type":"journal-article","created":{"date-parts":[[2016,8,23]],"date-time":"2016-08-23T14:36:16Z","timestamp":1471962976000},"page":"435-444","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["The Association Between HIV Disclosure Status and Perceived Barriers to Care Faced by Women Living with HIV in Latin America, China, Central\/Eastern Europe, and Western Europe\/Canada"],"prefix":"10.1177","volume":"30","author":[{"given":"Mona","family":"Loutfy","sequence":"first","affiliation":[{"name":"University of Toronto","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"Johnson","sequence":"additional","affiliation":[{"name":"Royal Free Hospital NHS Trust","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Walmsley","sequence":"additional","affiliation":[{"name":"University of Toronto","place":["Canada"]},{"name":"University of Toronto","place":["Canada"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Samarina","sequence":"additional","affiliation":[{"name":"Saint Petersburg Medical University named after ac. Pavlov I.P.","place":["Russia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Vasquez","sequence":"additional","affiliation":[{"name":"Hospital San Juan de Dios","place":["Chile"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"He","family":"Hao-Lan","sequence":"additional","affiliation":[{"name":"Guangzhou Eighth People's Hospital","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tshepiso","family":"Madihlaba","sequence":"additional","affiliation":[{"name":"AbbVie, Inc."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marisol","family":"Martinez-Tristani","sequence":"additional","affiliation":[{"name":"AbbVie, Inc."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean","family":"van Wyk","sequence":"additional","affiliation":[{"name":"AbbVie, Inc."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,9,1]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"UNAIDS. The Gap Report. Geneva: Joint United Nations Programme on HIV\/AIDS 2014."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11904-012-0116-x"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.7448\/IAS.16.1.18509"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301553"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1086\/597124"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-11-86"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00126334-200501010-00017"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2014.936813"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0036-36342010000400011"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2015.1046416"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2012.656570"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/1758-2652-13-37"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jana.2010.03.003"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2010.516345"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.2190\/HS.39.2.a"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-013-0623-9"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540120701767224"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325957414536228"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2011.03.028"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-006-9106-6"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-765"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2011.02253.x"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1080\/713612410"},{"key":"e_1_3_3_25_2","unstructured":"ACTG Outcomes Committee. ACTG QOL 601\u2013602 (QOL 601-2) Health Survey Manual. Available at: www.fstrf.org\/apps\/cfmx\/apps\/common\/QOLAdherenceForms\/resources\/actg\/manualql601-2799.pdf (Last accessed February11 2016)."},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1214\/aos\/1013699998"},{"key":"e_1_3_3_27_2","volume-title":"Paper presented at 20th International AIDS Conference","author":"Johnson M","unstructured":"Johnson M, , Loutfy M, , Hocqueloux L, et al. Global and regional description of barriers to access to care in HIV-1 infected women: The ELLA study. Paper presented at 20th International AIDS Conference, July 20\u201325, 2014, Melbourne, Australia."},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2015.0205"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2012.699539"}],"container-title":["AIDS Patient Care and STDs"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/apc.2016.0049","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/apc.2016.0049","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/apc.2016.0049","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:03:07Z","timestamp":1777399387000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/apc.2016.0049"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,9]]},"references-count":28,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2016,9]]}},"alternative-id":["10.1089\/apc.2016.0049"],"URL":"https:\/\/doi.org\/10.1089\/apc.2016.0049","relation":{},"ISSN":["1087-2914","1557-7449"],"issn-type":[{"value":"1087-2914","type":"print"},{"value":"1557-7449","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,9]]}}}