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https://www.readbyqxmd.com/read/29791514/high-prevalence-of-syndemic-health-problems-in-patients-seeking-post-exposure-prophylaxis-for-sexual-exposures-to-hiv
#1
Steven A Morrison, Deborah Yoong, Trevor A Hart, Paul MacPherson, Isaac Bogoch, Vishalini Sivarajah, Kevin Gough, Mark Naccarato, Darrell H S Tan
INTRODUCTION: The standard clinical approach to non-occupational HIV post-exposure prophylaxis (nPEP) focuses on biomedical aspects of the intervention, but may overlook co-occurring or 'syndemic' psychosocial problems that reinforce future vulnerability to HIV. We therefore sought to determine the prevalence of syndemic health problems in a cohort of Ontario nPEP patients, and explored the relationship between syndemic burden and HIV risk. METHODS: Between 07/2013-08/2016, we distributed a self-administered questionnaire to patients presenting to three clinics in Toronto and Ottawa seeking nPEP for sexual HIV exposures...
2018: PloS One
https://www.readbyqxmd.com/read/29784897/effect-of-alcohol-use-on-injection-and-sexual-behavior-among-people-who-inject-drugs-in-tehran-iran-a-coarsened-exact-matching-approach
#2
Mehdi Noroozi, Brandon D L Marshall, Alireza Noroozi, Bahram Armoon, Hamid Sharifi, Mostafa Qorbani, Mohammad Abbasi, Mohammad Rafi Bazrafshan
BACKGROUND: Many studies have recognized the importance of sexual and injection risk behaviors in HIV transmission among people who inject drugs (PWID). We aimed to examine effect of alcohol use on sexual and injection risky behavior using coarsened exact matching (CEM) approach among PWID in Tehran, Iran. STUDY DESIGN: A cross-sectional study. METHODS: This study was conducted from Mar to Aug 2016 in Tehran, Iran. PWID were recruited by a convenience and snowball sampling from five of Drop-in Centers (DICs) in Tehran...
May 19, 2018: Journal of Research in Health Sciences
https://www.readbyqxmd.com/read/29782302/reasons-for-not-using-condoms-among-heterosexual-men-in-belgrade-serbia
#3
Milan Bjekić, Sandra Sipetić-Grujičić, Hristina Vlajinac, Aleksandra Nikolić
Dear Editor, Proper and consistent use of male condoms can be a highly effective method of preventing the transmission of sexually transmitted infections (STIs) and HIV (1), but this method relies on men's willingness and ability to use condoms. In the United States of America, about 20% overall and less than 50% of adults with multiple partners used a condom at last intercourse (2). In Serbia in 2013 (3), 50.0% of women and 62.5% of men aged 15-49 who had more than one partner in the past year used a condom during their last intercourse...
April 2018: Acta Dermatovenerologica Croatica: ADC
https://www.readbyqxmd.com/read/29781884/extended-release-naltrexone-improves-viral-suppression-levels-in-prisoners-with-hiv-and-alcohol-use-disorders-who-are-transitioning-to-the-community-results-from-a-double-blind-placebo-controlled-trial
#4
Sandra A Springer, Angela Di Paola, Russell Barbour, Marwan M Azar, Frederick L Altice
OBJECTIVE: To determine if extended-release naltrexone (XR-NTX) would improve or maintain viral suppression (VS) among incarcerated individuals with HIV and alcohol use disorders (AUDs) transitioning to the community. DESIGN: A randomized double-blind, placebo-controlled trial was conducted among incarcerated individuals with HIV and AUDs transitioning to the community from 2010 through 2016. METHODS: Eligible participants (N=100) were randomized 2:1 to receive 6 monthly injections of XR-NTX (n=67) or Placebo (n=33) starting at release and continued for 6 months...
May 16, 2018: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/29771782/differential-patterns-of-risk-and-vulnerability-suggest-the-need-for-novel-prevention-strategies-for-black-bisexual-men-in-the-hptn-061-study
#5
Typhanye V Dyer, Maria R Khan, Rotrease Regan, Nina T Harawa, LaRon E Nelson, Leo Wilton, Lei Wang, Lili Peng, San San Ou, Steve Shoptaw
BACKGROUND: Black men who have sex with men (BMSM); some who also have sex with women (BMSMW), account for over 70% of new HIV infections in the US representing an elevated HIV risk in this group, also informing risks for HIV transmission to other BMSM and female sexual partners. SETTINGS: We examined trajectories of self-reported substance use, HIV-related sexual risk behaviors and psychosocial vulnerabilities among BMSMW versus BMSM over a one-year study period...
May 10, 2018: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/29769110/prevalence-and-determinants-of-selected-cardio-metabolic-risk-factors-among-people-living-with-hiv-aids-and-receiving-care-in-the-south-west-regional-hospitals-of-cameroon-a-cross-sectional-study
#6
Roland Cheofor Ngu, Simeon-Pierre Choukem, Christian Akem Dimala, Julius N Ngu, Gottlieb Lobe Monekosso
OBJECTIVE: Metabolic disorders and cardiovascular risk factors are not routinely assessed in the care of HIV patients in developing countries, known to have the highest disease burden. We described the prevalence and factors associated with major cardio-metabolic risk factors (obesity, diabetes and hypertension) in HIV/AIDS patients. RESULTS: The prevalence of diabetes, hypertension and obesity were 11.3% (95% CI 8.10-15.43), 24.8% (95% CI 20.1-30.0) and 14.5% (95% CI 11...
May 16, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29767818/adapting-the-risk-environment-framework-to-understand-substance-use-gender-based-violence-and-hiv-risk-behaviors-among-female-sex-workers-in-tanzania
#7
Anna M Leddy, Carol Underwood, Michele R Decker, Jessie Mbwambo, Samuel Likindikoki, Noya Galai, Deanna Kerrigan
Female sex workers (FSWs) in sub-Saharan Africa are disproportionately affected by HIV and gender-based violence (GBV). Substance use overlaps with these co-occurring epidemics to further increase FSWs' risk for negative health outcomes. We explored the relationship between substance use, GBV, and consistent condom use utilizing baseline data from a cohort of 496 FSWs in Tanzania. Results demonstrate high levels of alcohol use and GBV, and low levels of consistent condom use. Frequent intoxication during sex work was associated with increased odds of recent GBV (aOR 1...
May 16, 2018: AIDS and Behavior
https://www.readbyqxmd.com/read/29763303/design-and-synthesis-of-highly-potent-hiv-1-protease-inhibitors-containing-tricyclic-fused-ring-systems-as-novel-p2-ligands-structure-activity-studies-biological-and-x-ray-structural-analysis
#8
Arun K Ghosh, Prasanth R Nyalapatla, Satish Kovela, Kalapala Venkateswara Rao, Margherita Brindisi, Heather L Osswald, Masayuki Amano, Manabu Aoki, Johnson Agniswamy, Yuan-Fang Wang, Irene T Weber, Hiroaki Mitsuya
The design, synthesis, and biological evaluation of a new class of HIV-1 protease inhibitors containing stereochemically defined fused tricyclic polyethers as the P2 ligands and a variety of sulfonamide derivatives as the P2' ligands are described. A number of ring sizes and various substituent effects were investigated to enhance the ligand-backbone interactions in the protease active site. Inhibitors 5c and 5d containing this unprecedented fused 6-5-5 ring system as the P2 ligand, an aminobenzothiazole as the P2' ligand, and a difluorophenylmethyl as the P1 ligand exhibited exceptional enzyme inhibitory potency and maintained excellent antiviral activity against a panel of highly multidrug-resistant HIV-1 variants...
May 15, 2018: Journal of Medicinal Chemistry
https://www.readbyqxmd.com/read/29762344/use-of-nonantiretroviral-medications-that-may-impact-neurocognition-patterns-and-predictors-in-a-large-long-term-hiv-cohort-study
#9
Kendra K Radtke, Peter Bacchetti, Kathryn Anastos, Daniel Merenstein, Howard Crystal, Roksana Karim, Kathleen M Weber, Andrew Edmonds, Anandi N Sheth, Margaret A Fischl, David Vance, Ruth M Greenblatt, Leah H Rubin
BACKGROUND: Neurocognitive impairment is a frequent and often disabling comorbidity of HIV infection. In addition to antiretroviral therapies, individuals with HIV infection may commonly use nonantiretroviral medications that are known to cause neurocognitive adverse effects (NC-AE). The contribution of NC-AE to neurocognitive impairment is rarely considered in the context of HIV and could explain part of the variability in neurocognitive performance among individuals with HIV. SETTING: Women's Interagency HIV Study, a prospective, multisite, observational study of US women with and without HIV...
June 1, 2018: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/29758064/risk-perception-and-sex-behaviour-in-pregnancy-and-breastfeeding-in-high-hiv-prevalence-settings-programmatic-implications-for-prep-delivery
#10
Dvora Joseph Davey, Elise Farley, Catriona Towriss, Yolanda Gomba, Linda-Gail Bekker, Pamina Gorbach, Steven Shoptaw, Thomas Coates, Landon Myer
HIV acquisition during pregnancy and breastfeeding significantly contributes toward paediatric HIV infection; however, little is known about risk behaviours in HIV-uninfected pregnant and postpartum women. We conducted twenty-six in-depth-interviews between July and December 2016 using a semi-structured interview guide among HIV-uninfected pregnant and recently postpartum women at-risk of HIV acquisition (defined as reporting ≥1 of the following: partner's serostatus unknown or HIV-infected, recent condomless sex in pregnancy, and/or alcohol use during pregnancy) who attended primary healthcare services...
2018: PloS One
https://www.readbyqxmd.com/read/29752639/prevalence-of-hiv-viral-load-suppression-among-psychiatric-inpatients-with-comorbid-substance-use-disorders
#11
D M Coviello, R Lovato, K Apostol, M M Eisenberg, D S Metzger, R Szucs-Reed, N Kiryankova-Dalseth, D Kelly, A Jackson, M Plano, M B Blank
A consistently suppressed viral load enables HIV (+) patients to live longer, healthier lives and reduces the probability of transmitting the virus. Since the prevalence of HIV is four times higher among those with psychiatric disorders than in the general population, it is likely that this group would also have greater difficulty remaining in care and achieving viral suppression. A secondary data analysis utilizing screening data from the Preventing AIDS Through Health (PATH) for Triples (PFT) Study were examined to assess HIV load suppression among 254 psychiatric inpatients with comorbid substance use disorders in Philadelphia...
May 11, 2018: Community Mental Health Journal
https://www.readbyqxmd.com/read/29750893/disparities-in-initiation-of-direct-acting-antiviral-agents-for-hepatitis-c-virus-infection-in-an-insured-population
#12
Julia L Marcus, Leo B Hurley, Scott Chamberland, Jamila H Champsi, Laura C Gittleman, Daniel G Korn, Jennifer B Lai, Jennifer O Lam, Mary Pat Pauly, Charles P Quesenberry, Joanna Ready, Varun Saxena, Suk I Seo, David J Witt, Michael J Silverberg
OBJECTIVES: The cost of direct-acting antiviral agents (DAAs) for hepatitis C virus (HCV) infection may contribute to treatment disparities. However, few data exist on factors associated with DAA initiation. METHODS: We conducted a retrospective cohort study of HCV-infected Kaiser Permanente Northern California members aged ≥18 during October 2014 to December 2016, using Poisson regression models to evaluate demographic, behavioral, and clinical factors associated with DAA initiation...
January 1, 2018: Public Health Reports
https://www.readbyqxmd.com/read/29734218/depressive-symptoms-and-problematic-alcohol-and-other-substance-use-in-1-476-gay-bisexual-and-other-men-who-have-sex-with-men-at-three-research-sites-in-kenya
#13
Christine Korhonen, Makobu Kimani, Elizabeth Wahome, Fredrick Otieno, Duncan Okall, Robert C Bailey, Gary W Harper, Robert R Lorway, Monika Doshi, John Mathenge, Joshua Kimani, Eduard J Sanders, Susan M Graham
OBJECTIVE: Information on mental health and substance use challenges among gay, bisexual, and other men who have sex with men (GBMSM) is needed to focus resources on these issues and optimize services for HIV prevention and care. We determined factors associated with depressive symptoms and problematic alcohol and other substance use among GBMSM in Kenya. METHODS: Self-identified GBMSM in three HIV research studies in Kenya provided information on depressive symptoms (PHQ-9), alcohol use (AUDIT), and other substance use (DAST-6)...
May 3, 2018: AIDS
https://www.readbyqxmd.com/read/29718992/analysis-of-risk-factors-associated-with-hepatocellular-carcinoma-in-black-south-africans-2000-2012
#14
Daniel Mak, Chantal Babb de Villiers, Charles Chasela, Margaret I Urban, Anna Kramvis
OBJECTIVE: The aims of this study were to determine the prevalence of risk factors associated with hepatocellular carcinoma (HCC) in black adult South Africans and to estimate the size of the associated risks. METHODS: A case-control analysis of 150 black South African patients (aged 18-75 years) with HCC-who were a subset of patients recruited for the Johannesburg Cancer Case Control Study 2000 to 2012-was undertaken. The association between this tumour and hepatitis B/C virus infections, and human immunodeficiency virus (HIV) mono- and co-infections was investigated...
2018: PloS One
https://www.readbyqxmd.com/read/29712625/intervention-to-increase-hiv-testing-among-substance-using-young-men-who-have-sex-with-men-protocol-for-a-randomized-controlled-trial
#15
Rob Stephenson, Erin E Bonar, Adam Carrico, Alexis Hunter, Daniel Connochie, Rebecca Himmelstein, Jose Bauermeister
BACKGROUND: Young men who have sex with men (YMSM) and transgender people in the Detroit Metro Area are the only risk group for whom the incidence of HIV and sexually transmitted infections (STI) has increased since 2000, with HIV incidence nearly doubling among youth. Substance use (including alcohol), which is relatively frequent among YMSM and transgender people, creates barriers to the optimal delivery of HIV prevention and care services. Standard HIV counseling, testing, and referral (CTR) is limited in providing strategies to identify and address substance use...
April 30, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29696553/associations-between-neighborhood-characteristics-social-cohesion-and-perceived-sex-partner-risk-and-non-monogamy-among-hiv-seropositive-and-hiv-seronegative-women-in-the-southern-u-s
#16
Danielle F Haley, Gina M Wingood, Michael R Kramer, Regine Haardörfer, Adaora A Adimora, Anna Rubtsova, Andrew Edmonds, Neela D Goswami, Christina Ludema, DeMarc A Hickson, Catalina Ramirez, Zev Ross, Hector Bolivar, Hannah L F Cooper
Neighborhood social and physical factors shape sexual network characteristics in HIV-seronegative adults in the U.S. This multilevel analysis evaluated whether these relationships also exist in a predominantly HIV-seropositive cohort of women. This cross-sectional multilevel analysis included data from 734 women enrolled in the Women's Interagency HIV Study's sites in the U.S. South. Census tract-level contextual data captured socioeconomic disadvantage (e.g., tract poverty), number of alcohol outlets, and number of non-profits in the census tracts where women lived; participant-level data, including perceived neighborhood cohesion, were gathered via survey...
April 25, 2018: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/29684534/towards-a-maraviroc-long-acting-injectable-nanoformulation
#17
Lee M Tatham, Alison C Savage, Andrew Dwyer, Marco Siccardi, Trevor Scott, Manoli Vourvahis, Andrew Clark, Steven P Rannard, Andrew Owen
Suboptimal adherence to antiretroviral (ARV) therapy can lead to insufficient drug exposure leading to viral rebound and increased likelihood of resistance. This has driven the development of long-acting injectable (LAI) formulations which may mitigate some of these problems. Maraviroc (MVC) is an orally dosed CCR5 antagonist approved for use in patients infected with CCR5-trophic HIV-1. MVC prevents viral entry into host cells, is readily distributed to biologically relevant tissues and has an alternative resistance profile compared to more commonly used therapies...
April 20, 2018: European Journal of Pharmaceutics and Biopharmaceutics
https://www.readbyqxmd.com/read/29683847/psychoactive-substances-alcohol-and-tobacco-consumption-in-hiv-infected-outpatients
#18
Jean-Marc Jacquet, Hélène Peyriere, Alain Makinson, Marianne Peries, Nicolas Nagot, Hélène Donnadieu-Rigole, Jacques Reynes
OBJECTIVES: To assess the alcohol consumption, tobacco addiction and psychoactive substance use (PSU) of people living with HIV (PLHIV). DESIGN: Cross-sectional study in an HIV outpatient unit. METHODS: Autoquestionnaire systematically proposed to all patients during their usual clinical care visit during a 6-months period, for alcohol (AUDIT test), tobacco (Short Fagerstrom Test) and PSU (ASSIST V3.0 test). RESULTS: Of 1334 distributed questionnaires, 1018 PLHIV responded: 76...
April 19, 2018: AIDS
https://www.readbyqxmd.com/read/29680936/hiv-risk-and-protective-factors-in-the-context-of-alcohol-and-substance-use-during-pride
#19
Paul A Shuper, Duncan J MacLachlan, Narges Joharchi, Tim H Guimond, John Maxwell, Barry D Adam
This investigation sought to identify HIV-risk and -protective factors among men-who-have-sex-with-men (MSM) who engaged in anal sex following alcohol or substance use during an international Pride Festival. MSM attending World Pride were surveyed regarding (1) alcohol, substance use, and sex during the past 24 h; and (2) HIV-risk and -protective factors. Valid data were provided by 1123 MSM. Anal sex was reported by 195 MSM, among whom the majority (n = 105) consumed alcohol or substances prior to sex...
April 21, 2018: AIDS and Behavior
https://www.readbyqxmd.com/read/29676453/risk-factors-for-burkitt-lymphoma-a-nested-case-control-study-in-the-uk-clinical-practice-research-datalink
#20
Parisa Karimi, Brenda M Birmann, Lesley A Anderson, Charlene M McShane, Shahinaz M Gadalla, Joshua N Sampson, Sam M Mbulaiteye
Burkitt lymphoma (BL) occurs as three subtypes: endemic BL, immunosuppression-related BL and sporadic BL. Descriptive studies of BL age-specific incidence patterns have suggested multimodal peaks near 10, 40 and 70 years of age, but the risk factors for BL at different ages are unknown. We investigated risk factors for BL in the United Kingdom among 156 BL cases and 608 matched BL-free controls identified in the Clinical Practice Research Datalink (CPRD) between 1992 and 2016. Associations with pre-diagnostic body mass index, cigarette smoking, alcohol consumption, hepatitis, Epstein-Barr virus (EBV), human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV/AIDS), malaria, allergic and autoimmune conditions, and prednisone use were evaluated...
April 20, 2018: British Journal of Haematology
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