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“My child would never do that”: Caregiver-child relationships regarding openness and communication about sexuality education in KwaZulu-Natal, South Africa “我的孩子永远不会那样做”：南非夸祖鲁-纳塔尔州关于性教育的开放性和沟通性的照顾者-儿童关系
IF 0.7
Journal of HIV-AIDS & Social Services Pub Date : 2019-09-12 DOI: 10.1080/15381501.2019.1661326
Candice Alexis Jimmyns, A. Meyer-Weitz
{"title":"“My child would never do that”: Caregiver-child relationships regarding openness and communication about sexuality education in KwaZulu-Natal, South Africa","authors":"Candice Alexis Jimmyns, A. Meyer-Weitz","doi":"10.1080/15381501.2019.1661326","DOIUrl":"https://doi.org/10.1080/15381501.2019.1661326","url":null,"abstract":"Abstract The study focuses on caregivers’ personal reasons for not having openness in communication regarding sexuality education messages with their children. Qualitative semi-structured focus group discussions with six caregivers per school from four different socio-economic status schools in KwaZulu-Natal, South Africa, were conducted and analyzed using Thematic Content Analysis. Caregivers’ lack of self-confidence as a credible source of sexuality education, the powerlessness they feel and denial that their children could be sexually active; prevent them from talking to their children regarding this. The school should include caregivers in the sexuality education program to increase caregivers’ knowledge and skill in caregiver-child communication.","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/10.1080/15381501.2019.1661326","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48336541","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: 0
Determinants of quality of life among people living with HIV in the hilly region of Myanmar 缅甸丘陵地区艾滋病毒感染者生活质量的决定因素
IF 0.7
Journal of HIV-AIDS & Social Services Pub Date : 2019-09-12 DOI: 10.1080/15381501.2019.1659900
Myo Mie Mie Tun, A. Mongkolchati, M. N. Aung, Min Yu Aung, O. Laosee
{"title":"Determinants of quality of life among people living with HIV in the hilly region of Myanmar","authors":"Myo Mie Mie Tun, A. Mongkolchati, M. N. Aung, Min Yu Aung, O. Laosee","doi":"10.1080/15381501.2019.1659900","DOIUrl":"https://doi.org/10.1080/15381501.2019.1659900","url":null,"abstract":"Abstract The aim of this study was to determine quality of life and its associating factors among people living with HIV (PLHIV) in the hilly region of Myanmar. A cross-sectional study was conducted at the National AIDS Program and Integrated HIV Care Program in Myanmar. A total of 326 PLHIV were recruited, of whom 49.1% had high QOL. Adherence to ART (AOR: 5.18; 95% CI: 2.02–13.31), high social capital (AOR: 3.16; 95% CI: 1.85–5.38), being male (AOR: 2.21; 95% CI: 1.27–3.83), asymptomatic (AOR: 2.18; 95% CI: 1.24–3.83), low self-stigma (AOR: 2.85; 95% CI: 1.61–5.04), and time spent at the clinic less than 30 min (AOR: 2.17; 95% CI: 1.15–4.08) were significant predictors of quality of life (QOL) among PLHIV. This study revealed that social factors such as HIV stigma and gender issues are important determinants of QOL in addition to health service factors and clinical outcomes.","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/10.1080/15381501.2019.1659900","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47546451","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: 6
Barriers to PrEP uptake: Perspectives of community health workers in the Mid-South region of the United States PrEP吸收的障碍：美国中南部地区社区卫生工作者的观点
IF 0.7
Journal of HIV-AIDS & Social Services Pub Date : 2019-09-02 DOI: 10.1080/15381501.2019.1655512
Kendra Vaughn, P. J. Dillon, Satish K. Kedia
{"title":"Barriers to PrEP uptake: Perspectives of community health workers in the Mid-South region of the United States","authors":"Kendra Vaughn, P. J. Dillon, Satish K. Kedia","doi":"10.1080/15381501.2019.1655512","DOIUrl":"https://doi.org/10.1080/15381501.2019.1655512","url":null,"abstract":"Abstract Despite its promise, pre-exposure prophylaxis (PrEP) uptake has been slow in the United States with fewer than 100,000 of the 1.1 million Americans considered at substantial risk for HIV currently taking it. Community health workers play a critical role in promoting PrEP awareness and access in their local communities. However, there is currently limited literature that focuses on barriers faced by community health workers providing PrEP services. The present qualitative study draws upon the social ecological model (SEM) to examine barriers to PrEP uptake from the perspective of community health workers in a large Mid-South U.S. city. Study participants identified several barriers at all five levels of the SEM: individual, interpersonal, community, organizational, and policy. The study findings provide viable entry points for multilevel interventions aimed at promoting PrEP uptake.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1655512","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44721310","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: 4
Impact of HIV status on attitudes toward fertility among women living with HIV/AIDS in Karnataka, India 艾滋病毒状况对印度卡纳塔克邦艾滋病毒/艾滋病患者生育态度的影响
IF 0.7
Journal of HIV-AIDS & Social Services Pub Date : 2019-07-03 DOI: 10.1080/15381501.2019.1632238
Rajeshwari A. Biradar, Dharmendra P. Singh, S. Halli
{"title":"Impact of HIV status on attitudes toward fertility among women living with HIV/AIDS in Karnataka, India","authors":"Rajeshwari A. Biradar, Dharmendra P. Singh, S. Halli","doi":"10.1080/15381501.2019.1632238","DOIUrl":"https://doi.org/10.1080/15381501.2019.1632238","url":null,"abstract":"Abstract The purpose is to examine HIV/AIDS impact on fertility attitudes among women living with HIV/AIDS in a high HIV prevalent district in India. We used data from a cross-sectional survey conducted among randomly selected currently married HIV positive women, 15–29 years of age. As high as 68% of the women who are living with HIV/AIDS do not want to have another child. Surprisingly, about 17% of the women have never given birth to a child, and 43% among them do not want to have any children. Irrespective of age, education, occupation, place of residence, and caste, the above pattern remained the same. The main reason is that the respondents are afraid of HIV transmission to the baby while delivering. Hence, decision makers should develop strategies to enhance the capacity of the concerned service providers and greater accessibility and utilization of the services to the women living with HIV/AIDS.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1632238","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45423754","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
Evaluation of SISTA and Safety Counts in “real-world” settings with African American women in Chicago 对芝加哥非裔美国妇女在“真实世界”环境中的SISTA和安全计数的评估
IF 0.7
Journal of HIV-AIDS & Social Services Pub Date : 2019-07-03 DOI: 10.1080/15381501.2018.1522287
Malitta Engstrom, Shana Alford, Kischa Hampton, Monica R. Longmire, Melissa Kraus Schwarz, M. Eder
{"title":"Evaluation of SISTA and Safety Counts in “real-world” settings with African American women in Chicago","authors":"Malitta Engstrom, Shana Alford, Kischa Hampton, Monica R. Longmire, Melissa Kraus Schwarz, M. Eder","doi":"10.1080/15381501.2018.1522287","DOIUrl":"https://doi.org/10.1080/15381501.2018.1522287","url":null,"abstract":"Abstract This evaluation examined (a) the feasibility of recruiting 500 African American women and implementing a novel integration of Sisters Informing Sisters about Topics on AIDS (SISTA) and Safety Counts in “real-world” settings; and (b) improvements in HIV knowledge, sexual risk behaviors, substance use, and exposure to abuse among participants. Participants were recruited from agency services, community-based organizations, and street outreach. A total of 522 women completed the program, 357 women completed all three waves of Government Performance and Results Act Surveys. Descriptive and bivariate analyses were conducted. Participants experienced improvements related to HIV knowledge, protected vaginal sex, use of crack or cocaine, and exposure to emotional or physical abuse; however, reported rates of unprotected vaginal, anal, and oral sex remained high. There is a continued need for development and evaluation of HIV risk reduction interventions and engagement strategies to effectively reach women experiencing multiple risk factors.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2018.1522287","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44113664","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
Exploring diet, physical activity, and body image among older men who have sex with men (MSM) who have experienced the long-term impact of HIV/AIDS 探讨长期受艾滋病影响的老年男男性行为者(MSM)的饮食、身体活动和身体形象
IF 0.7
Journal of HIV-AIDS & Social Services Pub Date : 2019-07-03 DOI: 10.1080/15381501.2019.1638334
J. Sackey, Pamela Valera, P. Halkitis, Kristen D. Krause
{"title":"Exploring diet, physical activity, and body image among older men who have sex with men (MSM) who have experienced the long-term impact of HIV/AIDS","authors":"J. Sackey, Pamela Valera, P. Halkitis, Kristen D. Krause","doi":"10.1080/15381501.2019.1638334","DOIUrl":"https://doi.org/10.1080/15381501.2019.1638334","url":null,"abstract":"Abstract An increasing proportion of people living with HIV/AIDS (PLWHA) in the United States are at least 50 years of age and older, more likely to be gay, bisexual, and men who have sex with men (MSM) and are also at an increased risk of comorbid physical health conditions. This mixed methods study explored diet, physical activity, and body image among aging MSM who were diagnosed with HIV/AIDS prior to 1996, the year considered by many as the turning point in the epidemic. Participants reported challenges accessing healthy food and eating fruits and vegetables. Living with HIV/AIDS also influenced their food options, which in turn affected physical activity and body image. This study demonstrated a need for interventions improving access to healthy food within this population predicated on the complex associations between aging, HIV, and access to healthy lifestyle choices for older PLWHA and considering the epidemiological landscape of the epidemic.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1638334","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48244859","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
The efficacy of peer education in sexual behavioral change among school-going adolescents in Northern Malawi: A quasi experiment 同伴教育对马拉维北部在校青少年性行为改变的影响：一项准实验
IF 0.7
Journal of HIV-AIDS & Social Services Pub Date : 2019-06-09 DOI: 10.1080/15381501.2019.1620664
M. Mwale, A. Muula
{"title":"The efficacy of peer education in sexual behavioral change among school-going adolescents in Northern Malawi: A quasi experiment","authors":"M. Mwale, A. Muula","doi":"10.1080/15381501.2019.1620664","DOIUrl":"https://doi.org/10.1080/15381501.2019.1620664","url":null,"abstract":"Abstract We conducted a quasi-experiment to investigate whether a peer education intervention could result in positive sexual behavioral change outcomes in selected schools in Northern Malawi. The experimental participants (n = 158) were exposed to an HIV risk reduction intervention. The control participants (n = 147) were exposed to a Health Promotion Package. At 8 months, there were significant improvements in the intervention arm on several outcomes. The experimental group was 96% less likely to have sex than the control (OR = 0.04, CI = 0.01–0.20). Intervention participants were also 3.49 times likely to report condom use when they had sex (OR = 3.49, 95% CI = 0.96 to 12.65) and had lower odds of having multiple sexual partners. There were no significant differences on abstinence and the desire to have medical male circumcision (MMC). We suggest the intervention has potential efficacy to improve HIV risk reduction among adolescents in Malawi and perhaps in other similar settings. Trial registration: Pan African Clinical Trial Registry identifier: PACTR201612001889209.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1620664","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42298237","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: 5
The Attitudes toward Pre-Exposure Prophylaxis (PrEP) Scale: Development and validation 对暴露前预防(PrEP)量表的态度:开发与验证
IF 0.7
Journal of HIV-AIDS & Social Services Pub Date : 2019-04-03 DOI: 10.1080/15381501.2019.1596861
R. Jaspal, B. Lopes, I. Maatouk
{"title":"The Attitudes toward Pre-Exposure Prophylaxis (PrEP) Scale: Development and validation","authors":"R. Jaspal, B. Lopes, I. Maatouk","doi":"10.1080/15381501.2019.1596861","DOIUrl":"https://doi.org/10.1080/15381501.2019.1596861","url":null,"abstract":"Abstract Pre-exposure prophylaxis (PrEP) is a novel, clinically effective biomedical HIV prevention tool but it has not met with widespread public acceptance. In this article, the results of a study designed to develop a scale for measuring attitudes toward PrEP is presented. The psychometric properties of the scale are described for use in both the general population and in-patient samples. Two hundred twenty-two university students completed the Attitudes toward PrEP Scale (APS) and additional measures of attitudes toward gay men, Black Africans, and condom use. The APS comprised three factors (Attitudes toward the Science of PrEP, Perception of Sexual Health Risks of PrEP, and Perception of Dangerous Effects of PrEP), which explained 49.31% of the variance. The 14-item APS had a good internal consistency, α = .72, and satisfactory concurrent validity with measures of condom use, and attitudes toward social groups associated with PrEP. Additional studies in other nonstudent samples are required to assess the external validity of the scale.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1596861","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44291237","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: 5
Barriers and facilitators to initiating PrEP conversations: Perspectives and experiences of health care providers 启动PrEP对话的障碍和促进因素:卫生保健提供者的观点和经验
IF 0.7
Journal of HIV-AIDS & Social Services Pub Date : 2019-04-03 DOI: 10.1080/15381501.2019.1616027
Noelle M. St.Vil, S. Przybyla, S. LaValley
{"title":"Barriers and facilitators to initiating PrEP conversations: Perspectives and experiences of health care providers","authors":"Noelle M. St.Vil, S. Przybyla, S. LaValley","doi":"10.1080/15381501.2019.1616027","DOIUrl":"https://doi.org/10.1080/15381501.2019.1616027","url":null,"abstract":"Abstract Using qualitative interviews, this study explored the barriers and facilitators of health care providers (HCPs) in initiating PrEP conversation with patients. Twenty-eight HCPs in two counties listed in the New York State Department of Health PrEP/PEP Voluntary Provider Directory were asked to participate in the study. Five themes evolved from the interview, each theme acting as both barriers and facilitators to initiating PrEP conversations: (a) providers comfort levels, (b) taking sexual histories, (c) time, (c) patients comfort levels discussing sexual health, and (c) HCPs’ perceptions of patients’ risk of sexually transmitted infection (STI) acquisition. These findings demonstrate the need for evidence-based interventions for initiation of PrEP conversations in health care settings.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1616027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43419557","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: 17
Defining the linkage specialist role in the HIV care cascade 确定联系专家在艾滋病毒护理级联中的作用
IF 0.7
Journal of HIV-AIDS & Social Services Pub Date : 2019-04-03 DOI: 10.1080/15381501.2019.1599749
Katherine Pincura, C. Okafor
{"title":"Defining the linkage specialist role in the HIV care cascade","authors":"Katherine Pincura, C. Okafor","doi":"10.1080/15381501.2019.1599749","DOIUrl":"https://doi.org/10.1080/15381501.2019.1599749","url":null,"abstract":"Abstract As stakeholders embrace the efficiency of early disease detection and linkage to care services, corresponding demand for linkage specialists necessitates a clearer understanding of what defines and differentiates this role from the similar work of social workers and epidemiologists. The purpose of the present literature review was to identify the most frequently cited duties, knowledge, skills and abilities required of linkage specialists in employment advertisements and described in peer-reviewed literature. We conducted searches using Google, MEDLINE with Full Text, Academic Search Complete, Health Source: Nursing/Academic Edition, SocINDEX with Full Text, Social Sciences Full Text, and PubMed with MEDLINE. Two reviewers applied exclusion criteria and assessed search returns. Employment ads for linkage specialists and disease intervention specialists most often described linkage to care, client education, and maintenance of client data. The linkage specialist role can be cultivated through its roots in disease detection and programmatic development.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2019-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1599749","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42299088","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: 0
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