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Journal of the International Association of Providers of AIDS Care

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https://www.readbyqxmd.com/read/28791915/assessing-the-feasibility-of-smartphone-apps-for-hiv-care-research-with-msm-and-transgender-individuals-in-mpumalanga-south-africa
#1
Joseph Daniels, Tim Lane, Helen Struthers, Kabelo Maleke, Winta Moges, James McIntyre, Thomas Coates
There is an urgent need to develop the HIV treatment cascade for men who have sex with men (MSM) and transgender individuals in rural Mpumalanga, South Africa. Mhealth tools such as smartphone applications have the potential to support HIV self-care behaviors. We conducted an exploratory study with HIV-positive community leaders to understand their current uses of cell phones and smartphones and to assess their interest in an HIV research study that utilized a smartphone application for HIV care support. A total of 18 community leaders were recruited to complete a questionnaire and focus group...
September 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/28791914/retention-in-care-services-reported-by-hiv-care-providers-in-the-united-states-2013-to-2014
#2
Jason A Craw, Heather Bradley, Garrett Gremel, Brady T West, Christopher C Duke, Linda Beer, John Weiser
OBJECTIVES: Evidence-based guidelines recommend that HIV care providers offer retention-in-care services, but data are needed to assess service provision. METHODS: We surveyed a probability sample of 1234 HIV care providers to estimate the percentage of providers whose practices offered 5 recommended retention services and describe providers' perceptions of barriers to care among patients. RESULTS: An estimated 21% of providers' practices offered all 5 retention services...
September 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/28578611/psychiatric-symptoms-and-barriers-to-care-in-hiv-infected-individuals-who-are-lost-to-care
#3
Carmen P McLean, Natalie G Gay, David A Metzger, Edna B Foa
Past studies of barriers to HIV care have not comprehensively assessed psychiatric symptoms, and few have assessed barriers to care among people living with HIV (PLWH) who are lost to care (LTC). We examined psychiatric symptoms, barriers to HIV care, and immune functioning in PLWH who were retained in care (RIC; n = 21) or LTC (n = 21). Participants completed diagnostic interviews for posttraumatic stress disorder (PTSD) and other psychiatric disorders, self-report measures of HIV risk behaviors and psychiatric symptoms, and a blood draw to assess viral load...
September 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/28560889/association-of-hiv-aids-clinician-warm-line-utilization-with-diagnosis-and-management-of-antiretroviral-treatment-failure-in-mozambique-a-retrospective-analysis-of-program-data
#4
Maria Ruano Camps, Paula E Brentlinger, Gerito Augusto, Alexandre Nguimfack, Florindo Mudender
In accordance with global HIV/AIDS goals, Mozambique is attempting to improve management of antiretroviral treatment failure (TF). We sought to determine whether the utilization of a national HIV/AIDS clinician telephone consultation service increased recognition and reporting of TF. In a retrospective analysis of routinely collected program data from telephone consultation logs and Mozambique's national registry of second-line antiretroviral requests, we used linear mixed methods to describe the association between TF-related telephone consultations and submission of second-line requests, which required documentation of the TF diagnosis...
July 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/28393664/use-of-placebo-pills-before-treatment-initiation-in-youth-with-hiv-are-they-ready
#5
Lisa M Ingerski, Megan L Wilkins, Amanda M Rach, Nehali Patel, Aditya H Gaur
Highly active antiretroviral therapy (HAART) nonadherence is related to negative health outcomes and is well-documented in adolescents and young adults (AYAs) with behaviorally acquired HIV. Few studies describe methods to improve adherence in this population. This retrospective study describes placebo pill trial use (ie, pills with inert substance prescribed to practice taking HAART) in AYAs initiating HAART and its relation to disease outcomes. Sixty-two AYAs initiated HAART during the review period. Disease outcomes during the first year of standard clinical care were abstracted from medical records...
July 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/26586788/suicidal-behavior-and-associations-with-quality-of-life-among-hiv-infected-patients-in-ibadan-nigeria
#6
Bibilola Damilola Oladeji, Babafemi Taiwo, Olushola Mosuro, Samuel A Fayemiwo, Taiwo Abiona, Angela J Fought, Kevin Robertson, Adesola Ogunniyi, Isaac F Adewole
BACKGROUND: Suicidality has rarely been studied in HIV-infected patients in sub-Saharan Africa. This study explored suicidal behavior in a clinic sample of people living with HIV, in Nigeria. METHODS: Consecutive patients were interviewed using the Composite International Diagnostic Interview (CIDI-10.0) and the World Health Organization Quality of Life (WHO-QOL-HIV-BREF). Associations of suicidal behavior were explored using logistic regression models. RESULTS: In this sample of 828 patients (71% female, mean age 41...
July 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/28485707/exploring-the-factors-considered-by-people-living-with-hiv-and-their-partners-during-preconception
#7
V Logan Kennedy, Micaela Collins, Mark H Yudin, Lena Serghides, Sharon Walmsley, Jonathan B Angel, Fanta Ongoiba, Jeff Powis, Fiona Smaill, Wangari Tharao, Anita Rachlis, Michael Silverman, Roger Sandre, Dean A Regier, Mona Loutfy
Data are lacking on factors that may impact conception-related decision-making among individuals living with HIV. This study's aim was to shed light on these considerations. Participants were invited to complete a survey on preconception considerations. A rank-ordered logit model was fit to estimate the relative importance of listed consideration factors; the interaction of HIV status and the factors was assessed. Fifty-nine participants living with HIV and 18 partners (11 HIV-negative participants and 7 living with HIV) were included...
May 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/28485706/serodiscussion-perceived-seroconcordance-and-sexual-risk-behaviors-among-dyads-of-men-who-have-sex-with-men-who-use-geosocial-networking-smartphone-applications-in-london
#8
William C Goedel, John A Schneider, Daniel Hagen, Dustin T Duncan
Serodiscussion-the mutual discussion of HIV statuses between sexual partners-can be viewed as an essential prerequisite for risk-reduction behaviors among men who have sex with men (MSM). The current study aimed to assess the prevalence of serodiscussion with one's most recent sexual partner and its association with sexual behaviors with these partners. Broadcast advertisements were placed on a geosocial-networking smartphone application, encouraging users to complete an online survey. A total of 200 MSM completed the survey...
May 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/27909114/conservative-treatment-of-chronic-subdural-hematoma-in-hiv-associated-thrombocytopenia-with-tranexamic-acid
#9
Raja K Kutty, Anil Kumar Peethambaran, Sunilkumar, M Anilkumar
Chronic subdural hematomas (CSDHs) and its management comprise a majority work in a neurosurgical specialty. The effectiveness of surgery is beyond doubt and sometimes even lifesaving in severe cases. However, the straightforward surgery is sometimes complicated by the associated comorbidities of the patient. Comorbidities in the form of coagulopathies secondary to chronic liver diseases, drugs (warfarin, ecosprin, clopidogrel), thrombocytopenia secondary to systemic illness are always a challenge to deal with in patients with CSDH...
May 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/27903948/characterizing-patients-with-very-low-level-hiv-viremia-a-community-based-study
#10
Elie Helou, Sheela Shenoi, Tassos Kyriakides, Marie-Louise Landry, Michael Kozal, Lydia Aoun Barakat
OBJECTIVE: Very-low-level viremia (VLLV) is a relatively new concept in the realm of human immunodeficiency virus (HIV) care. Newer generation assays are now able to detect plasma HIV RNA Viral Load (VL) levels as low as 20 copies/mL. The authors characterized patients with VLLV (VL between 20 and 50 copies/mL) in order to identify possible risk factors associated with virologic failure and poor clinical outcomes. METHODS: The authors reviewed 119 consecutive charts of patients with VLLV...
May 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/27655835/hiv-stigma-perspectives-from-kenyan-child-caregivers-and-adolescents-living-with-hiv
#11
Megan Song McHenry, Winstone M Nyandiko, Michael L Scanlon, Lydia J Fischer, Carole I McAteer, Josephine Aluoch, Violet Naanyu, Rachel C Vreeman
Stigma shapes all aspects of HIV prevention and treatment, yet there are limited data on how HIV-infected youth and their families are affected by stigma in sub-Saharan Africa. The authors conducted a qualitative study using focus group discussions among 39 HIV-infected adolescents receiving care at HIV clinics in western Kenya and 53 caregivers of HIV-infected children. Participants felt that while knowledge and access to treatment were increasing, many community members still held negative and inaccurate views about HIV, including associating it with immorality and believing in transmission by casual interactions...
May 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/27629867/a-microfinance-program-targeting-people-living-with-hiv-in-uganda-client-characteristics-and-program-impact
#12
Sebastian Linnemayr, Lydia Buzaalirwa, James Balya, Glenn Wagner
HIV has disproportionately affected economically vulnerable populations. HIV medical care, including antiretroviral therapy, successfully restores physical health but can be insufficient to achieve social and economic health. It may therefore be necessary to offer innovative economic support programs such as providing business training and microcredit tailored to people living with HIV/AIDS. However, microfinance institutions have shown reluctance to reach out to HIV-infected individuals, resulting in nongovernment and HIV care organizations providing these services...
May 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/27251003/effect-of-2-models-of-care-and-factors-predicting-patients-adherence-to-doctor-s-appointment-attendance-in-lagos-state-university-teaching-hospital-ikeja-lagos-nigeria
#13
Roseline Iberi Aderemi-Williams, Fola Tayo, Aba Sagoe, Mathew P Zachariah
BACKGROUND: Provision of antiretroviral therapy in resource limited settings has put pressure on the available infrastructure. OBJECTIVES: The study examined patients' adherence to Doctor's appointment attendance after an intervention changing the model of care and factors that predicted adherence. METHODS: Observational study was carried out over four years. The model of care was changed in the last year and the effect assessed. SPSS version 15...
May 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/27215561/efficacy-of-a-single-brief-alcohol-reduction-intervention-among-men-and-women-living-with-hiv-aids-and-using-alcohol-in-kampala-uganda-a-randomized-trial
#14
Bonnie Wandera, Nazarius Mbona Tumwesigye, Joaniter Immaculate Nankabirwa, David Kaawa Mafigiri, Rosalind M Parkes-Ratanshi, Saidi Kapiga, Judith Hahn, Ajay K Sethi
We evaluated the efficacy of a brief motivational intervention (MI) counseling in reducing alcohol consumption among persons living with HIV/AIDS in Kampala, Uganda. Persons living with HIV/AIDS with Alcohol Use Disorders Identification Tool (AUDIT) score ≥3 points were randomized to either standardized positive prevention counseling alone or in combination with alcohol brief MI counseling. The mean change in AUDIT-C scores over 6 months was compared by treatment arm. The mean (standard deviation [SD]) AUDIT-C scores were 6...
May 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/26251226/factors-influencing-quality-of-life-among-people-living-with-hiv-in-coastal-south-india
#15
Banagi Yathiraj Arjun, Bhaskaran Unnikrishnan, John T Ramapuram, Rekha Thapar, Prasanna Mithra, Nithin Kumar, Deepak Madi, Vaman Kulkarni, Ramesh Holla, Bhagawan Darshan
BACKGROUND: Antiretroviral therapy (ART) has increased life expectancy of HIV/AIDS patients, but the quality of life (QOL) still remains the same. METHODS: In this cross-sectional study, 356 people living with HIV (PLHIV) were interviewed to assess their QOL using WHOQOL-HIV BREF questionnaire. The association between QOL with sociodemographic, clinical and cohabitation status of the participants was tested using ANOVA and Student t-test, and p value < .05 was considered statistically significant...
May 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/25656862/stigmatization-and-discrimination-toward-people-living-with-hiv-aids-in-a-coastal-city-of-south-india
#16
Nithin Kumar, Bhaskaran Unnikrishnan, Rekha Thapar, Prasanna Mithra, Vaman Kulkarni, Ramesh Holla, Darshan Bhagawan, Avinash Kumar
BACKGROUND: The HIV/AIDS scenario all over the world is complicated by the stigmatic and discriminative attitudes toward the HIV-infected individuals. METHODOLOGY: In this facility-based, cross-sectional study, 104 HIV-positive patients were assessed regarding their personal experience with HIV-related stigma and discrimination using a Revised HIV Stigma Scale. The association between stigma and factors such as socioeconomic status and gender was tested using chi-square test, and P < ...
May 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/24943656/an-epidemiological-study-on-the-awareness-and-attitude-of-the-youths-toward-aids-in-a-rural-area-of-west-bengal-in-india
#17
Sanjib Bandyopadhyay, Saibal Das, Somnath Mondal
INTRODUCTION: This community-based cross-sectional epidemiological study was performed to assess the awareness and attitude of youths toward AIDS in a rural area of West Bengal in India. METHODS: Study population included 190 individuals (15-24 years). Data were collected using a semistructured, pretested questionnaire and analyzed using SPSS version 17 by logistic regression model. RESULTS: It was revealed that older youths and particularly men compared to women had more comprehensive knowledge of AIDS than adolescents...
May 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/24904048/correlates-of-knowledge-of-hiv-transmission-among-incident-cases-of-hiv-in-a-cohort-of-injection-drug-users-receiving-harm-reduction-services-at-karachi-pakistan
#18
Rab Nawaz Samo, Arshad Altaf, Sharaf Ali Shah
BACKGROUND: Knowledge of risk factors for HIV transmission in high-risk population plays a critical role in averting the risk of HIV transmission. In Pakistan, injection drug users (IDUs) constitute the core risk group of HIV prevalence, where the epidemic has transitioned to a "concentrated level." Still nothing is known about the role of knowledge in HIV transmission and HIV sero-conversion among IDUs in Pakistan. METHODS: From 2009 to 2011, a nested case-control study was conducted in a cohort of 636 IDUs receiving harm reduction services in the mega city of Karachi...
May 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/24067495/blood-transfusion-associated-hiv-infection-in-children-in-ibadan-nigeria
#19
Biobele J Brown, Regina E Oladokun, Babatunde O Ogunbosi, Kikelomo Osinusi
INTRODUCTION: This study describes the epidemiologic features and clinical course of children with blood transfusion-associated HIV infection (TAHI) in Ibadan, Nigeria. METHODOLOGY: All children diagnosed to have TAHI at the University College Hospital, Ibadan, were studied and compared with children who acquired HIV vertically using the pediatric HIV database in the hospital. RESULTS: Transfusion-associated HIV infection accounted for 14 (2...
May 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/28325131/text-message-reminder-recall-to-increase-hpv-immunization-in-young-hiv-1-infected-patients
#20
Susana Williams Keeshin, Judith Feinberg
HIV infected patients have higher rates of HPV infection, worse disease progression, increase severity of disease, and are at higher risk for intraepithelial neoplasia and cancer than their HIV negative counterparts. We conducted a yearlong pilot project to evaluate the impact of text message HPV immunization reminder-recall in young HIV-1 positive patients in a large urban academic HIV clinic. We found that text message reminder-recall improved HPV immunization uptake in a young, primarily black and un- or under-insured HIV-1 infected patients...
March 2017: Journal of the International Association of Providers of AIDS Care
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