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Continuum of HIV care

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https://www.readbyqxmd.com/read/28196655/the-hiv-care-continuum-is-the-whole-greater-than-the-sum-of-its-parts-implications-for-interventions-in-a-test-and-treat-world
#1
Virginia A Fonner
No abstract text is available yet for this article.
February 8, 2017: EBioMedicine
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
#2
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/28161401/enhancing-public-health-hiv-interventions-a-qualitative-meta-synthesis-and-systematic-review-of-studies-to-improve-linkage-to-care-adherence-and-retention
#3
Joseph D Tucker, Lai Sze Tso, Brian Hall, Qingyan Ma, Rachel Beanland, John Best, Haochu Li, Mellanye Lackey, Gifty Marley, Zachary C Rich, Ka-Lon Sou, Meg Doherty
Although HIV services are expanding, few have reached the scale necessary to support universal viral suppression of individuals living with HIV. The purpose of this systematic review was to summarize the qualitative evidence evaluating public health HIV interventions to enhance linkage to care, antiretroviral drug (ARV) adherence, and retention in care. We searched 19 databases without language restrictions. The review collated data from three separate qualitative evidence reviews addressing each of the three outcomes along the care continuum...
January 31, 2017: EBioMedicine
https://www.readbyqxmd.com/read/28158952/a-qualitative-study-of-thai-hiv-positive-young-men-who-have-sex-with-men-and-transgender-women-demonstrates-the-need-for-ehealth-interventions-to-optimize-the-hiv-care-continuum
#4
Tarandeep Anand, Chattiya Nitpolprasert, Stephen J Kerr, Kathryn E Muessig, Sangusa Promthong, Nitiya Chomchey, Lisa B Hightow-Weidman, Prachya Chaiyahong, Praphan Phanuphak, Jintanat Ananworanich, Nittaya Phanuphak
In Thailand, young men who have sex with men (YMSM) and transgender women (TG) are disproportionately affected by HIV and have suboptimal care continuum outcomes. Although Thai YMSM and young TG are early adopters of emerging technologies and have high Internet and technology access and utilization, the potential of technology has not been harnessed to optimize the HIV treatment cascade. We interviewed 18 behaviorally HIV-infected YMSM and young TG regarding care challenges, identified how eHealth could address care needs, and elicited preferences for eHealth interventions...
February 3, 2017: AIDS Care
https://www.readbyqxmd.com/read/28157462/tuberculosis-along-the-continuum-of-hiv-care-in-a-cohort-of-adolescents-living-with-hiv-in-ethiopia
#5
D Jerene, W Abebe, K Taye, P G Suarez, Y Feleke, I Hallström, A J Ruff
SETTING: Eight health facilities in Ethiopia. OBJECTIVE: To determine tuberculosis (TB) incidence rates and associated factors among adolescents living with the human immunodeficiency virus (ALHIV). DESIGN: This was a retrospective cohort study. Adolescents enrolled in HIV care between January 2005 and 31 December 2013 constituted the study population. The main outcome variable was TB diagnosis during follow-up. Baseline World Health Organization (WHO) clinical stage, CD4 count, previous history of TB and use of isoniazid preventive therapy (IPT) were the main independent variables...
January 1, 2017: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/28151924/hiv-care-outcomes-among-blacks-with-diagnosed-hiv-united-states-2014
#6
Andre F Dailey, Anna Satcher Johnson, Baohua Wu
Since the release of the National HIV/AIDS Strategy (NHAS) (1) and the establishment of the federal Human Immunodeficiency Virus (HIV) Care Continuum Initiative (2), federal efforts have accelerated to improve and increase HIV testing, care, and treatment and to reduce HIV-related disparities in the United States. National HIV Surveillance System (NHSS)* data are used to monitor progress toward reaching NHAS goals,(†) and recent data indicate that blacks have lower levels of care and viral suppression than do persons of other racial and ethnic groups (3)...
February 3, 2017: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/28150501/effectiveness-of-peer-led-interventions-to-increase-hiv-testing-among-men-who-have-sex-with-men-a-systematic-review-and-meta-analysis
#7
Sylvia Shangani, Daniel Escudero, Kipruto Kirwa, Abigail Harrison, Brandon Marshall, Don Operario
HIV testing constitutes a key step along the continuum of HIV care. Men who have sex with men (MSM) have low HIV testing rates and delayed diagnosis, especially in low-resource settings. Peer-led interventions offer a strategy to increase testing rates in this population. This systematic review and meta-analysis summarizes evidence on the effectiveness of peer-led interventions to increase the uptake of HIV testing among MSM. Using a systematic review protocol that was developed a priori, we searched PubMed, PsycINFO and CINAHL for articles reporting original results of randomized or non-randomized controlled trials (RCTs), quasi-experimental interventions, and pre- and post-intervention studies...
February 2, 2017: AIDS Care
https://www.readbyqxmd.com/read/28135809/hiv-positive-individuals-on-art-and-with-viral-load-suppressed-in-12-infectious-diseases-clinics-in-italy-successes-and-disparities-in-the-hiv-continuum-of-care
#8
Mariangela Raimondo, Laura Camoni, Barbara Suligoi, Patrizio Pezzotti, Study Group Carpha
The HIV care continuum is a tool that describes the quality of HIV care for people living with HIV and assess the extent to which achieve the goal of viral suppression. In 2014, we conducted a retrospective cross-sectional study to assess the characteristics associated with three steps of the HIV continuum of care in Italy (i.e., most recent diagnoses, people diagnosed and in care who are on therapy, and people with viral load (VL) suppressed among those on therapy). Among the 10,262 individuals diagnosed and linked to care, 9,810 (95...
January 30, 2017: AIDS Research and Human Retroviruses
https://www.readbyqxmd.com/read/28129757/identifying-social-and-economic-barriers-to-regular-care-and-treatment-for-black-men-who-have-sex-with-men-and-women-bmsmw-and-who-are-living-with-hiv-a-qualitative-study-from-the-bruthas-cohort
#9
Emily A Arnold, John Weeks, Michael Benjamin, William R Stewart, Lance M Pollack, Susan M Kegeles, Don Operario
BACKGROUND: There is little research regarding the ability of Black men who have sex with men and women (BMSMW) to access and maintain HIV-related health care and treatment adherence. This population, who often insist on secrecy about their same-sex desire, may experience unique barriers to seeking regular care and treatment. METHODS: From March 2011-April 2014, we recruited 396 BMSMW in the San Francisco Bay Area to be enrolled in our randomized controlled trial...
January 28, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28123223/using-population-size-estimation-and-cross-sectional-survey-methods-to-evaluate-hiv-service-coverage-among-key-populations-in-burkina-faso-and-togo
#10
Claire E Holland, Seni Kouanda, Marcel Lougué, Vincent Palokinam Pitche, Sheree Schwartz, Simplice Anato, Henri Gautier Ouedraogo, Jules Tchalla, Clarence S Yah, Laurent Kapesa, Sosthenes Ketende, Chris Beyrer, Stefan Baral
OBJECTIVES: The objective of our study was to measure progress toward the UNAIDS 90-90-90 HIV care targets among key populations in urban areas of 2 countries in West Africa: Burkina Faso and Togo. METHODS: We recruited female sex workers (FSWs) and men who have sex with men (MSM) through respondent-driven sampling. From January to July 2013, 2738 participants were enrolled, tested for HIV, and completed interviewer-administered surveys. We used population-size estimation methods to calculate the number of people who were engaged in the HIV continuum of care...
November 2016: Public Health Reports
https://www.readbyqxmd.com/read/28123210/the-2013-hiv-continuum-of-care-in-tennessee-progress-made-but-disparities-persist
#11
Carolyn Wester, Peter F Rebeiro, Thomas J Shavor, Bryan E Shepherd, Shanell L McGoy, Benn Daley, Melissa Morrison, Sten H Vermund, April C Pettit
OBJECTIVES: We measured patient engagement in the human immunodeficiency virus (HIV) continuum of care in Tennessee after implementation of enhanced surveillance activities to assess progress toward 2015 statewide goals. We also examined subgroup disparities to identify groups at risk for poor outcomes. METHODS: We estimated linkage to care, retention in care, and viral suppression among HIV-infected people in Tennessee in 2013, overall and by subgroup, after implementation of enhanced laboratory reporting, address verification, and death-matching procedures...
September 2016: Public Health Reports
https://www.readbyqxmd.com/read/28121668/the-continuum-of-hiv-care-in-south-africa-implications-for-achieving-the-second-and-third-unaids-90-90-90-targets
#12
Simbarashe Takuva, Alison E Brown, Yogan Pillay, Valerie Delpech, Adrian J Puren
BACKGROUND: We characterize engagement with HIV care in South Africa in 2012 to identify areas for improvement towards achieving global 90-90-90 targets. METHODS: Over 3.9 million CD4 cell count and 2.7 million viral load measurements reported in 2012 in the public sector were extracted from the national laboratory electronic database. The number of persons living with HIV (PLHIV), number and proportion in HIV care, on antiretroviral therapy (ART) and with viral suppression (viral load <400 copies/ml) were estimated and stratified by sex and age group...
February 20, 2017: AIDS
https://www.readbyqxmd.com/read/28120257/challenges-in-the-evaluation-of-interventions-to-improve-engagement-along-the-hiv-care-continuum-in-the-united-states-a-systematic-review
#13
REVIEW
Kathryn A Risher, Sunaina Kapoor, Alice Moji Daramola, Gabriela Paz-Bailey, Jacek Skarbinski, Kate Doyle, Kate Shearer, David Dowdy, Eli Rosenberg, Patrick Sullivan, Maunank Shah
In the United States (US), there are high levels of disengagement along the HIV care continuum. We sought to characterize the heterogeneity in research studies and interventions to improve care engagement among people living with diagnosed HIV infection. We performed a systematic literature search for interventions to improve HIV linkage to care, retention in care, reengagement in care and adherence to antiretroviral therapy (ART) in the US published from 2007-mid 2015. Study designs and outcomes were allowed to vary in included studies...
January 24, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28117527/hiv-continuum-of-care-in-europe-and-central-asia
#14
R S Drew, B Rice, K Rüütel, V Delpech, K A Attawell, D K Hales, C Velasco, A J Amato-Gauci, A Pharris, L Tavoschi, T Noori
OBJECTIVES: The European Centre for Disease Prevention and Control (ECDC) supports countries to monitor progress in their response to the HIV epidemic. In line with these monitoring responsibilities, we assess how, and to what extent, the continuum of care is being measured across countries. METHODS: The ECDC sent out questionnaires to 55 countries in Europe and Central Asia in 2014. Nominated country representatives were questioned on how they defined and measured six elements of the continuum...
January 24, 2017: HIV Medicine
https://www.readbyqxmd.com/read/28102027/patient-engagement-in-hiv-care-and-treatment-in-zambia-2004-2014
#15
Neo Christopher Chung, Carolyn Bolton-Moore, Roma Chilengi, Margaret P Kasaro, Jeffrey S A Stringer, Benjamin H Chi
OBJECTIVE: To describe engagement along the HIV continuum of care using a large network of clinics in Zambia. METHODS: We employed a practical framework to describe retention along the HIV treatment cascade, using routinely collected clinical data available in resource-constrained settings. We included health facilities in four Zambian provinces with more than 300 enrolled patients over the age of 5 years. We described attrition at each step, from HIV enrolment to 720 days after ART initiation...
January 19, 2017: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/28094566/hcv-continuum-of-care-in-the-interferon-and-direct-acting-agent-eras-among-hiv-co-infected-patients
#16
Jeffrey Landon Roberson, Virginia L Kan
None for Letter to the Editor.
January 17, 2017: AIDS Research and Human Retroviruses
https://www.readbyqxmd.com/read/28079722/development-and-preliminary-pilot-testing-of-a-peer-support-text-messaging-intervention-for-hiv-infected-black-men-who-have-sex-with-men
#17
Theresa E Senn, Amy Braksmajer, Patricia Coury-Doniger, Marguerite A Urban, Adam Rossi, Michael P Carey
BACKGROUND: Black men who have sex with men (MSM) are disproportionately infected with HIV and are less well retained along the HIV continuum of care. We report on the feasibility of a peer support text messaging intervention designed to increase retention in HIV care and HIV medication adherence among HIV-infected black men who have sex with men. METHODS: Based on formative research, a cell phone app was developed to support a peer-based text messaging intervention...
February 1, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28079721/an-exploratory-study-to-assess-individual-and-structural-level-barriers-associated-with-poor-retention-and-re-engagement-in-care-among-persons-living-with-hiv-aids
#18
Jonathan Colasanti, Natalie Stahl, Eugene W Farber, Carlos Del Rio, Wendy S Armstrong
BACKGROUND: Retention in care is the most challenging step along the HIV care continuum. Many patients who engage in care and achieve viral suppression have care interruptions, characterized by moving in and out of care ("churn"). Poor retention has clinical consequences and contributes to new HIV transmissions, but how to predict or prevent it remains elusive. This study sought to understand the relationship between individual- and structural-level barriers, and poor retention for persons living with HIV/AIDS in Atlanta, GA...
February 1, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28079719/feasibility-of-using-hiv-care-continuum-outcomes-to-identify-geographic-areas-for-targeted-hiv-testing
#19
Amanda D Castel, Irene Kuo, Meriam Mikre, Toni Young, Meredith Haddix, Suparna Das, Geoffrey Maugham, Carol Reisen
BACKGROUND: Improved detection and linkage to care of previously undiagnosed HIV infections require innovative approaches to testing. We sought to determine the feasibility of targeted HIV testing in geographic areas, defined by continuum of care parameters, to identify HIV-infected persons needing linkage or engagement in care. METHODS: Using HIV surveillance data from Washington, DC, we identified census tracts that had an HIV prevalence >1% and were either above (higher risk areas-HRAs) or below (lower risk areas-LRAs) the median for 3 indicators: monitored viral load, proportion of persons out of care (OOC), and never in care...
February 1, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28079717/-out-of-care-hiv-case-investigations-a-collaborative-analysis-across-6-states-in-the-northwest-us
#20
Julia C Dombrowski, Joanna Bove, James C Roscoe, Jessica Harvill, Caislin L Firth, Shireen Khormooji, Jason Carr, Peter Choi, Courtney Smith, Sean D Schafer, Matthew R Golden
BACKGROUND: HIV care continuum estimates derived from laboratory surveillance typically assume that persons without recently reported CD4 count or viral load results are out of care. METHODS: We conducted a multistate project (Alaska, Idaho, Montana, Oregon, Washington, and Wyoming) to ascertain the status of HIV cases that appeared to be out of care during a 12-month period. We used laboratory surveillance to identify cases in all states but Idaho, where viral load reporting is not mandatory, requiring us to rely on clinic records...
February 1, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
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