Journal of the International Association of Providers of AIDS Care最新文献_第3页

Clinical Implications of HIV Treatment and Prevention for Polygamous Families in Kenya and Uganda: "My Co-Wife Is the One Who Used to Encourage Me". 肯尼亚和乌干达一夫多妻制家庭艾滋病治疗和预防的临床意义："我的同妻曾经鼓励过我"。

IF 2.2

Journal of the International Association of Providers of AIDS Care Pub Date : 2024-01-01 DOI: 10.1177/23259582241255171

Jason Johnson-Peretz, Anjeline Onyango, Sarah A Gutin, Laura Balzer, Cecilia Akatukwasa, Lawrence Owino, Titus M O Arunga, Fred Atwine, Maya Petersen, Moses Kamya, James Ayieko, Ted Ruel, Diane Havlir, Carol S Camlin

{"title":"Clinical Implications of HIV Treatment and Prevention for Polygamous Families in Kenya and Uganda: \"My Co-Wife Is the One Who Used to Encourage Me\".","authors":"Jason Johnson-Peretz, Anjeline Onyango, Sarah A Gutin, Laura Balzer, Cecilia Akatukwasa, Lawrence Owino, Titus M O Arunga, Fred Atwine, Maya Petersen, Moses Kamya, James Ayieko, Ted Ruel, Diane Havlir, Carol S Camlin","doi":"10.1177/23259582241255171","DOIUrl":"10.1177/23259582241255171","url":null,"abstract":"Polygamy is the practice of marriage to multiple partners. Approximately 6-11% of households in Uganda and 4-11% of households in Kenya are polygamous. The complex families produced by polygamous marriage customs give rise to additional considerations for healthcare providers and public health messaging around HIV care. Using 27 in-depth, semi-structured qualitative interviews with participants in two studies in rural Kenya and Uganda, we analysed challenges and opportunities that polygamous families presented in the diagnosis, treatment and prevention of HIV, and provider roles in improving HIV outcomes in these families. Overall, prevention methods seemed more justifiable to families where co-wives live far apart than when all members live in the same household. In treatment, diagnosis of one member did not always lead to disclosure to other members, creating an adverse home environment; but sometimes diagnosis of one wife led not only to diagnosis of the other, but also to greater household support.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"23 ","pages":"23259582241255171"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11100383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rapid Start of Antiretroviral Therapy in a Large Urban Clinic in the US South: Impact on HIV Care Continuum Outcomes and Medication Adherence. 在美国南部一个大型城市诊所快速启动抗逆转录病毒疗法：对艾滋病连续治疗结果和用药依从性的影响》（HIV Care Continuum Results and Medication Adherence）。

IF 2.2

Journal of the International Association of Providers of AIDS Care Pub Date : 2024-01-01 DOI: 10.1177/23259582241228164

Jeremy Y Chow, Ang Gao, Chul Ahn, Ank E Nijhawan

{"title":"Rapid Start of Antiretroviral Therapy in a Large Urban Clinic in the US South: Impact on HIV Care Continuum Outcomes and Medication Adherence.","authors":"Jeremy Y Chow, Ang Gao, Chul Ahn, Ank E Nijhawan","doi":"10.1177/23259582241228164","DOIUrl":"10.1177/23259582241228164","url":null,"abstract":"Rapid start of antiretroviral therapy (ART) has been associated with improvement in several HIV-related outcomes in clinical trials as well as demonstration projects, but how regional and contextual differences may affect the effectiveness of this intervention necessitates further study. In this study of a large, urban, Southern US clinic-based retrospective cohort, we identified 544 patients with a new diagnosis of HIV during 2016 to 2019 and compared HIV care continuum outcomes for the first 12 months of care before and after rapid start implementation. Kaplan-Meier time-to-event curves were used to summarize time to virologic suppression, and stepwise Cox, linear, and logistic regression models were used to create multivariate models to evaluate the association between rapid start and time to virologic suppression, medication adherence, and retention in care and sustained virologic suppression, respectively. We found that rapid start was significantly associated with improved medication adherence scores (+15.37 points, 95% confidence interval [CI] 9.36-21.39, P < .01) and retention in care (adjusted odds ratio = 1.51, 95% CI 1.05-2.19, P = .03). Time to virologic suppression (median 2.46 months before, 2.56 months after rapid start) and sustained virologic suppression were not associated with rapid start in our setting. Though rapid start was associated with improved medication adherence and retention in care, more support may be needed to achieve the same outcomes seen in other studies and sustained over the entire HIV care continuum, especially in settings with significant patient and systemic barriers to care such as unstable housing, lack of Medicaid expansion, and frequent coverage interruptions.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"23 ","pages":"23259582241228164"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10832401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139651066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dissemination of the Women-Centred HIV Care Model: A Multimodal Process and Evaluation. 传播以妇女为中心的艾滋病护理模式：多模式过程与评估。

IF 2.2

Journal of the International Association of Providers of AIDS Care Pub Date : 2024-01-01 DOI: 10.1177/23259582231226036

Jill Koebel, Mina Kazemi, V Logan Kennedy, Priscilla Medeiros, Breklyn Bertozzi, Lindsay Bevan, Wangari Tharao, Carmen H Logie, Angela Underhill, Neora Pick, Elizabeth King, Mary Kestler, Mark H Yudin, Jesleen Rana, Adriana Carvalhal, Kath Webster, Melanie Lee, Shaz Islam, Valerie Nicholson, Mary Ndung'u, Manjulaa Narasimhan, Brenda Gagnier, Muluba Habanyama, Alexandra de Pokomandy, Angela Kaida, Mona Loutfy

{"title":"Dissemination of the Women-Centred HIV Care Model: A Multimodal Process and Evaluation.","authors":"Jill Koebel, Mina Kazemi, V Logan Kennedy, Priscilla Medeiros, Breklyn Bertozzi, Lindsay Bevan, Wangari Tharao, Carmen H Logie, Angela Underhill, Neora Pick, Elizabeth King, Mary Kestler, Mark H Yudin, Jesleen Rana, Adriana Carvalhal, Kath Webster, Melanie Lee, Shaz Islam, Valerie Nicholson, Mary Ndung'u, Manjulaa Narasimhan, Brenda Gagnier, Muluba Habanyama, Alexandra de Pokomandy, Angela Kaida, Mona Loutfy","doi":"10.1177/23259582231226036","DOIUrl":"10.1177/23259582231226036","url":null,"abstract":"Background: Using data from a national cohort study and focus groups, the Women-Centred HIV Care (WCHC) Model was developed to inform care delivery for women living with HIV.Methods: Through an evidence-based, integrated knowledge translation approach, we developed 2 toolkits based on the WCHC Model for service providers and women living with HIV in English and French (Canada's national languages). To disseminate, we distributed printed advertising materials, hosted 3 national webinars and conducted 2 virtual capacity-building training series.Results: A total of 315 individuals attended the webinars, and the average WCHC knowledge increased by 29% (SD 4.3%). In total, 131 service providers engaged in 22 virtual capacity-building training sessions with 21 clinical cases discussed. Learners self-reported increased confidence in 15/15 abilities, including the ability to provide WCHC. As of December 2023, the toolkits were downloaded 7766 times.Conclusions: We successfully developed WCHC toolkits and shared them with diverse clinical and community audiences through various dissemination methods.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"23 ","pages":"23259582231226036"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10894538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139931678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient Participant Perspectives on Implementation of Long-Acting Cabotegravir and Rilpivirine: Results From the Cabotegravir and Rilpivirine Implementation Study in European Locations (CARISEL) Study. 患者参与者对长效卡博特拉韦和利匹韦林实施情况的看法：欧洲卡博替拉韦和利匹韦林实施研究（CARISEL）的结果。

IF 2.2

Journal of the International Association of Providers of AIDS Care Pub Date : 2024-01-01 DOI: 10.1177/23259582241269837

Cassidy A Gutner, Marc van der Valk, Joaquin Portilla, Eliette Jeanmaire, Leïla Belkhir, Thomas Lutz, Rebecca DeMoor, Rekha Trehan, Jenny Scherzer, Miguel Pascual-Bernáldez, Mounir Ait-Khaled, Beatriz Hernandez, Annemiek de Ruiter, Savita Bakhshi Anand, Emma L Low, Monica Hadi, Nicola Barnes, Nick Sevdalis, Perry Mohammed, Maggie Czarnogorski

{"title":"Patient Participant Perspectives on Implementation of Long-Acting Cabotegravir and Rilpivirine: Results From the Cabotegravir and Rilpivirine Implementation Study in European Locations (CARISEL) Study.","authors":"Cassidy A Gutner, Marc van der Valk, Joaquin Portilla, Eliette Jeanmaire, Leïla Belkhir, Thomas Lutz, Rebecca DeMoor, Rekha Trehan, Jenny Scherzer, Miguel Pascual-Bernáldez, Mounir Ait-Khaled, Beatriz Hernandez, Annemiek de Ruiter, Savita Bakhshi Anand, Emma L Low, Monica Hadi, Nicola Barnes, Nick Sevdalis, Perry Mohammed, Maggie Czarnogorski","doi":"10.1177/23259582241269837","DOIUrl":"10.1177/23259582241269837","url":null,"abstract":"Introduction: CARISEL is an implementation-effectiveness \"hybrid\" study examining the perspectives of people living with HIV-1 (patient study participants [PSPs]) on cabotegravir (CAB) plus rilpivirine (RPV) long-acting (LA) dosed every 2 months (Q2M) across 5 European countries.Methods: PSPs completed questionnaires on acceptability (Acceptability of Intervention Measure), appropriateness (Intervention Appropriateness Measure), and feasibility (Feasibility of Intervention Measure) at their first (Month [M] 1), third (M4), and seventh (M12) injection visits. Semistructured qualitative interviews were also conducted.Results: Overall, 437 PSPs were enrolled, of whom 430 received treatment. Median (interquartile range) age was 44 (37-51) years, 25.3% (n = 109/430) were female (sex at birth), and 21.9% (n = 94/430) were persons of color. Across time points, PSPs found CAB + RPV LA highly acceptable, appropriate, and feasible (mean scores ≥4.47/5). Qualitative data supported these observations.Conclusions: PSPs found CAB + RPV LA Q2M to be an acceptable, appropriate, and feasible treatment option.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"23 ","pages":"23259582241269837"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11367594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142108694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patients' and Care Providers' Reported Barriers and Suggestions for Improving HIV Viral Load Testing in Tanzania: A Qualitative Study in Dar es Salaam. 坦桑尼亚患者和护理人员报告的障碍及改进 HIV 病毒载量检测的建议：达累斯萨拉姆定性研究》。

IF 2.2

Journal of the International Association of Providers of AIDS Care Pub Date : 2024-01-01 DOI: 10.1177/23259582241273385

Peter M Karoli, Elizabeth H Shayo, Grace A Shayo, Zenais A Kiwale, Claudia A Hawkins, Sylvia F Kaaya, Lisa R Hirschhorn

{"title":"Patients' and Care Providers' Reported Barriers and Suggestions for Improving HIV Viral Load Testing in Tanzania: A Qualitative Study in Dar es Salaam.","authors":"Peter M Karoli, Elizabeth H Shayo, Grace A Shayo, Zenais A Kiwale, Claudia A Hawkins, Sylvia F Kaaya, Lisa R Hirschhorn","doi":"10.1177/23259582241273385","DOIUrl":"10.1177/23259582241273385","url":null,"abstract":"The study explores barriers and suggestions for improving viral load testing (VLT) uptake in Tanzania, revealing that only 58% of patients receive VLT annually, contrary to the Tanzanian National Guidelines toward the 95-95-95 UNAIDS targets. Twelve individual interviews and three patient-focus groups were conducted as part of a qualitative study conducted in six human immunodeficiency virus (HIV) clinics in Dar es Salaam to identify potential suggestions for access enhancement, as well as barriers to VLT uptake. Using King's theory of goal attainment, we found that missing appointments was the primary individual barrier to VLT uptake, along with limited knowledge among individuals living with HIV. Participants also face system-level barriers, such as a lack of integrated care and evening service availability. The study suggests that, despite challenges, there is potential for improvement in the uptake and quality of VLT services in Tanzanian public health facilities through a holistic approach.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"23 ","pages":"23259582241273385"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11368890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142004501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effects of COVID-19 Pandemic on HIV Service Provision in Ukraine. COVID-19 大流行对乌克兰提供艾滋病服务的影响。

IF 2.2

Journal of the International Association of Providers of AIDS Care Pub Date : 2024-01-01 DOI: 10.1177/23259582241277649

Oleksandr Neduzhko, Tetiana Kiriazova, Oleksandr Zeziulin, Liudmyla Legkostup, Serhii Riabokon, Jack A DeHovitz, Kostyantyn Dumchev

{"title":"The Effects of COVID-19 Pandemic on HIV Service Provision in Ukraine.","authors":"Oleksandr Neduzhko, Tetiana Kiriazova, Oleksandr Zeziulin, Liudmyla Legkostup, Serhii Riabokon, Jack A DeHovitz, Kostyantyn Dumchev","doi":"10.1177/23259582241277649","DOIUrl":"10.1177/23259582241277649","url":null,"abstract":"Ukraine faced significant fluctuations in COVID-19 morbidity and mortality, alongside an escalating HIV epidemic. This mixed-methods study, conducted between February and August 2022, employed a sequential explanatory design combining a quantitative analysis of national data and qualitative interviews to investigate the pandemic's effects on HIV services in Ukraine. The observed trends confirmed that the pandemic significantly disrupted facility-based HIV testing due to logistical challenges, an increased burden on healthcare workers, and supply shortages. Meanwhile, community-based testing showed resilience, largely attributed to programmatic adjustments rather than the pandemic itself. The initiation of antiretroviral therapy declined, especially during initial lockdowns, reflecting diminished treatment capacities. Despite these challenges, telemedicine and home medication delivery innovations supported antiretroviral therapy adherence. Furthermore, improvements in viral load testing and suppression rates showed healthcare resilience. The study highlights the critical need for adaptable, sustainable healthcare strategies in crises, emphasized during the war with Russia.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"23 ","pages":"23259582241277649"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11384520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Curable Sexually Transmitted Infections Among a Population of South African Nonhealth Seeking Men Who Have Sex With Men Who Were Invited for Screening-A Brief Report. 被邀请进行筛查的南非非寻求健康的男男性行为者中可治愈的性传播感染——一份简短报告

IF 2.2

Journal of the International Association of Providers of AIDS Care Pub Date : 2024-01-01 DOI: 10.1177/23259582241299468

Matshidiso Adelaide Malefo, Olalekan Abdulwahab Ayo-Yusuf, Mathildah Mpata Mokgatle

{"title":"Curable Sexually Transmitted Infections Among a Population of South African Nonhealth Seeking Men Who Have Sex With Men Who Were Invited for Screening-A Brief Report.","authors":"Matshidiso Adelaide Malefo, Olalekan Abdulwahab Ayo-Yusuf, Mathildah Mpata Mokgatle","doi":"10.1177/23259582241299468","DOIUrl":"10.1177/23259582241299468","url":null,"abstract":"Background: This study assessed sexually transmitted infection (STI) results among nonhealth-seeking men who have sex with men (MSM) who had not previously screened for curable STIs. Methods: Secondary data analysis of a sample of 164 MSM who were STI infection naïve was performed. Data were collected in the Clinical Research Unit (MeCRU) among the MSM in the Tshwane North area, South Africa. Results: Over half of the sample (58.5%; n = 96) were in casual relationships, 81.7% (n = 134) had reported testing for HIV in the previous 3 months, and 68.9% tested positive for STIs. Logistic regression revealed that the odds of a positive STI test result were significantly higher among those who had reportedly tested for HIV in the previous 3 months compared to those who had not (OR = 2.43; 95% CI = 1.06-5.69). Conclusion: The study revealed a high prevalence of STI among nonhealth seeking MSM and STI diagnosis was associated with having tested for HIV in the previous 3 months. It is, therefore, important to offer regular STIs screening services to the MSM community.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"23 ","pages":"23259582241299468"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142785943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Findings From the Todurujo na Kadurok (Empowering Youth) HIV Self-Testing and Edutainment Comic Randomized Controlled Trial With Refugee Youth in a Humanitarian Setting in Uganda. 在乌干达人道主义环境中对难民青年开展的 "Todurujo na Kadurok（增强青年能力）HIV 病毒自我检测和寓教于乐漫画随机对照试验 "的结果。

IF 2.2

Journal of the International Association of Providers of AIDS Care Pub Date : 2024-01-01 DOI: 10.1177/23259582241307057

Carmen H Logie, Miranda G Loutet, Moses Okumu, Frannie MacKenzie, Madelaine Coelho, Simon Odong Lukone, Nelson Kisubi, Aiman Malhi, Peter Kyambadde, Lawrence Mbuagbaw

{"title":"Findings From the Todurujo na Kadurok (Empowering Youth) HIV Self-Testing and Edutainment Comic Randomized Controlled Trial With Refugee Youth in a Humanitarian Setting in Uganda.","authors":"Carmen H Logie, Miranda G Loutet, Moses Okumu, Frannie MacKenzie, Madelaine Coelho, Simon Odong Lukone, Nelson Kisubi, Aiman Malhi, Peter Kyambadde, Lawrence Mbuagbaw","doi":"10.1177/23259582241307057","DOIUrl":"10.1177/23259582241307057","url":null,"abstract":"Introduction: Humanitarian settings are underserved by HIV self-testing (HIV-ST).Methods: We conducted a randomized controlled trial to evaluate the effectiveness of HIV-ST (Arm 1), HIV-ST alongside edutainment comics (Arm 2), and edutainment comics (Arm 3), compared with the standard of care (SOC), in increasing HIV testing with refugee youth aged 16-24 in the Bidi Bidi Refugee Settlement, Uganda. Intervention effects on HIV testing at 3-month follow-up (T2) were assessed using generalized estimating equation models alongside open-ended questions.Results: Retention was 98% (n = 117/120) at T2. In adjusted analyses compared with the SOC, HIV testing changes from baseline to T2 were highest in Arm 2 (adjusted odds ratio [aOR]: 8.46; 95% confidence interval [CI]: 2.87-24.97), followed by Arm 3 (aOR: 4.14; 95% CI: 1.58-10.87), with no significant differences in Arm 1.Conclusion: HIV self-testing is feasible for refugee youth in Uganda and can be supplemented with edutainment comics to advance HIV prevention efforts.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"23 ","pages":"23259582241307057"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

'You Are Always Worried and Have No Peace, You Cannot Be a Normal Adolescent': A Qualitative Study of the Effects of Mental Health Problems on the Social Functioning of Adolescents Living with HIV in Uganda. 你总是忧心忡忡，不得安宁，你不可能成为一个正常的青少年"：心理健康问题对乌干达感染艾滋病毒的青少年社会功能影响的定性研究》。

IF 2.2

Journal of the International Association of Providers of AIDS Care Pub Date : 2024-01-01 DOI: 10.1177/23259582241298166

Esther Kalule Nanfuka, Agatha Kafuko, Rita Nakanjako, James Thomas Ssenfuuma, David Kaawa-Mafigiri

{"title":"'You Are Always Worried and Have No Peace, You Cannot Be a Normal Adolescent': A Qualitative Study of the Effects of Mental Health Problems on the Social Functioning of Adolescents Living with HIV in Uganda.","authors":"Esther Kalule Nanfuka, Agatha Kafuko, Rita Nakanjako, James Thomas Ssenfuuma, David Kaawa-Mafigiri","doi":"10.1177/23259582241298166","DOIUrl":"10.1177/23259582241298166","url":null,"abstract":"Adolescents living with HIV (ALHIV) are at heightened risk of experiencing mental health problems. However, research on the impact of mental health problems on ALHIV's everyday life is scanty. This article explores the effects of anxiety, depression and suicidal behaviour on the social functioning of ALHIV in a low-resource setting. The three mental health conditions were screened using the Patient Health Questionnaire modified for adolescents (PHQ-A) and Screen for Child Anxiety Related Disorder (SCARED), while social functioning was defined by normative role expectations of adolescents in the study setting. We conducted in-depth interviews with 31 ALHIV receiving care at two hospitals in Central Uganda. Data were analysed using thematic analysis techniques. We found that mental health problems impair the social functioning of ALHIV by obstructing them from realising normative expectations of adolescents within their socio-cultural milieu, including academic excellence, maintaining amicable relationships and good physical health. In a context of scarcity, impaired social functioning has grave implications for ALHIV's physical, psychological and social and economic wellbeing and concomitantly HIV treatment outcomes in the immediate and long term. Integration of mental health into HIV care is imperative, if the global goal to end AIDS is to be achieved.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"23 ","pages":"23259582241298166"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adapting Cognitive Remediation Group Therapy Online: Focus Groups with People Aging with HIV. 在线调整认知矫正小组疗法：与艾滋病毒携带者的焦点小组。

IF 2.2

Journal of the International Association of Providers of AIDS Care Pub Date : 2024-01-01 DOI: 10.1177/23259582241242703

Andrew D Eaton, Jenny Hui, Marvelous Muchenje, Taylor Kon, Kate Murzin, Soo Chan Carusone, Nuelle Novik, Adria Quigley, Kristina Kokorelias, Francisco Ibáñez-Carrasco

{"title":"Adapting Cognitive Remediation Group Therapy Online: Focus Groups with People Aging with HIV.","authors":"Andrew D Eaton, Jenny Hui, Marvelous Muchenje, Taylor Kon, Kate Murzin, Soo Chan Carusone, Nuelle Novik, Adria Quigley, Kristina Kokorelias, Francisco Ibáñez-Carrasco","doi":"10.1177/23259582241242703","DOIUrl":"10.1177/23259582241242703","url":null,"abstract":"Cognitive health is a significant concern for people aging with HIV/AIDS. Psychosocial group therapies may help people aging with HIV who experience cognitive challenges cope with their symptoms. The COVID-19 pandemic revealed in-person group therapies need adaptation for technology-mediated delivery. Peer-led focus groups discussed adapting cognitive remediation group therapy (CRGT) as an online intervention. CRGT combines mindfulness-based stress reduction and brain training activities. Purposive sampling recruited people aging with HIV (40+) who self-identified cognitive concerns and resided in one of two Canadian provinces. Thematic content analysis was employed on transcripts by seven independent coders. Ten, 2-hour focus groups were conducted between August and November 2022. Participants (n=45) responded favorably to CRGT's modalities. Alongside support for its continued implementation in-person, participants requested online synchronous and online asynchronous formats. Preferred intervention facilitators were peers and mental health professionals. We also discuss how to adapt psychosocial HIV therapies for technology-mediated delivery.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"23 ","pages":"23259582241242703"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10976509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140306084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0