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AIDS Care

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https://www.readbyqxmd.com/read/30189750/hiv-vertical-transmission-in-rio-de-janeiro-brazil-does-the-distance-matter
#1
Cristina Barroso Hofer, Mônica de Avelar F M Magalhães, Ana Cristina Cisne Frota, Ricardo Hugo de Oliveira, Thalita F Abreu, Bruna Manhães, João Bond, André R S Périssé
Mother-to-child transmission (MTCT) is the main route of transmission for HIV among under 5 children in Brazil. National data indicate that missed opportunities for HIV prevention of MTCT are still common in antenatal care (ANC). We studied variables related to target process indicators in a cohort of HIV exposed children. We used data from 1996 to 2013 related to HIV exposed uninfected and HIV-infected children attended in an HIV reference hospital in Rio de Janeiro, Brazil. Data were collected from baseline questionnaires applied to all children followed-up in the hospital...
September 6, 2018: AIDS Care
https://www.readbyqxmd.com/read/30189747/impact-of-medicare-part-d-on-mental-health-treatment-and-outcomes-for-dual-eligible-beneficiaries-with-hiv
#2
Nadya Belenky, Brian W Pence, Stephen R Cole, Stacie B Dusetzina, Andrew Edmonds, Jonathan Oberlander, Michael Plankey, Adebola Adedimeji, Tracey E Wilson, Jennifer Cohen, Mardge H Cohen, Joel E Milam, Adaora A Adimora
Depression is common among women with HIV and untreated depression can result in poor quality of life and worsen HIV outcomes. Women with HIV who are dually enrolled in Medicaid and Medicare faced a potential disruption in medication access when Medicare Part D was implemented in 2006. The goal of this study was to estimate the effects of Medicare Part D implementation on antidepressant use, depressive symptoms, and hospitalization in Medicaid-Medicare dual eligible women with HIV. This study used 2003-2008 data from the Women's Interagency HIV Study...
September 6, 2018: AIDS Care
https://www.readbyqxmd.com/read/30182730/the-impact-of-hiv-couple-testing-and-counseling-on-social-support-among-pregnant-women-and-their-partners-in-lilongwe-malawi-an-observational-study
#3
Nivedita L Bhushan, Carol E Golin, Nuala McGrath, Suzanne Maman, Mercy Tsidya, Limbikani Chimndozi, Austin Wesevich, Irving F Hoffman, Mina C Hosseinipour, William C Miller, Nora E Rosenberg
Couples HIV testing and counseling (couple counseling) promotes safer sexual behaviors, increases communication between couples, and decreases HIV transmission. However, the impact of couple counseling on social support, critical for persons living with HIV, has not been examined. Ninety couples with a recently tested HIV-positive pregnant woman (female-positive couples) and 47 couples with a recently tested HIV-negative pregnant woman (female-negative couples) were enrolled in an observational study at an antenatal clinic in Malawi...
September 5, 2018: AIDS Care
https://www.readbyqxmd.com/read/30173557/reproductive-health-social-life-and-plans-for-the-future-of-adolescents-growing-up-with-hiv-a-case-control-study-in-thailand
#4
L Rolland-Guillard, E de La Rochebrochard, W Sirirungsi, C Kanabkaew, D Breton, S Le Coeur
Most perinatally HIV-infected children receiving antiretroviral treatment now survive into adolescence. This is a period when young people experience puberty, shape their sexual identity and initiate their own social life. The aim of our analysis was to compare aspects of the sexual and reproductive health, social life and plans for the future of perinatally HIV-infected adolescents (PHIVAs) with a control group from the general population. We used data from the Teens Living with Antiretrovirals (TEEWA) survey carried out from 2010 to 2012 in Thailand among PHIVAs aged 12-19 years...
September 2, 2018: AIDS Care
https://www.readbyqxmd.com/read/30165757/integrated-hiv-self-testing-hivst-service-delivery-in-queensland-for-policy-and-service-development-study-protocol
#5
Sara Fiona Elisabeth Bell, Judith Ann Dean, Jime Lemoire, Joseph Debattista, Glen Driver, Charles F Gilks, Andrew Redmond, Owain David Williams
This study aims to pilot and evaluate an integrated model for HIV self-testing (HIVST) service delivery in a peer-led Queensland community setting to increase access to HIVST, particularly for men who have sex with men (MSM) living in regional, remote and rural areas. It seeks to provide evidence that would overcome some of the key objections previously raised to HIVST. Recruitment strategies have been designed to engage hard to reach MSM populations in testing. Awareness of the trial will be generated through advertising on social media platforms, including dating applications, word of mouth and HIV related websites...
August 30, 2018: AIDS Care
https://www.readbyqxmd.com/read/30165746/patient-acceptability-of-receiving-short-message-services-from-an-hiv-patient-centered-medical-home
#6
Heather N Czarny, Michelle R Broaddus
Patient-centered medical homes (PCMH) are a key component in addressing the comprehensive physical and psychosocial needs of persons living with HIV. The AIDS Resource Center of Wisconsin (ARCW) is a PCMH that has become a nationally recognized leader in addressing barriers to HIV retention in care. Recently, ARCW has become interested in the use of short message services (SMS), as SMS have been found to have positive impacts on treatment adherence, CD4+ counts, viral load, and appointment attendance. The purpose of this research was to evaluate patient acceptability of receiving SMS from an HIV specific PCMH, in addition to evaluating patient privacy concerns and practical details of incorporating SMS into clinical care...
August 30, 2018: AIDS Care
https://www.readbyqxmd.com/read/30157684/loneliness-and-perceived-social-support-in-pregnancy-and-early-postpartum-of-mothers-living-with-hiv-in-ontario-canada
#7
S Khan, A Ion, A Alyass, S Greene, G Kwaramba, S Smith, A Carvalhal, V L Kennedy, S Walmsley, M Loutfy
The HIV Mothering Study (n = 72) was a prospective, observational, cohort study exploring psychosocial experiences and needs of WLWHIV in pregnancy and postpartum. We performed quantitative analysis of determinants of loneliness (UCLA Loneliness Scale) and lower perceived social support (SS) (Medical Outcomes Study-Social Support Survey). The hypothesized determinants included: age, years with HIV, racism (Everyday Discrimination Scale), depression (Edinburgh Postnatal Depression Scale [EPDS]), nadir CD4 (<200 cells/μL), tertiary vs...
August 29, 2018: AIDS Care
https://www.readbyqxmd.com/read/30149727/sexual-risk-factors-related-to-lack-of-hiv-screening-in-people-attending-erotic-industry-shows
#8
Patricia Enel, Mireille Bonierbale, Antonio Alexandre, Sylvain Guillet, Sébastien Cambau, Florence Brunel, Marie Chollier, Karine Baumstarck, Pascal Auquier
The current aim of the fight against the HIV epidemic is to reduce the proportion of missed opportunities for HIV diagnosis. Erotic industry Shows (ES) were deemed to be appropriate events to organize awareness campaigns and to propose HIV Rapid Diagnostic Test (HIV-RDT) to people who are sexually active and likely to engage in unsafe sex practices. In 2015, a cross-sectional study in 4 ES was conducted to document the sexual risk factors associated with HIV-screening test approach and the proportion of positive HIV-RDT...
August 27, 2018: AIDS Care
https://www.readbyqxmd.com/read/30146898/understanding-why-hiv-infected-persons-disengaged-from-pre-art-care-in-freetown-sierra-leone-a-qualitative-study
#9
J Daniel Kelly, Matthew D Hickey, Gabriel W Schlough, Sulaiman Conteh, Momodu Sesay, George W Rutherford, Thomas P Giordano, Sheri D Weiser
In countries that have not implemented universal antiretroviral treatment (ART), loss to follow-up (LTFU) during pre-ART care remains a problem. We conducted semi-structured interviews with 41 HIV-infected persons who were LTFU during pre-ART care from a prospective cohort of persons newly diagnosed with HIV infection in Freetown, Sierra Leone, in 2012-2013. Interviews determined whether the participant disengaged or transferred care and explored the reasons for being LTFU. Of the 41 participants, 34 (83%) disengaged from care...
August 26, 2018: AIDS Care
https://www.readbyqxmd.com/read/30146895/caregiving-preferences-and-advance-care-planning-among-older-adults-living-with-hiv
#10
Annie L Nguyen, David Seal, Omar Bruce, Margarida Dalton, Allison Palmer, Marissa Pardini, Bailey Quiroga, Jenica Ryu, Sarah Soliman, James C Welty, Imamah Younus
With the increase in the US of the number of older adults living with HIV, more research is needed to understand the caregiving and advance care planning needs of this population. This descriptive study examined the relationship between social support and caregiving preferences and advance care planning. Older adults living with HIV were recruited from clinics in Los Angeles, CA and New Orleans, LA to complete cross-sectional surveys (n = 154). Logistic regression analyses were modeled to determine the characteristics associated with 1) preference for formal short-term term care, 2) preference for formal long-term care, 3) having at least one contact for emergency care, 4) having an advance directive or living will, and 5) having a healthcare proxy or agent...
August 25, 2018: AIDS Care
https://www.readbyqxmd.com/read/30126294/role-of-pre-stroke-immunity-in-ischemic-stroke-mechanism-among-patients-with-hiv
#11
Jose Gutierrez, Camilla Ingrid Hatleberg, Henry Evans, Michael T Yin
Individuals with HIV are at a higher risk of stroke compared to uninfected populations. The role of HIV-related immunosuppression in stroke mechanism is uncertain. Our aim is to test the hypothesis that stroke mechanisms among HIV+ individuals vary according to preceding CD4 counts. We carried out a retrospective chart review of inpatient admissions for ICD-9 defined ischemic events (TIA or stroke) in HIV+ individuals from 2002 to 2016 at a tertiary care center. Stroke mechanisms were ascertained based on radiographic and clinical presentation, and adjudicated by the treating team and confirmed separately by a vascular neurologist...
August 20, 2018: AIDS Care
https://www.readbyqxmd.com/read/30124055/hiv-care-continuum-outcomes-of-pregnant-women-living-with-hiv-with-and-without-depression
#12
Florence M Momplaisir, Erika Aaron, Lisa Bossert, Emily Anderson, Mom Tatahmentan, Vivienne Okafor, Ashley Kemembin, Pamela Geller, John Jemmott, Kathleen A Brady
Women living with HIV (WLWH) suffer from poor viral suppression and retention postpartum. The effect of perinatal depression on care continuum outcomes during pregnancy and postpartum is unknown. We performed a retrospective cohort analysis using HIV surveillance data of pregnant WLWH enrolled in perinatal case management in Philadelphia and evaluated the association between possible or definite depression with four outcomes: viral suppression at delivery, care engagement within three months postpartum, retention and viral suppression at one-year postpartum...
August 18, 2018: AIDS Care
https://www.readbyqxmd.com/read/30114950/the-impact-of-co-morbid-severe-mental-illness-and-hiv-upon-mental-and-physical-health-and-social-outcomes-a-systematic-review
#13
Ikenna Ebuenyi, Chris Taylor, David O'Flynn, A Matthew Prina, Ruth Passchier, Rosie Mayston
Our aim was to review the evidence related to the impact of co-morbid severe mental illness SMI (schizophrenia, schizoaffective and bipolar disorder) and HIV upon mental health, physical health and social outcomes. We carried out a systematic review of scientific evidence, searching online databases (MEDLINE, PsychInfo, EMBASE, Global Health and Scopus) for studies between 1983 and 2017 using search terms for SMI and HIV. Studies were included if they compared health or social outcomes between people living with co-morbid SMI and HIV and people living with either: a) HIV only; or b) SMI only...
August 16, 2018: AIDS Care
https://www.readbyqxmd.com/read/30114936/evaluation-of-a-computer-based-and-counseling-support-intervention-to-improve-hiv-patients-viral-loads
#14
Gary Marks, Christine O'Daniels, Cynthia Grossman, Nicole Crepaz, Charles E Rose, Unnati Patel, Michael J Stirratt, Lytt I Gardner, Edward R Cachay, William C Mathews, Mari-Lynn Drainoni, Meg Sullivan, Lucy Bradley-Springer, Marla Corwin, Christopher Gordon, Allan Rodriguez, Shireesha Dhanireddy, Thomas P Giordano
We sought to integrate a brief computer and counseling support intervention into the routine practices of HIV clinics and evaluate effects on patients' viral loads. The project targeted HIV patients in care whose viral loads exceeded 1000 copies/ml at the time of recruitment. Three HIV clinics initiated the intervention immediately, and three other HIV clinics delayed onset for 16 months and served as concurrent controls for evaluating outcomes. The intervention components included a brief computer-based intervention (CBI) focused on antiretroviral therapy adherence; health coaching from project counselors for participants whose viral loads did not improve after doing the CBI; and behavioral screening and palm cards with empowering messages available to all patients at intervention clinics regardless of viral load level...
August 16, 2018: AIDS Care
https://www.readbyqxmd.com/read/30112926/teaching-hiv-specific-content-for-pre-licensure-nursing-and-health-professions-students-a-review-and-synthesis
#15
J Craig Phillips, Vera Caine, Georgia Dewart, Anthony de Padua, Añiela M Dela Cruz, Tracey Rickards, Maggie McGinn, Stephany Cator, Bernadette Bernie Pauly, Marilou Gagnon
Persistent Human Immunodeficiency Virus (HIV) prevalence rates remain a challenge, particularly because health care providers (HCP) are not fully prepared to engage in HIV care. This hesitancy to engage creates access to care barriers for people living with HIV (PLWH). We conducted a systematic review to identify educational interventions focused on developing HIV competencies in higher education across health science disciplines. We searched databases for primary studies focused on interventions. Using PRISMA guidelines, we identified 20 articles from 19 distinct studies...
August 16, 2018: AIDS Care
https://www.readbyqxmd.com/read/30112913/resilience-strategies-of-hiv-positive-parents-who-live-with-children-within-the-family-context-in-bangladesh
#16
Md Shahidul Islam, Victor Minichiello, John Scott
We have limited knowledge about the vulnerabilities faced by HIV-positive parents in families and the strategies they use to manage these circumstances in Bangladesh. A qualitative research design was used to analyse in-depth interviews with 19 HIV-positive parents who lived with their children in Khulna and Dhaka, Bangladesh. The findings indicate that resilience of HIV-positive parents was fostered through interaction with informal and formal social networks. The findings of this study demonstrate that social support groups can play a crucial role to construct new ways of coping and reintegrate HIV people into their families and society...
August 16, 2018: AIDS Care
https://www.readbyqxmd.com/read/30111174/hiv-serostatus-disclosure-in-the-democratic-republic-of-the-congo-a-systematic-review
#17
Guy-Lucien Whembolua, Donaldson F Conserve, Kirstyn Thomas, Daudet Ilunga Tshiswaka, Lara Handler
HIV status disclosure among people living with HIV/AIDS has been shown to have a number of both personal and public health benefits, but rates of HIV status disclosure remain low in many African countries, including the Democratic Republic of the Congo (DRC). This systematic review uses the Disclosure Process Model to examine the factors involved in serostatus disclosure and nondisclosure to various persons in the lives of people living with HIV/AIDS (PLWHA) in the DRC, as well as the specific outcomes of their disclosure or nondisclosure...
August 15, 2018: AIDS Care
https://www.readbyqxmd.com/read/30111171/hiv-infection-after-prenatal-screening-an-open-window-leading-to-perinatal-infection
#18
Raynell Lang, Stuart Skinner, Jackie Ferguson, Taj Jadavji, Maria Stadnyk, John Gill
Despite a dramatic decrease in vertical transmission of HIV in the developed world, maternal HIV infection acquired after negative prenatal screening still leaves a window of vulnerability. Through quality assurance programs in two Canadian Provinces, five cases where perinatal HIV transmission occurred despite negative prenatal screening were identified between 2005 and 2015. Maternal risk factors such as intravenous drug use, high-risk sexual behavior, hepatitis C virus co-infection, and belonging to high prevalence minority groups were common...
August 15, 2018: AIDS Care
https://www.readbyqxmd.com/read/30111163/quality-of-life-in-hiv-infected-chinese-women-and-their-family-caregivers-an-intervention-study
#19
Wei-Ti Chen, Chengshi Shiu, Joyce P Yang, Kerong Wang, Lin Zhang, Jing Zhang, Nancy R Reynolds, Holly Powell Kennedy, Kaveh Khoshnood, Li-Chen Chen, Meijuan Bao, Hongxin Zhao, Hongzhou Lu
China is experiencing a rapid increase in the number of HIV-infected women. In this study, we describe the development and preliminary evaluation of an intervention tailored for Chinese HIV-infected women and caregivers to improve their self- and family management, with goals of enhancing their physical quality of life (QOL) and decreasing their depressive symptomatology. Forty-one HIV-infected women and their caregivers were recruited from two premier Chinese hospitals from July 2014 through March 2016. Participants were randomized to either the control or intervention arm for the Self- and Family Management Intervention (SAFMI)...
August 15, 2018: AIDS Care
https://www.readbyqxmd.com/read/30111159/low-uptake-of-hiv-testing-among-male-clients-of-female-sex-workers-in-china
#20
Yuan Fang, Yuzhou Zhang, Zixin Wang, Mary Ip, Jinghua Li, Joseph T F Lau
Male client of female sex workers (MCFSW) is a sizable population transmitting HIV from high-risk population to female general population in China. This study was to investigate the prevalence of taking up any forms of HIV testing in lifetime and in the past year among MCFSW in Hong Kong. Factors associated with uptake of any forms HIV testing in the past year were also investigated. A cross-sectional survey was conducted. Participants were Hong Kong Chinese males aged ≥18 years, and self-reported had patronized at least one female sex workers (FSW) in the last six months...
August 15, 2018: AIDS Care
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