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AIDS Care

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https://www.readbyqxmd.com/read/28540763/hiv-infection-risk-factors-and-health-services-use-among-male-to-female-transgender-sex-workers-a-cross-sectional-study-in-portugal
#1
Ana Gama, Maria Rosário Oliveira Martins, Luís Mendão, Henrique Barros, Sónia Dias
Male-to-female transgender sex workers (TSW) have been identified as a key population at risk for HIV. This study examined risk behaviors and HIV prevalence among TSW, and described health services use. A participatory cross-sectional survey was conducted with 125 TSW recruited in locations and networks where sex workers congregate. HIV-risk behaviors were common among participants. Inconsistent condom use with clients in the previous month was reported by 12.0% of participants and was associated with Portuguese nationality, inconsistent condom use with non-paying partners and not been reached by HIV prevention programs in the previous year...
May 25, 2017: AIDS Care
https://www.readbyqxmd.com/read/28535687/positive-smoking-cessation-related-interactions-with-hiv-care-providers-increase-the-likelihood-of-interest-in-cessation-among-hiv-positive-cigarette-smokers
#2
Lauren R Pacek, Olga Rass, Matthew W Johnson
Smoking cessation has proven to be a challenge for HIV-positive smokers. Patient and provider characteristics may provide barriers to smoking cessation. We aimed to identify characteristics associated with interest in cessation as well as characterize use of, current interest in, and provider recommendations for smoking cessation modalities. Data came from 275 HIV-positive smokers recruited online. Half (49.1%) of the sample was interested in quitting; daily smoking was associated with decreased likelihood of interest in cessation, whereas making a lifetime quit attempt, receiving encouragement to quit from an HIV care provider, and greater frequency of discussions regarding cessation with HIV care providers were associated with increased likelihood of interest in cessation...
May 23, 2017: AIDS Care
https://www.readbyqxmd.com/read/28532198/provider-perceptions-on-hiv-risk-and-prevention-services-within-permanent-supportive-housing
#3
Suzanne L Wenzel, Benjamin Henwood, Taylor Harris, Hailey Winetrobe, Harmony Rhoades
Permanent supportive housing (PSH) is an evidence-based solution to homelessness for persons experiencing chronic or long-term homelessness and one or more physical or behavioral health problems. Health services through PSH typically focus on physical and behavioral health. With the exception of programs specifically designed for persons living with HIV/AIDS, little attention has focused on services through PSH to prevent transmission of HIV or other sexually transmitted infections (STIs), yet sexual risk behavior continues after homeless persons move into PSH...
May 22, 2017: AIDS Care
https://www.readbyqxmd.com/read/28521509/the-cost-of-accessing-infant-hiv-medications-and-health-services-in-uganda
#4
Julie N Bergmann, Rhoda K Wanyenze, Jamila K Stockman
Patient costs are a critical barrier to the elimination of mother to child HIV transmission. Despite the Ugandan government providing free public HIV services, infant antiretroviral (ARV) prophylaxis coverage remains low (25%). To understand costs mothers incur in accessing ARV prophylaxis for their infants, we conducted a mixed methods study to quantify and identify their direct costs. We used cross-sectional survey data and focus group discussions from 49 HIV-positive mothers in Uganda. Means and standard deviations were calculated for the direct costs (e...
May 18, 2017: AIDS Care
https://www.readbyqxmd.com/read/28514866/social-support-and-amphetamine-type-stimulant-use-among-female-sex-workers-in-china
#5
Qun Zhao, Yuchen Mao, Xiaoming Li, Yuejiao Zhou, Zhiyong Shen
BACKGROUND: Existing research has suggested a positive role of social support in reducing drug use among female sex workers (FSWs). However, there is limited research on the role of social support in amphetamine-type stimulant (ATS) use among FSWs in China. This study explored the present situation of ATS use among FSWs in Guangxi, China and examined the associations of different types of social support from different sources with ATS use. METHOD: A sample of 1022 FSWs was recruited from 56 commercial sex venues in Guangxi Autonomous Region in China...
May 17, 2017: AIDS Care
https://www.readbyqxmd.com/read/28513200/hiv-infected-individuals-who-use-alcohol-and-other-drugs-and-virologic-suppression
#6
Seonaid Nolan, Alexander Y Walley, Timothy C Herren, Gregory J Patts, Alicia S Ventura, Meg M Sullivan, Jeffrey H Samet, Richard Saitz
People living with HIV (PLWH) on antiretroviral therapy (ART) who use substances were examined to (a) describe those with virologic control and (b) determine which substance use-factors are associated with lack of virologic control. Participants were adult PLWH taking ART with either past 12-month DSM-IV substance dependence or past 30-day alcohol or illicit drug use. Substance use factors included number of DSM-IV alcohol or drug dependence criteria and past 30-day specific substance use. Associations with HIV viral load (HVL) (<200 vs...
May 17, 2017: AIDS Care
https://www.readbyqxmd.com/read/28509570/learners-perspectives-on-the-provision-of-condoms-in-south-african-public-schools
#7
W E de Bruin, S Panday-Soobrayan
A stubborn health challenge for learners in South African public schools concerns sexual and reproductive health and rights (SRHR). In 2015, the Department of Basic Education (DBE) proposed the provision of condoms and SRHR-services to learners in schools. This study aimed to contribute to the finalisation and implementation of DBE's policy by exploring learners' perspectives on the provision of condoms and SRHR-services in schools. Sixteen focus group discussions were conducted with learners (n = 116) from 33 public schools, to assess their attitudes, social influences, and needs and desires regarding condom provision and SRHR-services in schools...
May 16, 2017: AIDS Care
https://www.readbyqxmd.com/read/28508665/prevalence-of-and-risk-factors-for-depressive-symptoms-among-people-living-with-hiv-aids-receiving-antiretroviral-treatment-in-wuhan-china-a-short-report
#8
Hu Rong, Xie Nianhua, Xu Jun, Ruan Lianguo, Wu Si, Wei Sheng, Guo Heng, Wang Xia
We aimed to explore the prevalence of and risk factors for depressive symptoms (DS) among people living with HIV/AIDS (PLWHA) receiving antiretroviral treatment (ART) in Wuhan, Hubei, China. A cross-sectional study evaluating adult PLWHA receiving ART in nine designated clinical hospitals was conducted from October to December 2015. The validated Beck Depression Inventory (BDI) was used to assess DS in eligible participants. Socio-demographical, epidemiological and clinical data were directly extracted from the case reporting database of the China HIV/AIDS Information Network...
May 16, 2017: AIDS Care
https://www.readbyqxmd.com/read/28503986/minority-stress-model-components-and-affective-well-being-in-a-sample-of-sexual-orientation-minority-adults-living-with-hiv-aids
#9
Robert J Cramer, Alixandra C Burks, Martin Plöderl, Praveen Durgampudi
To date very little literature exists examining theoretically-based models applied to day-to-day positive and negative affective well-being among lesbian, gay, and bisexual (LGB) persons living with HIV/AIDS (PLWHA). Grounded in the perspective of Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674-697. Minority Stress Model, the present study examined HIV- and sexual orientation-related factors influencing affective well-being (i...
May 13, 2017: AIDS Care
https://www.readbyqxmd.com/read/28497980/the-association-between-cigarette-smoking-virologic-suppression-and%C3%A2-cd4-%C3%A2-lymphocyte-count-in-hiv-infected-russian-women
#10
Jennifer L Brown, Theresa Winhusen, Ralph J DiClemente, Jessica M Sales, Eve S Rose, Polina Safonova, Olga Levina, Nikolay Belyakov, Vadim V Rassokhin
Cigarette smoking among people living with HIV/AIDS is associated with significant morbidity and mortality, but findings regarding the association between cigarette smoking and HIV viral load and CD4+ lymphocyte counts have been inconsistent. This study characterized the prevalence of cigarette smoking among HIV-infected Russian women and examined the association between smoking frequency and quantity and HIV viral load and CD4+ lymphocyte counts. HIV-infected Russian women (N = 250; M age = 30.0) in St...
May 12, 2017: AIDS Care
https://www.readbyqxmd.com/read/28490197/psychological-and-behavioral-barriers-to-art-adherence-among-plwh-in-china-role-of-self-efficacy
#11
Guangyu Zhou, Xiaoming Li, Shan Qiao, Yuejiao Zhou, Zhiyong Shen
Globally, optimal adherence to antiretroviral therapy (ART) is insufficient despite it is critical for maximum clinical benefits and treatment success among people living with HIV (PLWH). Many factors have been evidenced to influence medication adherence, including perceived barriers and self-efficacy. However, limited data are available regarding to psychological and behavioral barriers to ART adherence in China. Moreover, few studies have examined the mechanism of these two factors underlying HIV medication adherence...
May 11, 2017: AIDS Care
https://www.readbyqxmd.com/read/28490196/effectiveness-of-second-line-antiretroviral-therapy-the-impact-of-drug-switches
#12
Letícia Penna Braga, Cássia Cristina Pinto Mendicino, Edna Afonso Reis, Ricardo Andrade Carmo, Cristiane Aparecida Menezes de Pádua
Including antiretroviral drug switches as a measure of ART failure could be more suitable than conventional measures to evaluate health outcomes in "real-world" settings. This is part of a historical cohort of HIV-infected adults who initiated ART from 2001-2005, and were followed up for a maximum of five years in three HIV/AIDS centers in Belo Horizonte, Brazil. Follow-up information included data from 2001-2010. All patients switched from first-line ART were included. Second-line ART effectiveness was measured as the time-to-ART failure...
May 10, 2017: AIDS Care
https://www.readbyqxmd.com/read/28488886/network-support-technology-use-depression-and-art-adherence-among-hiv-positive-msm-of-color
#13
I W Holloway, D Tan, S L Dunlap, L Palmer, S Beougher, J A Cederbaum
Depression is associated with poor antiretroviral therapy (ART) adherence among people living with HIV/AIDS. This relationship may be moderated by an individual's social network characteristics. Our study sought to examine social network correlates of treatment adherence among HIV-positive men recruited from social service agencies throughout Los Angeles County (N = 150) to inform technology-driven social support interventions for this population. We administered egocentric social network and computer-assisted survey interviews focused on demographic characteristics, health history, depressive symptoms, and ART adherence, where adherence was assessed by the number of reasons participants missed taking their medication, if ever...
May 10, 2017: AIDS Care
https://www.readbyqxmd.com/read/28486818/tuberculosis-screening-among-hiv-infected-patients-tuberculin-skin-test-vs-interferon-gamma-release-assay
#14
J W Adams, C J Howe, A C Andrews, S L Allen, C Vinnard
National guidelines recommend screening for latent tuberculosis infection (LTBI) in all HIV-infected patients. Thus, the objective of this study was to measure protocol adherence to national guidelines regarding LTBI screening for HIV-infected patients entering care at an urban primary care clinic specializing in HIV care, identify clinical and other characteristics associated with adherence, and determine whether transitioning from the tuberculin skin test (TST) to the interferon-gamma release assay (IGRA) improved adherence...
May 9, 2017: AIDS Care
https://www.readbyqxmd.com/read/28486816/attitudes-towards-exercise-among-substance-using-older-adults-living-with-hiv-and-chronic-pain
#15
Annie L Nguyen, Jordan E Lake, M Carrington Reid, Suzette Glasner, Jessica Jenkins, Jury Candelario, Sarah Soliman, Homero E Del Pino, Alison A Moore
Chronic pain and substance use disorders occur commonly among HIV-infected persons. Recent CDC guidelines recommend non-pharmacologic approaches over opioid medications for the management of chronic pain. This is particularly relevant for persons with substance use disorders. Structured physical activity may be an effective strategy for pain reduction. We developed a combined cognitive-behavioral therapy (CBT) + exercise intervention to reduce pain, pain-related disability and substance use and improve physical function in older HIV-infected adults with chronic pain and substance use...
May 9, 2017: AIDS Care
https://www.readbyqxmd.com/read/28482682/longitudinal-development-of-cognitive-visuomotor-and-adaptive-behavior-skills-in-hiv-uninfected-children-aged-3-5-years-of-age-exposed-pre-and-perinatally-to-anti-retroviral-medications
#16
Mary Lou Smith, Klajdi Puka, Ramandeep Sehra, Stanley E Read, Ari Bitnun
Little is known about the neurodevelopmental outcomes of children older than 3 years of age born to HIV infected mother but who are HIV-uninfected (HEU), and who have been exposed in utero and early in life to HIV and to antiretroviral medications (ARVs). We conducted a longitudinal study of cognitive, visuomotor and adaptive function of HEU children, who were assessed at two ages, 3.5 and 5.5 years. Sixty-four children (33 female) were assessed. In comparison with population norms for their age, at 3.5 years of age they had scores significantly below age expectations on aspects of adaptive behavior, but at age 5...
May 8, 2017: AIDS Care
https://www.readbyqxmd.com/read/28478706/interest-in-use-of-mhealth-technology-in-hiv-prevention-and-associated-factors-among-high-risk-drug-users-enrolled-in-methadone-maintenance-program
#17
Roman Shrestha, Pramila Karki, Michael Copenhaver
The adoption of mobile technologies for health (mHealth) in healthcare has grown considerably in recent years, but systematic assessment of interest in the use of mHealth in HIV prevention efforts among people who use drugs (PWUD) is lacking. We therefore examined interest in use of mHealth technology in HIV prevention and associated individual-level factors among high-risk PWUD enrolled in methadone maintenance program. A total of 400 HIV-negative PWUD, who reported drug- and/or sex-related risk behaviors completed a standardized assessment using audio computer assisted self-interview (ACASI)...
May 8, 2017: AIDS Care
https://www.readbyqxmd.com/read/28472896/is-there-a-rural-urban-gap-in-the-quality-of-hiv-care-for-treatment-na%C3%A3-ve-hiv-positive-individuals-initiating-antiretroviral-therapy-in-british-columbia
#18
Lauren J MacKenzie, Mark W Hull, Hasina Samji, Viviane D Lima, Benita Yip, Wendy Zhang, Lillian Lourenço, Guillaume Colley, Robert S Hogg, Julio S G Montaner
Rurally located people living with HIV (PLWH) face unique challenges associated with remoteness that may negatively affect their HIV care outcomes. The Programmatic Compliance Score (PCS) has been used previously as a quality of care metric, and is predictive of mortality for treatment-naïve individuals initiating combination antiretroviral therapy (cART). This study looked at whether the rurality of PLWH impacted their PCS. PCS was calculated for PLWH (≥19 years old) initiating cART in British Columbia between 2000 and 2013...
May 4, 2017: AIDS Care
https://www.readbyqxmd.com/read/28464705/receipt-and-timing-of-hiv-drug-resistance-testing-in-six-u-s-jurisdictions
#19
Sharoda Dasgupta, H Irene Hall, Angela L Hernandez, M Cheryl Bañez Ocfemia, Neeraja Saduvala, Alexandra M Oster
The Department of Health and Human Services recommends drug resistance testing at linkage to HIV care. Because receipt and timing of testing are not well characterized, we examined testing patterns among persons with diagnosed HIV who are linked to care. Using surveillance data in six jurisdictions for persons aged ≥13 years with HIV infection diagnosed in 2013, we assessed the proportion receiving testing, and among these, the proportion receiving testing at linkage. Multivariable log-binomial regression modeling estimated associations between selected characteristics and receipt of testing (1) overall, and (2) at linkage among those tested...
May 3, 2017: AIDS Care
https://www.readbyqxmd.com/read/28464694/beyond-negative-attitudes-examining-hiv-aids-stigma-behaviors-in-clinical-encounters
#20
Nelson Varas-Díaz, Marinilda Rivera, Eliut Rivera-Segarra, Torsten B Neilands, Nerian Ortiz, Yasmín Pedrogo, Sigrid Mendoza, Andrés Rivera Amador, Stephanie Martínez García, Sugeily Rivera Suazo, Carmen E Albizu-García
HIV/AIDS related stigma remains a major global health issue with detrimental consequences for the treatment and health of people with HIV/AIDS (PWHA), especially when manifested by health professionals. Research on HIV/AIDS stigma has successfully documented negative attitudes towards PWHA among health professionals. However, fewer studies have examined how stigma is manifested behaviorally by health professionals during clinical interactions. Therefore, this study aimed to: (1) examine the behavioral manifestations of HIV/AIDS stigma among physicians in training during clinical interactions, and (2) document the interrelation between HIV/AIDS stigma attitudes and behaviors...
May 3, 2017: AIDS Care
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