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Continuum of HIV care

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https://www.readbyqxmd.com/read/29149194/understanding-linkage-to-care-with-hiv-self-test-approach-in-lusaka-zambia-a-mixed-method-approach
#1
Jenala Chipungu, Samuel Bosomprah, Arianna Zanolini, Harsha Thimurthy, Roma Chilengi, Anjali Sharma, Charles B Holmes
INTRODUCTION: HIV self-testing (HIVST) is a novel approach designed to assist in achieving the goal of at least 90% of the population that learn their HIV status. A self-test user with a positive test is required to visit a clinic to link into HIV care, yet little is known about patient preferences for linkage strategies. We examined the intention to link to care amongst potential HIVST users and the suitability of three linkage to care strategies in Lusaka Province, Zambia. METHODS: We conducted a representative cross sectional survey of 1,617 individuals aged 16-49 years old in Lusaka Province...
2017: PloS One
https://www.readbyqxmd.com/read/29136001/a-combination-intervention-strategy-to-improve-linkage-to-and-retention-in-hiv-care-following-diagnosis-in-mozambique-a-cluster-randomized-study
#2
Batya Elul, Matthew R Lamb, Maria Lahuerta, Fatima Abacassamo, Laurence Ahoua, Stephanie A Kujawski, Maria Tomo, Ilesh Jani
BACKGROUND: Concerning gaps in the HIV care continuum compromise individual and population health. We evaluated a combination intervention strategy (CIS) targeting prevalent barriers to timely linkage and sustained retention in HIV care in Mozambique. METHODS AND FINDINGS: In this cluster-randomized trial, 10 primary health facilities in the city of Maputo and Inhambane Province were randomly assigned to provide the CIS or the standard of care (SOC). The CIS included point-of-care CD4 testing at the time of diagnosis, accelerated ART initiation, and short message service (SMS) health messages and appointment reminders...
November 2017: PLoS Medicine
https://www.readbyqxmd.com/read/29135652/are-hiv-seroconversions-among-young-men-who-have-sex-with-men-associated-with-social-network-proximity-to-recently-or-long-term-hiv-infected-individuals
#3
Ethan Morgan, Britt Skaathun, Rebeccah Duvoisin, Stuart Michaels, John A Schneider
Debate remains as to the relative HIV transmission contributions from individuals who are recently HIV infected and individuals who have long-term infections. In this study, we examine the relationship between new HIV seroconversions occurring among young Black men who have sex with men (YBMSM) and network proximity to recently or long-term HIV infected individuals. A cohort of YBMSM (N = 618) was generated through respondent driven sampling across three waves. A recent HIV infection was defined as either: 1) a confirmed seroconversion ≤9 months prior to interview date or 2) a laboratory confirmed acute infection; long-term HIV infected individuals were defined as a diagnosis date ≥9 months prior to interview date...
November 8, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/29117933/a-web-based-study-of-dog-ownership-and-depression-among-people-living-with-hiv
#4
Abigail L Muldoon, Lisa M Kuhns, Julie Supple, Kristen C Jacobson, Robert Garofalo
BACKGROUND: People living with human immunodeficiency virus (PLHIV) are approximately twice as likely to be depressed compared with HIV-negative individuals. Depression is consistently associated with low antiretroviral therapy (ART) adherence, an important step within the HIV care continuum related to HIV disease progression and overall health. One factor that may have positive psychosocial benefits and promote ART adherence is dog ownership. Research indicates that dog ownership is associated with lower depression, and initial evidence suggests its positive impact on psychosocial outcomes for PLHIV...
November 8, 2017: JMIR Mental Health
https://www.readbyqxmd.com/read/29112963/effectiveness-of-a-combination-strategy-for-linkage-and-retention-in-adult-hiv-care-in-swaziland-the-link4health-cluster-randomized-trial
#5
RANDOMIZED CONTROLLED TRIAL
Margaret L McNairy, Matthew R Lamb, Averie B Gachuhi, Harriet Nuwagaba-Biribonwoha, Sean Burke, Sikhathele Mazibuko, Velephi Okello, Peter Ehrenkranz, Ruben Sahabo, Wafaa M El-Sadr
BACKGROUND: Gaps in the HIV care continuum contribute to poor health outcomes and increase HIV transmission. A combination of interventions targeting multiple steps in the continuum is needed to achieve the full beneficial impact of HIV treatment. METHODS AND FINDINGS: Link4Health, a cluster-randomized controlled trial, evaluated the effectiveness of a combination intervention strategy (CIS) versus the standard of care (SOC) on the primary outcome of linkage to care within 1 month plus retention in care at 12 months after HIV-positive testing...
November 2017: PLoS Medicine
https://www.readbyqxmd.com/read/29112126/factors-that-influence-linkages-to-hiv-continuum-of-care-services-implications-for-multi-level-interventions
#6
Rogério M Pinto, Susan S Witte, Prema L Filippone, Karen L Baird, Wendy R Whitman
Worldwide, the human immunodeficiency virus (HIV) continuum of care involves health promotion providers (e.g., social workers and health educators) linking patients to medical personnel who provide HIV testing, primary care, and antiretroviral treatments. Regrettably, these life-saving linkages are not always made consistently and many patients are not retained in care. To design, test and implement effective interventions, we need to first identify key factors that may improve linkage-making. To help close this gap, we used in-depth interviews with 20 providers selected from a sample of 250 participants in a mixed-method longitudinal study conducted in New York City (2012-2017) in order to examine the implementation of HIV services for at-risk populations...
November 7, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29106512/interventions-and-approaches-to-integrating-hiv-and-mental-health-services-a-systematic-review
#7
Fiona Leh Hoon Chuah, Victoria Elizabeth Haldane, Francisco Cervero-Liceras, Suan Ee Ong, Louise A Sigfrid, Georgina Murphy, Nicola Watt, Dina Balabanova, Sue Hogarth, Will Maimaris, Laura Otero, Kent Buse, Martin McKee, Peter Piot, Pablo Perel, Helena Legido-Quigley
Background: The frequency in which HIV and AIDS and mental health problems co-exist, and the complex bi-directional relationship between them, highlights the need for effective care models combining services for HIV and mental health. Here, we present a systematic review that synthesizes the literature on interventions and approaches integrating these services. Methods: This review was part of a larger systematic review on integration of services for HIV and non-communicable diseases...
July 5, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29079949/project-ngage-results-of-a-randomized-controlled-trial-of-a-dyadic-network-support-intervention-to-retain-young-black-men-who-have-sex-with-men-in-hiv-care
#8
Alida Bouris, Kaitlyn Jaffe, Rebecca Eavou, Chuanhong Liao, Lisa Kuhns, Dexter Voisin, John A Schneider
HIV-positive young black MSM (YBMSM) experience poor outcomes along the HIV care continuum, yet few interventions have been developed expressly for YBMSM retention in care. Project nGage was a randomized controlled trial conducted across five Chicago clinics with 98 HIV-positive YBMSM aged 16-29 between 2012 and 2015. The intervention used a social network elicitation approach with index YBMSM (n = 45) to identify and recruit a support confidant (SC) to the study. Each index-SC dyad met with a social worker to improve HIV-care knowledge, activate dyadic social support, and develop a retention in care plan...
October 27, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29068719/a-critical-review-of-health-social-and-prevention-outcomes-associated-with-employment-for-people-living-with-hiv
#9
Liza M Conyers, Lindsey A Richardson, Paul A Datti, Lynn C Koch, Mark Misrok
A growing need has emerged among HIV service providers, policymakers, and researchers to understand ways in which employment, as a key social determinant of health, can be leveraged toward improved health outcomes among people living with HIV (PLHIV) and the prevention of HIV transmission. This critical review summarizes and assesses current research related to (a) the employment needs and challenges among populations disproportionately impacted by HIV, (b) the relationship between employment and important health outcomes associated with the HIV Care Continuum, and (c) implications for policy, service provision, and future research...
October 2017: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/29065896/harm-reduction-principles-for-healthcare-settings
#10
Mary Hawk, Robert W S Coulter, James E Egan, Stuart Fisk, M Reuel Friedman, Monique Tula, Suzanne Kinsky
BACKGROUND: Harm reduction refers to interventions aimed at reducing the negative effects of health behaviors without necessarily extinguishing the problematic health behaviors completely. The vast majority of the harm reduction literature focuses on the harms of drug use and on specific harm reduction strategies, such as syringe exchange, rather than on the harm reduction philosophy as a whole. Given that a harm reduction approach can address other risk behaviors that often occur alongside drug use and that harm reduction principles have been applied to harms such as sex work, eating disorders, and tobacco use, a natural evolution of the harm reduction philosophy is to extend it to other health risk behaviors and to a broader healthcare audience...
October 24, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/29048962/integrating-hiv-surveillance-and-field-services-data-quality-and-care-continuum-in-king-county-washington-2010-2015
#11
Julia E Hood, David A Katz, Amy B Bennett, Susan E Buskin, Julia C Dombrowski, Stephen E Hawes, Matthew R Golden
OBJECTIVES: To assess how integration of HIV surveillance and field services might influence surveillance data and linkage to care metrics. METHODS: We used HIV surveillance and field services data from King County, Washington, to assess potential impact of misclassification of prior diagnoses on numbers of new diagnoses. The relationship between partner services and linkage to care was evaluated with multivariable log-binomial regression models. RESULTS: Of the 2842 people who entered the King County HIV Surveillance System in 2010 to 2015, 52% were newly diagnosed, 41% had a confirmed prior diagnosis in another state, and 7% had an unconfirmed prior diagnosis...
December 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/29028657/combinations-of-interventions-to-achieve-a-national-hiv-incidence-reduction-goal-insights-from-an-agent-based-model
#12
Chaitra Gopalappa, Stephanie L Sansom, Paul G Farnham, Yao-Hsuan Chen
OBJECTIVE: Analyzing HIV care service targets for achieving a national goal of a 25% reduction in annual HIV incidence and evaluating the use of annual HIV diagnoses to measure progress in incidence reduction. DESIGN: Because there are considerable interactions among HIV care services, we model the dynamics of 'combinations' of increases in HIV care continuum targets to identify those that would achieve 25% reductions in annual incidence and diagnoses. METHODS: We used Progression and Transmission of HIV/AIDS 2...
November 28, 2017: AIDS
https://www.readbyqxmd.com/read/29019947/trends-and-comparisons-of-utilization-of-emergency-departments-due-to-traumatic-or-non-traumatic-causes-among-the-hiv-positive-population-in-taiwan-2006-2011
#13
Ching-Heng Lin, Ting Lin, Pesus Chou, Nan-Ping Yang
It is important that the utilization of emergency departments (EDs) among people living with the human immunodeficiency virus (HIV) be epidemiologically evaluated in order to assess and improve the HIV care continuum. All participants newly-diagnosed with HIV in Taiwan registered in the National Health Insurance Database from 2000 to 2005 were enrolled in this study and followed-up from 2006 to 2011. In total, 3500 participants newly-diagnosed with HIV in 2000-2005 were selected as a fixed-cohort population and followed-up from 2006 to 2011...
October 11, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28991884/hiv-continuum-of-care-for-youth-in-the-united-states
#14
Michelle A Lally, Jacob J van den Berg, Andrew O Westfall, Bret J Rudy, Sybil G Hosek, J Dennis Fortenberry, Dina Monte, Mary R Tanney, Elizabeth J McFarland, Jiahong Xu, Bill G Kapogiannis, Craig M Wilson
BACKGROUND: Beneficial HIV treatment outcomes require success at multiple steps along the HIV Continuum of Care. Youth living with HIV are a key population, and sites in the Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN) are known for modeling optimum HIV adolescent care. METHODS: A longitudinal cohort study conducted at 14 network sites across the United States assessed how the later steps of the Continuum of Care were achieved among youth: engagement, treatment and viral load suppression...
October 4, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28990421/the-impact-of-a-private-public-partnership-delivery-system-on-the-hiv-continuum-of-care-in-a-south-indian-city
#15
Greer Waldrop, Suraj Sarvode, Srirama Rao, V H T Swamy, Sunil Suhas Solomon, Shruti H Mehta, S N Mothi
We characterized the impact of a Private-Public Partnership (PPP) on the continuum of HIV care (e.g., treatment initiation, ART effectiveness and loss to follow-up) among adults enrolled at a private hospital/ART link center in the southern state of Karnataka, India from 2007 through 2012. Data on 2326 adults in care were compiled using an electronic database supplemented with medical chart abstraction. Survival methods with staggered entries were used to analyze time to ART initiation and loss to follow-up as well as associated factors...
October 9, 2017: AIDS Care
https://www.readbyqxmd.com/read/28990409/hiv-primary-care-by-the-infectious-disease-physician-in-the-united-states-extending-the-continuum-of-care
#16
Seetha Lakshmi, Susan E Beekmann, Philip M Polgreen, Allan Rodriguez, Maria L Alcaide
Models of care for people living with HIV (PLWH) have varied over time due to long term survival, development of HIV-associated non-AIDS conditions, and HIV specific primary care guidelines that differ from those of the general population. The objectives of this study are to assess how often infectious disease (ID) physicians provide primary care for PLWH, assess their practice patterns and barriers in the provision of primary care. We used a 6-item survey electronically distributed to ID physician members of Emerging Infections Network (EIN)...
October 9, 2017: AIDS Care
https://www.readbyqxmd.com/read/28983684/a-rapid-review-of-ehealth-interventions-addressing-the-continuum-of-hiv-care-2007-2017
#17
Kirk D Henny, Aisha L Wilkes, Christina M McDonald, Damian J Denson, Mary Spink Neumann
National HIV prevention goals call for interventions that address Continuum of HIV Care (CoC) for persons living with HIV. Electronic health (eHealth) can leverage technology to rapidly develop and disseminate such interventions. We conducted a qualitative review to synthesize (a) technology types, (b) CoC outcomes, (c) theoretical frameworks, and (d) behavior change mechanisms. This rapid review of eHealth, HIV-related articles (2007-2017) focused on technology-based interventions that reported CoC-related outcomes...
October 5, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28981667/identifying-gaps-in-hiv-policy-and-practice-along-the-hiv-care-continuum-evidence-from-a-national-policy-review-and-health-facility-surveys-in-urban-and-rural-kenya
#18
Caoimhe Cawley, Ellen McRobie, Samuel Oti, Brian Njamwea, Amek Nyaguara, Frank Odhiambo, Fredrick Otieno, Muthoni Njage, Tara Shoham, Kathryn Church, Paul Mee, Jim Todd, Basia Zaba, Georges Reniers, Alison Wringe
The last decade has seen rapid evolution in guidance from the WHO concerning the provision of HIV services along the diagnosis-to-treatment continuum, but the extent to which these recommendations are adopted as national policies in Kenya, and subsequently implemented in health facilities, is not well understood. Identifying gaps in policy coverage and implementation is important for highlighting areas for improving service delivery, leading to better health outcomes. We compared WHO guidance with national policies for HIV testing and counselling, prevention of mother-to-child transmission, HIV treatment and retention in care...
November 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28981335/strengthening-the-hiv-care-continuum-in-the-dominican-republic-application-of-a-triadic-implementation-framework-to-meet-the-unaids-90-90-90-treatment-goal
#19
Alex S Bowman, Mili Mehta, Leonel Lerebours Nadal, Mina Halpern, Stephen W Nicholas, Silvia Amesty
Innovative empirical frameworks to evaluate progress in efforts addressing HIV treatment and prevention barriers in resource-limited areas are sorely needed to achieve the UNAIDS 90-90-90 goal (90% diagnosed, 90% on treatment, and 90% virally suppressed). A triadic implementation framework (TIF) is a comprehensive conceptual tool for (1) monitoring attrition, (2) evaluating operational programs, and (3) measuring the impact of specific implementation goals within the care continuum. TIF will assess the effects of enhanced programs on adherence and virologic suppression within the HIV care continuum at a regional clinic in the Dominican Republic (Clínica de Familia La Romana [CFLR]) and its program serving high-risk, migratory batey (sugarcane cultivation) communities...
October 2017: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/28981334/adolescent-and-adult-hiv-providers-definitions-of-hiv-infected-youths-successful-transition-to-adult-care-in-the-united-states
#20
Morgan M Philbin, Amanda E Tanner, Alice Ma, Brittany D Chambers, Samuella Ware, Elizabeth N Kinnard, Sophia A Hussen, Sonia Lee, J Dennis Fortenberry
It is important for both individual- and population-level health that HIV-infected individuals progress through the Care Continuum. However, HIV-infected youth frequently disengage from care during transition from pediatric/adolescent to adult care; only 50% remain in adult care after 1 year. Understanding how providers define and approach a successful healthcare transition can improve the delivery of HIV-related services during critical years of HIV treatment. We conducted 58 staff interviews across 14 Adolescent Trials Network clinics (n = 30) and 20 adult clinics (n = 28)...
October 2017: AIDS Patient Care and STDs
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