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AIDS Care

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https://www.readbyqxmd.com/read/29999421/street-involved-youth-engaged-in-sex-work-at-increased-risk-of-syringe-sharing
#1
Nikki Bozinoff, Lerly Luo, Huiru Dong, Andrea Krüsi, Kora DeBeck
Syringe sharing places street-involved young people at risk of acquiring HIV and hepatitis C. While markers of economic marginalization, such as homelessness, have been linked with syringe sharing and have led to targeted interventions, the relationship between syringe sharing and other markers of economic vulnerability, such as sex work, are not well documented among young people. This study examines whether those engaged in sex work are at increased risk of syringe borrowing and syringe lending among street-involved youth who use injection drugs in Vancouver, Canada...
July 12, 2018: AIDS Care
https://www.readbyqxmd.com/read/29996657/perceived-social-support-coping-and-stigma-on-the-quality-of-life-of-people-living-with-hiv-in-nepal-a-moderated-mediation-analysis
#2
Sabina Shrestha, Akira Shibanuma, Krishna C Poudel, Keiko Nanishi, Momoko Koyama Abe, Sushil K Shakya, Masamine Jimba
Perceived social support, coping strategy, and internalized stigma have been linked with the quality of life (QOL) among people living with HIV (PLHIV). However, little is known about how these psychosocial factors interact with each other and affect QOL. This study incorporated a moderated mediation model to investigate whether coping strategy mediates the relationship between perceived social support and QOL, and to examine whether this mediating effect varies with the level of internalized stigma among PLHIV...
July 11, 2018: AIDS Care
https://www.readbyqxmd.com/read/29992833/need-and-acceptability-of-story-books-intended-to-help-with-the-process-of-informing-children-about-their-hiv-status-in-malawi-a-mixed-methods-study
#3
Fatch W Kalembo, Garth E Kendall, Mohammed Ali, Angela F Chimwaza
The rate of disclosure of HIV status to children living with HIV in sub-Saharan Africa remains low despite the World Health Organisation's recommendation that children should be told about their HIV status by the age of 12 years. Authors of previous studies have identified lack of disclosure materials as the main barrier to disclosure of HIV status. This study aimed to assess the need and acceptability of a series of age-appropriate children story books intended to help with informing children about their HIV status...
July 11, 2018: AIDS Care
https://www.readbyqxmd.com/read/29991274/secret-intake-of-antiretroviral-treatment-and-hiv-1-viremia-in-a-public-routine-clinic-in-burkina-faso-a-surprising-relationship
#4
Pauline Penot, Arsène Héma, Guillaume Bado, Diamasso Sombié, Firmin N Kaboré, Armel Poda, Christophe Michon, Olivier Terzolo, Arouna Traoré, Laurence Slama, Adrien Sawadogo, Christian Laurent
In sub-Saharan Africa, where people living with HIV are frequently stigmatized, the intake of antiretroviral treatment (ART) remains a critical issue for many patients. Although the secret intake of ART may hinder the adherence to treatment, data on its specific impact on therapeutic effectiveness are lacking. We therefore assessed the association between secret intake of ART (i.e., hidden from family) and HIV-1 viremia among patients treated in a public routine clinic in Burkina Faso. We performed a cross-sectional study from December 2012 to September 2013 among patients on ART at the Day Care Unit in Bobo Dioulasso...
July 11, 2018: AIDS Care
https://www.readbyqxmd.com/read/29985054/content-analysis-of-spanish-judgements-addressing-the-sexual-transmission-of-hiv-1996-2016
#5
María José Fuster-RuizdeApodaca, Francisco Bolúmar-Montero, Fernando Molero, Josefina Alventosa, Julia Del Amo
This study performed a content analysis of the language of the Spanish judgements addressing the sexual transmission of HIV in order to determine its possible interrelationship with HIV-related stigma. All judgements and writs dictated by Spanish penal and civil jurisdictions between 1981 and December 2016 were obtained through a systematic search of the Spanish legal databases. The inclusion criterion was that the possible transmission of HIV was judged as an individual infraction, regardless of whether other infractions were involved...
July 9, 2018: AIDS Care
https://www.readbyqxmd.com/read/29968493/turning-disability-into-ability-barriers-and-facilitators-to-initiating-and-maintaining-exercise-among-older-men-living-with-hiv
#6
Hadlai A Neff, Yvonne Kellar-Guenther, Catherine M Jankowski, Carly Worthington, Sean A McCandless, Jacqueline Jones, Kristine M Erlandson
Physical activity reduces the risk for comorbidities, but little is known about barriers to exercise among older adults living with HIV. Three focus groups were conducted among 19 adults living with HIV, aged ≥ 50 years, who were enrolled in or recently completed a supervised exercise intervention. Sessions were recorded, transcribed, and coded first using inductive methods. All participants were male, and the majority were white, non-Hispanic; 53% were receiving disability benefits. All had suppressed HIV infection on antiretroviral therapy, with almost 20 years since HIV diagnosis...
July 3, 2018: AIDS Care
https://www.readbyqxmd.com/read/29962235/comparing-neighborhood-and-state-contexts-for-women-living-with-and-without-hiv-understanding-the-southern-hiv-epidemic
#7
Christina Ludema, Andrew Edmonds, Stephen R Cole, Joseph J Eron, Adebola A Adedimeji, Jennifer Cohen, Mardge H Cohen, Seble Kassaye, Deborah J Konkle-Parker, Lisa R Metsch, Gina M Wingood, Tracey E Wilson, Adaora A Adimora
In the South, people living with HIV experience worse health outcomes than in other geographic regions, likely due to regional political, structural, and socioeconomic factors. We describe the neighborhoods of women (n = 1,800) living with and without HIV in the Women's Interagency HIV Study (WIHS), a cohort with Southern sites in Chapel Hill, NC; Atlanta, GA; Birmingham, AL; Jackson, MS; and Miami, FL; and non-Southern sites in Brooklyn, NY; Bronx, NY; Washington, DC; San Francisco, CA; and Chicago, IL...
July 1, 2018: AIDS Care
https://www.readbyqxmd.com/read/29961356/exploring-the-dynamics-of-art-adherence-in-the-context-of-a-mindfulness-instruction-intervention-among-youth-living-with-hiv-in-baltimore-maryland
#8
Deanna Kerrigan, Suzanne M Grieb, Jonathan Ellen, Erica Sibinga
Youth living with HIV have sub-optimal rates of adherence to antiretroviral therapy (ART). Mindfulness instruction interventions have shown promise for improving medication adherence, but the effects and mechanisms of these interventions are still being explored among people living with HIV, including youth. In the context of a randomized controlled trial of the efficacy of a Mindfulness-Based Stress Reduction (MBSR) program on ART adherence and viral suppression among youth living with HIV, we conducted 44 iterative, semi-structured, in-depth interviews with 20 study participants (13-24 years) recruited from clinics at two academic centers in Baltimore, Maryland...
July 1, 2018: AIDS Care
https://www.readbyqxmd.com/read/29962226/physical-activity-behaviours-of-persons-living-with-hiv-of-low-socioeconomic-status-domain-intensity-and-sociodemographic-correlates
#9
S Z Mabweazara, L L Leach, C Ley, M Smith, D Jekauc, J Dave, N Levitt, V E Lambert
Physical activity (PA) is healthy for People Living with HIV and AIDS (PLWHA). This study examined the PA profile of 978 PLWHA based on PA domains and PA intensity. The study also sought to determine whether employment status and level of education can predict PA among PLWHA of low SES. PA and sociodemographic data of 978 PLWHA of mean age 35 (8.77) years were collected using the global physical activity questionnaire and a sociodemographic questionnaire. Results showed that, participants engaged more in work-related PA [160...
June 30, 2018: AIDS Care
https://www.readbyqxmd.com/read/29950108/implementation-and-assessment-of-a-model-to-increase-hiv-testing-among-men-who-have-sex-with-men-and-transgender-women-in-thailand-2011-2016
#10
Montinee Wasantioopapokakorn, Chomnad Manopaiboon, Thanongsri Phoorisri, Akechittra Sukkul, Cheewanan Lertpiriyasuwat, Sumet Ongwandee, Farida Langkafah, Usanee Kritsanavarin, Prin Visavakum, Bongkoch Jetsawang, Somboon Nookhai, Prapaporn Kitwattanachai, Wanwimon Weerawattanayotin, Mana Losirikul, Naruemon Yenyarsun, Nuchapong Jongchotchatchawal, Michael Martin
HIV testing among men who have sex with men (MSM) and transgender (TG) women remains low in Thailand. The HIV prevention program (PREV) to increase HIV testing and link those who tested HIV-positive to care provided trainings to peer educators to conduct target mapping, identify high risk MSM and TG women through outreach education and offer them rapid HIV testing. Trained hospital staff provided HIV testing and counseling with same-day results at hospitals and mobile clinics and referred HIV-positive participants for care and treatment...
June 27, 2018: AIDS Care
https://www.readbyqxmd.com/read/29950106/condom-use-intentions-mediate-the-relationships-between-psychosocial-constructs-and-hiv-sexual-risk-behavior-in-young-black-men-who-have-sex-with-men
#11
Seul Ki Choi, Sara LeGrand, Willa Dong, Kathryn E Muessig, Lisa Hightow-Weidman
HIV prevention interventions that reduce sexual risk behaviors among young Black men who have sex with men (YBMSM), the most severely affected population in the United States, are critical for reducing disparities in HIV infection. However, there are few theory-based sexual risk reduction interventions designed specifically for YBMSM. This study tested the applicability of the Integrated Behavioral Model (IBM), which theorizes that behavioral intentions mediate the relationship between psychosocial constructs and health behavior on condomless anal intercourse (CAI) among YBMSM...
June 27, 2018: AIDS Care
https://www.readbyqxmd.com/read/29950105/caregiver-perceptions-of-environment-moderate-relationship-between-neighborhood-characteristics-and-language-skills-among-youth-living-with-perinatal-hiv-and-uninfected-youth-exposed-to-hiv-in-new-york-city
#12
Ezer Kang, Cheng-Shiun Leu, Jordan Snyder, Reuben N Robbins, Amelia Bucek, Claude A Mellins
Despite the increased recognition of how neighborhood conditions bear on cognitive and academic outcomes, no studies have examined the influences of objective and subjective neighborhood indices on specific areas of cognitive functioning among youth living with perinatal HIV (PHIV). In the United States (US), this is of particular concern as HIV has disproportionately affected African American youth living in economically disadvantaged and racially segregated communities. Thus, based on a longitudinal cohort study of psychosocial and behavioral health outcomes in 340 perinatally HIV-exposed but uninfected (PHEU) and PHIV youth residing in New York City, ages 9-16 years at enrollment, we analyzed data from baseline and multiple follow-up (FU) quantitative interviews with youth and their primary caregivers, from when they were at least 13-years-old (approximately 4-6 years post enrollment)...
June 27, 2018: AIDS Care
https://www.readbyqxmd.com/read/29947246/barriers-to-achieving-the-first-90-gender-norms-and-hiv-testing-among-men-in-the-democratic-republic-of-the-congo
#13
Geeta Nanda, Leila Dal Santo, Joel Nkiama Konde, Berengere de Negri
Gender inequality and gender norms are key social drivers of the HIV epidemic through their influences on sexual relationships, behavior, and risk taking. However, few empirical studies have measured the influence of gender norms on HIV sexual-risk behaviors and HIV testing among men in sub-Saharan Africa. We analyzed cross-sectional, survey data from 399 sexually active men (ages 18-39) in Democratic Republic of the Congo to examine the relationship between the men's support for inequitable gender norms and their HIV-risk behaviors...
June 27, 2018: AIDS Care
https://www.readbyqxmd.com/read/29927614/perceived-barriers-to-smoking-cessation-and-perceptions-of-electronic-cigarettes-among-persons-living-with-hiv
#14
Patricia A Cioe, Rebecca E F Gordon, Kate M Guthrie, Matthew S Freiberg, Christopher W Kahler
Smoking is more prevalent in persons living with HIV than the general population and is linked to increased morbidity and mortality. Some have suggested that based on current knowledge of harms and benefits, it may be feasible to advise smokers who are unable or unwilling to quit to switch to electronic cigarettes (ECs) as a less harmful alternative. We conducted 25 qualitative interviews with HIV-positive current or former smokers to explore perceived barriers to smoking cessation and perceptions of ECs. A high level of nicotine dependence, smoking as a form of stress management, motivational factors (including lack of readiness, low self-efficacy, ambivalence toward quitting), and having a social network of smokers were identified as cessation barriers...
June 21, 2018: AIDS Care
https://www.readbyqxmd.com/read/29925249/antiretroviral-treatment-among-commercially-insured-persons-living-with-hiv-in-an-era-of-universal-treatment-in-the-united-states-2012-2014
#15
Kashif Iqbal, Ya-Lin A Huang, Philip Peters, Paul Weidle, Karen Hoover
In 2012, antiretroviral (ARV) treatment guidelines expanded indications and recommended antiretroviral treatment for all HIV-infected persons in the United States, regardless of CD4 cell count. This analysis describes ARV prescriptions among commercially insured HIV-infected adults from 2012 to 2014. We analyzed persons aged 18-64 years from 2012 to 2014 Truven Health MarketScan Commercial Claims and Encounters® database. We identified HIV-infected persons who had at least one inpatient or two outpatient medical claims and identified pharmacy claims using National Drug Codes...
June 20, 2018: AIDS Care
https://www.readbyqxmd.com/read/29920118/housing-and-income-effects-on-hiv-related-health-outcomes-in-the-san-francisco-bay-area-findings-from-the-spns-transwomen-of-color-initiative
#16
E C Wilson, C Turner, S Arayasirikul, T Woods, T Nguyen, R Lin, K Franza, J Tryon, T Nemoto, M Iwamoto
Transwomen of color are disproportionately impacted by HIV and may have worse health outcomes than other populations. This analysis was conducted to examine structural factors associated with poor health outcomes among transwomen of color living with HIV in the San Francisco Bay Area (N = 159). Univariate and multivariable analyses were conducted to determine if structural factors were associated with poor HIV-related health outcomes. A majority of participants were Black or African American (110/159, 69...
June 19, 2018: AIDS Care
https://www.readbyqxmd.com/read/29914270/understanding-women-and-men-s-acceptability-of-current-and-new-hiv-prevention-technologies-in-kwazulu-natal-south-africa
#17
Eliza Govender, Quarraisha Abdool Karim
Despite significant advances to the HIV epidemic, prevention remains a challenge globally. Adolescent girls and young women in southern and Eastern Africa are still at high risk of acquiring HIV infection with limited prevention options. The expanding product pipeline of novel drugs and delivery approaches has highlighted the importance of acceptability and uptake of these anti-retroviral based products to realize their full prevention potential. Community engagement is now imperative to inform both product development and uptake; with research directed to understand what potential users are willing to use given the broader cultural-gender context in which HIV prevention product choices are made/negotiated...
June 18, 2018: AIDS Care
https://www.readbyqxmd.com/read/29911885/misconceptions-about-hiv-transmission-among-adolescents-levels-trends-and-correlates-from-the-botswana-aids-impact-surveys-2001-2013-a-short-report
#18
Gobopamang Letamo
Botswana is the world's second HIV heavily affected country, with an average HIV prevalence of 17.6% in 2013. The data used for this study are from Botswana AIDS Impact Surveys, I-IV, which are nationally representative sample surveys conducted in 2001, 2004, 2008 and 2013 respectively by the Central Statistics Office and the National AIDS Coordinating Agency. The purpose of this study was to investigate the levels, trends and factors associated with misconceptions about HIV transmission among adolescents. Both descriptive statistics and binary logistic regression analysis were used to address the study objectives...
June 18, 2018: AIDS Care
https://www.readbyqxmd.com/read/29911430/social-intolerance-risky-sexual-behaviors-and-their-association-with-hiv-knowledge-among-ugandan-adults-results-from-a-national-survey
#19
Damazo T Kadengye, Shona Dalal
Understanding the link between HIV knowledge, risky sexual behaviors, and social intolerance such as stigma and discrimination is important for HIV prevention and treatment program planning. We investigated whether intolerant attitudes and practices among Ugandan adults were associated with HIV-transmission knowledge. We analyzed data from a nationally representative population-based household survey, the 2011 Uganda AIDS Indicator Survey. A total of 15,526 participants who responded to questions on HIV knowledge, social intolerance and risky sexual behavior were included in this analysis...
June 17, 2018: AIDS Care
https://www.readbyqxmd.com/read/29911428/depression-and-social-support-mediate-the-effect-of-hiv-self-stigma-on-condom-use-intentions-among-chinese-hiv-infected-men-who-have-sex-with-men
#20
Mengran Du, Jian Zhao, Jianxin Zhang, Joseph T F Lau, Phoenix K H Mo, Jinghua Li
HIV self-stigma in HIV positive men who have sex with men (HIVMSM) has been identified as one of the largest challenges of HIV prevention, and associates with numerous negative outcomes, including depression, decreased social support, and less condom use intentions. In the present study, 321 HIVMSM in Chengdu, China were recruited to examine the prevalence of condom use in the past months and intentions to use condoms in next six months; we also identify pathways between HIV self-stigma and intentions to use condoms by the structural equation modeling approach...
June 17, 2018: AIDS Care
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