{"title":"Human immunodeficiency virus (HIV) stigma among general population in Isfahan metropolis in Central Iran","authors":"F. Ebrahimi, Setayesh Sindarreh, M. Nasirian","doi":"10.1080/15381501.2020.1785365","DOIUrl":"https://doi.org/10.1080/15381501.2020.1785365","url":null,"abstract":"Abstract Background This study was aimed to evaluate stigma-related to HIV infection among the general population in Isfahan as a representative of Iran. Methods In order to conduct the cross-sectional study, 800 people with an age range of 18–73 years from 14 municipal regions of Isfahan were selected based on a multistage sampling. A standard questionnaire was used to evaluate HIV stigma in the general population in December 2017. Results The mean score (SD) of stigma toward PLHIV was 45.49 (9.17) out of 90. The prevalence of stigmatized attitudes was 18.97% among participants. Stigma’s score was correlated with the score of HIV knowledge, gender, and age. Conclusion The level of stigmatized attitude toward PLHIV was low among the general population in Isfahan. Given that there is still a stigma toward PLHIV in Isfahan as the representative of Iranian population, it is recommended to implement the population-based educational programs for decreasing HIV stigma.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2020-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2020.1785365","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46480022","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}
M. Drainoni, Allyson L. Baughman, S. Bachman, Rachel Bowers-Sword, Melissa Davoust, Karen Fortu, P. Ni, S. Rajabiun, Maria Campos Rojo, Hill L. Wolfe, Linda S. Sprague Martinez
{"title":"Integrating community health workers into HIV care teams: Impact on HIV care outcomes","authors":"M. Drainoni, Allyson L. Baughman, S. Bachman, Rachel Bowers-Sword, Melissa Davoust, Karen Fortu, P. Ni, S. Rajabiun, Maria Campos Rojo, Hill L. Wolfe, Linda S. Sprague Martinez","doi":"10.1080/15381501.2020.1785364","DOIUrl":"https://doi.org/10.1080/15381501.2020.1785364","url":null,"abstract":"Abstract Objectives To assess the impact of a Community Health Worker (CHW) intervention within HIV primary care on patient outcomes. Methods We evaluated a 10-site initiative integrating CHWs into HIV care, examining changes in three outcomes: viral load suppression, a prescription for ART, and appointment attendance. We also assessed the relationship between the three outcomes and the number of CHW encounters. Results Of 397 participants, most were male and African-American. The mean days of encounters over the first 6 months was 11 per participant. All outcomes improved in the first 6 months: percent with a primary care visit from 49.9 to 84.7% (p < .000); percent with an active ART prescription from 66.9 to 91.3% (p < .000); percent virally suppressed from 22.4 to 43.7% (p < .000). No statistically significant relationship between number of encounters and improvement in outcomes was found. Conclusions CHW interventions in HIV primary care can lead to improvements in HIV outcomes.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2020.1785364","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47314734","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}
E. Kay, Yookyong Lee, K. Hauenstein, L. Jackson, E. Jackson, M. Fordham, Neil Rafferty, Ruth DeRamus, Rick Walton, M. Mugavero, D. Batey
{"title":"“Where people are safe in their own homes:” The interplay of community factors and health among people living with HIV in the Deep South","authors":"E. Kay, Yookyong Lee, K. Hauenstein, L. Jackson, E. Jackson, M. Fordham, Neil Rafferty, Ruth DeRamus, Rick Walton, M. Mugavero, D. Batey","doi":"10.1080/15381501.2020.1765225","DOIUrl":"https://doi.org/10.1080/15381501.2020.1765225","url":null,"abstract":"Abstract Our aim was to explore the role of community factors in HIV health within the Deep South. We utilized community-based participatory research to qualitatively explore experiences and perceptions of 40 persons living with HIV (age ≥18) regarding their communities and HIV health. Participants identified community factors that were important for their health (e.g. social involvement) and those that were detrimental to their health (e.g. crime). It is important for HIV providers to be aware of the factors that may affect patients’ ability to remain engaged in care. Policymakers should consider the impact that community-level factors have on population health.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2020.1765225","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47371948","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}
J. Jaiswal, M. Francis, S. N. Singer, K. Dunlap, A. Cox, R. Greene
{"title":"“Worn out”: Coping strategies for managing antiretroviral treatment fatigue among urban people of color living with HIV who were recently disengaged from outpatient HIV care","authors":"J. Jaiswal, M. Francis, S. N. Singer, K. Dunlap, A. Cox, R. Greene","doi":"10.1080/15381501.2020.1767749","DOIUrl":"https://doi.org/10.1080/15381501.2020.1767749","url":null,"abstract":"Abstract Antiretroviral-related treatment fatigue is inconsistently defined in the literature on barriers to ART adherence. Research suggests that treatment fatigue is a salient challenge for people struggling with antiretroviral therapy adherence, but little is known about how people living with HIV attempt to manage this fatigue. Twenty-seven semi-structured interviews were conducted with low-income people of color living with HIV in NYC that were currently, or recently, disengaged from HIV care. The findings from this exploratory study suggest that treatment fatigue was common and that participants devised personal strategies to overcome it. These strategies included using reminder programs, requesting weekly rather than monthly pill quantities, and taking “pill holidays”. The varied nature- and varying levels of effectiveness- of these strategies highlight the need for specific programing to provide tailored support. Future research should examine treatment fatigue as a specific subtype of adherence challenge, and aim to define pill fatigue clearly.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2020.1767749","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41673412","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":"Holistically speaking: A content analysis of spiritual interventions to inform the development of culturally relevant interventions for African American women living with HIV","authors":"Ratonia C. Runnels","doi":"10.1080/15381501.2020.1757555","DOIUrl":"https://doi.org/10.1080/15381501.2020.1757555","url":null,"abstract":"Abstract Psychosocial interventions are a key component to improved quality of life for women living with HIV. Spirit-level interventions are shown to buffer psychosocial distress experienced by HIV positive persons. This article will review published spiritually-oriented interventions and compare, contrast, and critique the various components, sample, and intervention methods. Using a summative approach to content analysis, this article will offer the applicability and replicability of these interventions as a basis for increasing treatment options for co-morbid African American women.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2020.1757555","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42013903","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":"Code blue! Implementing a COVID-19 emergency response, supported by an HIV community program: Communities without borders, a Spanish-Speaking intervention in Toronto, Canada","authors":"G. Betancourt","doi":"10.1080/15381501.2020.1768194","DOIUrl":"https://doi.org/10.1080/15381501.2020.1768194","url":null,"abstract":"Abstract COVID-19 a new infections agent took the world by surprise. Governments, medical systems, communities, and individuals soon would become familiar with many new terms and many new prevention measurements to avoid infection. To this day, it is unknown what would be the final consequences and impact in populations in the world, how those came to be a “new normal” in our daily lives. Also, it is unknown the number of victims, and economical after-effects result from the new pandemic. This article aims to establish a para parallel in relation to the early days of HIV/AIDS in the world. Keeping in mind the slow governmental, and even irresponsible response in different countries, both cases (HIV/AIDS-COVID-19), present a dimension that shows intermediately from HIV/AIDS organizations response to help communities. The article argues that is precise because we have learned as marginalized communities that reacted at the beginning of the AIDS early days, that HIV/AIDS educators adapted very fast interventions, programs, and counseling to alleviate societal effect pandemic against COVID-19 new infections.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2020.1768194","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41608855","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":"PrEP, TasP and the casual sex scripts among serodiscordant gay men","authors":"G. Tester, Jill C. Hoxmeier","doi":"10.1080/15381501.2020.1753620","DOIUrl":"https://doi.org/10.1080/15381501.2020.1753620","url":null,"abstract":"Abstract HIV-prevention strategies have produced a divide between serodiscordant gay men. Using Sexual Scripts Theory and interviews, we explore how pre-exposure prophylaxis (PrEP) is shaping gay men’s casual sex relationships among serodiscordant partners. Together with Treatment-as-Prevention, PrEP appears to be improving these relationships. Participants’ stories reveal that they are engaged in the fluctuating sexual landscapes formed by new prevention approaches, maintaining shared safe-sex scripts that foster risk-reduction, but modifying them to include reexamined fears and resulting barriers to sexual communication, opportunities and satisfaction and reevaluated ideas about appropriate partners. We discuss the health and service implications of these transforming scripts.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2020.1753620","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42929928","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":"Sexual health and treatment seeking behaviour among currently married women living with HIV/AIDS in Karnataka, India","authors":"S. Halli, Rajeshwari A. Biradar","doi":"10.1080/15381501.2020.1781012","DOIUrl":"https://doi.org/10.1080/15381501.2020.1781012","url":null,"abstract":"Abstract An attempt is made to understand sexual health problems and health-seeking behavior among women living with HIV/AIDS (WLHA) in Bagalkot district, Karnataka, India. The data set is from a cross-sectional survey of 633 young married WLHA. The results of the study indicate that sexually transmitted infection (STI) were the main concern as 33% of respondents experienced STI during the past three months. Among those experienced STI, only about 57% sought treatment for the STI they had in the past 3 months. While health-seeking behavior is more or less same by age group and literacy level, however, those from rural areas were more likely to seek treatment compared to their urban counterparts. As far as the place of treatment is concerned, a large majority visit government hospital for the STI treatment (84%). For the remaining women, special strategies are required so that they can access and utilize health care services.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2020.1781012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45354624","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}
A. Spector, M. Pavlicova, M. Hu, E. Nunes, A. Campbell, S. Tross
{"title":"Predictors of HIV sex risk behavior among women in US drug treatment programs: NIDA CTN trial results","authors":"A. Spector, M. Pavlicova, M. Hu, E. Nunes, A. Campbell, S. Tross","doi":"10.1080/15381501.2020.1712290","DOIUrl":"https://doi.org/10.1080/15381501.2020.1712290","url":null,"abstract":"Abstract HIV prevention for women with substance use disorders is a public health priority. To identify characteristics associated with sexual risk among women in outpatient substance abuse treatment we categorized 809 screened women into three groups: (1) sexually inactive, (2) sexually active with consistent condom use, and (3) sexually active with inconsistent condom use. Multinomial logistic regression analyses were used to examine demographics, substance use and treatment characteristics, and regional HIV seroprevalence as predictors of sexual risk behavior. Younger age and attending psychosocial (PS) treatment were significantly associated with being at higher HIV risk. HIV prevention should be tailored to address HIV risk in younger women in PS treatment.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2020.1712290","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45598749","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":"Psychological and social correlates of HIV stigma among people living with HIV","authors":"Tenesha Littleton, J. Choi, S. McGarity","doi":"10.1080/15381501.2019.1699486","DOIUrl":"https://doi.org/10.1080/15381501.2019.1699486","url":null,"abstract":"Abstract HIV/AIDS remains a highly stigmatized condition jeopardizing both prevention and treatment efforts. Prior research on the psychological and social correlates of HIV stigma has produced mixed results. This study examined whether demographic factors, mental health status, perceived health, mode of HIV transmission, social support, and risky sexual behavior were associated with perceived HIV stigma. Cross-sectional data collected from the intake questionnaires of clients receiving HIV-related social services at an urban clinic in the Southeastern U.S. were analyzed using multiple linear regression analysis. Results showed that younger age, heterosexuality, psychological distress, contracting HIV from sources other than injection drug use or homosexual contact between men, and not knowing your last sexual partner’s HIV status were positively associated with perceived HIV stigma. Implications of study findings for the design of HIV stigma reduction interventions are discussed.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1699486","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42204071","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}