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AIDS Care

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https://www.readbyqxmd.com/read/27915488/psychological-impact-on-caregivers-of-hiv-infected-children-in-udupi-district-karnataka
#1
Md Asadullah, Ramachandra Kamath, Sanjay Pattanshetty, Teddy Andrews, N Sreekumaran Nair
Caregivers of children living with HIV/AIDS (CLWHA) face unique challenges due to disease-related stigma and discrimination, isolation from society, financial constraints, grief and mortality of loved one. A descriptive cross-sectional study was conducted at Udupi ART centre to assess the caregiver burden, psychological distress and their associated factors among the caregivers of CLWHA in Udupi District. The convenience sampling technique was used to collect the data from 171 caregivers and analysed with the help of SPSS version 15...
December 4, 2016: AIDS Care
https://www.readbyqxmd.com/read/27915483/factors-associated-with-sterilization-among-hiv-positive-us-women-in-an-urban-outpatient-clinic
#2
V T Raziano, A N Smoots, L B Haddad, K M Wall
This cross-sectional study sought to determine factors associated with sterilization among HIV-positive US women. HIV-positive women aged 18-45 completed an Audio Computer Assisted Self Interview (ACASI) questionnaire. Chi-square tests and multivariable logistic regression evaluated factors associated with sterilization. The median age of the 187 participants was 37, the majority had at least a high school education, and 88% were African American. Nearly a quarter (22%) of women had undergone sterilization at an average age of 25; of these women, 71% cited their HIV-positive status as an important factor in deciding to have a tubal ligation, 22% expressed desire for future children, 32% reported sterilization regret, and 20% reported feeling pressure to undergo sterilization...
December 4, 2016: AIDS Care
https://www.readbyqxmd.com/read/27910722/post-exposure-prophylaxis-awareness-and-use-among-men-who-have-sex-with-men-in-london-who-use-geosocial-networking-smartphone-applications
#3
William C Goedel, Daniel Hagen, Perry N Halkitis, Richard E Greene, Marybec Griffin-Tomas, Forrest A Brooks, DeMarc Hickson, Dustin T Duncan
The number of new HIV infections continues to be on the rise in many high-income countries, most notably among men who have sex with men (MSM). Despite recent attention to the use of antiretroviral medications as pre-exposure prophylaxis (PrEP) among MSM, considerably less research has been devoted to examining the awareness and use of post-exposure prophylaxis (PEP). Based on a convenience sample of 179 self-reported HIV-uninfected MSM using a geosocial-networking smartphone application, this study is among the first to examine the awareness and use of PEP and their demographic and behavioral correlates among MSM in London...
December 2, 2016: AIDS Care
https://www.readbyqxmd.com/read/27910703/co-calibration-of-two-self-reported-measures-of-adherence-to-antiretroviral-therapy
#4
Robin M Nance, J A Chris Delaney, Carol E Golin, Wendee M Wechsberg, Chinazo Cunningham, Frederick Altice, Katerina Christopoulos, Kevin Knight, Vu Quan, Michael S Gordon, Sandra Springer, Jeremy Young, Paul K Crane, Kenneth H Mayer, Michael J Mugavero, Carlos Del Rio, Richard A Kronmal, Heidi M Crane
Adherence to antiretroviral therapy (ART) is an important determinant of clinical success assessed in many HIV studies. Harmonizing adherence data from studies that use different measures is difficult without a co-calibration equation to convert between validated instruments. Our purpose was to co-calibrate two commonly used adherence measures: the AIDS Clinical Trials Group (ACTG) questionnaire and the Visual Analog Scale (VAS). We used robust linear regression to develop a co-calibration equation in a clinical care cohort...
December 2, 2016: AIDS Care
https://www.readbyqxmd.com/read/27903083/club-drugs-and-alcohol-abuse-predicted-dropout-and-poor-adherence-among-methadone-maintenance-treatment-patients-in-guangzhou-china
#5
Di Liu, Jing Gu, Huifang Xu, Chun Hao, Mingxu Jiao, Xiao Zhang, Yuteng Zhao, Babbitt Andrew, Yuantao Hao
Club drugs and alcohol abuse are prevalent among methadone maintenance treatment (MMT) patients. However, little is known about the association between these abuse and treatment outcomes among MMT patients. The aim of this study was to examine the prevalence of club drugs and alcohol abuse among MMT patients and to investigate the associations between these abuse and treatment outcomes - dropout and poor adherence. In this one-year cohort study conducting in Guangzhou, China, data including background characteristics, club drugs use in the last six months, alcohol use history and treatment-related information was collected...
November 30, 2016: AIDS Care
https://www.readbyqxmd.com/read/27894190/adherence-to-combination-antiretroviral-treatment-and-clinical-outcomes-in-a-medicaid-sample-of-older-hiv-infected-adults
#6
Winston E Abara, Oluwatoyosi A Adekeye, Junjun Xu, George Rust
The adherence threshold for combination antiretroviral therapy (cART) has historically been set at 95% or greater. We examined whether different levels of cART adherence (≥95% [optimal adherence], 90-94%, 80-89%, and <80%) were associated with different clinical outcomes (emergency department visits [ED visits] and duration of hospital admission) in a sample of older (50-64 years) persons living with HIV (PLWH). Medicaid data from 29 US states (n = 5177) were used for this study. cART adherence was measured and data regarding relevant covariates, such as race, sex, age, urbanicity, and comorbidity were obtained...
November 28, 2016: AIDS Care
https://www.readbyqxmd.com/read/27892711/clinical-indicators-associated-with-hiv-acquisition-in-the-united-states-air-force
#7
William N Hannah, Shilpa Hakre, Peter Dawson, Hao Wu, Sheila A Peel, Nelson L Michael, Paul T Scott, Jason F Okulicz
Mandatory HIV screening of United States Air Force (USAF) personnel every two years effectively identifies incident cases, however testing frequency limits the ability to detect early HIV infection. Identifying clinical indicators of HIV in the USAF population is necessary to develop a supplemental provider-based targeted testing strategy. We conducted a matched case-control study of male active duty USAF personnel with a new HIV diagnosis (n = 452) between 1996 and 2011 matched to five randomly selected controls (n = 2176)...
November 28, 2016: AIDS Care
https://www.readbyqxmd.com/read/27892704/the-effects-of-a-16-week-aerobic-exercise-programme-on-cognitive-function-in-people-living-with-hiv
#8
Adam McDermott, Lilia Zaporojan, Patricia McNamara, Colin P Doherty, Janice Redmond, Cuisle Forde, John Gormley, Mikel Egaña, Colm Bergin
High levels of cardiovascular fitness and physical activity are associated with higher levels of cognitive function in people with HIV, thus, they may reduce the risk of developing HIV-associated neurocognitive disorder (HAND). This study aimed to investigate the effects of a 16-week aerobic exercise intervention on cognitive function in people with HIV. Eleven participants living with HIV were recruited into the study. Participants were randomised into either an exercise group (n = 5), that completed a 16-week aerobic exercise programme training, 3 times per week (2 supervised sessions and one unsupervised session) or a control group (n = 6) that received no intervention...
November 28, 2016: AIDS Care
https://www.readbyqxmd.com/read/27884067/psychosocial-correlates-of-safe-sex-communication-between-latina-women-and-their-stable-male-partners-an-integrative-review
#9
Heidi Luft, Elaine Larson
Latina women in stable relationships have risks for human immunodeficiency virus and other sexually transmitted infections. Improving safe sexual communication (SSC) could enable women to accurately assess and mitigate their risk of infection within their relationship. Literature to identify psychosocial correlates that facilitate or inhibit SSC between Latina women and their partners has not yet been synthesized. The purpose of this study was to conduct an integrative review and synthesis of empirical and theoretical research that examines psychosocial correlates of SSC among adult Latina women from the United States, Latina America, and the Caribbean with stable male partners...
November 25, 2016: AIDS Care
https://www.readbyqxmd.com/read/27875903/correlates-of-sexual-risk-behaviors-among-young-black-msm-implications-for-clinic-based-counseling-programs
#10
Richard A Crosby, Leandro Mena, JaNelle M Ricks
This study applied an 8-item index of recent sexual-risk behaviors to young Black men who have sex with men (YBMSM) and evaluated the distribution for normality. The distribution was tested for associations with possible antecedents of sexual risk. YBMSM (N = 600), aged 16-29 years, were recruited from a sexually transmitted infection clinic, located in the southern US. Men completed an extensive audio computer-assisted self-interview. Thirteen possible antecedents of sexual risk, as assessed by the index, were selected for analyses...
November 22, 2016: AIDS Care
https://www.readbyqxmd.com/read/27871198/-it-is-easier-for-me-to-shoot-up-stigma-abandonment-and-why-hiv-positive-drug-users-in-russia-fail-to-link-to-hiv-care
#11
Tetiana Kiriazova, Karsten Lunze, Anita Raj, Natalia Bushara, Elena Blokhina, Evgeny Krupitsky, Carly Bridden, Dmitry Lioznov, Jeffrey H Samet, Allen L Gifford
Many HIV-positive people who inject drugs (PWID) globally are not receiving HIV care. This represents a major challenge among key populations to end the global HIV epidemic. This qualitative study explored the process and associated barriers of linking HIV-positive PWID who are in addiction treatment to HIV care in St. Petersburg, Russia. We conducted three focus groups and seven semi-structured interviews with participants in the LINC ("Linking Infectious and Narcology Care") project at addiction and HIV hospitals in St...
November 22, 2016: AIDS Care
https://www.readbyqxmd.com/read/27871185/interventions-that-increase-the-intention-to-seek-voluntary-hiv-testing-in-young-people-a-review
#12
Kelly Feist Bumgarner, Jennifer Pharr, Mark Buttner, Echezona Ezeanolue
Young people 15-24 years old represent 39% of new HIV infections globally. However, they are the least likely age demographic to seek HIV testing and the most likely to be unaware of their HIV status. The purpose of this systematic literature review was to identify interventions that increase either rates of HIV testing or intentions to seek HIV testing in young people 10-24 years old. In total, 1601 manuscripts were systematically examined and five manuscripts were included in the final review. Two common themes identified in the interventions were education and test delivery methods...
November 22, 2016: AIDS Care
https://www.readbyqxmd.com/read/27871183/hiv-patient-and-provider-feedback-on-a-telehealth-collaborative-care-for-depression-intervention
#13
Karen L Drummond, Jacob T Painter, Geoffrey M Curran, Regina Stanley, Allen L Gifford, Maria Rodriguez-Barradas, David Rimland, Thomas P Monson, Jeffrey M Pyne
In the HIV Translating Initiatives for Depression into Effective Solutions project, we conducted a randomized controlled effectiveness and implementation trial comparing depression collaborative care with enhanced usual care in Veterans Health Administration HIV clinics in the US. An offsite HIV depression care team including a psychiatrist, a depression care manager (DCM), and a clinical pharmacist provided collaborative care using a stepped-care model of treatment and made recommendations to providers through the electronic health record system...
November 22, 2016: AIDS Care
https://www.readbyqxmd.com/read/27866410/distress-depression-and-anxiety-among-persons-seeking-hiv-testing
#14
Ashraf Kagee, Wylene Saal, Jason Bantjes
We investigated psychological distress and symptoms of depression and anxiety among 485 South Africans seeking HIV testing. The mean scores of the sample were 45.78 (SD = 16.81) on the Hopkins Symptom Checklist; 15.8 (SD = 12.4) on the Beck Depression Inventory and 12.44 (SD = 13.00) on the Beck Anxiety Inventory, which fell in the elevated, mild and low ranges on these instruments, respectively. For more than a third of participants, symptoms of depression and clinically significant distress were at least moderate and in some cases severe, indicating that they may have benefitted from psychological help...
November 20, 2016: AIDS Care
https://www.readbyqxmd.com/read/27855485/active-targeted-hiv-testing-and-linkage-to-care-among-men-who-have-sex-with-men-attending-a-gay-sauna-in-thailand
#15
Thana Khawcharoenporn, Anucha Apisarnthanarak, Nittaya Phanuphak
Existing data on the feasibility of human immunodeficiency virus (HIV) testing and counseling (HTC) and linkage to care among men who have sex with men (MSM) in hotspots are currently limited. A prospective study on active targeted HTC and linkage to care among MSM (≥18 years old) was conducted at a gay sauna in Thailand from November 2013 to October 2015. HIV risks and risk perception were evaluated through an anonymous survey. HIV testing with result notification and care appointment arrangement were provided on-site...
November 17, 2016: AIDS Care
https://www.readbyqxmd.com/read/27852108/male-condom-use-multiple-sexual-partners-and-hiv-a-prospective-case-control-study-in-kinshasa-drc
#16
Silvia Carlos, Cristina Lopez-Del Burgo, Eduardo Burgueño, Miguel Angel Martinez-Gonzalez, Alfonso Osorio, Adolphe Ndarabu, Clément Passabosc, Jokin de Irala
In the Democratic Republic of Congo no previous studies have assessed the factors associated with different patterns of condom use and with multiple sexual partners, and the association between condom use simultaneously taking into account multiple sexual partnerships, and HIV infection. We carried out a prospective case-control study. From December 2010 until June 2012, 1630 participants aged 15-49 getting HIV Voluntary Counseling and Testing in a hospital in Kinshasa were selected. Cases were new HIV diagnosis and controls were HIV-negative participants detected along the study period...
November 16, 2016: AIDS Care
https://www.readbyqxmd.com/read/27846730/impact-of-food-housing-and-transportation-insecurity-on-art-adherence-a-hierarchical-resources-approach
#17
Talea Cornelius, Maranda Jones, Cynthia Merly, Brandi Welles, Moira O Kalichman, Seth C Kalichman
Antiretroviral therapy (ART) has transformed HIV into a manageable illness. However, high levels of adherence must be maintained. Lack of access to basic resources (food, transportation, and housing) has been consistently associated with suboptimal ART adherence. Moving beyond such direct effects, this study takes a hierarchical resources approach in which the effects of access to basic resources on ART adherence are mediated through interpersonal resources (social support and care services) and personal resources (self-efficacy)...
November 15, 2016: AIDS Care
https://www.readbyqxmd.com/read/27842440/caregiver-reported-antiretroviral-therapy-non-adherence-during-the-first-week-and-after-a-month-of-treatment-initiation-among-children-diagnosed-with-hiv-in-ethiopia
#18
Mulatu Biru, Degu Jerene, Pia Lundqvist, Mitikie Molla, Workeabeba Abebe, Inger Hallström
To achieve optimal virologic suppression for children undergoing antiretroviral therapy (ART), adherence must be excellent. This is defined as taking more than 95% of their prescribed doses. To our knowledge, no study in Ethiopia has evaluated the level of treatment adherence at the beginning of the child's treatment. Our aim was therefore to evaluate caregiver-reported ART non-adherence among children and any predictors for this during the early course of treatment. We conducted a prospective cohort study of 306 children with HIV in eight health facilities in Ethiopia who were registered at ART clinics between 20 December 2014 and 20 April 2015...
November 14, 2016: AIDS Care
https://www.readbyqxmd.com/read/27838933/considerations-for-purposeful-hiv-status-disclosure-among-women-living-with-hiv-in-ghana
#19
Rebecca A Poku, Adobea Yaa Owusu, Patricia Dolan Mullen, Christine Markham, Sheryl A McCurdy
Although disclosure of positive HIV status has recognized benefits, enacted and perceived stigma is a continuing problem in Ghana, especially affecting women living with HIV (WLHIV). This qualitative study investigates how WLHIV make these decisions. We interviewed 40 WLHIV, analysing their transcripts using thematic content analysis. Four themes emerged from the data: selectivity in disclosure; disclosure for education, prevention and to provide support; concern for the potential confident, and safety in secrets...
November 13, 2016: AIDS Care
https://www.readbyqxmd.com/read/27832703/hiv-and-sti-knowledge-testing-and-risk-among-adult-crack-users-in-mexico-city-baseline-findings-from-a-feasibility-study
#20
Alice Cepeda, Jessica Frankeberger, Jennifer L Bailey, Kathryn M Nowotny, Guillermina Natera-Rey, Avelardo Valdez
Recent research has documented crack cocaine's increasing spread in Mexico, which is likely to contribute to the rapid transmission of HIV and other sexually transmitted infections (STIs). In Mexico, crack use is increasing most rapidly in vulnerable, hard-to-reach populations, where little is known about risk behaviors. This report aims to present baseline data regarding HIV and STI knowledge and testing prevalence from an innovative projection mapping HIV intervention, in which 3-D illusions, animation, and visual text graphics and sound are projected onto buildings with health messages that were designed to disrupt everyday life and connect with the target population...
November 10, 2016: AIDS Care
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