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Journal of the International Association of Providers of AIDS Care

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https://www.readbyqxmd.com/read/28485707/exploring-the-factors-considered-by-people-living-with-hiv-and-their-partners-during-preconception
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
https://www.readbyqxmd.com/read/28325130/antiretroviral-adherence-perspectives-of-pregnant-and-postpartum-women-in-guyana
#15
Deborah Vitalis, Zelee Hill
The Caribbean region has the second highest HIV prevalence after Sub-Saharan Africa. Guyana's adult HIV prevalence is 1.9% among pregnant women, with women accounting for an estimated 58% of all persons living with HIV. However, there are few studies on ART adherence in the Caribbean, none from Guyana, and none focusing on adherence in pregnancy and the postpartum period. The objective of this study was to explore the perspectives of HIV-infected pregnant and postpartum women and healthcare providers in Guyana about barriers and facilitators to ART adherence...
March 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/28034344/factors-associated-with-delayed-enrollment-in-hiv-medical-care-among-hiv-positive-individuals-in-odessa-region-ukraine
#16
Oleksandr Neduzhko, Oleksandr Postnov, Ihor Perehinets, Jack DeHovitz, Michael Joseph, David Odegaard, Robert Kaplan, Tetiana Kiriazova
In Ukraine, about one-third of identified HIV-positive individuals are not connected to care. We conducted a cross-sectional survey (n = 200) among patients registered at Odessa AIDS centers in October to December 2011. Factors associated with delayed enrollment in HIV care (>3 months since positive HIV test) were evaluated using logistic regression. Among study participants (mean age 35 ± 8.2 years, 47.5% female, 42.5% reported history of injecting drugs), 55% delayed HIV care enrollment. Odds of delayed enrollment were higher for those with lower educational attainment (adjusted odds ratio [aOR]: 2...
March 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/25331218/managing-the-personal-side-of-health-care-among-patients-with-hiv-aids
#17
Osaro Mgbere, Salma Khuwaja, Tanvir K Bell, Maria C Rodriguez-Barradas, Raouf Arafat, Janet M Blair, Ekere James Essien
The study describes the HIV care providers' sociodemographic and medical practice characteristics and the health care services offered to patients during medical care encounters in Houston/Harris County, Texas. We used data from the pilot cycle of the Centers for Disease Control and Prevention Medical Monitoring Project Provider Survey conducted in June to September 2009. The average age and HIV care experience of the providers were 46.7 and 11.7 years, respectively, and they provided care to an average of 113 patients monthly...
March 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/24963087/hopefulness-fosters-affective-and-cognitive-constructs-for-actions-to-cope-and-enhance-quality-of-life-among-people-living-with-hiv-in-dar-es-salaam-tanzania
#18
Hellen Siril, Mary C Smith Fawzi, Jim Todd, Monique Wyatt, Japheth Kilewo, Norma Ware, Sylvia Kaaya
The aims of this study were to describe how people living with HIV (PLWH) perceive hope and illustrate implications for HIV care and treatment. This is a qualitative study done to explore perceptions and meanings of hope among PLWH attending care and treatment clinics in Dar es Salaam, Tanzania. In all, 10 focus group discussions and 9 in-depth interviews were conducted. People living with HIV described the following 3 dimensions of hope: cognitive, positive emotions, and normalization. Being cognizant of the effectiveness of antiretroviral treatment (ART) often led to positive emotions, such as feeling comforted or strengthened, which in turn was related to positive actions toward normalizing life...
March 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/23422744/broadly-neutralizing-antibody-responses-in-a-subset-of-hiv-1-infected-individuals-in-chennai-india
#19
Syed Iqbal Hussain, Nandagopal Panneerselvam, Suniti Solomon, Sunil S Solomon, Kaavya Adam, Ezhilarasi Chandrasekaran, David C Montefiori, Balakrishnan Pachamuthu
Identification of broadly neutralizing antibodies (NAbs) generated during the course of HIV-1 infection is essential for effective HIV-1 vaccine design. The magnitude and breadth of neutralizing activity in the sera from 46 antiretroviral treatment-naive HIV-1 clade C-infected individuals was measured in a single round infection assay using TZM-bl cells and multisubtype panel of env-pseudotyped viruses. Higher levels of NAb response (NAb titer 500 to >40 000) were measured in these patients against tier 1 and tier 2 viruses...
March 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/28528560/design-and-implementation-of-a-community-health-worker-hiv-treatment-and-prevention-intervention-in-an-hiv-hot-spot-fishing-community-in-rakai-uganda
#20
Amanda Long, Ismail Mbabali, Heidi E Hutton, Alvin G Thomas, Eva Bugos, Jeremiah Mulamba, Kathy Rivet Amico, Fred Nalugoda, Ronald H Gray, Maria J Wawer, Gertrude Nakigozi, Larry W Chang
Innovative approaches are needed to increase engagement in HIV treatment and prevention services, particularly in HIV hot spots. Here, we detail our design, training approach, and early implementation experiences of a community-based HIV intervention called "health scouts." The intervention, utilizing a novel, theory-based approach, trained 10 community residents in an HIV hot spot fishing community to use motivational interviewing strategies and a mobile phone-based counseling application. During the first 3 months, 771 residents (median 82/health scout, range 27-160) were counseled...
January 1, 2017: Journal of the International Association of Providers of AIDS Care
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