Cent Eur J Public Health 2013, 21(3):123-127 | DOI: 10.21101/cejph.a3839

Patients' Satisfaction with Sexual and Reproductive Health Services Delivered in HIV Clinics across European Regions

Tom Platteau1, Matthias C. Müller2, Sibylle Nideröst3, Peter Csepe4, Nikos Dedes5, Ludwig Apers1, Ward Schrooten6, Christiana Nöstlinger7
1 Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium
2 Department of Infectious Diseases, Medical Clinic and Policlinic IV, Ludwig Maximilian University, Munich, Germany
3 University of Applied Sciences Northwestern Switzerland, School of Social Work, Institute for Integration and Participation, Olten, Switzerland
4 Department of Public Health, Semmelweis University, Budapest, Hungary
5 European AIDS Treatment Group, Athens, Greece
6 University of Hasselt, Hasselt, Belgium
7 Department of Public Health and IHAC (ITM's HIV/AIDS Center), Institute of Tropical Medicine, Antwerp, Belgium

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.

Keywords: sexual and reproductive health, HIV-care, Europe

Received: September 13, 2012; Revised: May 13, 2013; Accepted: May 13, 2013; Published: September 1, 2013  Show citation

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Platteau T, Müller MC, Nideröst S, Csepe P, Dedes N, Apers L, et al.. Patients' Satisfaction with Sexual and Reproductive Health Services Delivered in HIV Clinics across European Regions. Cent Eur J Public Health. 2013;21(3):123-127. doi: 10.21101/cejph.a3839. PubMed PMID: 24344532.
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