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https://www.readbyqxmd.com/read/28610435/access-and-engagement-in-hiv-care-among-a-national-cohort-of-women-living-with-hiv-in-canada
#1
Nadine Kronfli, Ashley Lacombe-Duncan, Ying Wang, Alexandra de Pokomandy, Angela Kaida, Carmen Logie, Tracey Conway, V Logan Kennedy, Ann Burchell, Wangari Tharao, Neora Pick, Mary Kestler, Paul Sereda, Mona Loutfy, On Behalf Of The Chiwos Research Team
Attrition along the cascade of HIV care poses significant barriers to attaining the UNAIDS targets of 90-90-90 and achieving optimal treatment outcomes for people living with HIV. Understanding the correlates of attrition is critical and particularly for women living with HIV (WLWH) as gender disparities along the cascade have been found. We measured the proportion of the 1425 WLWH enrolled in the Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS) who had never accessed HIV medical care, who reported delayed linkage into HIV care (>3 months between diagnosis and initial care linkage), and who were not engaged in HIV care at interview (<1 visit in prior year)...
June 13, 2017: AIDS Care
https://www.readbyqxmd.com/read/28604289/a-suitable-soil-plague-s-urban-breeding-grounds-at-the-dawn-of-the-third-pandemic
#2
Christos Lynteris
A pressing question during the first half-decade of the third plague pandemic (1894-9) was what was a 'suitable soil' for the disease. The question related to plague's perceived ability to disappear from a given city only to reappear at some future point; a phenomenon that became central to scientific investigations of the disease. However, rather than this simply having a metaphorical meaning, the debate around plague's 'suitable soil' actually concerned the material reality of the soil itself. The prevalence of plague in the working-class neighbourhood of Taipingshan during the first major outbreak of the pandemic, in 1894 in Hong Kong, led to an extensive debate regarding the ability of the soil to harbour and even spread the disease...
July 2017: Medical History
https://www.readbyqxmd.com/read/28600749/correlates-of-preexposure-prophylaxis-prep-use-among-men%C3%A2-who-have-sex-with-men-msm-in-los-angeles-california
#3
Chukwuemeka N Okafor, Pamina M Gorbach, Amy Ragsdale, Brendan Quinn, Steve Shoptaw
We assessed socio-structural and behavioral correlates of preexposure prophylaxis (PrEP) for HIV infection among a sample of high-risk HIV-negative men who have sex with men (MSM) in Los Angeles, California. Participants from an ongoing 5-year prospective cohort study investigating the direct impacts of substance use on HIV transmission dynamics were enrolled between February 2015 and January 2017. All men completed a computer-assisted self-interview every 6 months that assessed recent (past 6 months) PrEP use and socio-structural and behavioral factors...
June 9, 2017: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://www.readbyqxmd.com/read/28599992/natural-history-of-skin-prick-test-reactivity-a-20-year-prospective-study-of-a-random-population-sample-of-children-and-adolescents
#4
Jesper Schou Nielsen, Howraman Meteran, Charlotte Suppli Ulrik, Celeste Porsbjerg, Vibeke Backer
BACKGROUND: Allergic reactions to airborne allergens may have important consequences for affected individuals and are believed to be unstable through life, although evidence from longitudinal studies is limited. OBJECTIVE: To assess changes in skin prick reactivity during 20 years in a random population sample of children and adolescents in relation to symptoms of rhinitis. METHODS: A total of 983 individuals, aged 7 to 17 years, were randomly selected in 1986 and invited to 4 examinations during a 20-year period...
June 6, 2017: Annals of Allergy, Asthma & Immunology
https://www.readbyqxmd.com/read/28591502/-factors-associated-with-physical-activity-and-body-mass-index-among-schoolchildren-from-arandas-jalisco-mexico
#5
Lizette Miranda-Ríos, Edgar M Vásquez-Garibay, Enrique Romero-Velarde, María Eugenia Nuño-Cosío, Liliana Campos-Barrera, Erika A Caro-Sabido, Joanie Ramírez-Díaz
BACKGROUND: In 2015, Mexico was the top country for childhood obesity. The objective was to identify the association between physical activity and sedentary lifestyle with the social and demographic characteristics of families of schoolchildren in Arandas, Jalisco, Mexico. METHODS: In a cross-sectional study, 192 schoolchildren were randomly selected. Body mass index (BMI), active and sedentary behaviors, and socio-demographic characteristics of families were obtained...
July 2017: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/28589340/cigarette-smoking-among-women-who-are-homeless-or-unstably-housed-examining-the-role-of-food-insecurity
#6
Jin E Kim, Annesa Flentje, Janice Y Tsoh, Elise D Riley
Smoking prevalence remains high among individuals who are homeless, partly due to stressors related to homelessness. Beyond housing insecurity, homelessness involves financial stresses and unmet subsistence needs. In particular, food insecurity contributes to negative health outcomes and other health risks. This study examined associations between food insecurity severity and smoking among homeless and marginally housed women in San Francisco, California. We used data from 247 women from a longitudinal cohort study...
June 6, 2017: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://www.readbyqxmd.com/read/28581316/the-relationship-between-childhood-abuse-and-violent-victimization-in-homeless-and-marginally-housed-women-the-role-of-dissociation-as-a-potential-mediator
#7
Dmitri A Young, Martha Shumway, Annesa Flentje, Elise D Riley
OBJECTIVE: Previous studies have established a link between childhood abuse and dissociation. Other work has shown childhood abuse increases the likelihood of violent victimization in adulthood. Although it has been posited that dissociation may mediate childhood abuse and adult violent victimization, research investigating this hypothesis is sparse, particularly for extremely vulnerable populations such as homeless and unstably housed individuals. investigated the relationship between childhood abuse and dissociation on violent victimization in a cohort of homeless and unstably housed women...
June 5, 2017: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/28562646/longitudinal-changes-in-personal-wellbeing-in-a-cohort-of-people-who-inject-drugs
#8
Nick Scott, Elise R Carrotte, Peter Higgs, Mark A Stoové, Campbell K Aitken, Paul M Dietze
AIMS: To determine whether the self-reported personal wellbeing of a cohort of people who inject drugs (PWID) changes over time, and to identify longitudinal correlates of change. METHODS: We used Personal Wellbeing Index (PWI) scores reported between April 2008 and February 2015 by 757 PWID (66% male) enrolled in the Melbourne Injecting Drug Use Cohort Study (2,862 interviews; up to seven follow-up waves). A mixed-effects model was used to identify correlations between changes in temporal variables and changes in individual PWI scores while controlling for demographic variables...
2017: PloS One
https://www.readbyqxmd.com/read/28537845/high-rates-of-access-to-health-care-disclosure-of-sexuality-and-gender-identity-to-providers-among-house-and-ball-community-members-in-new-york-city
#9
Sean Cahill, Sarah Trieweiler, John Guidry, Nelisa Rash, Layla Stamper, Kerith Conron, Nicole Turcotte, Ilana Gratch, Paige Lowry
The House and Ball community is an important cultural manifestation of resiliency for Black and Latino gay and bisexual men and transgender women. Participants at the August, 2013 House of Latex Ball in New York City were surveyed about insurance coverage, health care access, experiences in health care, and housing instability. The sample (n = 367) was 58% Black/African American and 20% Hispanic/Latino, with a mean age of 31. Fifty-five percent were gay and bisexual men. While only 6% identified as transgender, nearly half were gender nonconforming...
May 24, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28505488/predictors-of-buprenorphine-treatment-success-of-opioid-dependence-in-two-baltimore-city-grassroots-recovery-programs
#10
April Joy Damian, Tamar Mendelson, Deborah Agus
INTRODUCTION: Despite evidence for the efficacy of buprenorphine treatment in primary care, few studies have identified factors associated with treatment success, nor have such factors been evaluated in community settings. Identifying correlates of treatment success can facilitate the development of treatment models tailored for distinct populations, including low-income communities of color. The current study examined client-level socio-demographic factors associated with treatment success in community-based buprenorphine programs serving vulnerable populations...
May 10, 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/28494791/a-cohort-study-examining-emergency-department-visits-and-hospital-admissions-among-people-who-use-drugs-in-ottawa-canada
#11
Claire E Kendall, Lisa M Boucher, Amy E Mark, Alana Martin, Zack Marshall, Rob Boyd, Pam Oickle, Nicola Diliso, Dave Pineau, Brad Renaud, Tiffany Rose, Sean LeBlanc, Mark Tyndall, Olivia M Lee, Ahmed M Bayoumi
BACKGROUND: The health of people who use drugs (PWUD) is characterized by multimorbidity and chronicity of health conditions, necessitating an understanding of their health care utilization. The objective of this study was to evaluate emergency department (ED) visits and hospital admissions among a cohort of PWUD. METHODS: We used a retrospective observational design between 2012 and 2013. The population was a marginalized cohort of PWUD (the PROUD study) for whom survey data was linked (n = 663) to provincial health administrative data housed at the Institute for Clinical Evaluative Sciences...
May 12, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28481606/characteristics-and-service-utilization-of-homeless-veterans-entering-va-substance-use-treatment
#12
Koriann B Cox, Carol A Malte, Andrew J Saxon
This article compares characteristics and health care utilization patterns of homeless veterans entering substance use disorder (SUD) treatment. Baseline self-report and medical record data were collected from 181 homeless veterans participating in a randomized trial of SUD/housing case management. Veterans, categorized as newly (n = 45), episodically (n = 61), or chronically homeless (n = 75), were compared on clinical characteristics and health care utilization in the year prior to baseline. Between-groups differences were seen in stimulant use, bipolar, and depressive disorders...
May 2017: Psychological Services
https://www.readbyqxmd.com/read/28481601/no-wrong-door-can-clinical-care-facilitate-veteran-engagement-in-housing-services
#13
Erin E Johnson, Matthew Borgia, Jennifer Rose, Thomas P O'Toole
It is well established that providing stable housing to homeless persons improves health outcomes. It is less clear whether engagement in clinical care facilitates housing outcomes. We present a post hoc analysis of a prospective, community-based randomized controlled trial of homeless veterans not actively receiving or assigned to a primary care. Study subjects were interviewed at baseline, 1 month and 6 months and survey results were supplemented/verified by review of all notes in their VA electronic medical record for 6 months postenrollment...
May 2017: Psychological Services
https://www.readbyqxmd.com/read/28472264/impact-of-a-supportive-housing-program-on-housing-stability-and-sexually-transmitted-infections-among-new-york-city-young-adults-aging-out-of-foster-care
#14
Sungwoo Lim, Tejinder P Singh, R Charon Gwynn
Former foster youth are at increased risk of housing instability and sexually transmitted infections (STI) during the transitional period following foster care. The authors measured housing stability using sequence analysis and assessed whether a New York City supportive housing program was effective in improving housing stability and reducing STI among former foster youth. Matched administrative records identified 895 former foster youth who were eligible for the housing program in 2007-10. The main outcomes included housing stability (as determined from episodes of homelessness, incarceration, hospitalization, and residence in supportive housing) and diagnosed STI case rates per 1,000 person-years during 2 years after baseline...
May 4, 2017: American Journal of Epidemiology
https://www.readbyqxmd.com/read/28444470/sexual-orientation-differences-in-health-and-wellbeing-among-women-living-with-hiv-in-canada-findings-from-a-national-cohort-study
#15
Carmen H Logie, Ashley Lacombe-Duncan, Ying Wang, Angela Kaida, Alexandra de Pokomandy, Kath Webster, Tracey Conway, Mona Loutfy
Sexual orientation differences in health and wellbeing among women living with HIV (WLH) are underexplored. Limited research available, however, suggests that sexual minority WLH may experience barriers to HIV care. Cross-sectional baseline data was analyzed from a Canadian cohort study with WLH (sexual minority women [SMW]: n = 180; heterosexual women: n = 1240). SMW (median age 38 years, IQR 13) included bisexual (58.9%), lesbian (17.8%) and other sexualities (23.3%). In multivariable analyses adjusting for age, poverty, education, and ethnicity, SMW identity was associated with increased odds of: clinical (80% vs...
April 25, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28438525/sociodemographic-factors-associated-with-trans-female-youth-s-access-to-health-care-in-the-san-francisco-bay-area
#16
Elizabeth A Johns, Harry Jin, Colette L Auerswald, Erin C Wilson
PURPOSE: Trans*female youth (TFY) are an underserved population at risk for a variety of poor health outcomes, in part related to barriers to accessing health and mental health care. METHODS: We conducted a secondary analysis of data collected with 250 TFY aged 16-24 years in the San Francisco Bay Area from 2012 to 2014. Logistic regression was used to test associations between sociodemographic variables and barriers to gender identity-based medical and mental health care...
April 21, 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28378246/engagement-in-care-of-high-risk-hepatitis-c-patients-with-interferon-free-direct-acting-antiviral-therapies
#17
John B Dever, Julie H Ducom, Ariel Ma, Joseph Nguyen, Lin Liu, Ann Herrin, Erik J Groessl, Samuel B Ho
BACKGROUND AND AIMS: The extent to which hepatitis C (HCV) treatment uptake is improved following introduction of interferon-free direct-acting antiviral (DAA) treatments is unknown. The purpose of this study was to determine HCV patient engagement and barriers to care for accessing DAA treatments in a real-world setting. METHODS: Patients with HCV viremia at high risk for fibrosis were identified using the Veterans Affairs (VA) registry within San Diego's VA in October 2014...
April 4, 2017: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/28350563/predicting-the-mental-health-and-functioning-of-torture-survivors
#18
Suzan J Song, Andrew Subica, Charles Kaplan, Wietse Tol, Joop de Jong
The psychological effects of war represent a growing public health concern as more refugees and asylum seekers migrate across borders. This study investigates whether sociodemographic, premigration and postmigration, and psychosocial factors predict adverse psychiatric symptoms in refugees and asylum seekers exposed to torture (N = 278). Hierarchical linear regressions revealed that female sex, older age, and unstable housing predicted greater severity of anxiety, posttraumatic stress disorder (PTSD), and depression...
March 27, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28328553/determinants-of-hiv-phylogenetic-clustering-in-chicago-among-young-black-men-who-have-sex-with-men-from-the-uconnect-cohort
#19
Ethan Morgan, Amesika N Nyaku, Richard T DʼAquila, John A Schneider
INTRODUCTION: Phylogenetic analysis determines similarities among HIV genetic sequences from persons infected with HIV, identifying clusters of transmission. We determined characteristics associated with both membership in an HIV transmission cluster and the number of clustered sequences among a cohort of young black men who have sex with men (YBMSM) in Chicago. METHODS: Pairwise genetic distances of HIV-1 pol sequences were collected during 2013-2016. Potential transmission ties were identified among HIV-infected persons whose sequences were ≤1...
July 1, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28299369/socioeconomic-status-and-treatment-outcomes-for-individuals-with-hiv-on-antiretroviral-treatment-in-the-uk-cross-sectional-and-longitudinal-analyses
#20
Lisa S Burch, Colette J Smith, Jane Anderson, Lorraine Sherr, Alison J Rodger, Rebecca O'Connell, Anna-Maria Geretti, Richard Gilson, Martin Fisher, Jonathan Elford, Martin Jones, Simon Collins, Yusef Azad, Andrew N Phillips, Andrew Speakman, Margaret A Johnson, Fiona C Lampe
BACKGROUND: Few studies have assessed the effect of socioeconomic status on HIV treatment outcomes in settings with universal access to health care. Here we aimed to investigate the association of socioeconomic factors with antiretroviral therapy (ART) non-adherence, virological non-suppression, and virological rebound, in HIV-positive people on ART in the UK. METHODS: We used data from the Antiretrovirals, Sexual Transmission Risk and Attitudes (ASTRA) questionnaire study, which recruited participants aged 18 years or older with HIV from eight HIV outpatient clinics in the UK between Feb 1, 2011, and Dec 31, 2012...
November 2016: Lancet. Public Health
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