{"title":"“I’ve found my voice. I’ve found a sisterhood”: Qualitative evaluation of a web-based support group for women with HIV","authors":"M. Ghabrial, C. Classen, Julie D. Maggi","doi":"10.1080/15381501.2019.1684413","DOIUrl":"https://doi.org/10.1080/15381501.2019.1684413","url":null,"abstract":"Abstract This article presents a qualitative evaluation of a professionally moderated, psychoeducational, web-based support group for women with HIV, entitled Shared Journey. Nine in-depth interviews and 107 forum posts underwent thematic analysis. We asked participants to evaluate (1) the populations they felt would benefit from Shared Journey, (2) the unique features of the intervention, and (3) the outcomes they experienced from participating. Shared Journey may serve to support and translate knowledge to this population – especially those who are newly diagnosed, newcomers, and working for AIDS Service Organizations. Future implementations may empower participants and provide a space for safe disclosure rehearsal.","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/10.1080/15381501.2019.1684413","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44206227","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}
P. Messeri, M. Yomogida, Rachel Ferat, Lee Garr, D. Wirth
{"title":"An HIV health plan patient navigation program: Engaging HIV positive individuals in primary medical care","authors":"P. Messeri, M. Yomogida, Rachel Ferat, Lee Garr, D. Wirth","doi":"10.1080/15381501.2019.1699485","DOIUrl":"https://doi.org/10.1080/15381501.2019.1699485","url":null,"abstract":"Abstract This paper evaluates a patient navigation component of a multi-level program that helps HIV-positive members of a New York City Medicaid health plan sustain engagement in medical care. A proportional hazard analysis of 856 participants found that assignment to a patient navigator shortened the time to a medical care visit by 40%, but was not associated with time retained in care. These results demonstrate that a health plan can expedite connection to care through patient navigation services. They further suggest that to sustain retention in care, patient navigation may need to be continued after initial connection to care.","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/10.1080/15381501.2019.1699485","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45378374","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 medication adherence amid multiple inequities: Detailing the lived challenges of the most at risk people with HIV","authors":"M. Teti, E. Koegler, E. Schatz, M. Enriquez","doi":"10.1080/15381501.2019.1689215","DOIUrl":"https://doi.org/10.1080/15381501.2019.1689215","url":null,"abstract":"Abstract This study aimed to identify patterns of barriers to help inform adherence interventions for the most at-risk people living with HIV. Ethnographic data from two peer-led HIV medication adherence intervention studies (N = 35) were analyzed. Trained Peer Interventionists met with intervention participants for six weeks and wrote semi-structured field notes about participants’ adherence experiences. The most common challenges were physical illness (HIV and non-HIV related), mental health, isolation, poverty, homelessness, substance abuse, and hunger or poor diet. Successful interventions necessitate connections to various multileveled services that address trauma and multiple challenges and are preferably available in one location.","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/10.1080/15381501.2019.1689215","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45627465","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 Lina Rosengren, Thibaut Davy-Mendez, Lisa B Hightow-Weidman
{"title":"Online sex partner seeking and HIV testing frequency among young Black sexual minority men.","authors":"A Lina Rosengren, Thibaut Davy-Mendez, Lisa B Hightow-Weidman","doi":"10.1080/15381501.2019.1692749","DOIUrl":"10.1080/15381501.2019.1692749","url":null,"abstract":"<p><p>Dating apps are a novel means of delivering HIV prevention messages. Young black sexual minority men (YBSMM) app users are at high risk for HIV and could benefit from frequent testing. Understanding testing behaviors among YBSMM is critical to inform tailored prevention interventions. We analyzed testing behaviors of 273 YBSMM, comparing typical testing frequency between app users and non-users using odds ratios. Overall, testing rates were high. App users were more likely than non-users to test at least every 12 months. App-using YBSMM exhibit high compliance with testing guidelines, which may indicate future successful uptake of biomedical preventions, such as Pre-Exposure Prophylaxis.</p>","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199779/pdf/nihms-1064588.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37905408","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}
{"title":"Factors influencing pre-exposure prophylaxis uptake among current users: A qualitative study.","authors":"Gloria Aidoo-Frimpong, Kennethea Wilson, Sarahmona Przybyla","doi":"10.1080/15381501.2020.1810838","DOIUrl":"https://doi.org/10.1080/15381501.2020.1810838","url":null,"abstract":"<p><p>Daily oral pre-exposure prophylaxis is an effective strategy for HIV prevention; yet, uptake has been lower than anticipated. This study explores the factors that influenced current users' decisions to initiate PrEP in Western New York. Qualitative data from 41 semi-structured interviews were thematically analyzed. Participants' decision to initiate PrEP was based on individual, interpersonal and structural factors. PrEP users initiated when there was an increase in knowledge, risk perception, sexual health communication, and PrEP access. Findings suggest for PrEP to maximize its HIV prevention potential, public health interventions that utilize a multi-level approach may be most impactful to increase uptake.</p>","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2020.1810838","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39206849","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}
Jacob Bleasdale, Kennethea Wilson, Gloria Aidoo-Frimpong, Sarahmona Przybyla
{"title":"Prescribing HIV pre-exposure prophylaxis: A qualitative analysis of health care provider training needs.","authors":"Jacob Bleasdale, Kennethea Wilson, Gloria Aidoo-Frimpong, Sarahmona Przybyla","doi":"10.1080/15381501.2020.1712291","DOIUrl":"https://doi.org/10.1080/15381501.2020.1712291","url":null,"abstract":"<p><p>Increasing the number of pre-exposure prophylaxis (PrEP) prescriptions will require more health care providers to be willing and trained to prescribe the medication. The purpose of our study was to understand the training needs of clinicians who do not prescribe PrEP. From September 2017 to January 2018, qualitative interviews were conducted with providers who had no experience prescribing PrEP (<i>N</i> = 20). Thematic analysis revealed four themes: three emphasized the temporal nature of training requirements and one identified training preferences of providers. Study findings suggest that clinicians require specific information in order to integrate PrEP into their practices successfully.</p>","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2020.1712291","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38362565","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}
{"title":"“It’s a Trade off:” Perspectives of Ryan White Social Service Providers on the Implementation of the Affordable Care Act","authors":"T. Ginossar, J. Oetzel","doi":"10.1080/15381501.2019.1676358","DOIUrl":"https://doi.org/10.1080/15381501.2019.1676358","url":null,"abstract":"Abstract The Patient Protection and Affordable Care Act (ACA) was expected to reduce health disparities, including among people living with HIV. The aim of this study was to explore experiences of Ryan White HIV/AIDS Program social service providers in a Medicaid-expansion southwestern state. Thematic analysis of semi-structured focus groups revealed that participants view the ACA implementation as posing impossible bureaucratic demands and increasing role conflict. Participants described the ACA impact on clients as “a trade off,” with greater medical coverage for some clients, along with increased red tape and challenges for at-risk groups and for their therapeutic alliance with clients. These findings highlight the importance of incorporating the perspectives of providers in planning and implementing policy changes and in measuring the quality of HIV services.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1676358","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44201066","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}
G. Harper, D. Lemos, M. Mutumba, Manasi Kumar, A. Gikuni, Iris Mustich, K. Hooks, S. Hosek, E. Ngugi
{"title":"Resilience processes among youth newly diagnosed with HIV who live in urban informal settlements in Kenya: Implications for intervention","authors":"G. Harper, D. Lemos, M. Mutumba, Manasi Kumar, A. Gikuni, Iris Mustich, K. Hooks, S. Hosek, E. Ngugi","doi":"10.1080/15381501.2019.1657546","DOIUrl":"https://doi.org/10.1080/15381501.2019.1657546","url":null,"abstract":"Abstract New HIV infections in Kenya are concentrated among youth ages 15–24. This study explores the lived experiences of youth newly diagnosed with HIV living in an urban informal settlement in Kenya in order to highlight their resilience processes. Five primary thematic areas of resilience processes emerged (1) changing personal perspectives about health and life; (2) changing personal behaviors to promote health and safety; (3) reaching out to supportive health care providers and organizations; (4) reaching out to family, friends, and partners; and (5) helping other youth. Results are discussed with regard to enhancing care for youth living with HIV in Kenya.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1657546","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47029499","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":"A photovoice empowerment intervention for women living with HIV","authors":"Robin Lennon-Dearing, Melissa Hirschi","doi":"10.1080/15381501.2019.1658683","DOIUrl":"https://doi.org/10.1080/15381501.2019.1658683","url":null,"abstract":"Abstract Twenty-three women living with HIV participated in a photovoice-based group research study aimed at increasing their self-esteem, self-efficacy and decreasing depression. The intervention method, photovoice, was specifically chosen to put the power and authority of representing their experiences in the control of the participants. Taking action through sharing their photographs and stories with the public via community exhibits is part of the empowerment process where participants combine a sense of personal control with the ability to actively influence their environment and affect the behavior of others. There was a promising trend on the outcome measures from baseline to posttest moving in the direction expected.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1658683","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48587764","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. King, M. Nakonechna, Natanie J. Anilovich, I. Evdokimova, J. Godunova
{"title":"Identifying the postpartum needs of women living with HIV in the Russian Federation","authors":"E. King, M. Nakonechna, Natanie J. Anilovich, I. Evdokimova, J. Godunova","doi":"10.1080/15381501.2019.1656133","DOIUrl":"https://doi.org/10.1080/15381501.2019.1656133","url":null,"abstract":"Abstract In Russia, the HIV epidemic continues to grow at an alarming rate, and treatment coverage is low. While prevention of mother-to-child transmission is markedly effective in the country; little is known about the mothers’ longer-term engagement in HIV care and treatment. Through a community-based, qualitative research study, we aimed to identify and explore the needs of HIV-positive mothers in two diverse locations in Russia. Using thematic analysis, we identified the following four categories of unmet needs: comprehensive and coordinated care, psychological support, material needs, and improved access to services. Our results offer ideas for where to target program and policy interventions to improve women’s postpartum engagement in HIV care and treatment in Russia.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1656133","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49536939","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}