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AIDS Care

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https://www.readbyqxmd.com/read/28643572/distinctive-barriers-to-antiretroviral-therapy-adherence-among-non-adherent-adolescents-living-with-hiv-in-botswana
#1
Elizabeth Yang, Seipone Mphele, Neo Moshashane, Boineelo Bula, Jennifer Chapman, Harriet Okatch, Ed Pettitt, Ontibile Tshume, Tafireyi Marukutira, Gabriel Anabwani, Elizabeth Lowenthal
Levels of adherence to HIV treatment are lower among adolescents compared with older and younger individuals receiving similar therapies. We purposely sampled the most and least adherent adolescents from a 300-adolescent longitudinal HIV treatment adherence study in Gaborone, Botswana. Multiple objective and subjective measures of adherence were available and study participants were selected based on sustained patterns of either excellent or poor adherence over a one-year period. Focus group discussions (FGD) and in-depth interviews (IDI) were conducted with the adolescents and a subset of their caregivers with the goal of revealing barriers and facilitators of adherence...
June 23, 2017: AIDS Care
https://www.readbyqxmd.com/read/28639838/provider-perceptions-of-stigma-and-discrimination-experienced-by-adolescents-and-young-adults-with-phiv-while-accessing-sexual-and-reproductive-health-care
#2
Cynthia D Fair, Meredith Berk
Historically, children with perinatally-acquired HIV (PHIV) were viewed as the "innocent victims" as their HIV infection was not acquired through sexual/drug related means. Today, adolescents with PHIV are surviving into young adulthood and are engaging in developmentally expected behaviors such as establishing intimate, sexual relationships. Like other youth, those living with PHIV often need to access sexual and reproductive health (SRH) services. Previous research has documented stigma and discrimination experienced by adult women living with HIV as they try to access SRH care...
June 22, 2017: AIDS Care
https://www.readbyqxmd.com/read/28637357/behavioral-intention-to-take-up-different-types-of-hiv-testing-among-men-who-have-sex-with-men-who-were-never-testers-in-hong-kong
#3
Zixin Wang, Joseph T F Lau, Rui She, Mary Ip, Hui Jiang, Shara P Y Ho, XueYing Yang
Human immunodeficiency virus (HIV) testing is an important global prevention strategy but underutilized by local men who have sex with men (MSM). This study investigated the prevalence of behavioral intention to take up HIV testing (specific or any type), in the next six months among MSM who had not been tested for HIV in the last three years (never-testers) in Hong Kong. The data was based on 141 never-testers of 430 MSM who completed the anonymous baseline telephone survey of an ongoing randomized controlled trial from January 2015 to August 2015...
June 21, 2017: AIDS Care
https://www.readbyqxmd.com/read/28631491/a-longitudinal-examination-of-factors-associated-with-social-support-satisfaction-among-hiv-positive-young-black-men-who-have-sex-with-men
#4
Charlotte McCullagh, Katherine Quinn, Dexter R Voisin, John Schneider
This study examined the long-term predictors of social support satisfaction among HIV-positive young Black men who have sex with men (YBMSM). Data were collected across three waves between October 2012 and November 2014 as part of the baseline assessment from Project nGage, a preliminary efficacy randomized control study examining the role of social support in improving HIV care among YBMSM. The sample included 92 YBMSM aged 18-29. Major results controlling for age, education and intervention effects indicated that psychological health, social network size, and education at baseline predicted differences in social support satisfaction at Wave 3, with no significant effects based on length of HIV diagnosis...
June 20, 2017: AIDS Care
https://www.readbyqxmd.com/read/28614952/phirst-trial-pharmacist-consults-prioritization-of-hiv-patients-with-a-referral-screening-tool
#5
Catherine Awad, Arnaud Canneva, Charles-Olivier Chiasson, Annie Galarneau, Mireille E Schnitzer, Nancy L Sheehan, Alison Yj Wong
The role of pharmacists in HIV outpatient clinics has greatly increased in the past decades. Given the limited resources of the health system, the prioritization of pharmacist consults is now a main concern. This study aimed to create a scoring system allowing for standardized prioritization of pharmacist consults for patients living with HIV. Data was retrospectively collected from 200 HIV patients attending the Chronic Viral Illness Service at the McGill University Health Center. An expert panel consisting of four pharmacists working in the field of HIV prioritized each patient individually, after which a consensus was established and was considered as the gold standard...
June 14, 2017: AIDS Care
https://www.readbyqxmd.com/read/28612658/the-dimensions-of-food-insecurity-and-malnutrition-among-people-living-with-hiv-in-senegal-west-africa
#6
Noelle A Benzekri, Jacques F Sambou, Binetou Diaw, El Hadji Ibrahima Sall, Fatima Sall, Alassane Niang, Selly Ba, Ndèye Fatou Ngom Guèye, Mouhamadou Baïla Diallo, Stephen E Hawes, Moussa Seydi, Geoffrey S Gottlieb
An understanding of the factors contributing to food insecurity and malnutrition among people living with HIV (PLHIV) in Senegal is urgently needed in order to develop effective interventions. The goals of this study were to identify differences in the dimensions of food security among PLHIV in Dakar versus Ziguinchor, Senegal, to determine which of these dimensions are most predictive of severe food insecurity, and to identify factors associated with malnutrition. We conducted a cross-sectional study at outpatient clinics in Dakar and Ziguinchor, Senegal...
June 14, 2017: AIDS Care
https://www.readbyqxmd.com/read/28610435/access-and-engagement-in-hiv-care-among-a-national-cohort-of-women-living-with-hiv-in-canada
#7
Nadine Kronfli, Ashley Lacombe-Duncan, Ying Wang, Alexandra de Pokomandy, Angela Kaida, Carmen Logie, Tracey Conway, V Logan Kennedy, Ann Burchell, Wangari Tharao, Neora Pick, Mary Kestler, Paul Sereda, Mona Loutfy, On Behalf Of The Chiwos Research Team
Attrition along the cascade of HIV care poses significant barriers to attaining the UNAIDS targets of 90-90-90 and achieving optimal treatment outcomes for people living with HIV. Understanding the correlates of attrition is critical and particularly for women living with HIV (WLWH) as gender disparities along the cascade have been found. We measured the proportion of the 1425 WLWH enrolled in the Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS) who had never accessed HIV medical care, who reported delayed linkage into HIV care (>3 months between diagnosis and initial care linkage), and who were not engaged in HIV care at interview (<1 visit in prior year)...
June 13, 2017: AIDS Care
https://www.readbyqxmd.com/read/28599599/measuring-hiv-related-stigma-among-healthcare-providers-a-systematic-review
#8
S Alexandra Marshall, Krista M Brewington, M Kathryn Allison, Tiffany F Haynes, Nickolas D Zaller
In the United States, HIV-related stigma in the healthcare setting is known to affect the utilization of prevention and treatment services. Multiple HIV/AIDS stigma scales have been developed to assess the attitudes and behaviors of the general population in the U.S. towards people living with HIV/AIDS, but fewer scales have been developed to assess HIV-related stigma among healthcare providers. This systematic review aimed to identify and evaluate the measurement tools used to assess HIV stigma among healthcare providers in the U...
June 9, 2017: AIDS Care
https://www.readbyqxmd.com/read/28599596/transitioning-hiv-infected-adolescents-to-adult-care-at-14-clinics-across-the-united-states-using-adolescent-and-adult-providers-insights-to-create-multi-level-solutions-to-address-transition-barriers
#9
Morgan M Philbin, Amanda E Tanner, Brittany D Chambers, Alice Ma, Samuella Ware, Sonia Lee, J Dennis Fortenberry, The Adolescent Trials Network
HIV-infected adolescents have disproportionately low rates of care retention and viral suppression. Approximately half disengage from care while transitioning to adult clinics, in part due to fragmented care systems and lack of streamlined protocols. We conducted 58 qualitative interviews with social service and health care providers across 14 Adolescent Trials Network clinics (n = 28) and 20 adult clinics that receive transitioning adolescents (n = 30) from August 2015-June 2016. We used the constant comparative approach to examine processes, barriers, and facilitators of adult care transition...
June 9, 2017: AIDS Care
https://www.readbyqxmd.com/read/28593797/suicidal-behaviors-among-newly-diagnosed-people-living-with-hiv-in-changsha-china
#10
Ying Liu, Lu Niu, Min Wang, Xi Chen, Shuiyuan Xiao, Dan Luo
Newly-diagnosed people living with HIV (NPLWH) are at high risk of suicide. We aimed to evaluate the prevalence of suicidal behaviors among NPLWH, and explore the relationships between HIV-related stress, depression, anxiety, and social support and suicidal ideation after diagnosed with HIV infection. A cross-sectional study was conducted using a standard set of questionnaires during 1 March 2013 and 30 September 2014 in the HIV/AIDS Voluntary Counseling and Testing Clinic of the Changsha Center for Disease Control and Prevention...
June 8, 2017: AIDS Care
https://www.readbyqxmd.com/read/28553759/access-to-fertility-services-in-canada-for-hiv-positive-individuals-and-couples-a-comparison-between-2007-and-2014
#11
Carson K Lo, V Logan Kennedy, Mark H Yudin, Heather M Shapiro, Mona Loutfy
In the modern era of HIV care, a multitude of clinical needs have emerged; one such need is the growing sub-specialty of HIV and reproductive health. In 2007, a study surveying Canadian fertility clinics found limited access to fertility services for HIV-positive patients. Given the extensive efforts made to address this lack of services, a follow-up assessment was warranted. This study aimed to compare the access to Canadian fertility clinics and services for HIV-positive individuals and couples in 2014 and 2007...
May 29, 2017: AIDS Care
https://www.readbyqxmd.com/read/28547996/predicting-health-related-quality-of-life-in-people-living-with-hiv-in-nepal-mental-health-disorders-and-substance-use-determinants
#12
Khem N Pokhrel, Vidya D Sharma, Akira Shibanuma, Kalpana G Pokhrel, Linda B Mlunde, Masamine Jimba
HIV-positive people often experience mental health disorders and engage in substance use. Such conditions tend to impair their health-related quality of life (QOL). Evidence, however, is limited about the influence of mental health disorders and substance use on QOL by gender. Also, little is known about the influences of anxiety and high levels of stress on QOL. We recruited 682 HIV-positive people in Nepal and measured their depression, anxiety, stress levels, substance use, and QOL. Multiple linear regressions assessed the association of mental health disorders and substance use with QOL...
May 26, 2017: AIDS Care
https://www.readbyqxmd.com/read/28545331/socio-demographic-inequalities-in-hiv-testing-behaviour-and-hiv-prevalence-among-older-adults-in-rural-tanzania-2013
#13
Angelina Mtowa, Annette A M Gerritsen, Sally Mtenga, Mary Mwangome, Eveline Geubbels
Most HIV research in Sub-Saharan Africa (SSA) ignores persons aged 50 years and above, though a few studies have reported a high HIV prevalence among older people. This study aimed to estimate socio-demographic inequalities in HIV testing behaviour and HIV prevalence among adults aged 50+ years, living in Ifakara town, Tanzania. This cross-sectional study used data from the baseline measurement of the Ifakara MZIMA cohort study in 2012/13. Consenting participants were interviewed and tested for HIV. Associations between HIV testing behaviour and HIV prevalence with socio-demographic indicators were explored with multivariable logistic regression...
May 25, 2017: AIDS Care
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
Seonaid Nolan, Alexander Y Walley, Timothy C Heeren, 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
#20
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
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