Ifeanyichukwu Anthony Ogueji, Emmanuel Busayo Omotoso
{"title":"Barriers to PMTCT services uptake among pregnant women living with HIV: A qualitative study","authors":"Ifeanyichukwu Anthony Ogueji, Emmanuel Busayo Omotoso","doi":"10.1080/15381501.2021.1919276","DOIUrl":"https://doi.org/10.1080/15381501.2021.1919276","url":null,"abstract":"Abstract Aim The uptake of the prevention of mother-to-child transmission of HIV (PMTCT) services is predictive of HIV transmission; however, many barriers limit pregnant women living with HIV from this uptake. This study, therefore, aimed to explore some barriers to PMTCT services uptake among pregnant women living with HIV. Methods A qualitative interview design was employed with pregnant women living with HIV, their husbands or relatives, and service providers in two Nigerian health facilities. Thirty-five participants were individually interviewed until data saturation occurred, and the data were thematically analyzed. Results Five barriers to PMTCT services uptake were found - “fear of stigmatization,” “poor support from family,” “conflict between attending to social role demands and PMTCT programs,” “financial and time cost to health facilities,” and “poor service provider-patient interaction.” Conclusion These data contribute to informing targeted interventions that strengthen the uptake of PMTCT services among HIV-positive pregnant women.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"20 1","pages":"115 - 127"},"PeriodicalIF":0.7,"publicationDate":"2021-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2021.1919276","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45298208","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}
{"title":"The quandary of adolescent HIV: Perspectives of key informants in Accra, Ghana","authors":"M. Dako‑Gyeke, A. Boateng","doi":"10.1080/15381501.2021.1928578","DOIUrl":"https://doi.org/10.1080/15381501.2021.1928578","url":null,"abstract":"Abstract This study explored key informants’ perspectives about adolescents living with human immunodeficiency virus (HIV). Twenty-one participants were purposively selected and data were collected through face-to-face in-depth interviews using a semi-structured interview guide. The interviews were audio-recorded, transcribed, and analyzed to identify emerging themes. The findings indicated that adolescents living with HIV had concerns about disclosing their HIV status. Key informants reported that adolescents living with HIV’s responses to awareness about their status included anger, blame and social isolation. Also, it was found that the adolescents had challenges with adhering to scheduled medical appointments and the antiretroviral therapy. Evidence showed that financial constraints adversely affected adolescents’ clinic attendance and medication compliance. Several psychosocial support services (counseling, financial assistance, provision of basic needs, and cordial relationships) were identified by key informants as being available for adolescents living with HIV. Based on the findings of the study, conclusions were drawn and implications discussed.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"20 1","pages":"144 - 165"},"PeriodicalIF":0.7,"publicationDate":"2021-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2021.1928578","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44604621","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}
{"title":"Courtesy stigma and self-care practices among rural HIV/AIDS healthcare providers","authors":"F. Parks, S. Smallwood","doi":"10.1080/15381501.2021.1922116","DOIUrl":"https://doi.org/10.1080/15381501.2021.1922116","url":null,"abstract":"Abstract Stigma by association, or “courtesy stigma,” is defined as public disapproval for associating with a perceived stigmatized group. Using an audience response system (ARS), rural HIV/AIDS healthcare providers (n = 69) were asked about experiences of courtesy stigma and self-care practices for safeguarding their well-being. Qualitative responses were coded and themes identified. Forty-nine percent of respondents reported experiencing courtesy stigma (for example, others assuming they were HIV-positive because of their work). While respondents rated their quality of self-care as either “good” (43.5%) or “excellent” (14.5%), opportunities to increase providers’ capacity to practice quality self-care is strongly encouraged.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"20 1","pages":"136 - 143"},"PeriodicalIF":0.7,"publicationDate":"2021-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2021.1922116","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42834694","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}
Irenius Konkor, P. Mkandawire, I. Luginaah, W. Husbands, F. Omorodion, J. Wong, J. Etowa
{"title":"Access to healthcare services among heterosexual Black men in Ontario, Canada","authors":"Irenius Konkor, P. Mkandawire, I. Luginaah, W. Husbands, F. Omorodion, J. Wong, J. Etowa","doi":"10.1080/15381501.2021.1908923","DOIUrl":"https://doi.org/10.1080/15381501.2021.1908923","url":null,"abstract":"Abstract While there is a growing body of literature on Black people’s access to HIV services in Canada, the question of how this access varies across Canada’s urban jurisdictions has hitherto never arisen in research and policy. This paper assesses HIV healthcare needs among heterosexual Black men in four Ontario cities of Windsor, London, Toronto and Ottawa. Multivariate results show that heterosexual Black men in Windsor (OR = 3.2; p < .01), London (OR = 2.5; p < .05), and Toronto (OR = 2.2; p < .05) were significantly more likely to experience difficulties getting HIV healthcare compared with those living in the nation’s capital—Ottawa. Also, experiences of discrimination (OR = 1.08; p < .001), not having a family doctor (OR = 1.7; p < .01) and difficulty with the English language (OR = 2.4; p < .01) predicted higher odds of difficulty accessing HIV health needs. These findings suggest that contextually sensitive policies within Canadian cities are needed to help marginalized populations meet their healthcare needs.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"20 1","pages":"58 - 75"},"PeriodicalIF":0.7,"publicationDate":"2021-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2021.1908923","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44254994","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}
{"title":"HIV stigma and its metaphors: Photos, symbols, and solutions","authors":"M. Teti, S. Epping, T. Myroniuk, R. Evans-Agnew","doi":"10.1080/15381501.2021.1911903","DOIUrl":"https://doi.org/10.1080/15381501.2021.1911903","url":null,"abstract":"Abstract The objective of this study was to explore how PLWH use visual metaphors to describe and make sense of stigma. This study solicited PLWH’s experiences with stigma via photovoice—a participatory research method in which participants use images to identify, share, and advocate for their needs and experiences. Photographs and discussions centered on stigma as two-parted, including both challenge and resilience. Participants used eight different categories of visual metaphors to describe their experiences of stigma (e.g., how it felt, what it was like) and four different categories of visual metaphors to describe their resilience or resistance to stigma. Participant photography and photo-elicitation is an accessible method to combine arts and health, especially for discovering ways patients understand and explain their perceptions of difference. Creative photography can help patients express themselves, practitioners understand illness, and frame health promotion and prevention programs.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"20 1","pages":"97 - 114"},"PeriodicalIF":0.7,"publicationDate":"2021-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2021.1911903","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49471324","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}
Sadandaula Rose Muheriwa Matemba, R. Cianelli, B. McCabe, E. Chilemba
{"title":"Health-related interventions for youth living with perinatally-acquired HIV in sub-Saharan Africa: A systematic review of the evidence","authors":"Sadandaula Rose Muheriwa Matemba, R. Cianelli, B. McCabe, E. Chilemba","doi":"10.1080/15381501.2021.1900975","DOIUrl":"https://doi.org/10.1080/15381501.2021.1900975","url":null,"abstract":"Abstract In sub-Saharan Africa, nearly 90% of youth living with HIV acquired it from their mothers, but evidence lacks for health-related interventions for this population. We describe health-related interventions for youth living with perinatally acquired HIV in sub-Saharan Africa. A Preferred Reporting Items for Systematic Reviews (PRISMA) statement guided this review. We searched in PubMed, CINAHL, ProQuest, PsychINFO, Science Direct, Embase, and Scopus databases for peer-reviewed articles addressing health-related interventions for youth living with perinatally acquired HIV in sub-Saharan Africa. Of the 4,139 articles, 11 met the inclusion criteria. We identified eight interventions targeting HIV prevention and care, ART adherence, disclosure, behavioral health, cognitive and academic function, sexual, reproductive, psychosocial, and physical health. Most of the interventions targeted psychosocial health. No intervention was holistic. Findings were diverse regarding intervention effectiveness. Providers need to devise interventions that combine behavioral, biomedical, and structural services to meet this population's complex health care needs.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"20 1","pages":"1 - 32"},"PeriodicalIF":0.7,"publicationDate":"2021-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2021.1900975","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44269795","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}
Christopher Owens, Eva Voorheis, Nicole Struble, J. Lester, H. Green, D. Herbenick, R. Hubach, B. Dodge
{"title":"A community-based study of clients’ lived experiences of going through the rural HIV care continuum","authors":"Christopher Owens, Eva Voorheis, Nicole Struble, J. Lester, H. Green, D. Herbenick, R. Hubach, B. Dodge","doi":"10.1080/15381501.2021.1906819","DOIUrl":"https://doi.org/10.1080/15381501.2021.1906819","url":null,"abstract":"Abstract This community-based study explored the lived experiences of being in and going through the rural HIV care continuum among 15 gay and bisexual men (GBM) with HIV who live in a rural area of a Midwestern state. Our analysis adapted a six-step interpretative phenomenological analysis. Five themes emerged that reflected the five continuum stages: 1) Diagnosis means death, 2) Linkage to care means uncertainty, 3) HIV care improves the quality of life lost pre- or peri-diagnosis, 4) ART implies life, and 5) Undetectable addresses the medical but not social aspects of HIV. Participants recalled they faced and continue to face social determinants, stigma, and chronic and mental health conditions. Findings provide future research directions and practical implications to address social determinants of health, promote chronic and mental health, and reduce interpersonal stigma throughout all HIV care continuum stages.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"20 1","pages":"33 - 57"},"PeriodicalIF":0.7,"publicationDate":"2021-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2021.1906819","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41761567","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}
Sharoda Dasgupta, Yunfeng Tie, Linda Beer, Dita Broz, Quan Vu
{"title":"Unmet needs and barriers to services among people who inject drugs with HIV in the United States.","authors":"Sharoda Dasgupta, Yunfeng Tie, Linda Beer, Dita Broz, Quan Vu","doi":"10.1080/15381501.2021.1970684","DOIUrl":"10.1080/15381501.2021.1970684","url":null,"abstract":"<p><p>Data on use of and barriers to HIV ancillary care services among people who inject drugs (PWID) with HIV can inform interventions intended to improve access to care, but national estimates are lacking. We analyzed data on PWID with HIV from the CDC Medical Monitoring Project. Overall, 79% had an unmet need for ≥1 service. Services with the highest unmet need included: dental care (38%), drug/alcohol treatment (20%), transportation assistance (20%), and HIV peer group support (20%). Unmet needs for mental health services (13% vs. 23%) and HIV peer group support (15% vs. 29%) were lower among persons attending Ryan White HIV/AIDS Program (RWHAP)-funded facilities for HIV care. Barriers to care services varied by service type. Modeling components of the RWHAP structure in non-RWHAP funded facilities, including integration of support services and use of patient navigation services in the HIV medical care setting, may improve outcomes among PWID with HIV.</p>","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"20 4","pages":"1-14"},"PeriodicalIF":0.4,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10174110/pdf/nihms-1752758.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9468169","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}
Allison L Kimmel, Lisa J Messersmith, Angela R Bazzi, Meg M Sullivan, Jacqueline Boudreau, Mari-Lynn Drainoni
{"title":"Implementation of HIV pre-exposure prophylaxis for women of color: Perspectives from healthcare providers and staff from three clinical settings.","authors":"Allison L Kimmel, Lisa J Messersmith, Angela R Bazzi, Meg M Sullivan, Jacqueline Boudreau, Mari-Lynn Drainoni","doi":"10.1080/15381501.2021.1887038","DOIUrl":"https://doi.org/10.1080/15381501.2021.1887038","url":null,"abstract":"<p><p>Women of color (WOC) account for 83% of new HIV infections among women in the United States. While pre-exposure prophylaxis (PrEP) is a safe, effective HIV prevention method for women, WOC are less likely to be prescribed PrEP than other populations. Guided by an implementation science research framework, we investigated the implementation of a PrEP initiative for WOC in a US city with high HIV incidence. Across three clinical sites, only three WOC were prescribed PrEP after one year. Analysis of qualitative interviews with clinic staff and providers identified time constraints, reluctance to prescribe PrEP, and discomfort with counseling as implementation barriers. Implementation facilitators included staff and leadership support for PrEP, alignment of PrEP services with organizational missions, and having a centralized PrEP Coordinator. By addressing these identified implementation barriers and facilitators, clinic staff and providers can ensure that WOC are provided with the full range of HIV prevention options.</p>","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"19 4","pages":"299-319"},"PeriodicalIF":0.7,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2021.1887038","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39363586","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}
David T Lardier, Ijeoma Opara, Robert J Reid, Pauline Garcia-Reid, Andriana Herrera, Irene Cantu
{"title":"Increasing HIV/AIDS knowledge among urban ethnic minority youth: Findings from a community-based prevention intervention program.","authors":"David T Lardier, Ijeoma Opara, Robert J Reid, Pauline Garcia-Reid, Andriana Herrera, Irene Cantu","doi":"10.1080/15381501.2021.1910097","DOIUrl":"10.1080/15381501.2021.1910097","url":null,"abstract":"<p><p>HIV (Human Immunodeficiency Virus)/AIDs (Acquired immunodeficiency syndrome) prevention and research are imperative. Prevention-intervention programming is minimal in low-income communities of color. Additional research is needed that uncovers points of support and prevention to increase HIV knowledge and awareness and limit new HIV infections among adolescents of color. This study presents preliminary findings from a community-based HIV/AIDS, substance abuse, and viral hepatitis (VH) prevention education intervention for ethnic minority youth in a northeastern urban community. We evaluated HIV/AIDS knowledge and factors associated with knowledge. Participants (<i>N</i> = 599) completed a baseline survey followed by an exit survey measuring HIV/AIDS knowledge. Exit survey findings indicated that there was an increase in HIV/AIDs knowledge. Multivariate regression analyses showed that change scores in VH knowledge accuracy, sexual negotiation skills, risk perception, and ethnic identity were positively associated with change in HIV/AIDs knowledge score. The development and implementation of HIV/AIDS knowledge interventions can be crucial in alleviating new infections in the U.S.</p>","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"20 1","pages":"76-96"},"PeriodicalIF":0.7,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8225251/pdf/nihms-1712549.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39112228","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}