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AIDS Patient Care and STDs

JeeWon Cheong, Jalie A Tucker, Susan D Chandler
Advancing HIV prevention and treatment among at-risk Southern communities of color requires understanding why voluntary HIV testing is accepted or declined. Reasons for testing decisions were investigated among young African American women (n = 223, mean age = 20.4 years) recruited from disadvantaged areas in a Southern US city. A free HIV test was offered following field interviews that assessed HIV risk behaviors and personal and social network characteristics; 69.1% accepted testing, and all were seronegative...
October 17, 2018: AIDS Patient Care and STDs
Angela R Bazzi, Dea L Biancarelli, Ellen Childs, Mari-Lynn Drainoni, Alberto Edeza, Peter Salhaney, Matthew J Mimiaga, Katie B Biello
People who inject drugs (PWID) experience sexual and injection-related HIV risks, but uptake of pre-exposure prophylaxis (PrEP) for HIV prevention among PWID has been low. Improving PrEP uptake in this population will require understanding of PrEP knowledge and interest. In 2017, we conducted in-depth, semistructured interviews with HIV-uninfected PWID and key informants (PrEP and harm reduction providers) in the US Northeast. Thematic analysis of coded data explored PrEP knowledge and the factors that influence PrEP interest...
October 11, 2018: AIDS Patient Care and STDs
Jeffrey Laurence
No abstract text is available yet for this article.
September 28, 2018: AIDS Patient Care and STDs
Lauren B Beach, George J Greene, Peter Lindeman, Amy K Johnson, Christian N Adames, Matthew Thomann, Patrick C T Washington, Gregory Phillips
Young men who have sex with men (YMSM) are disproportionally impacted by HIV, and continue to lag behind other age groups in the receipt of HIV prevention and care services. To inform the development of interventions to improve pre-exposure prophylaxis and HIV care engagement outcomes among YMSM, a growing number of studies have reported the barriers and facilitators YMSM encounter when accessing HIV services. Few studies, however, have assessed how HIV service providers perceive these facilitators and barriers...
November 2018: AIDS Patient Care and STDs
Amanda E Tanner, Eunyoung Y Song, Lilli Mann-Jackson, Jorge Alonzo, Katherine Schafer, Samuella Ware, J Manuel Garcia, Elias Arellano Hall, Jonathan C Bell, Cornelius N Van Dam, Scott D Rhodes
Young racial/ethnic minority men who have sex with men (MSM) and transgender women with HIV often have poor health outcomes. They also utilize a wide array of social media. Accordingly, we developed and implemented weCare, a social media intervention utilizing Facebook, texting, and GPS-based mobile social and sexual networking applications to improve HIV-related care engagement and health outcomes. We compared viral load suppression and clinic appointment attendance among 91 participants during the 12-month period before and after weCare implementation...
November 2018: AIDS Patient Care and STDs
Michael A Horberg, Jackie G Blank, Kevin B Rubenstein, Julia M Certa, Leo B Hurley, Peter M Kadlecik, Daniel B Klein, Michael J Silverberg
Kaiser Permanente Mid-Atlantic States (KPMAS) members are increasingly utilizing electronic encounter types, such as telephone appointments and secure messaging for healthcare purposes, although their impact on health outcomes is unknown. We evaluated whether use of alternative encounters by adult human immunodeficiency virus (HIV)-infected patients affected the likelihood of achieving viral suppression (VS). Our study population of 3114 patients contributed 6520 patient-years between 2014 and 2016. We compared VS (HIV RNA <200 copies/mL) by number of in-person visits (1 or ≥2), with further stratification for additional phone and/or e-mail encounters (none, phone only, e-mail only, and both phone and e-mail)...
November 2018: AIDS Patient Care and STDs
Sylvia Shangani, Violet Naanyu, Don Operario, Becky Genberg
In sub-Saharan Africa, men who have sex with men (MSM) experience high HIV prevalence, in part, due to stigma and discrimination creating barriers to engagement in prevention and care services. We examined the reliability and validity of measures of stigma and satisfaction with healthcare providers, as well as explored whether scores on the factors varied across sociodemographic variables among MSM in western Kenya. A mixed-methods design using a sequential triangulation approach was adopted, involving a survey of 89 MSM and 10 key informant interviews...
November 2018: AIDS Patient Care and STDs
Anita Raj, Jennifer Yore, Lianne Urada, Daniel P Triplett, Florin Vaida, Laramie R Smith
This study assesses effects of a community-based intervention across seven sites in the United States on HIV care utilization and study retention, among people living with HIV (PLWH). A two-armed study was conducted from 2013 to 2016 in each of seven community-based agencies across the United States. Each site conducted interventions involving community engagement approaches in the form of case management or patient navigation. Control conditions were standard of care involving referral to HIV clinical care...
November 2018: AIDS Patient Care and STDs
Jason Zucker, Benjamin Patterson, Tanya Ellman, Jacek Slowikowski, Susan Olender, Peter Gordon, Ellen A B Morrison, Magdalena E Sobieszczyk
Even though over the last 25 years, the Centers for Disease Control and Prevention recommendations for HIV screening have expanded to encompass population-wide screening in all healthcare settings, and despite the availability of pre-exposure prophylaxis (PrEP), a large proportion of individuals at risk of infection are not linked to prevention care. We evaluated missed opportunities for HIV screening and linkage to PrEP from 2006 through 2017 at an urban academic medical center serving a predominantly minority community...
November 2018: AIDS Patient Care and STDs
Judy Y Tan, Chadwick K Campbell, Amy A Conroy, Alyssa P Tabrisky, Susan Kegeles, Shari L Dworkin
The primary romantic relationship may offer critical opportunities for improving HIV care among key populations affected by high rates of HIV infection and low rates of care engagement, such as black men who have sex with men. A conceptual framework is needed to identify dyadic processes involved in addressing challenges in retention in care and adherence to antiretroviral therapy. This study conducted dyadic and individual-level qualitative analyses of individual interviews with men living with HIV from 14 black gay couples (n = 28)...
November 2018: AIDS Patient Care and STDs
Ellen A Almirol, Moira C McNulty, Jessica Schmitt, Rebecca Eavou, Michelle Taylor, Audra Tobin, Kimberly Ramirez, Nancy Glick, Madison Stamos, Stephanie Schuette, Jessica P Ridgway, David Pitrak
Women account for 25% of all people living with HIV and 19% of new diagnoses in the United States. African American (AA) women are disproportionately affected. Yet, differences in the care continuum entry are not well understood between patient populations and healthcare sites. We aim to examine gender differences in diagnosis and linkage to care (LTC) in the Expanded HIV Testing and Linkage to Care (X-TLC) program within healthcare settings. Data were collected from 14 sites on the South and West sides of Chicago...
October 2018: AIDS Patient Care and STDs
Olga Tymejczyk, Kelly Jamison, Preeti Pathela, Sarah Braunstein, Julia A Schillinger, Denis Nash
Outcomes among people living with HIV (PLWH) in New York City (NYC) remain suboptimal. To assess the potential role of the city's sexual health clinics (SHCs) in improving HIV outcomes and reducing HIV transmission, we examined HIV care status and its correlates among HIV-positive SHC patients in NYC. Clinic electronic medical records were merged with longitudinal NYC HIV surveillance data to identify HIV-positive patients and derive their retrospective and prospective HIV care status. Evidence of HIV care and viral load suppression (VLS) after clinic visit were considered outcomes...
October 2018: AIDS Patient Care and STDs
Angelica Geter, Adrienne R Herron, Madeline Y Sutton
Reducing HIV-related stigma may enhance the quality of HIV prevention and care services and is a national prevention goal. The objective of this systematic review was to identify studies of HIV-related stigma among healthcare providers. For studies published between 2010 and 2017, we: (1) searched databases using our keywords, (2) excluded nonpeer reviewed studies, (3) limited the findings to the provider perspective and studies conducted in the United States, (4) extracted and summarized the data, and (5) conducted a contextual review to identify common themes...
October 2018: AIDS Patient Care and STDs
Wenjian Xu, Yong Zheng, Michelle R Kaufman
In China, men who have sex with men (MSM) account for an increasing proportion of new HIV infections. We aim to assess recent HIV testing (in the past 6 months) among Chinese MSM and to identify barriers to testing. A nationwide sample of MSM (n = 1100) from mainland China was recruited. Data on sociodemographics, HIV-related risks, perceived barriers to testing, and testing behaviors were collected. Approximately 30% of MSM had recently undergone HIV testing. With regard to testing, almost half endorsed each of three barriers: did not believe themselves to be at HIV risk, had a fear of being diagnosed HIV positive, and feared their privacy would be violated during testing...
October 2018: AIDS Patient Care and STDs
Lin Pu, Jingyuan Liu, Yang Luo, Hui Zeng, Hebing Guo, Jingjing Hao, Ningning Yin, Yufeng Liu, Haofeng Xiong, Jian Xiong, Ang Li
To describe the epidemiology, outcomes, and risk factors of acute kidney injury (AKI) among human immunodeficiency virus (HIV)-infected patients admitted to the intensive care unit (ICU).We reviewed all the HIV-infected admissions to the ICU at Beijing Ditan hospital in the time span from June 2005 to May 2017 and collected demographic, clinical, and laboratory data for our sample. AKI was diagnosed and classified according to the Kidney Disease Improving Global Outcomes (KIDIGO) criteria. We analyzed the incidence of AKI and its associated mortality...
October 2018: AIDS Patient Care and STDs
Valerie Yelverton, Jan Ostermann, Amy Hobbie, Deng Madut, Nathan Thielman
As the number of effective antiretroviral therapy (ART) options increases, there is greater opportunity to involve HIV patients in ART selection. To establish the parameters for a shared ART decision-making process, we sought to identify ART characteristics that are important to patients and understand considerations in ART selection from both patient and provider perspectives. Using a mixed-methods approach, 16 patients and 12 healthcare providers were interviewed, and ranking tasks were conducted with 26 patients to identify ART characteristics that are relevant for shared decision making...
September 2018: AIDS Patient Care and STDs
Mona Duggal, Venkatesan Chakrapani, Lauren Liberti, Veena Satyanarayna, Meiya Varghese, Pushpendera Singh, Mohini Ranganathan, Prabha Chandra, Nancy R Reynolds
We assessed the acceptability of nurse-delivered mobile phone-based counseling to support adherence to antiretroviral treatment (ART) and self-care behaviors among HIV-positive women in India. We conducted open-ended, in-depth interviews with 27 HIV-positive women and 19 key informants at a government ART center in Karnataka, India. Data were analyzed with interpretive techniques. About half of the HIV-positive women owned a mobile phone and many had access to mobile phones of their family members. Most women perceived phone-based counseling as a personalized care approach to get information on demand...
September 2018: AIDS Patient Care and STDs
Barbara S Taylor, Laura Fornos, Jesse Tarbutton, Jana Muñoz, Julie A Saber, Delia Bullock, Roberto Villarreal, Ank E Nijhawan
Initial linkage to medical care is a critical step in the HIV care continuum leading to improved health outcomes, reduced morbidity and mortality, and decreased HIV transmission risk. We explored differences in perspectives on engagement in HIV care between people living with HIV who attended (Arrived) their initial medical provider visit (IMV) and those who did not (Missed), and between patients and providers. The study was conducted in two large majority/minority HIV treatment centers in the United States (US) south, a geographical region disproportionately impacted by HIV...
September 2018: AIDS Patient Care and STDs
Christopher Polk, Sam Webb, Nigel Rozario, Charity G Moore, Alan C Heffner, Michael Leonard
No abstract text is available yet for this article.
September 2018: AIDS Patient Care and STDs
Tyler B Wray, Philip A Chan, Erik Simpanen, Don Operario
HIV self-testing (HST) could be an effective strategy for helping those at high risk test more regularly. However, concerns about HST's lack of follow-up care and referral have so far limited its use. In a pilot, randomized controlled trial, high-risk HIV-negative, or status unknown men who have sex with men (MSM; N = 65) were recruited from January 2016 to February 2017 and received (1) HST kits by mail, equipped with devices that detected when kits were opened and prompted a follow-up call from a counselor (eTEST); (2) standard HST kits with no follow-up (standard); or (3) informational letters about HIV testing locations (control) at baseline, 3 months, and 6 months...
September 2018: AIDS Patient Care and STDs
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