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. 2013 Sep;21(3):123-7.
doi: 10.21101/cejph.a3839.

Patients' satisfaction with sexual and reproductive health services delivered in HIV clinics across European regions

Tom Platteau  1 , Matthias C Müller  2 , Sibylle Nideröst  3 , Peter Csepe  4 , Nikos Dedes  5 , Ludwig Apers  6 , Ward Schrooten  7 , Christiana Nöstlinger  8 ; Eurosupport 5 Study Group
Collaborators, Affiliations
Free article

Patients' satisfaction with sexual and reproductive health services delivered in HIV clinics across European regions

Tom Platteau et al. Cent Eur J Public Health. 2013 Sep.
Free article

Abstract

Background: Throughout Europe, differences in satisfaction with HIV-care of people living with HIV (PLHIV) persist, despite a tendency towards harmonisation of policy and management.

Methods: A European sample of 1,549 PLHIV responded to an anonymous questionnaire assessing demographic background, general health, mental health, sexual health, and HIV-service provision. We compared the results across 3 regions: Western, Southern and Central/Eastern Europe.

Results: PLHIV differed in several socio-demographic variables (gender, migrant status, sexual orientation, and financial situation) as well as specific psychosocial aspects (HIV-related discrimination, satisfaction with sexual and reproductive health (SRH) services in HIV-care settings, and complaints about service provision). Using multivariate analysis, a predictive model for satisfaction with SRH services in HIV clinics was developed, resulting into region of residence, and participants' satisfaction with their own health status as significant predictors.

Conclusions: Better integration of SRH services in HIV-care should be encouraged. Service providers should be trained and encouraged to discuss SRH issues with their patients to create a supportive environment, free of discrimination. More time should be allocated to discuss SRH issues with individual patients.

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