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HIV, Adult Education, Quality

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BACKGROUND: In transitioning from the Millennium Development Goal to the Sustainable Development Goal era, it is imperative to comprehensively assess progress toward reducing maternal mortality to identify areas of success, remaining challenges, and frame policy discussions. We aimed to quantify maternal mortality throughout the world by underlying cause and age from 1990 to 2015. METHODS: We estimated maternal mortality at the global, regional, and national levels from 1990 to 2015 for ages 10-54 years by systematically compiling and processing all available data sources from 186 of 195 countries and territories, 11 of which were analysed at the subnational level...
October 8, 2016: Lancet
(no author information available yet)
BACKGROUND: Non-fatal outcomes of disease and injury increasingly detract from the ability of the world's population to live in full health, a trend largely attributable to an epidemiological transition in many countries from causes affecting children, to non-communicable diseases (NCDs) more common in adults. For the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015), we estimated the incidence, prevalence, and years lived with disability for diseases and injuries at the global, regional, and national scale over the period of 1990 to 2015...
October 8, 2016: Lancet
Dorica Boyee, Erin Peacock, Marya Plotkin, Augustino Hellar, Hally Mahler, Elizabeth Edouard, Renatus Kisendi, Erick Mlanga, Emmanuel Njeuhmeli, Katherine Andrinopoulos
Uncircumcised adolescent males in sub-Saharan Africa are an important group to reach with voluntary medical male circumcision (VMMC) services due to high HIV burden occurring among this age group. Appropriateness of the content and delivery of sexual health and HIV prevention messages to adolescent VMMC clients has not been extensively described. A study was conducted in Tanzania to examine quality, delivery and content of messages provided to adolescent (aged 15-19) and adult (aged 20+) VMMC clients (n = 320)...
August 24, 2016: AIDS and Behavior
Malihe Sheibani, Hassan Joulaei, Noorollah Mohammadi
INTRODUCTION: Several studies suggested that subjective memory complaints in HIV-infected patients are influenced by factors the same as mood, social support and medical symptoms. The aim of this research was to investigate the relationship between depression, anxiety, social support and substance abuse with memory complaints in HIV/AIDS patients. METHOD: To accomplish this goal, in a correlation study, 220 Iranian adults (146 males and 74 females) selected from the Voluntary Counseling and Testing (VCT) Center in Shiraz in 2012, completed these measures: Depression Anxiety Stress Scale (DASS-21), The Patient's Assessment of Own Functioning Inventory (PAOFI), Quality of Relationship Inventory (QRI) and Rey Auditory-Verbal Learning Test (RAVLT)...
2016: Global Journal of Health Science
Ekaterine Karkashadze, Margaret A Gates, Nikoloz Chkhartishvili, Jack DeHovitz, Tengiz Tsertsvadze
The purpose of our study was to assess quality of life (QoL) among Georgian HIV-infected individuals and to examine factors associated with QoL. Our cross-sectional study sample consisted of 201 HIV-infected adult outpatients recruited at the National AIDS Center in Tbilisi, Georgia. WHOQOL-HIV-BREF was used to measure QoL. Data about other variables of interest were obtained from medical records. Modified Poisson regression with robust variance estimates was performed to create a predictive model of factors that influenced QoL...
July 26, 2016: International Journal of STD & AIDS
Jasmine R Marcelin, Eugene M Tan, Alberto Marcelin, Marianne Scheitel, Praveen Ramu, Ronald Hankey, Pritesh Keniya, Majken Wingo, Stacey A Rizza, Frederick North, Rajeev Chaudhry
BACKGROUND: Universal human immunodeficiency virus (HIV) screening remains low in many clinical practices despite published guidelines recommending screening for all patients between ages 13-65. Electronic clinical decision support tools have improved screening rates for many chronic diseases. We designed a quality improvement project to improve the rate of universal HIV screening of adult patients in a Midwest primary care practice using a clinical decision support tool. METHODS: We conducted this quality improvement project in Rochester, Minnesota from January 1, 2014 to December 31, 2014...
2016: BMC Medical Informatics and Decision Making
Youngran Yang, Sopheak Thai, Jongsan Choi
The aim of this study was to evaluate quality of life (QOL) and analyze its determinants among Cambodian adults living with HIV/AIDS who are on antiretroviral therapy (ART). A cross-sectional study was conducted using convenience sampling to select 150 adults 18 years of age or older from the patient population at the HIV/AIDS care hospital in Phnom Penh, Cambodia. QOL was assessed using the World Health Organization Quality of Life HIV BREF; socio-demographic characteristics, time elapsed since HIV diagnosis, months on ART, CD4 cell count, family and community support, depression, and anxiety were included in the survey...
June 10, 2016: AIDS Care
Darren Brown, Austin Claffey, Richard Harding
HIV is characterised by episodes of disability. We report a novel, hospital outpatient rehabilitation intervention, combining physiotherapy-led group exercise and education for people living with HIV (PLWH). This observational study evaluated routine delivery of the 10-week intervention in terms of referral patterns, rehabilitation goals, intervention adherence and change in patient outcomes. Measurements at baseline & 10 weeks included locomotor performance (6 minute walk test; 6MWT), flexibility, upper and lower limb strength and health related quality of life (HRQOL)...
June 5, 2016: AIDS Care
Jorge R García-Corzo, Yolanda Tarazona-Álvarez, Johana P Rojas-Gómez, Eloísa Del P Bayona-Millán, Luis A Díaz-Martínez
INTRODUCTION: Human immunodeficiency virus (HIV) infection was the second most common cause of death, after injuries of external causes, among young adults from Bucaramanga in 2013. OBJETIVE: To establish the extent of knowledge on HIV mechanisms of transmission prevention strategies among schoolchildren in the age range of 13 to 20 years old from poor districts of Bucaramanga. METHODOLOGY: Cross-sectional study among randomly selected schoolchildren using a self-administered anonymous survey...
June 1, 2016: Archivos Argentinos de Pediatría
Brandon C Yarns, Janet M Abrams, Thomas W Meeks, Daniel D Sewell
There are approximately one million older lesbian, gay, bisexual, and transgender (LGBT) adults in the USA. Their mental health issues result from interactions between genetic factors and stress associated with membership in a sexual minority group. Although advancements in acceptance and equal treatment of LGBT individuals have been occurring, sexual minority status remains associated with risks to physical and mental well-being. Older LGBT adults are more likely to have experienced mistreatment and discrimination due to living a majority of their lives prior to recent advancements in acceptance and equal treatment...
June 2016: Current Psychiatry Reports
Xiaoshi Yang, Lina Zhao, Lie Wang, Chun Hao, Yuan Gu, Wei Song, Qun Zhao, Xiaoli Wang
INTRODUCTION: Transgender women are exposed to stressful situations such as gender transition and transition-related discrimination because of their limited acceptance by the general population and inadequate government-supplied resources, which can compromise their quality of life (QOL). However, there is a paucity of research on the QOL of transgender women from China. AIMS: To assess the QOL of transgender women from China and explore its associated factors. METHODS: A cross-sectional study was performed by convenience sampling in Shenyang, China from January 2014 to July 2014...
June 2016: Journal of Sexual Medicine
Samantha Stonbraker, Elaine Larson
An assessment of information needs is essential for care planning for patients living with chronic diseases such as human immunodeficiency virus (HIV). The extent to which these assessments have been conducted in Latin America and the Caribbean (LAC) is unknown. The purpose of this study was, therefore, to identify, evaluate, and summarize what research has been conducted to examine patient perceptions of their health-information needs among adults living with HIV in LAC. Using an integrative review methodology, a literature search of six databases was conducted in April and May 2015...
October 2016: AIDS Care
Malcolm D John, Meredith Greene, Nancy A Hessol, Roland Zepf, Amanda Hutton Parrott, Cameron Foreman, James Bourgeois, Monica Gandhi, C Bradley Hare
OBJECTIVES: To perform geriatric assessments in older HIV-infected adults in San Francisco and examine the association with age and the Veterans Aging Cohort Study (VACS) index scores. METHODS: A cross-sectional study was conducted from 2012 to 2014 among HIV-infected patients ≥50 years at 2 San Francisco-based HIV clinics. We evaluated 4 health domains: (1) physical health and function (activities of daily living), instrumental activities of daily living (IADL), falls, gait speed, (2) social support (physical and perceived support, loneliness), (3) mental health (depression, anxiety, posttraumatic stress disorder) and cognition, and (4) behavioral and general health (antiretroviral adherence and quality of life)...
August 15, 2016: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Fabiana Monteiro, Maria Cristina Canavarro, Marco Pereira
HIV infection has been historically considered a disease of young adults; however, adults aged 50 years and older represent now an increasing proportion of HIV cases worldwide, including in Portugal. In this context, given the considerable burden associated with living with HIV, the topic of quality-of-life (QoL) assessment has become increasingly relevant. The aims of this study were to examine the age-related differences in QoL and depressive symptoms of younger and middle-aged and older adults with HIV as well as the sociodemographic, HIV-related and depressive symptoms (cognitive-affective and somatic) associated with QoL domains...
2016: AIDS Care
Caroline Jeffery, Colin Beckworth, Wilbur C Hadden, Joseph Ouma, Stephen K Lwanga, Joseph J Valadez
Beginning in 2003, Uganda used Lot Quality Assurance Sampling (LQAS) to assist district managers collect and use data to improve their human immunodeficiency virus (HIV)/AIDS program. Uganda's LQAS-database (2003-2012) covers up to 73 of 112 districts. Our multidistrict analysis of the LQAS data-set at 2003-2004 and 2012 examined gender variation among adults who ever tested for HIV over time, and attributes associated with testing. Conditional logistic regression matched men and women by community with seven model effect variables...
2016: AIDS Care
Adam Gonzalez, Briana Locicero, Brittain Mahaffey, Crystal Fleming, Jalana Harris, Anka A Vujanovic
Rates of both traumatic event exposure and posttraumatic stress disorder (PTSD; 22%-54%) are disproportionately elevated among people living with HIV/AIDS (PLHA). Trauma and related psychopathology significantly affect quality of life and disease management in this patient population. The current study examined associations between internalized HIV stigma, mindfulness skills, and the severity of PTSD symptoms in trauma-exposed PLHA. Participants included 137 PLHA (14.6% female; Mage = 48.94, SD = 8.89) who reported experiencing on average, five (SD = 2...
January 2016: Behavior Modification
Melkamu Bedimo Beyene, Habtamu Bedimo Beyene
INTRODUCTION: Early HIV testing and timely initiation of ART is critical for the improved quality of life of PLWHIV. Having identified a higher rates of Late HIV diagnosis, this study was aimed to determine Determinants of late diagnosis of HIV among adult HIV patients in Bahir Dar, Northern Ethiopia. METHODS: A case control study was conducted between January 2010 to December 2011 at Bahir Dar Felege Hiwot Referral Hospital. The study subjects consisted of 267 cases and 267 controls...
2015: PloS One
Britt Rios-Ellis, Davida Becker, Lilia Espinoza, Selena Nguyen-Rodriguez, Gaby Diaz, Ana Carricchi, Gino Galvez, Melawhy Garcia
OBJECTIVES: Latinos are at an elevated risk for HIV infection. Continued HIV/AIDS stigma presents barriers to HIV testing and affects the quality of life of HIV-positive individuals, yet few interventions addressing HIV/AIDS stigma have been developed for Latinos. METHODS: An intervention led by community health workers (promotores de salud, or promotores) targeting underserved Latinos in three southwestern U.S. communities was developed to decrease HIV/AIDS stigma and increase HIV knowledge and perception of risk...
September 2015: Public Health Reports
Wondimu Ayele, Afework Mulugeta, Alem Desta, Felicia A Rabito
BACKGROUND: Ethiopia has been providing free Antiretroviral Treatment (ART) since 2005 for HIV/AIDS patients. ART improves survival time and quality of life of HIV patients but ART treatment outcomes might be affected by several factors. However, factors affecting treatment outcomes are poorly understood in Ethiopia. Hence, this study assesses treatment outcomes and its determinants for HIV patients on ART in selected health facilities of Kembata and Hadiya zones. METHODS: A retrospective cohort study was conducted on 730 adult HIV/AIDS patients who enrolled antiretroviral therapy from 2007 to 2011 in four selected health facilities of Kembata and Hadiya zones of Southern Ethiopia...
2015: BMC Public Health
M Nyirenda, M Evandrou, P Mutevedzi, V Hosegood, J Falkingham, M-L Newell
This paper examines how care-giving to adults and/or children and care-receiving is associated with the health and wellbeing of older people aged 50+ in rural South Africa. Data used are from a cross-sectional survey adapted from World Health Organization's Study on Global Ageing and Adult Health (SAGE) conducted in 2009/10 in rural South Africa. Bivariate statistics and multivariate logistical regression were used to assess the relationship between care-giving and/or care-receiving with functional disability, quality of life or emotional wellbeing, and self-rated health status, adjusted for socio-demographic factors...
January 2015: Ageing and Society
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