Journal of the International Association of Providers of AIDS Care最新文献_第9页

Situating HIV Stigma in Health Facility Settings: A Qualitative Study of Experiences and Perceptions of Stigma in ‘Clinics’ among Healthcare Workers and Service Users in Zambia 卫生机构环境中的HIV污名定位：赞比亚医护人员和服务使用者在“诊所”中对污名的体验和认知的定性研究

Journal of the International Association of Providers of AIDS Care Pub Date : 2022-01-01 DOI: 10.1177/23259582221100453

S. Mulubale, S. Clay, Corinne Squire, V. Bond, Kasoka Kasoka, Lucy Stackpool-Moore, Tessa Oraro-Lawrence, M. Chonta, C. Chiiya

{"title":"Situating HIV Stigma in Health Facility Settings: A Qualitative Study of Experiences and Perceptions of Stigma in ‘Clinics’ among Healthcare Workers and Service Users in Zambia","authors":"S. Mulubale, S. Clay, Corinne Squire, V. Bond, Kasoka Kasoka, Lucy Stackpool-Moore, Tessa Oraro-Lawrence, M. Chonta, C. Chiiya","doi":"10.1177/23259582221100453","DOIUrl":"https://doi.org/10.1177/23259582221100453","url":null,"abstract":"The study focused on the representations, processes and effects of HIV stigma for healthcare workers living with HIV within health facilities in Zambia. A descriptive study design was deployed. A total of 56 health workers and four service user participants responded to a structured questionnaire (n = 50) or took part in key informant interviews (n = 10) in five high HIV-prevalence provinces. Most participants did not disclose if they were living with HIV, except for four participants who responded to the questionnaire and were selected for being open about living with HIV. Semi-structured interviews were carried out with health workers in key government health facility positions. The questions were standardized and used a Likert scale. Descriptive statistical and thematic analyses were applied to the data. Results show that antiretroviral treatment (ART) has an impact on stigma reduction. Almost half the participants agreed that treatment is reducing levels of HIV stigma. However, fears of exposure of HIV status and labelling and judgemental attitudes persist. No comprehensive stigma reduction policies and guidelines in healthcare facilities were mentioned. Informal flexible systems to deliver HIV services were in place for health workers living with HIV, illustrating how stigma can be quietly navigated. Lack of confidentiality in healthcare facilities plays a role in fuelling disclosure issues and hampering access to testing and treatment. Stigma reduction training needs standardization. Further, codes of conduct for ‘stigma-free healthcare settings’ should be developed.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43071969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Anxiety and Worry About COVID-19 Infection are Associated with Less Confidence in Ability to Engage in Treatment: Results from a South India Cohort of People Living with HIV (PLWH) 对新冠肺炎感染的焦虑和担忧与对治疗能力的信心下降有关：来自南印度艾滋病毒感染者队列的结果

Journal of the International Association of Providers of AIDS Care Pub Date : 2022-01-01 DOI: 10.1177/23259582221080303

M. Ekstrand, E. Heylen, Matilda Pereira, S. Chandy, K. Srinivasan

{"title":"Anxiety and Worry About COVID-19 Infection are Associated with Less Confidence in Ability to Engage in Treatment: Results from a South India Cohort of People Living with HIV (PLWH)","authors":"M. Ekstrand, E. Heylen, Matilda Pereira, S. Chandy, K. Srinivasan","doi":"10.1177/23259582221080303","DOIUrl":"https://doi.org/10.1177/23259582221080303","url":null,"abstract":"Following its initial outbreak in Wuhan in December 2019, SARS-CoV-2 spread rapidly around the world and was characterized byWHO as a global pandemic onMarch 12, 2020. Given its global impact, it led to a great deal of concern among the approximately 38 million people living with HIV (PWH). Although many governments worked hard to sustain HIV services, often in collaboration with community partners, it soon became clear that PWH faced multiple barriers and challenges to remain engaged in the HIV care continuum. Containment of the global COVID-19 pandemic required that governments implemented multiple strategies, including requirements to shelter-in-place, distancing, and placing restrictions on travel, which may serve as barriers to accessing non-COVID-related healthcare. OnMarch 25, 2020, the government of India announced an initial “lockdown,” due to the global COVID-19 pandemic, which restricted movement, social gatherings and economic activity until May 31. This resulted in many citizens returning to their native homes to shelter with their extended families. It is unknown what impact the lockdowns may have had on the ability of PWH to visit ART clinics, obtain prescription refills or adhere to their regimens. Since successfulmanagement of HIV requires excellent adherence and timely prescription refills to avoid treatment interruptions, real or perceived challenges, including HIV stigma and worries about coronavirus infection may have interfered with this effort.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44256306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Journal of the International Association of Providers of AIDS Care Pub Date : 2022-01-01 DOI: 10.1177/23259582221114797

Amanda Blair Spence, Cuiwei Wang, Katherine Michel, Joanne Michelle Ocampo, Michael Kharfen, Daniel Merenstein, Lakshmi Goparaju, Seble Kassaye

{"title":"HIV Related Stigma among Healthcare Providers: Opportunities for Education and Training.","authors":"Amanda Blair Spence, Cuiwei Wang, Katherine Michel, Joanne Michelle Ocampo, Michael Kharfen, Daniel Merenstein, Lakshmi Goparaju, Seble Kassaye","doi":"10.1177/23259582221114797","DOIUrl":"https://doi.org/10.1177/23259582221114797","url":null,"abstract":"Background: HIV-stigma can influence engagement in care and viral suppression rates among persons living with HIV (PLWH). Understanding HIV-provider level stigma and its associated factors may aid in development of interventions to improve engagement in care. Methods: We assessed HIV-related stigma, provider knowledge, and practices and beliefs among healthcare providers using an online survey tool. Generalized linear modeling was used to determine factors associated with HIV-stigma score. Results: Among 436 participants, the mean age was 42.3 (SD 12.3), 70% female, 62% white, 65% physicians, and 44% worked at an academic center. The mean HIV Health Care Provider Stigma Scale (HPASS) score was 150.5 (SD 18.9, total = 180 [higher score = less stigma]) with factor subscale scores of 67.1 (SD 8.2, total = 78) prejudice, 51.3 (SD 9.7, total = 66) stereotyping, and 32.1 (SD 5, total = 36) discrimination. Female sex and comfort with talking about sex and drug use had 4.97 (95% CI 0.61, 9.32) and 1.99 (95% CI 0.88, 3.10) estimated higher HPASS scores. Disagreement/strong disagreement versus strong agreement with the statement that PLWH should be allowed to have babies and feeling responsible for talking about HIV prevention associated with -17.05 (95% CI -25.96, -8.15) and -2.16 (95% CI -3.43, -0.88) estimated lower HPASS scores. Conclusions: The modifiable factors we identified as associated with higher HIV related stigma may provide opportunities for education that may ameliorate these negative associations.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"21 ","pages":"23259582221114797"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/05/f9/10.1177_23259582221114797.PMC9310064.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10616616","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: 3

Depression and Anxiety in Youth and Young Adults Living with HIV: Frequency and Associated Factors in Thai Setting 艾滋病毒感染青年和年轻人的抑郁和焦虑：泰国环境中的频率和相关因素

Journal of the International Association of Providers of AIDS Care Pub Date : 2022-01-01 DOI: 10.1177/23259582221101811

S. Chantaratin, Kawita Trimetha, P. Werarak, K. Lapphra, Alan Maleesatharn, S. Rungmaitree, O. Wittawatmongkol, W. Phongsamart, N. Kongstan, Benjawan Khumcha, K. Chokephaibulkit

{"title":"Depression and Anxiety in Youth and Young Adults Living with HIV: Frequency and Associated Factors in Thai Setting","authors":"S. Chantaratin, Kawita Trimetha, P. Werarak, K. Lapphra, Alan Maleesatharn, S. Rungmaitree, O. Wittawatmongkol, W. Phongsamart, N. Kongstan, Benjawan Khumcha, K. Chokephaibulkit","doi":"10.1177/23259582221101811","DOIUrl":"https://doi.org/10.1177/23259582221101811","url":null,"abstract":"Integrative mental health care in HIV patients is an important contributor to successful therapy. This is a cross-sectional study in youth and young adults who attend routine HIV clinic at a tertiary care centre in Bangkok. We recruited 100 youth and 130 young adults living with HIV to evaluate the frequency of depression and anxiety and associated sociodemographic including sexual orientation and health-related behaviours. Overall, about a fifth of the participants had significant depression or anxiety. Interestingly, we found different factors associated with depression in youth and young adults living with HIV. Loss of their father, loss of close relatives or friends, and being unemployed or school exclusion were the factors associate with depression in youth; while dangerous alcohol use, feeling discriminated against and having lipodystrophy were factors in young adults. The understanding of the frequency and different associated factors can inform more effective prevention and treatment strategies.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49022475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Efficacy and Safety of Bictegravir-Based Regimen in Pregnant Women Living with HIV: A Case Report. 以比替格韦为基础的方案治疗HIV感染孕妇的疗效和安全性:1例报告。

Journal of the International Association of Providers of AIDS Care Pub Date : 2022-01-01 DOI: 10.1177/23259582221146110

Shaimaa Alsulami, Sultan N Alotaibi, Nader Damfu, Doaa M Aljefri, Hadeel Ahmed Altayib, Maher Alharbi

引用次数: 0

Impact of Antiretroviral Therapy on Kidney Disease in HIV Infected Individuals – A Qualitative Systematic Review 抗逆转录病毒治疗对HIV感染者肾脏疾病的影响——一项定性系统评价

Journal of the International Association of Providers of AIDS Care Pub Date : 2022-01-01 DOI: 10.1177/23259582221089194

Harsha Adnani, Nirav Agrawal, A. Khatri, Jaclyn Vialet, Meng Zhang, J. Cervia

引用次数: 2

Adherence to Antiretroviral Therapy and Associated Factors Among People Living With HIV Following the Introduction of Dolutegravir Based Regimens in Dar es Salaam, Tanzania 在坦桑尼亚达累斯萨拉姆引入以多替格拉韦为基础的治疗方案后，艾滋病毒感染者坚持抗逆转录病毒治疗及其相关因素

Journal of the International Association of Providers of AIDS Care Pub Date : 2022-01-01 DOI: 10.1177/23259582221084543

Mary Spicar Kilapilo, Raphael Zozimus Sangeda, G. Bwire, G. Sambayi, I. Mosha, J. Killewo

{"title":"Adherence to Antiretroviral Therapy and Associated Factors Among People Living With HIV Following the Introduction of Dolutegravir Based Regimens in Dar es Salaam, Tanzania","authors":"Mary Spicar Kilapilo, Raphael Zozimus Sangeda, G. Bwire, G. Sambayi, I. Mosha, J. Killewo","doi":"10.1177/23259582221084543","DOIUrl":"https://doi.org/10.1177/23259582221084543","url":null,"abstract":"Background: Adherence to antiretroviral therapy (ART) is the key determinant of virological suppression in people living with HIV (PLHIV). This study reports factors associated with non-adherence among PLHIV one year after introducing dolutegravir (DTG) based regimens in Tanzania. Methods: A hospital-based cross-sectional study was conducted in two health facilities in Dar es Salaam, Tanzania, in 2020. Results: A total of 406 PLHIV were recruited, where the majority (73.4%) were females, with 94.6% of patients being on DTG based regimens. Factors such as refill interval and sharing of antiretrovirals had significant effects on adherence. Multivariate analysis found that patients attending care and treatment center (CTC) at Temeke Regional Referral Hospital (RRH) were 4.3 times more likely to have non-adherence compared to those attending Amana RRH (aOR [adjusted odds ratio] 4.3, 95% CI [confidence interval]: 2.38 – 7.91, p-value < 0.0001). Conclusions: Sustainable adherence counseling is warranted to overcome non-adherence to ART.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46935641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Social Network Strategy to Promote HIV Testing and Linkage to HIV Services among Young men who Have sex with men and Transgender Women in Thailand. 促进泰国男男性行为青年和变性妇女艾滋病毒检测和与艾滋病毒服务联系的社会网络战略。

Journal of the International Association of Providers of AIDS Care Pub Date : 2022-01-01 DOI: 10.1177/23259582221143672

Nantika Paiboon, Wipaporn Natalie Songtaweesin, Prissana Wongharn, Jutamanee Moonwong, Sasiprapha Khamthi, Athiporn Premgamone, Tuangtip Theerawit, Chutima Saisaengjan, Surinda Kawichai, Suvaporn Anugulruengkitt, Thanyawee Puthanakit

{"title":"Social Network Strategy to Promote HIV Testing and Linkage to HIV Services among Young men who Have sex with men and Transgender Women in Thailand.","authors":"Nantika Paiboon, Wipaporn Natalie Songtaweesin, Prissana Wongharn, Jutamanee Moonwong, Sasiprapha Khamthi, Athiporn Premgamone, Tuangtip Theerawit, Chutima Saisaengjan, Surinda Kawichai, Suvaporn Anugulruengkitt, Thanyawee Puthanakit","doi":"10.1177/23259582221143672","DOIUrl":"https://doi.org/10.1177/23259582221143672","url":null,"abstract":"Background: Social network strategies (SNS) assumes that people in the same social share similar HIV risk. Methods: This study evaluated SNS to promote HIV testing of young men who have sex with men (YMSM) and transgender women (YTGW) aged 15-24 years. \"Recruiters\" referred their 'network members' (NMs) to clinic. NMs were provided HIV testing. Proportions of first-time HIV testers and number of NMs were analyzed. Results: Between April 2021 to March 2022, 83 recruiters referred 202 NMs. Median age of NMs was 19 years (IQR 17-20), 62% were YMSM. One-hundred-and-twenty-four NMs (61%) were first-time HIV testers. YTGW recruited more NMs per recruiter (5.4 vs 1.4, p = 0.002). HIV prevalence was 3.0% (95% CI 1.1-6.4). Thirty-one-point-three percent of NMs at HIV risk initiated oral HIV preexposure prophylaxis. Conclusions: SNS is a good strategy to reach adolescents at risk of HIV infection. More than half of NMs were first-time HIV testers.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"21 ","pages":"23259582221143672"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/13/ed/10.1177_23259582221143672.PMC9726844.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10695132","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: 1

Corticosteroids Use and Incidence of Severe Infections in People Living with HIV Compared to a Matched Population 与匹配人群相比，艾滋病毒感染者皮质类固醇的使用和严重感染的发生率

Journal of the International Association of Providers of AIDS Care Pub Date : 2022-01-01 DOI: 10.1177/23259582221107196

J. Damba, M. Laskine, Marc-Messier Peet, Yulan Jin, L. Sinyavskaya, Madeleine Durand

{"title":"Corticosteroids Use and Incidence of Severe Infections in People Living with HIV Compared to a Matched Population","authors":"J. Damba, M. Laskine, Marc-Messier Peet, Yulan Jin, L. Sinyavskaya, Madeleine Durand","doi":"10.1177/23259582221107196","DOIUrl":"https://doi.org/10.1177/23259582221107196","url":null,"abstract":"Background: People living with HIV (PLWH) have been shown to have an increased risk of autoimmune diseases. Corticosteroids are the cornerstone of autoimmune diseases treatment, but their use is associated with an increased risk of infections. It is unclear how HIV status affects the risk of infection associated with corticosteroids use. Methods: We conducted a retrospective cohort study from 1991 to 2011, using a medico-administrative database from Quebec. Medical billing codes were used to identify PLWH, and we matched them on age, sex, and index date with up to 4 HIV-negative controls. The exposure of interest was the use of corticosteroids, defined as a systemic corticosteroid dispensation lasting at least 20 days. The outcome of interest was hospitalization for severe infection. Crude and adjusted incidence rates ratios of infection were obtained using a random effect Poisson model, and results were stratified by HIV status. Results: In total, 4798 PLWH were matched to 17 644 HIV-negative controls, among which 1083 (22.6%) PLWH and 1854 (10.5%) HIV-negative controls received at least one course of corticosteroid. The mean duration of corticosteroids use was 4 ± 4.4 months in PLWH and 1.6 ± 5.5 months in HIV-negative controls. The incidence rate ratio (IRR) for infections associated with corticosteroids use was 2.49[1.71–3.60] in PLWH and 1.32[0.71–2.47] in HIV-negative controls (P value for interaction 0.18). The most frequent infections were pulmonary infections (50.4%), followed by urinary tract infections (26%) and opportunistic infections (10.5%). Conclusion: Although our interaction term did not reach significance, the increased risk of infection associated with corticosteroids use was more pronounced in PLWH. However, further research with contemporary data is warranted to confirm if the risk associated with corticosteroids use remains high in PLWH with well-controlled HIV infection.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49112457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Oral Abstracts from the Fast-Track Cities 2021 Conference Lisbon Portugal October 20-22, 2021 葡萄牙里斯本2021年快速通道城市会议口头摘要2021年10月20日至22日

Journal of the International Association of Providers of AIDS Care Pub Date : 2022-01-01 DOI: 10.1177/23259582221075431

Johnathan Saffold, P. Seal, M. Clement, Kevin Hemenger, Andrew Santiago, Kelly Muzariri, Collin, Mangenah, Tawanda Dadirai, Phyllis, Magoge-Mandizvidza, Rufurwokuda Maswera, C. Nyamukapa, K. Hauck, Simon, Gregson, M. Pickles, E. Valverde, Bordalo Mouzinho

引用次数: 0