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AIDS Care

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https://www.readbyqxmd.com/read/28420249/increasing-hiv-testing-among-pregnant-women-in-nigeria-evaluating-the-traditional-birth-attendant-and-primary-health-center-integration-tap-in-model
#1
Amara Frances Chizoba, Jennifer R Pharr, Gina Oodo, Edith Ezeobi, Jude Ilozumb, Johnbull Egharevba, Echezona E Ezeanolue, Anthea Nwandu
Engaging Traditional Birth Attendants (TBAs) may be critical to preventing mother-to-child transmission of HIV (PMTCT) in Nigeria. We integrated TBAs into Primary Health Centers (PHCs) and provided the TBAs with HIV counseling and testing (HCT) training for PMTCT (TAP-In). The purpose of this study was to evaluate the impact of TAP-In on HCT uptake among pregnant women. A quasi-experimental design was used for this study. Twenty PHCs were assigned to the intervention group that integrated TAP-In and 20 were assigned to the control group...
April 18, 2017: AIDS Care
https://www.readbyqxmd.com/read/28406033/the-impact-of-hiv-antiretroviral-treatment-perception-on-risky-sexual-behaviour-in-botswana-a-short-report
#2
Gobopamang Letamo, Mpho Keetile, Kannan Navaneetham
The aim of this article is to investigate the impact of ART perception on risky sexual behaviours in Botswana. Using binary logistic regression analysis controlling for individual characteristics, the results tend to support the hypothesis that ART misconceptions do not necessarily increase risky sexual behaviours. In particular, the study findings suggest the belief that ARVs cure HIV and AIDS and that people on ARVs should not always use condoms do not necessarily lead to increased risky sexual behaviours, particularly among women...
April 13, 2017: AIDS Care
https://www.readbyqxmd.com/read/28397527/it-helps-me-live-sends-my-children-to-school-and-feeds-me-a-qualitative-study-of-how-food-and-cash-incentives-may-improve-adherence-to-treatment-and-care-among-adults-living-with-hiv-in-tanzania
#3
Nancy L Czaicki, Agatha Mnyippembe, Madeline Blodgett, Prosper Njau, Sandra I McCoy
Financial and in-kind incentives have been shown to improve outcomes along the HIV care cascade, however the potential mechanismsthrough which they work remain unclear. To identify the pathways through which incentives improve retention in care and adherence to antiretroviral therapy (ART), we conducted a qualitative study with participants in a trial evaluating conditional food and cash incentives for HIV-positive food insecure adults in Shinyanga, Tanzania. We found that the incentives acted through three pathways to potentially increase retention in care and adherence to ART: (1) addressing competing needs and offsetting opportunity costs associated with clinic attendance, (2) alleviating stress associated with attending clinic and meeting basic needs, and (3) by potentially increasing motivation...
April 11, 2017: AIDS Care
https://www.readbyqxmd.com/read/28395528/projected-demographic-composition-of-the-united-states-population-of-people-living-with-diagnosed-hiv
#4
Julia E Hood, Matthew R Golden, James P Hughes, Steven M Goodreau, Azfar-E-Alam Siddiqi, Susan E Buskin, Stephen E Hawes
The transformation of HIV from a fatal disease to lifelong disease has resulted in an HIV-infected population that is growing and aging, placing new and increasing demands on public programs and health services. We used National HIV Surveillance System and US census data to project the demographic composition of the population of people living with diagnosed HIV (PLWDH) in the United States through 2045. The input parameters for the projections include: (1) census projections, (2) number of people with an existing HIV diagnosis in 2013, (3) number of new HIV diagnoses in 2013, and (4) death rate within the PLWDH population in 2013...
April 10, 2017: AIDS Care
https://www.readbyqxmd.com/read/28393612/willingness-to-distribute-free-rapid-home-hiv-test-kits-and-to-test-with-social-or%C3%A2-sexual-network-associates-among-men-who-have-sex-with-men-in-the-united%C3%A2-states
#5
Akshay Sharma, Pollyanna R Chavez, Robin J MacGowan, A D McNaghten, Brian Mustanski, Laura Gravens, Arin E Freeman, Patrick S Sullivan
Peer-driven HIV prevention strategies can be effective in identifying high-risk persons with undiagnosed infections. Besides individual self-testing, other potential uses of rapid home HIV test kits include distributing them, and testing with others within one's social or sexual networks. We sought to identify factors associated with the willingness to engage in these alternative activities among men who have sex with men (MSM) in the United States. From May to October 2014, we surveyed 828 HIV-negative or unknown status MSM about multiple aspects of rapid home HIV testing...
April 9, 2017: AIDS Care
https://www.readbyqxmd.com/read/28393587/addressing-discriminatory-benefit-design-for-people-living-with-hiv-a-california-case-study
#6
Sara B McMenamin, Riti Shimkhada, Sarah P Hiller, Garen Corbett, Ninez Ponce
Concern is growing in the United States regarding the potential for health insurance benefit designs to discriminate against persons living with HIV as research demonstrates that such practices are occurring. A recent complaint filed against health insurers in seven states alleges that some health insurance companies have been using benefit designs that discourage enrollment of people living with HIV either by not covering essential HIV medications or by requiring cost-sharing for these prohibitively expensive medications...
April 9, 2017: AIDS Care
https://www.readbyqxmd.com/read/28393548/hiv-and-hcv-infection-among-opiate-dependent-patients-and-methadone-doses-the-proteus-study
#7
Carlos Roncero, Daniel Fuster, Raul Felipe Palma-Álvarez, Laia Rodriguez-Cintas, Nieves Martinez-Luna, F Javier Álvarez
Human immunodeficiency virus (HIV) and hepatitis C virus (HCV) are prevalent infections in opiate-dependent patients. Opiate replacement treatment (ORT) with methadone or buprenorphine is associated with several important outcomes among patients with opiate dependence. However, little is known about outcomes in patients with HIV and/or HCV infections that are in ORT. Also, it is not well established whether the presence of HCV or HIV infection could be associated with higher methadone doses. This paper reanalyzes the database of PROTEUS study, using two principal variables: methadone dose and presence of HIV and/or HCV infection...
April 9, 2017: AIDS Care
https://www.readbyqxmd.com/read/28366011/change-in-patterns-of-hiv-status-disclosure-in-the-haart-era-and-association-of-hiv-status-disclosure-with-depression-level-among-women
#8
Chenglong Liu, Lakshmi Goparaju, Andrew Barnett, Cuiwei Wang, Paul Poppen, Mary Young, Maria Cecilia Zea
Whether widespread use of HAART changed patterns of HIV status disclosure among women living with HIV is largely unknown. In addition, the association between time to first HIV disclosure and depression has not been fully explored among women. A retrospective cross-sectional survey was conducted among HIV-infected women from the Washington, DC site of the Women's Interagency HIV Study to collect detailed information about their HIV status disclosure behavior. A sample of 202 HIV-positive women, 102 diagnosed prior to and 100 post-HAART era participated in this study...
April 1, 2017: AIDS Care
https://www.readbyqxmd.com/read/28366008/retention-in-hiv-care-depends-on-patients-perceptions-of-the-clinic-experience
#9
Matthew H Wessinger, Monique M Hennink, Bonnie N Kaiser, Jed P Mangal, Runa H Gokhale, Lauren Ruchin, Abeer Moanna, David Rimland, Eugene W Farber, Vincent C Marconi
Institutional barriers in HIV primary care settings can contribute substantially to disparities in retention in HIV treatment and HIV-related outcomes. This qualitative study compared the perceptions of clinic experiences of persons living with HIV (PLWH) in a Veterans Affairs HIV primary care clinic setting who were retained in care with the experiences of those who were not retained in care. Qualitative data from 25 in-depth interviews were analyzed to identify facilitators and barriers to retention in HIV care...
April 1, 2017: AIDS Care
https://www.readbyqxmd.com/read/28366006/associations-between-depressive-syndromes-and-hiv-risk-behaviors-among-san%C3%A2-francisco-men-who-have-sex-with-men
#10
Yea-Hung Chen, Henry Fisher Raymond
HIV prevention plans for men who have sex with men (MSM) are often multifaceted. They involve reduction of sexual risk behaviors, such as condomless intercourse, but also often include pharmaceutical approaches, such as early treatment of HIV-infected individuals with antiretroviral therapy (ART). Effectiveness is possibly threatened by individual-level factors, such as depression. In this study of 322 San Francisco MSM (240 HIV-uninfected individuals and 82 HIV-infected individuals, according to self-report), we examine associations between depressive syndromes and HIV risk behaviors (sexual risk behaviors and ART non-adherence)...
April 1, 2017: AIDS Care
https://www.readbyqxmd.com/read/28359213/caring-for-perinatally-hiv-infected-children-call-for-mental-care-for-the-children-and-the-caregivers
#11
Kimiyo Kikuchi, Krishna C Poudel, John Muganda Rwibasira, Adolphe Majyambere, Vincent Mutabazi, Simon Pierre Nyonsenga, Ribakare Muhayimpundu, Masamine Jimba
Antiretroviral therapy has dramatically improved the survival rate of perinatally HIV-infected children. For them to thrive, it is necessary to understand better their mental health issues. Caregivers play an important role in children's daily care and caregiver mental health may relate to children's mental health. However, this association has rarely been studied. Accordingly, the present study examined the associations between depression of caregivers and that of perinatally HIV-infected children in Kigali, Rwanda...
March 30, 2017: AIDS Care
https://www.readbyqxmd.com/read/28359212/a-randomized-clinical-trial-of-adolescents-with-hiv-aids-pediatric-advance-care-planning
#12
Maureen E Lyon, Lawrence J D'Angelo, Ronald H Dallas, Pamela S Hinds, Patricia A Garvie, Megan L Wilkins, Ana Garcia, Linda Briggs, Patricia M Flynn, Sohail R Rana, Yao Iris Cheng, Jichuan Wang
The objective of this study is to determine if pediatric advance care planning (pACP) increases adolescent/family congruence in end-of-life (EOL) treatment preferences longitudinally. Adolescents aged 14-21 years with HIV/AIDS and their families were randomized (N = 105 dyads) to three-60-minute sessions scheduled one week apart: either the pACP intervention (survey administered independently, facilitated conversation with adolescent and family present, completion of legal advance directive document with adolescent and family present) or an active control (developmental history, safety tips, nutrition and exercise education)...
March 30, 2017: AIDS Care
https://www.readbyqxmd.com/read/28355926/role-of-male-partner-involvement-in-art-retention-and-adherence-in-malawi-s-option-b-program
#13
Austin Wesevich, Tiwonge Mtande, Friday Saidi, Elizabeth Cromwell, Hannock Tweya, Mina C Hosseinipour, Irving Hoffman, William C Miller, Nora E Rosenberg
Malawi's Option B+ program provides all HIV-infected pregnant women free lifelong antiretroviral therapy (ART), but challenges remain regarding retention and ART adherence, potentially due to male partner barriers. We explored relationships between male partner involvement and Option B+ retention and adherence. In 2014, a randomized controlled trial in Malawi compared male recruitment strategies for couple HIV testing and counseling (cHTC) at an antenatal clinic. This secondary analysis was conducted among the entire cohort (N = 200) of women, irrespective of randomization status...
March 29, 2017: AIDS Care
https://www.readbyqxmd.com/read/28351158/stressful-and-traumatic-life-events-as-disruptors-to-antiretroviral-therapy-adherence
#14
Julie K O'Donnell, Bradley N Gaynes, Stephen R Cole, Andrew Edmonds, Nathan M Thielman, E Byrd Quinlivan, Amy Heine, Rhiddi Modi, Brian W Pence
Stressful and traumatic life events (STLEs) are common among HIV-infected individuals and may affect health behaviors such as adherence to antiretroviral (ARV) therapy, with important implications for treatment outcomes. We examined the association between STLEs and ARV adherence among 289 US-based participants enrolled between 7/1/2010 and 9/1/2013 in a study of depression treatment for HIV-infected patients. Participants received monthly telephone calls to assess STLEs and pill count-based ARV adherence. Inverse probability of observation weighting was combined with multiple imputation to address missing data...
March 28, 2017: AIDS Care
https://www.readbyqxmd.com/read/28343404/emerging-from-the-database-shadows-characterizing-undocumented-immigrants-in-a-large-cohort-of-hiv-infected-persons
#15
Jonathan Ross, David B Hanna, Uriel R Felsen, Chinazo O Cunningham, Viraj V Patel
Little is known about how HIV affects undocumented immigrants despite social and structural factors that may place them at risk of poor HIV outcomes. Our understanding of the clinical epidemiology of HIV-infected undocumented immigrants is limited by the challenges of determining undocumented immigration status in large data sets. We developed an algorithm to predict undocumented status using social security number (SSN) and insurance data. We retrospectively applied this algorithm to a cohort of HIV-infected adults receiving care at a large urban healthcare system who attended at least one HIV-related outpatient visit from 1997 to 2013, classifying patients as "screened undocumented" or "documented"...
March 27, 2017: AIDS Care
https://www.readbyqxmd.com/read/28343403/meaning-in-life-resilience-and-psychological-well-being-among-children-affected-by-parental-hiv
#16
Hongfei Du, Xiaoming Li, Peilian Chi, Junfeng Zhao, Guoxiang Zhao
Meaning in life has been posited to improve psychological well-being. People facing adversities can reduce psychological distress through pursuing a sense of purpose in life. However, the effectiveness of meaning in life in promoting psychological well-being has been found varied, and what factors may affect the function of meaning in life remain unclear. In this paper, the authors suggest that resilience, the positive adaptation during or following significant adversity, can strengthen the protective effects of meaning in life on psychological well-being...
March 26, 2017: AIDS Care
https://www.readbyqxmd.com/read/28335616/predictors-of-cd4-health-and-viral-suppression-outcomes-for-formerly-homeless-people-living-with-hiv-aids-in-scattered-site-supportive-housing
#17
Elizabeth A Bowen, James Canfield, Suzanne Moore, Midge Hines, Brent Hartke, Chrissy Rademacher
Stable housing is key to improving health outcomes for people living with HIV/AIDS. Though many formerly homeless HIV positive individuals reside in supportive housing, little research has examined biometric HIV health outcomes for residents of these programs. Through a community-based research partnership, this study analyzed secondary data from a Shelter Plus Care supportive housing program in Cincinnati, Ohio to examine the likelihood of participants achieving a healthy CD4 count (>500 cells/mm(3)) and viral suppression (viral load <200 copies/mL) while in supportive housing and to identify participant characteristics associated with these outcomes...
March 23, 2017: AIDS Care
https://www.readbyqxmd.com/read/28325077/effective-interventions-to-improve-young-adults-linkage-to-hiv-care-in-sub-saharan-africa-a-systematic-review
#18
Bertille Octavie Mavegam, Jennifer R Pharr, Patricia Cruz, Echezona E Ezeanolue
HIV/AIDS remains a major public health problem despite the efforts to prevent and decrease its spread. Sub-Saharan Africa (SSA) represents 70% of the global number of people living with HIV and 73% of all HIV/AIDS-related deaths. Young adults age 15-24 years are disproportionately impacted by HIV/AIDS in SSA with 34% of people living with HIV (PLWHIV) and 37% of newly diagnosed individuals being in this age group. It is important that PLWHIV be linked to care to facilitate antiretroviral therapy (ART) initiation and limit the spread of infection...
March 22, 2017: AIDS Care
https://www.readbyqxmd.com/read/28325068/the-relationship-between-health-worker-stigma-and-uptake-of-hiv-counseling-and-testing-and-utilization-of-non-hiv-health-services-the-experience-of-male-and-female-sex-workers-in-kenya
#19
Laura Nyblade, Aditi Reddy, David Mbote, John Kraemer, Melissa Stockton, Caroline Kemunto, Karol Krotki, Javier Morla, Stella Njuguna, Arin Dutta, Catherine Barker
The barrier HIV-stigma presents to the HIV treatment cascade is increasingly documented; however less is known about female and male sex worker engagement in and the influence of sex-work stigma on the HIV care continuum. While stigma occurs in all spheres of life, stigma within health services may be particularly detrimental to health seeking behaviors. Therefore, we present levels of sex-work stigma from healthcare workers (HCW) among male and female sex workers in Kenya, and explore the relationship between sex-work stigma and HIV counseling and testing...
March 22, 2017: AIDS Care
https://www.readbyqxmd.com/read/28292203/simple-screening-for-neurocognitive-impairment-in-routine-hiv-outpatient-care-is-it-deliverable
#20
Sarah Parry, Sarah Zetler, Anna Kentridge, Jenny Petrak, Tristan Barber
Routine screening for psychological and cognitive difficulties is recommended in BHIVA guidelines but screening questions are not specified and studies give varied recommendations. Our aim was to see if simple screening in the routine clinic could help better direct our referrals to psychology and highlight those patients requiring, and likely to benefit from, further assessment. We introduced brief questions to assess neurocognitive impairment (NCI) and mood into routine HIV visits, with an onward referral pathway for further investigation for those screening positive...
March 14, 2017: AIDS Care
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