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AIDS Care

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https://www.readbyqxmd.com/read/29458268/plhiv-are-more-likely-to-have-mental-distress-evidence-from-a-comparison-of-a-cross-section-of-hiv-and-diabetes-patients-at-tertiary-hospitals-in-nigeria
#1
Olumide Abiodun, Ismail Lawal, Christopher Omokanye
HIV is now regarded as a chronic disease because of the availability of treatment. However, it is not well known if there are differences (clinically and in magnitude) between the mental health status of PLHIV and people living with other chronic diseases. The aim of this study was to compare the mental health status of patients attending antiretroviral clinics to patients attending diabetes clinics at tertiary hospitals in Ogun State, Nigeria. A comparative hospital-based cross-sectional study of mental distress among 639 HIV-positive and 639 diabetic patients was carried out...
February 19, 2018: AIDS Care
https://www.readbyqxmd.com/read/29458264/the-experience-and-management-of-hiv-stigma-among-hiv-negative-adults-in-heterosexual-serodiscordant-relationships-in-new-york-city
#2
Karolynn Siegel, Étienne Meunier, Helen-Maria Lekas
Despite treatment advances that have improved the health and life expectancy of HIV-positive people and contribute to the prevention of HIV transmission, HIV stigma is still frequently experienced by HIV-infected individuals and those close to them. This study investigated the types of HIV-related stigma experienced by HIV-negative adults in serodiscordant heterosexual relationships when their partner's HIV-positive status was revealed to family and friends and their strategies to manage such stigma. In-depth interviews were conducted in New York City with 56 men and 44 women who were HIV negative and had been in a relationship for at least six months with an HIV-positive partner of the opposite sex...
February 19, 2018: AIDS Care
https://www.readbyqxmd.com/read/29455572/safer-conception-among-hiv-1-serodiscordant-couples-in-east-africa-understanding-knowledge-attitudes-and-experiences
#3
Kerry Hancuch, Jared Baeten, Kenneth Ngure, Connie Celum, Nelly Mugo, Edna Tindimwebwa, Renee Heffron
For HIV-1 serodiscordant couples, HIV-1 exposure and risk of transmission is heightened during pregnancy attempts, but safer conception strategies can reduce risk. As safer conception programs are scaled up, understanding couples' preferences and experiences can be useful for programmatic recommendations. We followed 1013 high-risk, heterosexual HIV-1 serodiscordant couples from Kenya and Uganda for two years in an open-label delivery study of integrated pre-exposure prophylaxis (PrEP) and antiretroviral therapy (ART), the Partners Demonstration Project...
February 17, 2018: AIDS Care
https://www.readbyqxmd.com/read/29455553/correlates-of-missed-clinic-visits-among-youth-living-with-hiv
#4
Nicholas Tarantino, Larry K Brown, Laura Whiteley, M Isabel Fernández, Sharon L Nichols, Gary Harper
Youth living with HIV (YLH) have significant problems with attending their medical appointments. Poor attendance, consequently, predicts viral non-suppression and other negative health outcomes. To identity targets of intervention, this cross-sectional study examined correlates of past-year missed clinic visits among YLH (N = 2125) attending HIV clinics in the United States and Puerto Rico. Thirty-six percent of YLH missed two or more visits in the past year. Several factors were associated with missed visits in our regression model...
February 17, 2018: AIDS Care
https://www.readbyqxmd.com/read/29451005/hiv-infection-and-risk-of-postpartum-infection-complications-and-mortality-in-rural-uganda
#5
Lisa M Bebell, Joseph Ngonzi, Mark J Siedner, Winnie R Muyindike, Bosco M Bwana, Laura E Riley, Yap Boum, David R Bangsberg, Ingrid V Bassett
HIV infection may increase risk of postpartum infection and infection-related mortality. We hypothesized that postpartum infection incidence and attributable mortality in Mbarara, Uganda would be higher in HIV-infected than HIV-uninfected women. We performed a prospective cohort study of 4231 women presenting to a regional referral hospital in 2015 for delivery or postpartum care. All febrile or hypothermic women, and a subset of randomly selected normothermic women were followed during hospitalization and with 6-week postpartum phone interviews...
February 16, 2018: AIDS Care
https://www.readbyqxmd.com/read/29433386/sexual-risk-behaviors-following-circumcision-among-hiv-positive-men-in-rakai-uganda
#6
Edward Nelson Kankaka, Joseph Ssekasanvu, Jessica Prodger, Dorean Nabukalu, Hadijja Nakawooya, Anthony Ndyanabo, Godfrey Kigozi, Ronald Gray
OBJECTIVE: To determine whether circumcision of HIV-positive men is associated with increased subsequent sexual risk behaviors which may place their female partners at risk. METHODS: Newly circumcised and uncircumcised HIV-positive men in the Rakai Community Cohort Study were followed from baseline (July 2013-January 2015) to determine trend in sexual risk behaviors and association of circumcision with subsequent sexual risk behaviors at follow up (February 2015-September 2016)...
February 13, 2018: AIDS Care
https://www.readbyqxmd.com/read/29415554/the-relationship-between-gastrointestinal-symptom-attribution-bothersomeness-and-antiretroviral-adherence-among-adults-with-hiv
#7
Holly Swan, Joel I Reisman, Sarah E McDannold, Mark E Glickman, D Keith McInnes, Allen L Gifford
Patients who attribute their symptoms to HIV medications, rather than disease, may be prone to switching antiretrovirals (ARVs) and experience poor retention/adherence to care. Gastrointestinal (GI) symptoms (e.g., nausea/vomiting) are often experienced as a side effect of ARVs, but little is known about the relationship of symptom attribution and bothersomeness to adherence. We hypothesized that attribution of a GI symptom to ARVs is associated with a reduction in adherence, and that this relationship is moderated by the bothersomeness of the symptom...
February 7, 2018: AIDS Care
https://www.readbyqxmd.com/read/29411628/neuropsychological-performance-in-patients-with-asymptomatic-hiv-1-infection
#8
Martha Martínez-Banfi, Jorge I Vélez, M Victoria Perea, Ricardo García, Pedro J Puentes-Rozo, Moises Mebarak Chams, Valentina Ladera
Human immunodeficiency virus (HIV-1) infection and acquired immunodeficiency syndrome (AIDS) lead to neurocognitive disorders; however, there is still much knowledge to be gained regarding HIV-associated neurocognitive disorders. The purpose of this study was to assess the cognitive performance, instrumental activities of daily living, depression, and anxiety in patients with asymptomatic HIV-1 infections compared with seronegative participants without neurocognitive impairment. We studied a sample consisted of 60 patients with asymptomatic HIV-1 infections and 60 seronegative participants without neurocognitive impairment from the city of Barranquilla, Colombia, with a mean age of 36...
February 7, 2018: AIDS Care
https://www.readbyqxmd.com/read/29411625/mortality-among-people-living-with-hiv-aids-with-non-small-cell-lung-cancer-in-the-modern-haart-era
#9
Danielle M Smith, Kate A Salters, Oghenowede Eyawo, Conrado Franco-Villalobos, Shahab Jabbari, Sam M Wiseman, Natasha Press, Julio S G Montaner, S F Paul Man, Mark Hull, Robert S Hogg
People living with HIV (PLWHA) with adequate access to modern combination antiretroviral therapy (cART) are living longer and experiencing reduced AIDS-related morbidity and mortality. However, increases in non-AIDS related conditions, such as certain cancers, have accompanied these therapeutic advances over time. As such, our study objective was to determine the impact of HIV on all-cause and lung cancer-specific mortality amongst PLWHA with diagnoses of non-small-cell lung cancer (NSCLC) and HIV-negative individuals with NSCLC...
February 7, 2018: AIDS Care
https://www.readbyqxmd.com/read/29409344/experiences-of-stigma-and-discrimination-in-social-and-healthcare-settings-among-trans-people-living-with-hiv-in-the-uk
#10
M Hibbert, A Wolton, W Crenna-Jennings, L Benton, P Kirwan, I Lut, S Okala, M Ross, M Furegato, K Nambiar, N Douglas, J Roche, J Jeffries, I Reeves, M Nelson, C Weerawardhana, Z Jamal, A Hudson, V Delpech
The People Living with HIV StigmaSurvey UK 2015 was a community led national survey investigating experiences of people living with HIV in the UK in the past 12 months. Participants aged 18 and over were recruited through over 120 cross-sector community organisations and 46 HIV clinics to complete an anonymous online survey. Trans is an umbrella term which refers to individuals whose current gender identity is different to the gender they were assigned at birth. Trans participants self-identified via gender identity and gender at birth questions...
February 6, 2018: AIDS Care
https://www.readbyqxmd.com/read/29397766/trends-in-discharges-from-the-hiv-aids-ward-at-a-tertiary-canadian-hospital-from-2005-to-2014
#11
Denise Jaworsky, Peter Phillips, Zishan Cui, William Chau, Guillaume Colley, Raja Dutta, Benita Yip, Hayden Kremer, Oghenowede Eyawo, Julio Sg Montaner, Mark W Hull
Advances in HIV therapies have transformed HIV infection into a manageable chronic disease. Accordingly, hospital admission trends among people living with HIV may have evolved over time. This study describes discharge diagnoses from the dedicated HIV/AIDS ward at St. Paul's Hospital in Vancouver, Canada. A retrospective database review of admissions to the HIV/AIDS ward between 1 July 2005 and 30 June 2014 was conducted. Primary discharge diagnoses were manually categorized by condition and reviewed by two physicians...
February 4, 2018: AIDS Care
https://www.readbyqxmd.com/read/29397762/challenges-with-access-to-healthcare-from-the-perspective-of-patients-living-with-hiv-a-scoping-review-framework-synthesis
#12
Shabnam Asghari, Jillian Hurd, Zack Marshall, Allison Maybank, Lydia Hesselbarth, Oliver Hurley, Alison Farrell, Claire E Kendall, Sean B Rourke, Marissa Becker, Sharon Johnston, Phil Lundrigan, Ron Rosenes, Christine Bibeau, Clare Liddy
Accessing healthcare can be difficult but the barriers multiply for people living with HIV (PLHIV). To improve access and the health of PLHIV, we must consider their perspectives and use them to inform standard practice. A better understanding of the current literature related to healthcare access from the perspective of PLHIV, can help to identify evidence gaps and highlight research priorities and opportunities. To identify relevant peer-reviewed publications, search strategies were employed. Electronic and grey literature databases were explored...
February 4, 2018: AIDS Care
https://www.readbyqxmd.com/read/29397761/threats-during-sex-work-and-association-with-mental-health-among-young-female-sex-workers-in-hong-kong
#13
Phoenix K H Mo, Winnie W S Mak, Yvonne T Y Kwok, Meiqi Xin, Charlie W L Chan, Louise W M Yip
Young female sex workers (YFSWs) are confronted with significant threats during sex work. The present cross-sectional study examined different levels of threats (i.e., threats to life and health, threats to humanity, threats to control of work and financial security, and the threats to future) experienced by 87 YFSWs (age 16-25) in Hong Kong, and identified their association with mental health (i.e., psychological well-being) together with other factors, including childhood trauma, self-efficacy, hope, and social support...
February 4, 2018: AIDS Care
https://www.readbyqxmd.com/read/29397759/familial-silence-surrounding-hiv-and-non-disclosure-of-hiv-status-to-older-children-and-adolescents
#14
Grace McHugh, Victoria Simms, Chido Dziva Chikwari, Hilda Mujuru, Kusum Nathoo, Prosper Chonzi, Shungu Munyati, Ethel Dauya, Tsitsi Bandason, Joanna Busza, Rashida A Ferrand
Increasing numbers of children with HIV are surviving to adolescence and beyond, many of whom are orphaned. Disclosure of childrens' and adolescents' HIV status has been shown to improve adherence and retention in HIV treatment programmes. We investigated caregiving arrangements and intra-familial experience of HIV and its relationship to HIV disclosure to older children and adolescents. Children aged 6-15 years, newly diagnosed with HIV infection or previously diagnosed but not engaged in HIV care, were recruited from seven primary care clinics in Harare, Zimbabwe...
February 4, 2018: AIDS Care
https://www.readbyqxmd.com/read/29397755/the-association-between-monetary-and-sexual-delay-discounting-and-risky-sexual-behavior-in-an-online-sample-of-men-who-have-sex-with-men
#15
Jeb Jones, Jodie L Guest, Patrick S Sullivan, Jessica M Sales, Samuel M Jenness, Michael R Kramer
Delay discounting is a measure of impulsivity that has been found to be associated with numerous health-related outcomes. To the extent that delay discounting is associated with sexual risk-taking, it might serve as a marker for HIV risk or as the basis for novel HIV prevention interventions. The goal of the current study was to examine the association between monetary and sexual delay discounting and condomless anal intercourse (CAI) in a cross-sectional sample of men who have sex with men. Based on previous findings, we examined whether these associations were age-dependent...
February 4, 2018: AIDS Care
https://www.readbyqxmd.com/read/29388443/prevalence-and-correlates-of-anal-sex-among-secondary-school-students-in-cape-town-south-africa
#16
Michele Ybarra, Myeshia Price-Feeney, Kelvin Mwaba
Research efforts have overlooked anal sex as a risk factor for adolescents' acquisition of HIV despite the high rates of HIV among South African youth. Here, we report findings from a survey conducted in 2012 among secondary school youth, ages 16-24, in Cape Town. 937 adolescents completed a pencil-and-paper survey. Eleven and 31% of female and male youth, respectively, reported ever having anal sex. By comparison, 59% and 78% of female and male youth reported ever having vaginal sex. The percentage of youth reporting lifetime rates of anal sex increased with age: 32% of 20-to-24 year olds had anal sex compared to 16% of 16-to-17-year olds...
February 1, 2018: AIDS Care
https://www.readbyqxmd.com/read/29382213/ethnicity-and-hiv-vulnerabilities-among-men-who-have-sex-with-men-in-china
#17
Stephen W Pan, Richard M Carpiano, Dongliang Li, Zheng Zhang, Martin T Schechter, Patricia M Spittal, Yuhua Ruan
Ethnic affiliation can define sociocultural boundaries and contribute to the HIV vulnerabilities faced by men who have sex with men (MSM). This study investigated the influence of ethnic affiliation on HIV vulnerabilities among MSM in North China. Our study analyzed a cross-sectional survey of MSM (n = 398) in two major North China cities. We examined associations between ethnic affiliation and (a) HIV status, (b) sexual behaviors and experiences, and (c) substance use. Compared to ethnic majority Han MSM: MSM belonging to ethnic minority groups of South China had significantly greater odds of HIV infection (AOR: 7...
January 30, 2018: AIDS Care
https://www.readbyqxmd.com/read/29376409/social-and-structural-determinants-of-hiv-treatment-and-care-among-black-women-living-with-hiv-infection-a-systematic-review-2005-2016
#18
Angelica Geter, Madeline Y Sutton, Donna Hubbard McCree
Black/African American (black) women comprised 59% of women living with HIV at the end of 2014 and 61% of HIV diagnoses among women in 2015. Black women living with HIV infection (BWLH) have poorer health outcomes compared with women of other races/ethnicities; social and structural determinants are often cited as barriers and facilitators of care. The objective of this qualitative review was to identify social and structural barriers and facilitators of HIV treatment and care among BWLH. The systematic review was conducted in six-stages using databases such as PubMed, PsycINFO, and Google Scholar: 1) searched for studies that enrolled BWLH published between January 2005 and December 2016, 2) excluded unpublished reports and commentaries, 3) limited the search to our primary keywords, 4) limited our search to studies that included participants living with HIV infection that were >60% black and 100% female, 5) extracted and summarized the data, and 6) conducted a contextual review to identify common themes...
January 28, 2018: AIDS Care
https://www.readbyqxmd.com/read/29374972/association-between-depressive-symptoms-cd4-count-and-hiv-viral-suppression-among-hiv-hcv-co-infected-people
#19
Wusiman Aibibula, Joseph Cox, Anne-Marie Hamelin, Erica E M Moodie, Aranka Anema, Marina B Klein, Paul Brassard
Depressive symptoms are associated with poor HIV viral control and immune recovery among people living with HIV. However, no prior studies assessed this association exclusively among people co-infected with HIV-hepatitis C virus (HCV). While people with HIV only and those with HIV-HCV co-infection share many characteristics, co-infected people may become more susceptible to the effects of depressive symptoms on health outcomes. We assessed this association exclusively among people co-infected with HIV-HCV in Canada using data from the Food Security & HIV-HCV Sub-Study (FS Sub-Study) of the Canadian Co-Infection Cohort (CCC)...
January 28, 2018: AIDS Care
https://www.readbyqxmd.com/read/29363340/hiv-status-disclosure-among-postpartum-women-in-rural-tanzania-predictors-experiences-and-uptake-of-a-nurse-facilitated-disclosure-intervention
#20
E Geubbels, A Williams, A Ramaiya, D Tancredi, S Young, C Chantry
HIV status disclosure is a key support strategy to start and maintain HIV care and treatment and to reduce HIV transmission. We explored the patterns and correlates of disclosure and described the effectiveness of nurse-facilitated disclosure among HIV-infected mothers of infants in coastal Tanzania. We enrolled 400 HIV positive women in an observational longitudinal study in 2011, interviewed them about maternal sociodemographic and economic characteristics, maternal and child health and history of HIV disclosure experiences and offered nurse-facilitated HIV disclosure at enrolment or at follow-up 1 month later...
January 24, 2018: AIDS Care
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