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https://www.readbyqxmd.com/read/28087794/bouncing-back-resilience-and-mastery-among-hiv-positive-older-gay-and-bisexual-men
#1
Charles A Emlet, Chengshi Shiu, Hyun-Jun Kim, Karen Fredriksen-Goldsen
PURPOSE OF THE STUDY: Adults with HIV infection are living into old age. It is critical we investigate positive constructs such as resilience and mastery to determine factors associated with psychological well-being. We examine HIV-related factors, adverse conditions, and psychosocial characteristics that are associated with resilience (the ability to bounce back) and mastery (sense of self-efficacy). DESIGN AND METHODS: We analyzed 2014 data from the longitudinal study Aging with Pride: National Health, Aging, and Sexuality/Gender Study (NHAS), focusing on a subsample of 335 gay and bisexual older men...
February 2017: Gerontologist
https://www.readbyqxmd.com/read/28063460/managing-two-decades-of-visceral-leishmaniasis-and-hiv-co-infection-a-case-report-that-illustrates-the-urgent-research-needs-in-the-field
#2
Melissa L Kelly, Angie N Pinto, Dan Suan, Debbie Marriott, David A Cooper, Sarah L Pett
Visceral leishmaniasis and HIV co-infection presents diagnostic, monitoring and treatment challenges. This is a report of a co-infected patient who developed multiple complications and treatment side-effects, including renal and liver failure, pancytopenia with recurrent sepsis, along with anal cancer, depression and poor quality-of-life spanning over two decades. Urgent research specific to this cohort is needed.
January 9, 2017: Sexual Health
https://www.readbyqxmd.com/read/28063075/feasibility-and-acceptability-of-a-task-shifted-intervention-to-enhance-adherence-to-hiv-medication-and-improve-depression-in-people-living-with-hiv-in-zimbabwe-a-low-income-country-in-sub-saharan-africa
#3
Melanie Abas, Primrose Nyamayaro, Tarisai Bere, Emily Saruchera, Nomvuyo Mothobi, Victoria Simms, Walter Mangezi, Kirsty Macpherson, Natasha Croome, Jessica Magidson, Azure Makadzange, Steven Safren, Dixon Chibanda, Conall O'Cleirigh
Using a pilot trial design in an HIV care clinic in Zimbabwe, we randomised 32 adults with poor adherence to antiretroviral therapy and at least mild depression to either six sessions of Problem-Solving Therapy for adherence and depression (PST-AD) delivered by an adherence counsellor, or to Enhanced Usual Care (Control). Acceptability of PST-AD was high, as indicated by frequency of session attendance and through qualitative analyses of exit interviews. Fidelity was >80% for the first two sessions of PST-AD but fidelity to the adherence component of PST-AD dropped by session 4...
January 6, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28063073/suicidal-ideation-persists-among-individuals-engaged-in-hiv-care-in-the-era-of-antiretroviral-therapy
#4
J D López, E Shacham, T Brown
Little research has focused on suicidality in the era of successful antiretroviral therapy among those engaged in HIV care. We performed a study of 648 clinic patients who completed a psychological and behavioral annual assessment in 2012. Depressive symptoms were measured using the Patient Health Questionnaire-9 (PHQ-9), suicidal ideation was measured by the last item of the scale. Anxiety symptoms were measured using the Generalized Anxiety Disorder-7 questionnaire (GAD-7). HIV biomedical markers were abstracted from medical records...
January 6, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28061819/association-between-a-syndemic-of-psychosocial-problems-and-unprotected-anal-intercourse-among-men-who-have-sex-with-men-in-shanghai-china
#5
Ying Wang, Zezhou Wang, Mengmeng Jia, Ajuan Liang, Dong Yuan, Zhe Sun, Feng Gan, Yichen Wang, Yong Cai, Zhiruo Zhang
BACKGROUND: Previous studies have discussed the overlapping and reinforcing effects (defined as a syndemic) of psychosocial problems on high-risk sexual behaviors among men who have sex with men (MSM). The present study aimed to apply the syndemic theory to verify the reinforcing effects of psychosocial problems on unprotected anal intercourse (UAI) among MSM in Shanghai, and determine if other important psychosocial factors fit into the syndemic theory. METHODS: Data were collected from 547 MSM in Shanghai, China, through face-to-face interviews...
January 7, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28056990/stigmatization-among-methadone-maintenance-treatment-patients-in-mountainous-areas-in-northern-vietnam
#6
Hung Van Nguyen, Huong Lan Thi Nguyen, Hue Thi Mai, Hai Quan Le, Bach Xuan Tran, Canh Dinh Hoang, Huong Thi Le, Cuong Tat Nguyen, Tho Dinh Tran, Carl A Latkin, Thuc Minh Thi Vu
BACKGROUND: Stigma and discrimination may adversely affect the benefits of methadone maintenance treatment (MMT) for drug users, especially in disadvantaged settings. This study assessed stigma and discrimination against MMT patients in the mountainous and rural areas in Vietnam and explored their associated factors to inform implementation strategies. METHODS: We interviewed 241 MMT patients in two clinics: one in Tuyen Quang Province's inner city and the other in Son Duong District, to assess stigma and discrimination that patients perceived and experienced...
January 6, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28056883/marijuana-use-and-sex-with-multiple-partners-among-lesbian-gay-and-bisexual-youth-results-from-a-national-sample
#7
Xiaoyun Zhang, Li-Tzy Wu
BACKGROUND: Sex with multiple partners (SMP) is one of the important contributing factors for contracting sexually transmitted infections (STIs) among adolescents and young adults, especially among Lesbian, Gay, and Bisexual (LGB) youth. Past studies mainly focus on examining associations of alcohol or club drugs use with unprotected sexual behaviors among adult homo/bisexual men, while little is known about the temporal association between marijuana use (MU) and SMP among LGB youth. METHODS: This study examined the relationship between MU and SMP among LGB adolescents and young adults...
January 5, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28055823/mental-health-in-2020-for-men-who-have-sex-with-men-in-the-united-states
#8
Abigail W Batchelder, Steven Safren, Avery D Mitchell, Ivan Ivardic, Conall O'Cleirigh
Despite continued advances in HIV prevention and treatment, gay and bisexual men and other men who have sex with men (MSM) remain the population most impacted by HIV/AIDS in the US and many other Western countries. Additionally, MSM are disproportionately affected by various psychological problems, including depression, distress, trauma and substance use. These challenges frequently co-occur, and are associated with higher rates of behaviours related to HIV acquisition and transmission, HIV infection, and, for those living with HIV/AIDS, lower levels of treatment engagement...
January 6, 2017: Sexual Health
https://www.readbyqxmd.com/read/28030971/suicidal-ideation-and-behaviour-among-persons-seeking-hiv-testing-in-peri-urban-areas-of-cape-town-south-africa-a-lost-opportunity-for-suicide-prevention
#9
Jason Bantjes, Ashraf Kagee, Wylene Saal
Suicidal ideation and behaviour (SIB) are among the psychiatric sequela of HIV/AIDS. Few studies have however examined the prevalence and correlates of SIB among persons seeking HIV testing. We set out to document the prevalence and correlates of SIB among people seeking HIV testing in peri-urban areas of Cape Town, South Africa (SA). A cross-sectional research design was used to recruit a sample (n = 500) of individuals seeking HIV testing. Self-report measures were used to assess two-week prevalence of SIB as well as life-time prevalence of suicide attempt...
December 28, 2016: AIDS Care
https://www.readbyqxmd.com/read/28027668/social-determinants-of-health-and-retention-in-hiv-care-in-a-clinical-cohort-in-ontario-canada
#10
Beth Rachlis, Ann N Burchell, Sandra Gardner, Lucia Light, Janet Raboud, Tony Antoniou, Jean Bacon, Anita Benoit, Curtis Cooper, Claire Kendall, Mona Loutfy, Wendy Wobeser, Frank McGee, Anita Rachlis, Sean B Rourke
: Continuous HIV care supports antiretroviral therapy initiation and adherence, and prolongs survival. We investigated the association of social determinants of health (SDH) and subsequent retention in HIV care in a clinical cohort in Ontario, Canada. The Ontario HIV Treatment Network Cohort Study is a multi-site cohort of patients at 10 HIV clinics. Data were collected from medical charts, interviews, and via record linkage with the provincial public health laboratory for viral load tests...
December 27, 2016: AIDS Care
https://www.readbyqxmd.com/read/28027368/effect-of-a-primary-care-based-psychological-intervention-on-symptoms-of-common-mental-disorders-in-zimbabwe-a-randomized-clinical-trial
#11
Dixon Chibanda, Helen A Weiss, Ruth Verhey, Victoria Simms, Ronald Munjoma, Simbarashe Rusakaniko, Alfred Chingono, Epiphania Munetsi, Tarisai Bere, Ethel Manda, Melanie Abas, Ricardo Araya
Importance: Depression and anxiety are common mental disorders globally but are rarely recognized or treated in low-income settings. Task-shifting of mental health care to lay health workers (LHWs) might decrease the treatment gap. Objective: To evaluate the effectiveness of a culturally adapted psychological intervention for common mental disorders delivered by LHWs in primary care. Design, Setting, and Participants: Cluster randomized clinical trial with 6 months' follow-up conducted from September 1, 2014, to May 25, 2015, in Harare, Zimbabwe...
27, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28017907/phone-delivered-mindfulness-training-to-promote-medication-adherence-and-reduce-sexual-risk-behavior-among-persons-living-with-hiv-design-and-methods
#12
Elena Salmoirago-Blotcher, Carla Rich, Rochelle K Rosen, Shira Dunsiger, Aadia Rana, Michael P Carey
INTRODUCTION: Two-thirds of people living with HIV (PLWH) show sub-optimal adherence to antiretroviral therapy (ART) and one-third engages in risky sex. Both non-adherence and risky sex have been associated with emotional distress and impulsivity. To allay distress and lessen impulsivity, mindfulness training (MT) can be helpful. In this trial, we will investigate the utility of phone-delivered MT for PWLH. The primary outcomes comprise feasibility and acceptability of phone-delivery; secondary outcomes are estimates of efficacy of MT on adherence to ART and safer sexual practices as well as on their hypothesized antecedents...
December 23, 2016: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/28005497/impact-of-sexual-orientation-identity-on-medical-morbidities-in-male-to-female-transgender-patients
#13
Thomas W Gaither, Mohannad A Awad, E Charles Osterberg, Angelita Romero, Marci L Bowers, Benjamin N Breyer
PURPOSE: We aim to describe the relationship between sexual orientation identity and medical morbidities in a large sample of male-to-female (MTF) transgender patients. METHODS: We reviewed medical records of patients presenting for MTF sex reassignment surgery (SRS) by a single, high-volume surgeon from 2011 to 2015. Sexual attraction to men (heterosexual), women (lesbian), or both (bisexual) was asked of each patient. We examined 16 medical morbidities for this analysis...
December 22, 2016: LGBT Health
https://www.readbyqxmd.com/read/28004523/accuracy-of-self-report-of-hiv-viral-load-among-people-with-hiv-on-antiretroviral-treatment
#14
J Sewell, M Daskalopoulou, F Nakagawa, F C Lampe, S Edwards, N Perry, E Wilkins, R O'Connell, M Jones, S Collins, A Speakman, A N Phillips, A J Rodger
OBJECTIVES: The aim of the study was to assess, among people living with HIV, knowledge of their latest HIV viral load (VL) and CD4 count. METHODS: Agreement between self-report and clinic record was assessed among 2771 HIV-diagnosed individuals on antiretroviral treatment (ART) in the UK Antiretrovirals, Sexual Transmission Risk and Attitudes Study (2011-2012). A confidential self-completed questionnaire collected information on demographic, socioeconomic, HIV-related and health-related factors...
December 22, 2016: HIV Medicine
https://www.readbyqxmd.com/read/28004319/testing-a-model-of-health-related-quality-of-life-in-women-living-with-hiv-infection
#15
Nahed S Alsayed, Susan M Sereika, Susan A Albrecht, Martha A Terry, Judith A Erlen
PURPOSE: The purpose of this secondary analysis was to test Ferrans et al.'s (J Nurs Scholarsh 37(4):336-342, 2005) revised model of health-related quality of life (HRQoL) (2005) modified from the Wilson and Cleary (J Am Med Assoc 273(1):59-65, 1995) model on women living with HIV. The primary aim was to test this model, examining the relations among the five central components (biological function, symptoms, functional status, general health perceptions, and HRQoL). The secondary aim was to explore the individual (age, children, race, marital status, education) and environmental (HIV-related stigma, social support) characteristics that may impact the main components of the model...
December 21, 2016: Quality of Life Research
https://www.readbyqxmd.com/read/28003369/sharing-sensitive-health-information-through-social-media-in-the-arab-world
#16
Eman Asiri, Mohamed Khalifa, Syed-Abdul Shabir, Md Nassif Hossain, Usman Iqbal, Mowafa Househ
BACKGROUND: Sharing daily activities on social media has become a part of our lifestyle, but little is known about sharing sensitive health information in the Arab world. OBJECTIVE: The objective of this study is to explore how social media users in the Arab world share sensitive health information through Facebook. DESIGN: A retrospective qualitative analysis was used in the study. SETTINGS AND PARTICIPANTS: A total of 110 Facebook groups, related to HIV, sickle cell and depression were screened between 5 June and 1 December 2014...
December 20, 2016: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28002184/prevalence-and-predictors-of-hospitalizations-among-hiv-infected-and-at-risk-hiv-uninfected-women
#17
Anna L Hotton, Kathleen M Weber, Ronald C Hershow, Kathryn Anastos, Peter Bacchetti, Elizabeth T Golub, Deborah Gustafson, Alexandra M Levine, Mary Young, Mardge H Cohen
OBJECTIVES: We evaluated the Veterans Aging Cohort Study (VACS) Index score, an index composed of age, CD4 count, viral load, hemoglobin, Hepatitis C (HCV) co-infection, Fibrosis Index-4 (FIB-4), and estimated glomerular filtration rate (EGFR), and psychosocial and clinical risk factors for all-cause hospitalization among HIV-infected women on HAART and HIV-uninfected women. METHODS: Data were collected from 2008 - 2014 from 1585 HAART-experienced HIV-infected and 692 uninfected women...
December 17, 2016: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/27995426/who-gets-testosterone-patient-characteristics-associated-with-testosterone-prescribing-in-the-veteran-affairs-system-a-cross-sectional-study
#18
Guneet K Jasuja, Shalender Bhasin, Joel I Reisman, Joseph T Hanlon, Donald R Miller, Anthony P Morreale, Leonard M Pogach, Francesca E Cunningham, Angela Park, Dan R Berlowitz, Adam J Rose
BACKGROUND: There has been concern about the growing off-label use of testosterone. Understanding the context within which testosterone is prescribed may contribute to interventions to improve prescribing. OBJECTIVE: To evaluate patient characteristics associated with receipt of testosterone. DESIGN: Cross-sectional. SETTING: A national cohort of male patients, who had received at least one outpatient prescription within the Veterans Affairs (VA) system during Fiscal Year 2008- Fiscal Year 2012...
December 19, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27990577/relationships-among-adherence-and-physical-and-mental-health-among-women-living-with-hiv-in-rural-india
#19
Adeline Nyamathi, Maria Ekstrand, Elsa Heylen, Padma Ramakrishna, Kartik Yadav, Sanjeev Sinha, Angela Hudson, Catherine L Carpenter, Lenore Arab
We conducted a cross-sectional examination of the physical and psychological factors related to ART adherence among a sample of 400 women living with HIV/AIDS in rural India. Interviewer-administered measures assessed adherence, internalized stigma, depressive symptoms, quality of life, food insecurity, health history and sociodemographic information. CD4 counts were measured using blood collected at screening. Findings revealed that adherence to ART was generally low, with 94% of women taking 50% or less of prescribed medication in past month...
December 19, 2016: AIDS and Behavior
https://www.readbyqxmd.com/read/27986201/health-related-quality-of-life-of-patients-with-hiv-aids-in-bogot%C3%A3-colombia
#20
Mussa Keaei, Julien Kuhlmann, Rafael Conde, Silvia M A A Evers, Javier Gonzalez, Mark Govers, Mickael Hiligsmann
BACKGROUND: There has rarely been any reporting on health-related quality of life (HRQOL) of patients with HIV/AIDS in developing countries. OBJECTIVES: To estimate the health utilities of people with HIV/AIDS in Bogotá, Columbia. METHODS: A cross-sectional survey was conducted for 181 patients receiving antiretroviral therapy from an outpatient HIV/AIDS clinic in Bogotá. The five-level version of the EuroQol five-dimensional questionnaire (EQ-5D-5L) and the EuroQol visual analogue scale (EQ-VAS) were used to estimate HRQOL scores...
December 2016: Value in Health Regional Issues
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