Current Opinion in HIV and AIDS最新文献_第5页

HIV and obesity: updates in management strategies. 艾滋病毒和肥胖:管理策略的更新。

IF 4.1 3区医学

Current Opinion in HIV and AIDS Pub Date : 2023-03-01 DOI: 10.1097/COH.0000000000000781

Luis Parra-Rodriguez, Jane A O'Halloran

{"title":"HIV and obesity: updates in management strategies.","authors":"Luis Parra-Rodriguez, Jane A O'Halloran","doi":"10.1097/COH.0000000000000781","DOIUrl":"https://doi.org/10.1097/COH.0000000000000781","url":null,"abstract":"Purpose of review: Weight gain has emerged as an important problem in people with HIV (PWH). When dealing with obesity, PWH face additional challenges to those without HIV. Understanding the nature of the problem and the modern evidence is essential to optimize management and identify knowledge gaps.Recent findings: Some PWH treated with antiretroviral therapy (ART) gain unhealthy amounts of weight and develop consequences of obesity. Newer agents have been consistently associated with excessive weight gain. Key studies are underway to inform the optimal use of specific ART in PWH dealing with obesity. For weight management, behavioral interventions fostering a healthier and active lifestyle, coupled with pharmacological therapies such as glucagon-like peptide 1 receptor agonists may be effective strategies in PWH, as recently demonstrated in those without HIV, although data in this regard is pending.Summary: A growing body of research has come to light in recent years regarding weight gain and obesity in PWH. However, much of the knowledge that inform current practices is extrapolated from studies in people without HIV. Modern ART regimens may promote excessive weight gain in some, and more research is needed to optimize ART selection and the use of weight loss medications.","PeriodicalId":10949,"journal":{"name":"Current Opinion in HIV and AIDS","volume":"18 2","pages":"68-74"},"PeriodicalIF":4.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10512032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Promoting patient-centered care within HIV care settings in sub-Saharan Africa. 在撒哈拉以南非洲地区的艾滋病护理机构中推广以患者为中心的护理。

IF 4.1 3区医学

Current Opinion in HIV and AIDS Pub Date : 2023-01-01 Epub Date: 2022-11-14 DOI: 10.1097/COH.0000000000000770

Juddy Wachira, Becky L Genberg, Ira B Wilson

{"title":"Promoting patient-centered care within HIV care settings in sub-Saharan Africa.","authors":"Juddy Wachira, Becky L Genberg, Ira B Wilson","doi":"10.1097/COH.0000000000000770","DOIUrl":"10.1097/COH.0000000000000770","url":null,"abstract":"Purpose of review: Patient centered care (PCC) in human immunodeficiency virus (HIV) care systems in sub-Saharan Africa (SSA) may improve outcomes for persons with HIV (PWH). We review the progress the region has made in promoting PCC and highlight some of the implementation challenges and potential areas of research.Recent findings: Studies show growing interest in promoting PCC across HIV care programs in SSA. Effective implementation of PCC, however, is hampered by: (1) lack of consensus on the conceptualization of PCC, including definition, frameworks, measures, and implementation strategies; (2) limited regional studies on the adoption and sustainability of PCC interventions; and (3) healthcare structural challenges including limited capital and human resources, poor provider-patient dynamics, high provider turnover, and lack of continuity in care. Recent studies in the region have focused on identifying key PCC domains addressable in resource limited settings, understanding the PCC experiences and expectations of PWH and their providers, and testing innovative interventions. We highlight the need for additional studies to address the existing gaps.Summary: We discuss the progress and challenges of implementing PCC in HIV care settings in SSA as well as the need for additional research to ensure that proposed PCC interventions have optimal impact.","PeriodicalId":10949,"journal":{"name":"Current Opinion in HIV and AIDS","volume":"18 1","pages":"27-31"},"PeriodicalIF":4.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9757848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10129225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A world of choices: preference elicitation methods for improving the delivery and uptake of HIV prevention and treatment. 一个充满选择的世界：改善艾滋病毒预防和治疗的提供和吸收的偏好激发方法。

IF 4.1 3区医学

Current Opinion in HIV and AIDS Pub Date : 2023-01-01 Epub Date: 2022-11-17 DOI: 10.1097/COH.0000000000000776

Andrew D Kerkhoff, Charles Muiruri, Elvin H Geng, Matthew D Hickey

{"title":"A world of choices: preference elicitation methods for improving the delivery and uptake of HIV prevention and treatment.","authors":"Andrew D Kerkhoff, Charles Muiruri, Elvin H Geng, Matthew D Hickey","doi":"10.1097/COH.0000000000000776","DOIUrl":"10.1097/COH.0000000000000776","url":null,"abstract":"Purpose of review: Despite the growing availability of effective HIV prevention and treatment interventions, there are large gaps in their uptake and sustained use across settings. It is crucial to elicit and apply patients' and stakeholders' preferences to maximize the impact of existing and future interventions. This review summarizes quantitative preference elicitation methods (PEM) and how they can be applied to improve the delivery and uptake of HIV prevention and treatment interventions.Recent findings: PEM are increasingly applied in HIV implementation research; however, discrete choice experiments (DCEs) have predominated. Beyond DCEs, there are other underutilized PEM that may improve the reach and effectiveness of HIV prevention and treatment interventions among individuals by prioritizing their barriers to engagement and determining which attributes of interventions and delivery strategies are most valued. PEM can also enhance the adoption and sustained implementation of strategies to deliver HIV prevention and treatment interventions by assessing which attributes are the most acceptable and appropriate to key stakeholders.Summary: Greater attention to and incorporation of patient's and stakeholders' preferences for HIV prevention and treatment interventions and their delivery has the potential to increase the number of persons accessing and retained in HIV prevention and treatment services.","PeriodicalId":10949,"journal":{"name":"Current Opinion in HIV and AIDS","volume":"18 1","pages":"32-45"},"PeriodicalIF":4.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9772083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10141862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nongovernmental organizations supporting the HIV service delivery response in Africa - an engine for innovation. 非政府组织支持非洲艾滋病毒服务提供反应——创新引擎。

IF 4.1 3区医学

Current Opinion in HIV and AIDS Pub Date : 2023-01-01 DOI: 10.1097/COH.0000000000000774

Izukanji Sikazwe, Carolyn Bolton-Moore, Michael B Herce

{"title":"Nongovernmental organizations supporting the HIV service delivery response in Africa - an engine for innovation.","authors":"Izukanji Sikazwe, Carolyn Bolton-Moore, Michael B Herce","doi":"10.1097/COH.0000000000000774","DOIUrl":"https://doi.org/10.1097/COH.0000000000000774","url":null,"abstract":"Purpose of review: Nongovernmental organizations (NGOs) are pivotal to the HIV response, supporting access to HIV services since the start of the epidemic. Against the backdrop of the impact of NGOs, is the recognition of the unique role that local NGOs bring to the HIV response, drawing from their deep understanding of the context and knowledge of local health problems.Recent findings: The Centre for Infectious Disease Research in Zambia (CIDRZ) is one such NGO. Through various implementation science research and programs, CIDRZ has supported the Zambian government's HIV response. As Zambia moves closer to epidemic control, understanding reasons for patient disengagement from care and patient preferences for HIV care demonstrated by CIDRZ have contributed to global and national HIV treatment and care guidelines.Summary: This paper offers a case study for how NGOs like CIDRZ can serve as health system-wide catalyst to identify, integrate, and scale up evidence-based practices for HIV prevention, care, and treatment. It draws from the public health literature, CIDRZ extensive program and research experience and implementation science theory, to illustrate key strategies that can be deployed by local NGOs to spark innovation, quality improvement, and support governments to achieve and sustain HIV epidemic control.","PeriodicalId":10949,"journal":{"name":"Current Opinion in HIV and AIDS","volume":"18 1","pages":"52-56"},"PeriodicalIF":4.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10129226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Whole person HIV services: a social science approach. 全人艾滋病毒服务:一种社会科学方法。

IF 4.1 3区医学

Current Opinion in HIV and AIDS Pub Date : 2023-01-01 DOI: 10.1097/COH.0000000000000773

Alastair Van Heerden, Hilton Humphries, Elvin Geng

{"title":"Whole person HIV services: a social science approach.","authors":"Alastair Van Heerden, Hilton Humphries, Elvin Geng","doi":"10.1097/COH.0000000000000773","DOIUrl":"https://doi.org/10.1097/COH.0000000000000773","url":null,"abstract":"Purpose of review: Globally, approximately 38.4 million people who are navigating complex lives, are also living with HIV, while HIV incident cases remain high. To improve the effectiveness of HIV prevention and treatment service implementation, we need to understand what drives human behaviour and decision-making around HIV service use. This review highlights current thinking in the social sciences, emphasizing how understanding human behaviour can be leveraged to improve HIV service delivery.Recent findings: The social sciences offer rich methodologies and theoretical frameworks for investigating how factors synergize to influence human behaviour and decision-making. Social-ecological models, such as the Behavioural Drivers Model (BDM), help us conceptualize and investigate the complexity of people's lives. Multistate and group-based trajectory modelling are useful tools for investigating the longitudinal nature of peoples HIV journeys. Successful HIV responses need to leverage social science approaches to design effective, efficient, and high-quality programmes.Summary: To improve our HIV response, implementation scientists, interventionists, and public health officials must respond to the context in which people make decisions about their health. Translating biomedical efficacy into real-world effectiveness is not simply finding a way around contextual barriers but rather engaging with the social context in which communities use HIV services.","PeriodicalId":10949,"journal":{"name":"Current Opinion in HIV and AIDS","volume":"18 1","pages":"46-51"},"PeriodicalIF":4.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9799045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10141867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Public health services and intersectional stigma: a social sciences perspective with implications for HIV service design and delivery. 公共卫生服务和交叉污名:对艾滋病毒服务设计和提供的影响的社会科学观点。

IF 4.1 3区医学

Current Opinion in HIV and AIDS Pub Date : 2023-01-01 DOI: 10.1097/COH.0000000000000769

Rayner Kay Jin Tan, Weiming Tang, Joseph D Tucker

{"title":"Public health services and intersectional stigma: a social sciences perspective with implications for HIV service design and delivery.","authors":"Rayner Kay Jin Tan, Weiming Tang, Joseph D Tucker","doi":"10.1097/COH.0000000000000769","DOIUrl":"https://doi.org/10.1097/COH.0000000000000769","url":null,"abstract":"Purpose of review: Understanding stigma is important for improving HIV care services and gaps in HIV service delivery have been attributed to stigma. This review article synthesizes recent evidence on stigma and its implications for HIV service design and delivery. Given the intersectional nature of stigma, we will focus on HIV stigma as well as related forms of stigma based on one's race, sexual identity, gender identity and other identities.Recent findings: Stigma remains a barrier to achieving equity in HIV services. Individualistic measures of stigma remain influential and are associated with barriers to accessing HIV health services. Recent work also highlights stigma measured at a structural level and its impact on HIV services contexts. Individuals situated at intersections of marginalized identities continue to face greatest injustices, and although intersectional approaches have been adapted to design services at a micro level, few focus on structural change. Recent evidence for mitigating stigma indicates some success for psychosocial interventions that target internalized stigma. Furthermore, community-led approaches show promise in addressing stigma that manifests in HIV health services settings.Summary: Interventions that address individual-level stigma and structural stigma are needed. Theoretical and applied antistigma research is needed to make HIV services more equitable.","PeriodicalId":10949,"journal":{"name":"Current Opinion in HIV and AIDS","volume":"18 1","pages":"18-26"},"PeriodicalIF":4.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10344326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Editorial introductions. 编辑介绍。

IF 4.1 3区医学

Current Opinion in HIV and AIDS Pub Date : 2023-01-01 DOI: 10.1097/COH.0000000000000775

引用次数: 0

Advancing considerations of context in the evaluation and implementation of evidence-based biomedical HIV prevention interventions: a review of recent research. 在评估和实施以证据为基础的生物医学艾滋病预防干预措施时推进对背景的考虑：近期研究综述。

IF 4.1 3区医学

Current Opinion in HIV and AIDS Pub Date : 2023-01-01 Epub Date: 2022-11-07 DOI: 10.1097/COH.0000000000000768

Jennifer Velloza, Stephanie Roche, Tessa Concepcion, Katrina F Ortblad

{"title":"Advancing considerations of context in the evaluation and implementation of evidence-based biomedical HIV prevention interventions: a review of recent research.","authors":"Jennifer Velloza, Stephanie Roche, Tessa Concepcion, Katrina F Ortblad","doi":"10.1097/COH.0000000000000768","DOIUrl":"10.1097/COH.0000000000000768","url":null,"abstract":"Purpose of review: A paradigm shift is needed in how we think about biomedical HIV prevention product effectiveness. Often, we expect randomized trial findings to be generalizable across populations and settings where products will be delivered, without consideration of key contextual drivers that could impact effectiveness. Moreover, researchers and policy-makers generally discount products with varied effect sizes across contexts, rather than explicating the drivers of these differences and using them to inform equitable product choice and delivery. We conducted a review of the recent HIV prevention research to advance considerations of context in choices of when, why, and how to implement biomedical HIV prevention products, with a particular focus on daily oral preexposure prophylaxis (PrEP) and the dapivirine vaginal ring (DPV).Recent findings: Findings across recent studies of PrEP and DPV emphasize that products that do not work well in one context might be highly desirable in another. Key contextual drivers of PrEP and DPV effectiveness, use, and implementation include population, health system, cultural, and historical factors. We recommend conceptualization, measurement, and analysis approaches to fully understand the potential impact of context on prevention product delivery. Execution of these approaches has real-world implications for HIV prevention product choice and could prevent the field from dismissing biomedical HIV prevention products based on trial findings alone.Summary: Ending the HIV epidemic will require tailored, person-centered, and equitable approaches to design, implement, and evaluate HIV prevention products which necessitates considerations of context in ongoing research and implementation.","PeriodicalId":10949,"journal":{"name":"Current Opinion in HIV and AIDS","volume":"18 1","pages":"1-11"},"PeriodicalIF":4.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9757852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10129223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

HIV cure: an acceptability scientific agenda. 艾滋病治愈：可接受性科学议程。

IF 4.5 3区医学

Current Opinion in HIV and AIDS Pub Date : 2023-01-01 Epub Date: 2022-11-09 DOI: 10.1097/COH.0000000000000771

Evelyn Y Bonney, Helena Lamptey, George B Kyei

引用次数: 0

Editorial introduction. 编辑介绍。

IF 4.1 3区医学

Current Opinion in HIV and AIDS Pub Date : 2022-11-01 DOI: 10.1097/COH.0000000000000762

引用次数: 0