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Judith I Tsui, Alexander Y Walley, Debbie M Cheng, Marlene C Lira, Jane M Liebschutz, Leah S Forman, Margaret M Sullivan, Jonathan Colasanti, Christin Root, Kristen O'Connor, Christopher W Shanahan, Carly L Bridden, Carlos Del Rio, Jeffrey H Samet
We describe HIV providers' opioid prescribing practices and assess whether belief that chronic opioid therapy (COT) keeps people living with HIV (PLWH) engaged in care is associated with differences in these practices among providers from two HIV clinics. We conducted logistic regression to evaluate the association between the belief that COT keeps PLWH engaged in care and at least one component of guideline-recommended care (i.e., urine drug tests, treatment agreements, and/or prescription monitoring program use)...
January 11, 2019: AIDS Care
Tiffany Chenneville, Kemesha Gabbidon, Courtney Lynn, Carina Rodriguez
Approximately 22% of HIV diagnoses in 2015 occurred among youth aged 13-24. Much is known about the risk factors and psychopathology present in youth living with HIV (YLWH), however, relatively little is known about resiliency in this population. The current study sought to assess factors related to resilience and vulnerability among YLWH as well as the impact of psychosocial factors on these constructs using existing clinical data from an integrated care clinic serving YLWH in the southeastern United States...
January 11, 2019: AIDS Care
Akilah J Dulin, Sannisha K Dale, Valerie A Earnshaw, Joseph L Fava, Michael J Mugavero, Sonia Napravnik, Joseph W Hogan, Michael P Carey, Chanelle J Howe
We use a socioecological model of health to define resilience, review the definition and study of resilience among persons living with human immunodeficiency virus (PLWH) in the existing peer-reviewed literature, and discuss the strengths and limitations of how resilience is defined and studied in HIV research. We conducted a review of resilience research for HIV-related behaviors/outcomes of antiretroviral therapy (ART) adherence, clinic attendance, CD4 cell count, viral load, viral suppression, and/or immune functioning among PLWH...
January 11, 2019: AIDS Care
Jiasheng Huang, Jianxin Zhang, Nancy Xiaonan Yu
Resilience literature has suggested the context-specific nature of resilience while such framework has yet to be expanded to health psychology research among HIV serodiscordant couples. Conceptualizing a couple affected by chronic diseases using a "we-ness" framework rather than two separate individuals is important for stress coping of the couple. Considering this social-cognitive context of couple coping would be helpful to facilitate resilience of both the patient and the spouse. It is not clear whether couple identity serves as a protective factor for HIV serodiscordant couples and whether stigma, a prevalent contextual risk in this population, will alter the strength of such a protective effect on well-being...
January 11, 2019: AIDS Care
Megan C Barry, Megan Threats, Natalie A Blackburn, Sara LeGrand, Willa Dong, Deren V Pulley, Greg Sallabank, Gary W Harper, Lisa B Hightow-Weidman, Jose A Bauermeister, Kathryn E Muessig
Overlapping stigmas related to sexual minority-, race/ethnicity-, and HIV-status pose barriers to HIV prevention and care and the creation of supportive social networks for young, Black, gay, bisexual, and other men who have sex with men (GBMSM). A risk-based approach to addressing the HIV epidemic focuses on what is lacking and reinforces negative stereotypes about already-marginalized populations. In contrast, a strengths-based approach builds on Black GBMSM's existing strengths, recognizing the remarkable ways in which they are overcoming barriers to HIV prevention and care...
January 11, 2019: AIDS Care
Tobias Herder, Anette Agardh
The rules of conduct given to people living with HIV in Sweden in accordance with the Swedish Communicable Diseases Act stipulate disclosure obligation to sexual partners and mandatory condom use. Since 2013, treating physicians have the possibility to exempt patients from this disclosure obligation when no considerable risk of transmission is present. This study explored experiences of communication with clinical staff at HIV clinics regarding rules of conduct and infectiousness among men who have sex with men (MSM) living with HIV in Sweden...
January 11, 2019: AIDS Care
Joyce P Yang, Jane M Simoni, Shannon Dorsey, Zhang Lin, Meiyan Sun, Meijuan Bao, Hongzhou Lu
People living with HIV/AIDS (PLWHA) in China experience significant psychological distress, due to high rates of stigma and low availability of mental health resources. Recently diagnosed Chinese PLWHA who are men who have sex with men (MSM) are particularly vulnerable to distress, facing both HIV and sexual orientation stigma. Reducing distress and enhancing psychological resilience is critical in promoting wellbeing. However, no research to date has examined evidence-based interventions to reduce psychological symptoms and improve resilience in this population...
January 10, 2019: AIDS Care
Sannisha K Dale, Steven A Safren
Black women living with HIV (BWLWH) represent the highest percentage of women with HIV in the U.S. and experience worse health outcomes than other women living with HIV, in part due to experiences of trauma, racism, HIV-stigma, and stressors they face as women. However, their own stories of resilience in the face of multiple adversities and insights of community stakeholders may inform our field on how to best empower this population to strive despite adversities. Thirty BWLWH in the U.S. and fifteen community stakeholders were interviewed about women's experiences and adaptive coping strategies used to cope with trauma, racism, HIV-stigma, and gender-related stressors...
January 10, 2019: AIDS Care
Jiasheng Huang, Jianxin Zhang, Nancy Xiaonan Yu
The systems framework of resilience has suggested that resilient factors external to or within the individual and their interactions can contribute to positive adjustment in at-risk populations. However, the interplays of resilience resources at different levels have seldom been investigated in health psychology, particularly in people living with HIV/AIDS (PLWHA). This study aimed to examine the mediating role of individual resilience resources in the associations between marital and family relationships and well-being in PLWHA...
January 10, 2019: AIDS Care
Sophia A Hussen, Marxavian Jones, Shamia Moore, Jasper Hood, Justin C Smith, Andres Camacho-Gonzalez, Carlos Del Rio, Gary W Harper
Young Black gay/bisexual and other men who have sex with men (YB-GBMSM) are disproportionately impacted by HIV/AIDS. Novel intervention strategies are needed to optimize engagement in HIV care for this population. We sought to develop a group-level intervention to enhance resilience by augmenting social capital (defined as the sum of resources in an individual's social network) among YB-GBMSM living with HIV, with the ultimate goal of improving engagement in HIV care. Our multiphase, community-based participatory research (CBPR) intervention development process included: (1) Development and maintenance of a youth advisory board (YAB) comprised of YB-GBMSM living with HIV; (2) Qualitative in-depth interviews with YB-GBMSM living with HIV; (3) Qualitative in-depth interviews with care and service providers at clinics and community-based organizations; and (4) Collaborative development of intervention modules and activities with our YAB, informed by social capital theory and our formative research results...
January 9, 2019: AIDS Care
Steven Meanley, Ryan Tingler, Deepti Chittamuru, Jose A Bauermeister
Economic-dependent partnerships (EDP) are an understudied HIV risk correlate among young men who have sex with men (YMSM) in the U.S. We explored whether YMSM's psychological resilience buffered against the effect of socioeconomic disadvantage on EDPs, after accounting for other psychosocial risks. Data come from an observational study assessing YMSM's HIV vulnerabilities. We developed indices for socioeconomic disadvantage, psychosocial profiles, and cumulative promotive factors. Multivariable logistic regressions tested the main associations of these indices on EDPs...
January 9, 2019: AIDS Care
Carla Sharp, Francesca Penner, Lochner Marais, Donald Skinner
Children affected by HIV/AIDS are at high risk for poor mental health outcomes. Social and psychological connectedness to school has been identified as an important resilience factor for youth affected by adversity (Centers for Disease Control and Prevention. (2009). School connectedness: Strategies for increasing protective factors among youth. Atlanta, GA: U.S. Department of Health and Human Services). Defined as "the belief by students that adults in the school care about their learning as well as about them as individuals" (Centers for Disease Control and Prevention...
January 9, 2019: AIDS Care
Dorothy E Dow, Blandina T Mmbaga, Elizabeth L Turner, John A Gallis, Zachary J Tabb, Coleen K Cunningham, Karen E O'Donnell
Despite a growing population of youth living with HIV, few interventions have been developed to address their unique mental health needs and to promote resilience. Based on our prior needs assessment, a mental health intervention, Sauti ya Vijana ( The Voice of Youth), was developed to address identified mental health needs and promote resilience. The intervention emphasized resilience strategies for identifying and coping with stressful events, supporting strong familial and social relationships, and planning for a safe and healthy living environment through stigma reduction, planning for disclosure, and instilling hope for the future...
January 9, 2019: AIDS Care
Laura Whiteley, Larry K Brown, Leandro Mena, Lacey Craker, Trisha Arnold
BACKGROUND: Despite promising outcomes of antiretroviral therapy (ART), challenges to improving adherence among youth living with HIV (YLWH) exist. Mobile games are popular among youth and may improve skills related to resilience, coping, and ART adherence. This study examines the preliminary effects of an iPhone game/app on ART adherence, viral load, and relevant knowledge and attitudes among YLWH in Jackson, MS. METHODS: A RCT with 61 YLWH tested the impact of BattleViro, an ART-related iPhone game, over 16 weeks...
January 9, 2019: AIDS Care
Carmen H Logie, Ying Wang, Mina Kazemi, Roula Hawa, Angela Kaida, Tracey Conway, Kath Webster, Alexandra de Pokomandy, Mona Loutfy
Resilience, positive growth in contexts of stress and adversity, is shaped by social ecological factors. Among people living with HIV, resilience is associated with myriad positive health benefits and improved health-related quality of life (HR-QoL). Identifying contextual factors associated with resilience among women living with HIV (WLWH) is particularly important as this population experiences many stressors and inequalities. We examined social-ecological factors associated with resilience and its relationship with HR-QoL among WLWH...
January 9, 2019: AIDS Care
Angella Musiimenta, Esther C Atukunda, Wilson Tumuhimbise, Jessica E Haberer
Technology-based interventions for behavior change, such as adherence monitors and SMS text messages, can improve adherence to HIV antiretroviral therapy. It is unclear, however, how the effects of such interventions are maintained when interventions are withdrawn. We explored resiliency of people living with HIV in coping with adherence to antiretroviral therapy (ART) after withdrawing an adherence support intervention of real-time adherence monitors linked to SMS text messages at study closure. This is a qualitative study conducted with former participants of a pilot randomized controlled trial after study closure...
January 9, 2019: AIDS Care
Elizabeth Kemigisha, Brian Zanoni, Katharine Bruce, Ricardo Menjivar, Damazo Kadengye, Daniel Atwine, Godfrey Zari Rukundo
Adolescents living with HIV (ALHIV) are prone to depression, which can have detrimental effects including disease progression, poor treatment adherence and mortality. We aimed to determine the prevalence of depressive symptoms and their associated factors among ALHIV in Uganda. We conducted a cross-sectional survey among ALHIV (10-19 years) attending urban and rural clinics in Mbarara, Uganda between March and May 2017. Presence of depressive symptoms was assessed using the Centre for Epidemiological Studies' Depression scale...
January 8, 2019: AIDS Care
Yamilé Molina, Angela Ulrich, Anna C Greer, Angela Primbas, Grace Wandell, Hugo Sanchez, Carolyn Bain, Kelika A Konda, Jesse L Clark, Robert De la Grecca, Manuel V Villarán, Siavash Pasalar, Javier R Lama, Ann C Duerr
A substantial body of literature has characterized how psychosocial factors, including HIV-related stigma and coping, are associated with HIV testing and HIV care utilization post-diagnosis. Less is known about if certain psychosocial characteristics pre-diagnosis may also predict linkage to care among individuals who receive an HIV-positive diagnosis. We examined if pre-diagnosis awareness/perception about HIV-related stigma and dispositional coping styles predicted linkage to HIV care within three months post-diagnosis with a secondary analysis of 604 patients from a randomized controlled trial (Sabes Study)...
January 7, 2019: AIDS Care
Gavin George, Siphumelele Nene, Sean Beckett, Dick Durevall, Annika Lindskog, Kaymarlin Govender
The economics of sex work and the effect on safe sex practices remain understudied. This research contributes to a better understanding of how economic opportunity and vulnerability place sex workers (SWs) at an increased risk of STI infection. Using quantitative and qualitative methods, we investigated the role of economic incentives in determining condom use among SWs. The data reveals that SWs are on average, nearly doubling their rates for condomless sex. Our findings that SWs are engaging in condomless sex to increase their earnings, illustrates the point that the context in which they operate influences condom negotiation and consequently, increases risky sexual behaviour...
January 7, 2019: AIDS Care
Dieuwke C M Toxopeus, Christopher L Pell, Nadine Blignaut-van Westrhenen, Colette Smit, Ferdinand W N M Wit, Pascale Ondoa, Peter Reiss, T Sonia Boender
Evidence-based guidelines in HIV care aim to improve patients' health outcomes, quality of care, and cost-effectiveness. Laboratory monitoring plays an important role in assessing clinical status of patients and forms an integral part of HIV treatment guidelines. The Dutch HIV monitoring foundation (Stichting HIV Monitoring) previously observed variation between HIV treatment centres in the Netherlands in terms of compliance with guidelines for performing laboratory tests. Drawing on qualitative research methods, this article aimswe aimed to describe factors that influence guideline compliance for laboratory monitoring in outpatient HIV care in the Netherlands...
January 2, 2019: AIDS Care
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