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Continuum of HIV care

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https://www.readbyqxmd.com/read/28325068/the-relationship-between-health-worker-stigma-and-uptake-of-hiv-counseling-and-testing-and-utilization-of-non-hiv-health-services-the-experience-of-male-and-female-sex-workers-in-kenya
#1
Laura Nyblade, Aditi Reddy, David Mbote, John Kraemer, Melissa Stockton, Caroline Kemunto, Karol Krotki, Javier Morla, Stella Njuguna, Arin Dutta, Catherine Barker
The barrier HIV-stigma presents to the HIV treatment cascade is increasingly documented; however less is known about female and male sex worker engagement in and the influence of sex-work stigma on the HIV care continuum. While stigma occurs in all spheres of life, stigma within health services may be particularly detrimental to health seeking behaviors. Therefore, we present levels of sex-work stigma from healthcare workers (HCW) among male and female sex workers in Kenya, and explore the relationship between sex-work stigma and HIV counseling and testing...
March 22, 2017: AIDS Care
https://www.readbyqxmd.com/read/28323474/jail-booking-as-an-occasion-for-hiv-care-reengagement-a-surveillance-based-study
#2
McKenna C Eastment, Katelynne Gardner Toren, Lara Strick, Susan E Buskin, Matthew R Golden, Julia C Dombrowski
OBJECTIVES: To examine population and HIV care outcomes of people living with HIV/AIDS (PLWHA) at their first incarceration of 2014 in 2 county jails in King County, Washington. METHODS: Using HIV surveillance data linked with jail booking data, we examined demographic information, viral loads, CD4 counts, and incarceration details for the period prior to jail booking, during incarceration, and year following jail release. RESULTS: In 2014, 202 PLWHA were incarcerated, 51% of whom were virally nonsuppressed at booking...
March 21, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28301422/demographics-and-natural-history-of-hiv-1-infected-spontaneous-controllers-of-viremia-extremes-on-a-continuum
#3
Otto O Yang, William G Cumberland, Robert Escobar, Diana Liao, Kara W Chew
OBJECTIVES: HIV-1-infected persons spontaneously controlling viremia without treatment (SCV) are rare. Gender and race effects on prevalence and outcome are poorly defined, and it is unclear whether SCV qualitatively or quantitatively differs from typical infection. These issues are examined. DESIGN: Medical records of 46 524 persons receiving outpatient care for HIV-1 infection were reviewed. Of these, 29 811 had adequate viremia testing for SCV screening. METHODS: SCV was defined as ≥3 consecutive plasma viremia measurements <50 RNA copies/mL spanning ≥1 year without treatment...
March 15, 2017: AIDS
https://www.readbyqxmd.com/read/28295611/variation-in-networks-and-forms-of-support-for-care-seeking-across-the-hiv-care-continuum-in-the-rural-southeastern-united-states
#4
Miranda Hill, Amber Huff, Neale Chumbler
PURPOSE: In spite of progress in understanding the importance of social support for health outcomes in Persons Living with HIV (PLWH), more remains to be known about mechanisms of support most beneficial at each stage of HIV treatment. In this study, we use a qualitative analytic approach to investigate the forms and sources of social support deemed most integral to the diagnosis, care engagement, and medication adherence behaviors of a diverse sample of PLWH in a mostly rural health district in the Southeastern United States...
March 14, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28278569/caring-for-youth-living-with-hiv-across-the-continuum-turning-gaps-into-opportunities
#5
David C Griffith, Allison L Agwu
With the increasing proportion of youth living with human immunodeficiency virus (YLHIV) and the aging of the perinatally infected population, there is a need for clinical services that are "youth friendly" to address the multiple challenges YLHIV face in terms of engagement in care and maintenance of combination antiretroviral therapy (cART). Little is known about how and where YLHIV receive their care. Further, the impact of the care structure on engagement and retention outcomes for YLHIV is ill defined...
February 13, 2017: AIDS Care
https://www.readbyqxmd.com/read/28256422/geographical-disparities-in-hiv-prevalence-and-care-among-men-who-have-sex-with-men-in-malawi-results-from-a-multisite-cross-sectional-survey
#6
Andrea L Wirtz, Gift Trapence, Dunker Kamba, Victor Gama, Rodney Chalera, Vincent Jumbe, Rosemary Kumwenda, Marriam Mangochi, Stephane Helleringer, Chris Beyrer, Stefan Baral
BACKGROUND: Epidemiological assessment of geographical heterogeneity of HIV among men who have sex with men (MSM) is necessary to inform HIV prevention and care strategies in the more generalised HIV epidemics across sub-Saharan Africa, including Malawi. We aimed to measure the HIV prevalence, risks, and access to HIV care among MSM across multiple localities to better inform HIV programming for MSM in Malawi. METHODS: Between Aug 1, 2011, and Sept 13, 2014, we recruited MSM into cross-sectional research via respondent-driven sampling (RDS) in seven districts of Malawi...
February 27, 2017: Lancet HIV
https://www.readbyqxmd.com/read/28225437/the-continuum-of-hiv-care-in-rural-communities-in-the-united-states-and-canada-what-is-known-and-future-research-directions
#7
Albrecht Helmut, Rebecca Dillingham, Robert S Hogg, Denise Jaworsky, Ken Kasper, Mona Loutfy, Lauren MacKenzie, Kathleen A McManus, Michael E Ohl, Kris Ann K Oursler, Scott D Rhodes, Katherine R Schafer, Hasina Samji, Stuart Skinner, Christina J Sun, Sharon Weissman
The nature of the HIV epidemic in the United States and Canada has changed with a shift towards rural areas. Socioeconomic factors, geography, cultural context, and evolving epidemics of injection drug use are coalescing to move the epidemic into locations where populations are dispersed and healthcare resources are limited. Rural-urban differences along the care continuum demonstrate the implications of this sociogeographic shift. Greater attention is needed to build a more comprehensive understanding of the rural HIV epidemic in the United States and Canada, including research efforts, innovative approaches to care delivery, and greater community engagement in prevention and care...
February 16, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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-antiretroviral-therapy-and-with-viral-load-suppressed-in-12-infectious-diseases-clinics-in-italy-successes-and-disparities-in-the-hiv-continuum-of-care
#15
Mariangela Raimondo, Laura Camoni, Barbara Suligoi, Patrizio Pezzotti
The HIV care continuum is a tool that describes the quality of HIV care for people living with HIV and assesses the extent to which the goal of viral suppression has been achieved. 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...
March 6, 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
#16
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
#17
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
#18
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
#19
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
#20
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
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