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AIDS and Behavior

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https://www.readbyqxmd.com/read/28205041/hiv-provider-documentation-and-actions-following-patient-reports-of-at-risk-behaviors-and-conditions-when-identified-by-a-web-based-point-of-care-assessment
#1
Heidi M Crane, Paul K Crane, James T Tufano, James D Ralston, Ira B Wilson, Tyler D Brown, Thomas E Davis, Laurie F Smith, William B Lober, Justin McReynolds, Shireesha Dhanireddy, Robert D Harrington, Carla V Rodriguez, Robin M Nance, Joseph A C Delaney, Steven A Safren, Mari M Kitahata, Rob J Fredericksen
We compared same-day provider medical record documentation and interventions addressing depression and risk behaviors before and after delivering point-of-care patient-reported outcomes (PROs) feedback for patients who self-reported clinically relevant levels of depression or risk behaviors. During the study period (1 January 2006-15 October 2010), 2289 PRO assessments were completed by HIV-infected patients. Comparing the 8 months before versus after feedback implementation, providers were more likely to document depression (74% before vs...
February 15, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28197845/correlation-of-adherence-by-pill-count-self-report-mems-and-plasma-drug-levels-to-treatment-response-among-women-receiving-arv-therapy-for-pmtct-in-kenya
#2
Victor Mudhune, Roman Gvetadze, Sonali Girde, Richard Ndivo, Frank Angira, Clement Zeh, Timothy Thomas, Shirley Lee Lecher
Success of antiretroviral therapy depends on adherence to effective treatment. We evaluated four adherence methods and their correlation with immunological and virologic response among women receiving PMTCT. Univariable and multivariable analyses were used to assess how adherence by pill count (n = 463), self-report (n = 463), MEMS (n = 129) and plasma drug level (n = 89) was associated with viral load suppression within a 6 months period. Longitudinal analysis was performed to determine the correlation of CD4 cell count with each measure of adherence...
February 14, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28194588/dual-incarceration-and-condom-use-in-committed-relationships
#3
Allison K Groves, WeiHai Zhan, Ana Maria Del Río-González, Alana Rosenberg, Kim M Blankenship
Incarceration fractures relationship ties and has been associated with unprotected sex. Relationships where both individuals have a history of incarceration (dual incarceration) may face even greater disruption and involve more unprotected sex than relationships where only one individual has been incarcerated. We sought to determine whether dual incarceration is associated with condom use, and whether this association varies by relationship type. Data come from 499 sexual partnerships reported by 210 individuals with a history of incarceration...
February 13, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28194587/developing-a-safer-conception-intervention-for-men-living-with-hiv-in-south-africa
#4
Hazar Khidir, Christina Psaros, Letitia Greener, Kasey O'Neil, Mxolisi Mathenjwa, F N Mosery, Lizzie Moore, Abigail Harrison, David R Bangsberg, Jennifer A Smit, Steven A Safren, Lynn T Matthews
Within sexual partnerships, men make many decisions about sexual behavior, reproductive goals, and HIV prevention. There are increasing calls to involve men in reproductive health and HIV prevention. This paper describes the process of creating and evaluating the acceptability of a safer conception intervention for men living with HIV who want to have children with partners at risk for acquiring HIV in KwaZulu-Natal, South Africa. Based on formative work conducted with men and women living with HIV, their partners, and providers, we developed an intervention based on principles of cognitive-behavioral therapy to support men in the adoption of HIV risk-reduction behaviors such as HIV-serostatus disclosure and uptake of and adherence to antiretroviral therapy...
February 13, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28194586/veterans-living-with-hiv-a-high-risk-group-for-cigarette-smoking
#5
Sarah M Wilson, Lauren R Pacek, Paul A Dennis, Lori A Bastian, Jean C Beckham, Patrick S Calhoun
The Veterans Health Administration is the largest U.S. medical provider for persons living with HIV (PLHIV). Although HIV and veteran status are known risk factors for smoking, there are no population estimates of smoking prevalence among veteran PLHIV. Using data from a national random sample (National Survey on Drug Use and Health; 2005-2014), smoking prevalence was estimated by self-reported veteran and HIV status (N = 376,620). Results indicated 42% of veteran PLHIV smoked daily, compared to 18% of veterans without HIV and 30% of non-veteran PLHIV...
February 13, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28194585/prevalence-and-associations-of-psychological-distress-hiv-infection-and-hiv-care-service-utilization-in-east-zimbabwe
#6
Malebogo Tlhajoane, Jeffrey W Eaton, Albert Takaruza, Rebecca Rhead, Rufurwokuda Maswera, Nadine Schur, Lorraine Sherr, Constance Nyamukapa, Simon Gregson
The correlation between mental health and sexual risk behaviours for HIV infection remains largely unknown in low and middle income settings. The present study determined the prevalence of psychological distress (PD) in a sub-Saharan African population with a generalized HIV epidemic, and investigated associations with HIV acquisition risk and uptake of HIV services using data from a cross-sectional survey of 13,252 adults. PD was measured using the Shona Symptom Questionnaire. Logistic regression was used to measure associations between PD and hypothesized covariates...
February 13, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28190116/factors-that-motivated-otherwise-healthy-hiv-positive-young-adults-to-access-hiv-testing-and-treatment-in-south-africa
#7
R Frederick Lambert, Catherine Orrell, David R Bangsberg, Jessica E Haberer
The World Health Organization recommends early initiation of HIV antiretroviral therapy (ART) for all those infected with the virus at any CD4 count. Successfully reaching individuals with relatively high CD4 counts depends in large part on healthy individuals seeking testing and treatment; however, little is known about factors motivating this decision. We conducted a qualitative study to explore this issue among 25 young HIV-positive adults (age 18-35) with a CD4 count >350 cells/mm(3) who recently started or made the decision to start ART in Gugulethu, South Africa...
February 11, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28188461/physical-activity-is-associated-with-metabolic-health-in-men-living-with-hiv
#8
Cuisle Forde, Aisling Loy, Siobhan O'Dea, Fiona Mulcahy, John Gormley, Caroline Daly
Metabolic health is a cause for concern among those living with HIV, especially those on antiretroviral therapy. Physical activity (PA) is known to benefit metabolic health, however, few studies have objectively measured PA or investigated the relationship between PA and metabolic health among those living with HIV. In this study, PA and indices of metabolic health among twenty men living with HIV and twenty age matched HIV-negative men were measured. PA was measured using Actigraph accelerometers. Components of the metabolic syndrome and insulin resistance were measured using routine laboratory methods...
February 10, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28188460/gender-differences-in-hiv-risk-behaviors-among-persons-involved-in-the-u-s-criminal-justice-system-and-living-with-hiv-or-at-risk-for-hiv-a-seek-test-treat-and-retain-harmonization-consortium
#9
Kelsey B Loeliger, Mary L Biggs, Rebekah Young, David W Seal, Curt G Beckwith, Irene Kuo, Michael S Gordon, Frederick L Altice, Lawrence J Ouellet, William E Cunningham, Jeremy D Young, Sandra A Springer
The U.S. female criminal justice (CJ) population is rapidly growing, yet large-scale studies exploring gender-specific HIV risk behaviors in the CJ population are lacking. This analysis uses baseline data on adults with a CJ history from eight U.S. studies in an NIH-funded "Seek, Test, Treat, Retain" harmonization consortium. Data were collected using a standardized HIV risk behavior assessment tool and pooled across studies to describe participants' characteristics and risk behaviors. Multilevel mixed-effects logistic regression models were used to test for gender-based behavior differences...
February 10, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28188459/erratum-to-trends-in-any-and-high-dose-opioid-analgesic-receipt-among-aging-patients-with-and-without-hiv
#10
William C Becker, Kirsha Gordon, E Jennifer Edelman, Robert D Kerns, Stephen Crystal, James D Dziura, Lynn E Fiellin, Adam J Gordon, Joseph L Goulet, Amy C Justice, David A Fiellin
No abstract text is available yet for this article.
February 10, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28185022/correlates-of-double-risk-of-hiv-acquisition-and-transmission-among-women-who-inject-drugs-in-st-petersburg-russia
#11
Polina Girchenko, Elizabeth J King
Russia continues to experience a growing HIV epidemic, and women account for an increasing proportion of new HIV diagnoses in the country. This study aims to provide up-to-date information on factors associated with unsafe sex and drug use behaviors among women who inject drugs in St. Petersburg, Russia. In this community-based sample of 500 women who inject drugs, 64% tested positive for HIV. Women reported the following: 21% reported injection risk, 22% reported sexual risk, and 18% reported double risk. Multivariable analyses using logistic multinomial regression showed that older age is associated with increased risk behaviors...
February 9, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28185021/patient-initiated-repackaging-of-antiretroviral-therapy-viral-suppression-and-drug-resistance
#12
Habib O Ramadhani, Charles Muiruri, Venance P Maro, Balthazar Nyombi, Michael Omondi, Julian B Mushi, Eileen S Lirhunde, John A Bartlett
Patient-initiated repackaging of antiretroviral therapy (ART) refers to removal of ART medications from their original manufacturer's containers, and putting them into alternative containers. This behavior may be triggered by stigma associated with HIV infection, and may impact patient outcomes. We assessed association between patient initiated repackaging of ART and failure to achieve viral suppression (FVS) in a sample of 450 HIV-infected adults (≥8 years) on first line ART for ≥6 months. FVS was defined as a plasma HIV RNA level ≥400 copies/mL...
February 9, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28181013/factors-associated-with-receiving-late-hiv-testing-among-women-delivering-at-hung-vuong-hospital-ho-chi-minh-city-vietnam-2014
#13
V N Khuu, V T Nguyen, N K Hills, T P Hau, D P Nguyen, V T Nhung, P T Lan, D B Brickley
HIV testing during pregnancy facilitates timely antiretroviral treatment for HIV-positive women. This study identifies reasons for late HIV testing among pregnant women delivering at a hospital in Ho Chi Minh City. We conducted a case-control study in which 160 cases were women who were tested for HIV late (i.e., at labor and delivery) and 160 controls were women who were tested during antenatal care (ANC). In multivariable logistic regression analysis, six variables were associated with late HIV testing: age less than 30 years, nine or fewer years of education, working as a homemaker or worker/farmer, living 20 km or more from the hospital, having received ANC at a private clinic/hospital only, and not believing that HIV testing is important during pregnancy...
February 8, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28176169/receipt-and-perpetration-of-intimate-partner-violence-and-condomless-anal-intercourse-among-gay-and-bisexual-men-in-atlanta
#14
Rob Stephenson, Catherine Finneran
Intimate partner violence (IPV) rates are disproportionately high among sexual minority populations, with increasing evident that gay men experience IPV at the same rates as heterosexual women. This study examines the relationship between self-reported condomless anal intercourse (CAI) and IPV among a sample of 750 gay and bisexual men. Participants answered questions regarding recent receipt and perpetration of IPV using the IPV-GBM Scale (Cronbach Alpha 0.90). Of the sample, 46.1% reported recent receipt of any type of IPV and 33...
February 7, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28176168/a-global-estimate-of-the-acceptability-of-pre-exposure-prophylaxis-for-hiv-among-men-who-have-sex-with-men-a-systematic-review-and-meta-analysis
#15
Peng Peng, Shu Su, Christopher K Fairley, Minjie Chu, Shengyang Jiang, Xun Zhuang, Lei Zhang
Pre-exposure prophylaxis (PrEP) is a new biomedical intervention for HIV prevention. This study systematically reviews the acceptability of PrEP among men who have sex with men (MSM) worldwide. We searched major English databases to identify English-language articles published between July 2007 and July 2016, which reported the acceptability of PrEP and associated population characteristics. Meta-analysis was conducted to estimate a pooled acceptability, and meta-regression and subgroup analysis were used to analyse heterogeneities...
February 7, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28176167/assessing-the-impact-of-perinatal-hiv-case-management-on-outcomes-along-the-hiv-care-continuum-for-pregnant-and-postpartum-women-living-with-hiv-philadelphia-2005-2013
#16
Emily A Anderson, Florence M Momplaisir, Catherine Corson, Kathleen A Brady
To evaluate the impact of a Perinatal Medical Case Management (PCM) Program for women living with HIV (WLWH). Characteristics of pregnant and postpartum WLWH were compared between those who engaged in PCM and those who did not. Using secondary data collected from routine HIV surveillance, multivariable regression models were used to evaluate the association between PCM and four outcomes adapted from the HIV care continuum. In multivariable models, compared to WLWH not in PCM, participants (n = 448, 52.8%) were almost twice as likely to achieve HIV suppression before delivery (aOR 1...
February 7, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28168375/sustained-reduction-in-sexual-behavior-that-may-pose-a-risk-of-hiv-transmission-following-diagnosis-during-early-hiv-infection-among-gay-men-in-vancouver-british-columbia
#17
Mark Gilbert, Darlene Taylor, Warren Michelow, Daniel Grace, Robert Balshaw, Michael Kwag, Elgin Lim, Benedikt Fischer, David Patrick, Gina Ogilvie, Daniel Coombs, Malcolm Steinberg, Michael Rekart
Increased viral load during early HIV infection (EHI) disproportionately contributes to HIV transmission among gay men. We examined changes in sexual behavior that may pose a risk of HIV transmission (condomless anal sex (AS) with a serodiscordant or unknown status partner, CAS-SDU) in a cohort of 25 gay men newly diagnosed during EHI who provided information on 241 sexual partners at six time points following diagnosis. Twenty-two (88%) participants reported ≥1 AS partner (median time to first AS 80 days) and 12 (55%) reported ≥1 partnership involving CAS-SDU (median 116 days)...
February 6, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28161801/gender-norms-gender-role-conflict-stress-and-hiv-risk-behaviors-among-men-in-mpumalanga-south-africa
#18
Ann Gottert, Clare Barrington, Heath Luz McNaughton-Reyes, Suzanne Maman, Catherine MacPhail, Sheri A Lippman, Kathleen Kahn, Rhian Twine, Audrey Pettifor
Men's gender role conflict and stress (GRC/S), the psychological strain they experience around fulfilling expectations of themselves as men, has been largely unexplored in HIV prevention research. We examined associations between both men's gender norms and GRC/S and three HIV risk behaviors using data from a population-based survey of 579 18-35 year-old men in rural northeast South Africa. Prevalence of sexual partner concurrency and intimate partner violence (IPV) perpetration in the last 12 months were 38...
February 4, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28160107/neighborhood-characteristics-associated-with-achievement-and-maintenance-of-hiv-viral-suppression-among-persons-newly-diagnosed-with-hiv-in-new-york-city
#19
Ellen W Wiewel, Luisa N Borrell, Heidi E Jones, Andrew R Maroko, Lucia V Torian
We investigated the effect of neighborhood characteristics on achievement and maintenance of HIV viral suppression among New York City (NYC) residents aged 13 years and older diagnosed between 2006 and 2012. Individual records from the NYC HIV surveillance registry (n = 12,547) were linked to U.S. Census and American Community Survey data by census tract of residence. Multivariable proportional hazards regression models indicated the likelihood of achievement and maintenance of suppression by neighborhood characteristics including poverty, accounting for neighborhood clustering and for individual characteristics...
February 3, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28155039/a-global-review-of-hiv-self-testing-themes-and-implications
#20
REVIEW
Danielle R Stevens, Caroline J Vrana, Raviv E Dlin, Jeffrey E Korte
HIV self-test kits may have the potential to increase testing rates around the globe, and thereby lead to reductions in HIV-related incidence and mortality. However, the effectiveness of these self-test kits and the issues surrounding self-testing have been greatly debated in recent years. We conducted a literature review on the acceptability, feasibility, and effectiveness of HIV self-testing (HST) around the world. Of the 28 articles abstracted, several themes of HST were explored, including behavioral risk compensation, presence of counseling, uses of HST, ability to perform the self-test, sensitivity and specificity, concordance with confirmatory testing, perceptions surrounding HST, instruction and supervision, and cost...
February 2, 2017: AIDS and Behavior
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