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AIDS Patient Care and STDs

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https://www.readbyqxmd.com/read/29688746/the-clinic-environment-as-a-form-of-social-support-for-adolescents-and-young-adults-living-with-hiv
#1
Suzanne M Grieb, Deanna Kerrigan, Vicki Tepper, Jonathan Ellen, Erica Sibinga
Adolescents and young adults living with HIV (YLHIV) face numerous stresses that affect their care and medication adherence. The clinic social environment may play an important supportive role for YLHIV, influencing health outcomes. The aim of this article is to explore how YLHIV in Baltimore, Maryland understand the various forms of social support provided within the social environment of their HIV clinic. We used qualitative research methods including iterative, semi-structured in-depth interviews with 20 YLHIV interviewed up to three times each to explore HIV stressors, support systems, and medication adherence...
April 24, 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29672136/which-patients-in-the-emergency-department-should-receive-preexposure-prophylaxis-implementation-of-a-predictive-analytics-approach
#2
Jessica P Ridgway, Ellen A Almirol, Alvie Bender, Andrew Richardson, Jessica Schmitt, Eleanor Friedman, Nicola Lancki, Ivan Leroux, Nina Pieroni, Jessica Dehlin, John A Schneider
Emergency Departments (EDs) have the potential to play a crucial role in HIV prevention by identifying and linking high-risk HIV-negative clients to preexposure prophylaxis (PrEP) care, but it is difficult to perform HIV risk assessment for all ED patients. We aimed to develop and implement an electronic risk score to identify ED patients who are potential candidates for PrEP. Using electronic medical record (EMR) data, we used logistic regression to model the outcome of PrEP eligibility. We converted the model into an electronic risk score and incorporated it into the EMR...
April 19, 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29750552/correction-to-aids-patient-care-and-stds-2016-30-221-228-doi-10-1089-apc-2015-0333
#3
(no author information available yet)
No abstract text is available yet for this article.
May 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29750551/where-are-they-now-assessing-if-persons-returned-to-hiv-care-following-loss-to-follow-up-by-public-health-case-workers-were-engaged-in-care-in-follow-up-years
#4
Chi-Chi N Udeagu, Sharmila Shah, Kavita Misra, Kent A Sepkowitz, Sarah L Braunstein
We examined care engagement and viral suppression (VS) over a 1- to 5-year period among persons re-engaged in HIV care using retrospective cohort study and longitudinal follow-up. The population comprised five cohorts of persons re-engaged in care from 2009 to 2013. We used surveillance data [CD4 T cell count or HIV viral load (VL) RNA] to measure four outcomes 1-5 years post-care engagement. Engagement-in-care indicated persons with laboratory reports in each follow-up year. Continuous engagement or sustained engagement, respectively, included persons with ≥1 or ≥2 (separated by 90 days) CD4 or VL reports in each follow-up year...
May 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29750550/knowledge-of-hiv-testing-guidelines-among-us-internal-medicine-residents-a-decade-after-the-centers-for-disease-control-and-prevention-s-routine-hiv-testing-recommendations
#5
Dima Dandachi, Bich N Dang, Rita Wilson Dib, Harvey Friedman, Thomas Giordano
Ten years after the Centers for Disease Control and Prevention recommended universal HIV screening, rates remain low. Internal medicine residents are the front-line medical providers for large groups of patients. We evaluated the knowledge of internal medicine residents about HIV testing guidelines and examined adherence to universal HIV testing in an outpatient setting. A cross-sectional survey of internal medicine residents at four residency programs in Chicago was conducted from January to March 2016. Aggregate data on HIV screening were collected from 35 federally qualified community health centers in the Chicago area after inclusion of an HIV testing best practice alert in patients' electronic medical records...
May 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29668307/barriers-and-facilitators-for-clinical-care-engagement-among-hiv-positive-african-american-and-latino-men-who-have-sex-with-men
#6
James W Carey, Neal Carnes, Alisú Schoua-Glusberg, Katherine Kenward, Deborah Gelaude, Damian Denson, Elizabeth Gall, Laura A Randall, Paula M Frew
Achieving optimal health among people living with HIV (PLWH) requires linkage to clinical care upon diagnosis, followed by ongoing engagement in HIV clinical care. A disproportionate number of black/African American and Hispanic/Latino men who have sex with men (MSM) living with HIV do not, however, achieve ongoing care. We conducted semistructured interviews in 2014 with 84 urban black/African American and Hispanic/Latino MSM living with HIV to understand their barriers and facilitators to engagement. We classified men as care-engaged or not at the time of the interview, and conducted content analysis of the interview transcripts to identify barriers and facilitators to engagement...
May 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29630853/role-of-country-of-birth-testing-site-and-neighborhood-characteristics-on-nonlinkage-to-hiv-care-among-latinos
#7
Diana M Sheehan, Chelsea Cosner, Kristopher P Fennie, Merhawi T Gebrezgi, Elena Cyrus, Lorene M Maddox, Julie H Levison, Emma C Spencer, Theophile Niyonsenga, Mary Jo Trepka
The objective of this study was to estimate disparities in linkage to human immunodeficiency virus (HIV) care among Latinos by country/region of birth, HIV testing site, and neighborhood characteristics. A retrospective study was conducted using Florida HIV surveillance records of Latinos/Hispanics aged ≥13 diagnosed during 2014-2015. Linkage to HIV care was defined as a laboratory test (HIV viral load or CD4) within 3 months of HIV diagnosis. Multi-level Poisson regression models were used to estimate adjusted prevalence ratios (aPR) for nonlinkage to care...
April 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29630852/the-max-clinic-medical-care-designed-to-engage-the-hardest-to-reach-persons-living-with-hiv-in-seattle-and-king-county-washington
#8
Julia C Dombrowski, Meena Ramchandani, Shireesha Dhanireddy, Robert D Harrington, Allison Moore, Matthew R Golden
The Max Clinic in Seattle, Washington is designed to engage patients who have extensive barriers to HIV care. In this article, we describe the clinic's evolution and outcomes of patients enrolled in the first 2 years. The clinic is a high-intensity, low-threshold, incentivized care model that includes walk-in access to primary care in a Sexually Transmitted Disease Clinic. Patients who have failed to engage in care and achieve viral suppression with lower intensity support are referred by clinicians, case managers, and the health department Data to Care program...
April 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29630851/project-thanks-examining-hiv-aids-related-barriers-and-facilitators-to-care-in-african-american-women-a-community-perspective
#9
Ndidiamaka Amutah-Onukagha, Meena Mahadevan, Ijeoma Opara, Monica Rodriguez, Megan Trusdell, Jessica Kelly
Project THANKS, (Turning HIV/AIDS into Knowledge for Sisters), is an evidence-based intervention that utilizes a community-based participatory and empowerment building approach for African American female substance abusers living with HIV and other chronic diseases. This qualitative study sought to gain insight from women living with HIV on how to improve Project THANKS. African American women living with substance abuse disorders, HIV, and other comorbidities were recruited from three community based health centers in New Jersey (N = 31)...
April 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29630850/health-system-features-that-enhance-access-to-comprehensive-primary-care-for-women-living-with-hiv-in-high-income-settings-a-systematic-mixed-studies-review
#10
Nadia O'Brien, Quan Nha Hong, Susan Law, Sarah Massoud, Allison Carter, Angela Kaida, Mona Loutfy, Joseph Cox, Neil Andersson, Alexandra de Pokomandy
Women living with HIV in high-income settings continue to experience modifiable barriers to care. We sought to determine the features of care that facilitate access to comprehensive primary care, inclusive of HIV, comorbidity, and sexual and reproductive healthcare. Using a systematic mixed studies review design, we reviewed qualitative, mixed methods, and quantitative studies identified in Ovid MEDLINE, EMBASE, and CINAHL databases (January 2000 to August 2017). Eligibility criteria included women living with HIV; high-income countries; primary care; and healthcare accessibility...
April 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29630849/gaps-up-to-9-months-between-hiv-primary-care-visits-do-not-worsen-viral-load
#11
Lytt I Gardner, Gary Marks, Unnati Patel, Edward Cachay, Tracey E Wilson, Michael Stirratt, Allan Rodriguez, Meg Sullivan, Jeanne C Keruly, Thomas P Giordano
Current guidelines specify that visit intervals with viral monitoring should not exceed 6 months for HIV patients. Yet, gaps in care exceeding 6 months are common. In an observational cohort using US patients, we examined the association between gap length and changes in viral load status and sought to determine the length of the gap at which significant increases in viral load occur. We identified patients with gaps in care greater than 6 months from 6399 patients from six US HIV clinics. Gap strata were >6 to <7, 7 to <8, 8 to <9, 9 to <12, and ≥12 months, with viral load measurements matched to the opening and closing dates for the gaps...
April 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29620927/development-and-piloting-of-a-home-based-couples-intervention-during-pregnancy-and-postpartum-in-southwestern-kenya
#12
Janet M Turan, Lynae A Darbes, Pamela L Musoke, Zachary Kwena, Anna Joy Rogers, Abigail M Hatcher, Jami L Anderson, George Owino, Anna Helova, Elly Weke, Patrick Oyaro, Elizabeth A Bukusi
Engaging both partners of a pregnant couple can enhance prevention of mother-to-child transmission of HIV and promote family health. We developed and piloted an intervention to promote couple collaboration in health during pregnancy and postpartum in southwestern Kenya. We utilized formative data and stakeholder input to inform development of a home-based couples intervention. Next, we randomized pregnant women to intervention (n = 64) or standard care (n = 63) arms, subsequently contacting their male partners for enrollment...
March 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29620926/patient-and-facility-correlates-of-racial-differences-in-viral-control-for-black-and-white-veterans-with-hiv-infection-in-the-veterans-administration
#13
Mary S Vaughan Sarrazin, Michael E Ohl, Kelly K Richardson, Steven M Asch, Allen L Gifford, Barbara G Bokhour
Black persons with HIV are less likely than white persons to experience viral control even while in treatment. We sought to understand whether patient characteristics and site of care explain these differences using a cross-sectional analysis of medical records. Our cohort included 8779 black and 7836 white patients in the Veterans Administration (VA) health system with HIV who received antiretroviral medication during 2013. Our primary outcome, viral control, was defined as HIV serum RNA <200 copies/mL...
March 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29620925/sexualized-drug-use-chemsex-is-associated-with-high-risk-sexual-behaviors-and-sexually-transmitted-infections-in-hiv-positive-men-who-have-sex-with-men-data-from-the-u-sex-gesida-9416-study
#14
Alicia González-Baeza, Helen Dolengevich-Segal, Ignacio Pérez-Valero, Alfonso Cabello, María Jesús Téllez, José Sanz, Leire Pérez-Latorre, José Ignacio Bernardino, Jesús Troya, Sara De La Fuente, Otilia Bisbal, Ignacio Santos, Sari Arponen, Víctor Hontañon, José Luis Casado, Pablo Ryan
The magnitude of sexualized drug use (SDU), also known as chemsex, and its association with sexually transmitted infections (STI) has not been systematically explored in HIV-positive patients. This study aimed to calculate the prevalence of SDU and associated factors in a sample of HIV-positive men who have sex with men (MSM) in Spain. We calculated the frequency of SDU in a sample of HIV-positive MSM who responded to an anonymous online survey on sexual behavior and recreational drug use. We also analyzed differences between those who responded and those who did not (data taken from the physician's registry)...
March 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29565183/a-mobile-health-strategy-to-support-adherence-to-antiretroviral-preexposure-prophylaxis
#15
Jonathan D Fuchs, Kristefer Stojanovski, Eric Vittinghoff, Vanessa M McMahan, Sybill G Hosek, K Rivet Amico, Aminta Kouyate, Hailey J Gilmore, Susan P Buchbinder, Richard T Lester, Robert M Grant, Albert Y Liu
Preexposure prophylaxis is a highly protective HIV prevention strategy, yet nonadherence can significantly reduce its effectiveness. We conducted a mixed methods evaluation of a mobile health intervention (iText) that utilized weekly bidirectional text or e-mail support messages to encourage preexposure prophylaxis (PrEP) adherence among participants in the multi-site iPrEx open-label extension study. A convenience sample of PrEP users from the San Francisco and Chicago sites participated in a 12-week pilot study...
March 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29436840/in-gratitude-personal-memories-of-the-late-dr-mathilde-krim-july-9-1926-january-15-2018
#16
Jeffrey Laurence
No abstract text is available yet for this article.
March 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29561173/evaluation-of-statin-eligibility-prescribing-practices-and-therapeutic-responses-using-atp-iii-acc-aha-and-nla-dyslipidemia-treatment-guidelines-in-a-large-urban-cohort-of-hiv-infected-outpatients
#17
Matthew E Levy, Alan E Greenberg, Manya Magnus, Naji Younes, Amanda Castel
Statin coverage has been examined among HIV-infected patients using Adult Treatment Panel III (ATP III) and American College of Cardiology/American Heart Association (ACC/AHA) guidelines, although not with newer National Lipid Association (NLA) guidelines. We investigated statin eligibility, prescribing practices, and therapeutic responses using these three guidelines. Sociodemographic, clinical, and laboratory data were collected between 2011 and 2016 for HIV-infected outpatients enrolled in the DC Cohort, a multi-center, prospective, observational study in Washington, DC...
February 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29432047/community-acquired-meningitis-in-hiv-infected-patients-in-the-united-states
#18
Karen J Vigil, Lucrecia Salazar, Rodrigo Hasbun
We conducted a retrospective study of 549 adults admitted with community-acquired meningitis (CAM) to several hospitals in New Orleans, LA and Houston, TX between 1999 and 2014 to characterize the current epidemiology, clinical manifestations, cerebrospinal fluid (CSF) characteristics, and outcomes of CAM between HIV-infected and uninfected patients and to identify risk factors for adverse outcomes in CAM. Bivariate analysis and logistic regression analysis were used to identify prognostic factors. A total of 1022 patients with CAM were screened...
February 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29432046/2017-acknowledgment-of-reviewers
#19
(no author information available yet)
No abstract text is available yet for this article.
February 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29432045/a-conditional-economic-incentive-fails-to-improve-linkage-to-care-and-antiretroviral-therapy-initiation-among-hiv-positive-adults-in-cape-town-south-africa
#20
Brendan Maughan-Brown, Philip Smith, Caroline Kuo, Abigail Harrison, Mark N Lurie, Linda-Gail Bekker, Omar Galárraga
Interventions to improve antiretroviral therapy (ART) access are urgently needed to maximize the multiple benefits from ART. This pilot study examined the effect of a conditional economic incentive on linkage to care and uptake of treatment following ART referral by a mobile health clinic. Between April 2015 and May 2016, 86 individuals (≥18 years old) referred for ART in a resource-limited setting were randomized (1:1) to a control group or to an incentive: R300 cash (∼$23, or 3.5 days minimum wage in the domestic worker sector), conditional upon starting ART within 3 months...
February 2018: AIDS Patient Care and STDs
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