Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv最新文献

HIV home testing in Poland - an underappreciated approach despite huge potential : an implementation study. 波兰的艾滋病毒家庭检测——一种潜力巨大却未被充分重视的方法：一项实施研究。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-07 DOI: 10.1080/09540121.2025.2486570

Bartosz Szetela, Mateusz Bożejko, Zenon Jasyk, Iwona Krzywicka, Katarzyna Giniewicz, Magdalena Ankiersztejn-Bartczak

{"title":"HIV home testing in Poland - an underappreciated approach despite huge potential : an implementation study.","authors":"Bartosz Szetela, Mateusz Bożejko, Zenon Jasyk, Iwona Krzywicka, Katarzyna Giniewicz, Magdalena Ankiersztejn-Bartczak","doi":"10.1080/09540121.2025.2486570","DOIUrl":"https://doi.org/10.1080/09540121.2025.2486570","url":null,"abstract":"HIV testing faces barriers worldwide and little progress in systematically implementing new approaches has been made so far, especially in Europe. Testing sites (VCTs) and clubs have been the only large-scale venues in Poland to offer anonymous tests for key populations. They are located exclusively in large cities leaving large areas without any real access. We wanted to see if home tests might fill the gaps. Between November 2022 and February 2023 free Simplitude ByMe HIV home-tests were sent out to parcel lockers with orders made opportunistically by patients on the TyToTu.pl webpage. The clients were asked to fill out a short epidemiological online questionnaire (age, gender, sexual orientation, nationality, residence: provincial city/smaller city/village, previous testing) before the order and were asked to give e-feedback afterwards. Statistical analysis was performed for 887 returned questionnaires. 1473 home tests were dispensed. 76.6% of recipients reported heterosexual, 11.7% homosexual and 10.6% bisexual contacts. 57% came were from large provincial cities (p < 0.0001) and for 80% of them it was their first test ever, especially if they reported heterosexual contacts (p < 0.0001) or were older (OR 0.9736; 95% CI: 0.9507, 0.9971). If heterosexual clients had tested before then in the more distant past by 745 days (95% CI: 411-1096). Five tests were reported back as positive (all among heterosexual clients) translating to 0.34% prevalence, 91 negative (6.17% return rate) and 9 invalid (0.61%). Home testing has been underutilized in Poland despite huge interest. Barriers still exist especially for clients reporting heterosexual contacts. HIV home tests should be freely available, especially among older and heterosexual clients as well as immigrants. We urge local and national bodies to fund such testing as it may help include more people in treatment earlier.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-6"},"PeriodicalIF":1.2,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of stigma in people living with HIV, its effect on treatment adherence and psychiatric comorbid disease. 艾滋病病毒感染者的耻辱感及其对坚持治疗和精神并发症的影响。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-04 DOI: 10.1080/09540121.2025.2486571

Salaar Ahmed, Meeral Nasir, Aleena Arshad, Hamza Ahmed Farooqi, Syed Faisal Mahmood

{"title":"Prevalence of stigma in people living with HIV, its effect on treatment adherence and psychiatric comorbid disease.","authors":"Salaar Ahmed, Meeral Nasir, Aleena Arshad, Hamza Ahmed Farooqi, Syed Faisal Mahmood","doi":"10.1080/09540121.2025.2486571","DOIUrl":"https://doi.org/10.1080/09540121.2025.2486571","url":null,"abstract":"HIV has become a rising healthcare issue in Pakistan in recent years with new outbreaks and spillover to traditionally low-risk groups. We studied the stigma around HIV, its relation to psychiatric comorbidities such as depression and anxiety, and adherence to treatment in people living with HIV (PLHIV). A hospital-based cross-sectional study was conducted over six months at a tertiary care hospital in Karachi, Pakistan. Self-administered digital questionnaires containing basic demographics, PHQ9, GAD7, HSS12, and GMAS scales were used to assess depression, anxiety, stigma, and medical adherence respectively. A total of 66 participants were included, with a mean age of 39.97 ± 14.32 years. The mean stigma score was 25.67 ± 9.46, with 9 participants (13.85%) experiencing severe stigma. Among the different stigma components, disclosure concerns had the highest mean score (7.91 ± 2.91). Most participants had no depression and a no-to-low risk for anxiety. No relationship was found between medical adherence and either stigma scores or psychiatric comorbidities. Patients identified as from key populations (n = 35) had significantly increased risk of depression (p = 0.0493), anxiety (p = 0.023), and HIV-associated stigma (p = 0.0166). Stigma continues to affect mental well-being and hinders early diagnosis and treatment of PLHIV. A comprehensive approach, cannot be complete without addressing this stigma and its effect on disease burden, diagnosis, and treatment.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-8"},"PeriodicalIF":1.2,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Awareness and willingness regarding organ donation among people with HIV in Canada. 加拿大艾滋病毒感染者对器官捐赠的认识和意愿。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-03 DOI: 10.1080/09540121.2025.2484304

Branka Vulesevic, Jessica Lu, Darren Lauscher, Brittany Shelton, Karine Dubé, Jean-Pierre Routy, Carolina Berini, Cecilia T Costiniuk

{"title":"Awareness and willingness regarding organ donation among people with HIV in Canada.","authors":"Branka Vulesevic, Jessica Lu, Darren Lauscher, Brittany Shelton, Karine Dubé, Jean-Pierre Routy, Carolina Berini, Cecilia T Costiniuk","doi":"10.1080/09540121.2025.2484304","DOIUrl":"https://doi.org/10.1080/09540121.2025.2484304","url":null,"abstract":"Given the current organ shortage crisis, organ transplantation among people with HIV (PWH) has become a reality. To effectively implement this practice, understanding the attitudes and beliefs about organ donation among PWH in Canada is imperative. PWH receiving care at the McGill University Health Centre were recruited to participate in a survey between October 2023-June 2024. The questionnaire assessed knowledge of organ donation and willingness to donate or receive organs from donors with HIV. Descriptive statistics were performed. Of 100 participants, 33.0% knew that PWH can undergo organ transplantation in Canada, and 26.0% knew that PWH in Canada can donate their organs to PWH. Additionally, 74.5% would consider accepting an organ from a deceased donor with HIV, 78.0% would consider accepting an organ from a living donor regardless of HIV status, 78.0% would be willing to be deceased donors, and 44.0% would be willing to be a living organ donor. Female-identifying and African, Caribbean or Black participants showed higher awareness about organ donation, whereas male-identifying and White participants demonstrated higher willingness to donate and receive organs from donors with HIV. While willingness among PWH was high, knowledge of organ transplantation was suboptimal, highlighting the need for increased awareness efforts.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-11"},"PeriodicalIF":1.2,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A double-edged sword effect: the implications of Internet exposure for Netizens' tolerant attitudes toward people living with HIV/AIDS. 双刃剑效应：网络曝光对网民对HIV/AIDS患者宽容态度的影响

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-03 DOI: 10.1080/09540121.2025.2487225

Yuqi Wang, Junjun Li, Shilian Shan

{"title":"A double-edged sword effect: the implications of Internet exposure for Netizens' tolerant attitudes toward people living with HIV/AIDS.","authors":"Yuqi Wang, Junjun Li, Shilian Shan","doi":"10.1080/09540121.2025.2487225","DOIUrl":"https://doi.org/10.1080/09540121.2025.2487225","url":null,"abstract":"Enhancing societal tolerance towards people living with HIV/AIDS (PLWHA) is crucial for curbing the spread of the disease. We investigate the impact of Internet exposure on netizens' tolerant attitudes toward PLWHA. We analyzed data from 11,927 netizens surveyed in the Chinese Social Survey (CSS) conducted in 2017, 2019, and 2021. An ordered probit model was employed to examine the direct association between Internet exposure and netizens' tolerant attitudes toward PLWHA. During this period, Chinese netizens' tolerant attitudes toward PLWHA have increased. Internet exposure enhances netizens' tolerant attitudes toward PLWHA. Social participation mediates the positive impact of Internet exposure on netizens' attitudes toward PLWHA. Additionally, subjective social status amplifies the beneficial influence of Internet exposure and social participation on these attitudes. Male netizens derive greater benefits from social participation in fostering tolerance toward PLWHA compared to female netizens. Additionally, Internet exposure exhibits a double-edged sword effect on netizens' tolerant attitudes toward PLWHA. This study represents the first systematic investigation into the impact of Internet exposure on netizens' tolerant attitudes toward PLWHA, which is conducive to improving the social status and health welfare of PLWHA.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-17"},"PeriodicalIF":1.2,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of self-test to increase HIV testing among men who have sex with men and transgender women-overview of systematic reviews. 使用自我检测增加男男性行为者和变性妇女的艾滋病毒检测——系统评价综述

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-02 DOI: 10.1080/09540121.2025.2484331

Ana Regina Tavares Cairo Azevêdo, Joyce Costa Melgaço Faria, Gustavo Machado Rocha, Cristiane Aparecida Menezes de Pádua

{"title":"Use of self-test to increase HIV testing among men who have sex with men and transgender women-overview of systematic reviews.","authors":"Ana Regina Tavares Cairo Azevêdo, Joyce Costa Melgaço Faria, Gustavo Machado Rocha, Cristiane Aparecida Menezes de Pádua","doi":"10.1080/09540121.2025.2484331","DOIUrl":"https://doi.org/10.1080/09540121.2025.2484331","url":null,"abstract":"ABSTRACTHuman Immunodeficiency Virus (HIV) infection is stigmatizing, especially for key populations, who are disproportionately affected by Sexually Transmitted Infections (STIs). The stigma and discrimination suffered by these groups are among the main obstacles to HIV prevention, treatment and care, which is why the World Health Organization recommends the use of self-tests to increase HIV testing and achieve the 95-95-95 target by 2030 proposed by the United Nations. We conducted an overview of systematic reviews and meta-analyses, searching for free and indexed terms in nine databases, and using the acronym PICO as an inclusion criterion. Two independent reviewers performed the selection in two stages, and disagreements were resolved by consensus with a third reviewer. Quality analysis was performed using the Assessing the Methodological Quality of Systematic Reviews, version 2 (AMSTAR 2) tool. Four studies were included, one evaluating men who have sex with men (MSM), one evaluating MSM and another key population, and two evaluating MSM and transgender women (TGW). HIVST was effective in increasing testing frequency and uptake and was considered as good as or better in detecting new HIV infections. However, the presence of more than one critical weakness and multiple non-critical flaws reduced the overall confidence.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-11"},"PeriodicalIF":1.2,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the effects of aromatherapy and acupoint herbal patching on fatigue and sleep disorders in people living with HIV: a pilot randomized trial. 探索芳香疗法和穴位草药贴片对艾滋病毒感染者疲劳和睡眠障碍的影响：一项随机试验。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-01 Epub Date: 2025-01-26 DOI: 10.1080/09540121.2025.2455450

Qi Wen, Xinyi You, Wenwen Yang, Yuhan Wu, Yan Song

{"title":"Exploring the effects of aromatherapy and acupoint herbal patching on fatigue and sleep disorders in people living with HIV: a pilot randomized trial.","authors":"Qi Wen, Xinyi You, Wenwen Yang, Yuhan Wu, Yan Song","doi":"10.1080/09540121.2025.2455450","DOIUrl":"10.1080/09540121.2025.2455450","url":null,"abstract":"The purpose of this study was to investigate the effects of aromatherapy and acupoint herbal patching on fatigue and sleep disorders in people living with HIV (PLWH). Aromatherapy and acupoint herbal patching are ancient alternative therapies in traditional Chinese medicine. We randomly selected 90 patients from the Nanjing Public Health Medical Center in China and divided them into three groups: aromatherapy group, acupoint herbal patching group and control group. They were supposed to fill in the Pittsburgh Sleepiness Index Scale (PSQI), the Piper Fatigue Scale (PFS), and the Liver Depression and Spleen Deficiency Insomnia Symptoms Scale (LDSSIPS) before and after the intervention. The results showed that the difference between the PSQI score and fatigue score of the aromatherapy group and acupressure group before and after the intervention was statistically significant (P < 0.05), and the difference between the scores of the three groups after the intervention was statistically significant (P < 0.05). This study found that aromatherapy and acupoint herbal patching could effectively alleviate fatigue of PLWH and improve the quality of sleep, and that the therapeutic effect of the aromatherapy group was comparable with that of the acupoint herbal patching group.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"646-653"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence and characteristics of people with HIV who had late, delayed and timely HIV diagnoses in Florida, 2015-2021. 2015-2021年佛罗里达州晚期、延迟和及时诊断的HIV感染者的患病率和特征

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-01 DOI: 10.1080/09540121.2025.2484299

Christina E Parisi, Shantrel S Canidate, Awewura Kwara, Zhigang Li, Zhi Zhou, Colby Cohen, Robert L Cook, Natalie Chichetto

{"title":"Prevalence and characteristics of people with HIV who had late, delayed and timely HIV diagnoses in Florida, 2015-2021.","authors":"Christina E Parisi, Shantrel S Canidate, Awewura Kwara, Zhigang Li, Zhi Zhou, Colby Cohen, Robert L Cook, Natalie Chichetto","doi":"10.1080/09540121.2025.2484299","DOIUrl":"https://doi.org/10.1080/09540121.2025.2484299","url":null,"abstract":"Different definitions of late HIV diagnosis are used to represent people diagnosed at an advanced stage of their illness. How well varying definitions represent those at risk for poor outcomes is unclear. Our aim was to examine proportions of late, delayed and timely HIV diagnoses in Florida and identify factors associated with diagnosis status. Using the first laboratory test in the Enhanced HIV/AIDS Reporting System, we determined annual proportions of late (CD4 < 200 cells/μL), delayed (200 ≤ CD4 < 350 cells/μL) and timely (CD4 ≥ 350 cells/μL) diagnoses in Florida between 2015 and 2021 and assessed characteristics associated with diagnosis status using multinomial logistic regression models. Among 30,411 individuals (20% female, 39% non-Hispanic Black, 34% Hispanic, mean age 37.1 years), 22% had a late and 17% had a delayed diagnosis. Non-Hispanic Black race, older age, and diagnosis at an inpatient facility were associated with greater odds of having a late or delayed diagnosis compared with having a timely diagnosis. There was no change in the prevalence of late, delayed, and timely diagnoses each year during the study period. Nearly 40% of HIV diagnoses in Florida were late or delayed. Given those with late and delayed diagnoses were similar, strategies to improve timeliness of diagnosis among these groups are needed.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-9"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

HIV service use among minoritized racial and ethnic transgender and gender non-conforming youth in the U.S South: a qualitative investigation. 美国南部少数种族和民族跨性别和性别不符合青年的艾滋病服务使用情况：一项定性调查。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-01 Epub Date: 2025-01-27 DOI: 10.1080/09540121.2025.2456081

Linda J Koenig, Deborah Gelaude, Yuko Mizuno, Pilgrim Spikes, Jarvis Carter, Lamont Scales White, Laura A Randall, Valerie Betley, Casey Langer Tesfaye

{"title":"HIV service use among minoritized racial and ethnic transgender and gender non-conforming youth in the U.S South: a qualitative investigation.","authors":"Linda J Koenig, Deborah Gelaude, Yuko Mizuno, Pilgrim Spikes, Jarvis Carter, Lamont Scales White, Laura A Randall, Valerie Betley, Casey Langer Tesfaye","doi":"10.1080/09540121.2025.2456081","DOIUrl":"10.1080/09540121.2025.2456081","url":null,"abstract":"Transgender youth are disproportionately affected by HIV, particularly minoritized youth in the US south. To understand HIV service use among transgender youth, we interviewed 25 young racial and ethnic minority clients of four southern community-based HIV service organizations (CBOs), and CBO staff (n = 12), about service access and use. Participants were assigned male at birth and identified as female (n = 8), transgender (n = 11) or gender-fluid or nonbinary (n = 6). The majority were Black/African American or mixed race; four were Hispanic or Latino/a. Most were unemployed; nearly half were unstably housed or homeless during the prior year. Four service types were each used by approximately two-thirds of participants: counseling/support, HIV/STD testing/education, pre-exposure prophylaxis education/prescriptions, and transgender-related medical services (primarily hormone provision). Just over a quarter used social services (e.g., housing, employment). Key facilitators to service use included a non-stigmatizing CBO atmosphere, and easy and convenient access. Poor access (e.g., inconvenient hours, location), lack of transportation or parking, social service needs, and lack of money were barriers. Qualitative reports highlighted unmet social service needs, particularly housing, especially for those without HIV. To reduce disparities, HIV prevention for racial and ethnic minoritized transgender youth should simultaneously address hormone provision, HIV risk reduction and social service needs.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"598-607"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Human-centered design of an adapted differentiated service delivery model for pregnant and postpartum women living with HIV in Kenya. 为肯尼亚感染艾滋病毒的孕妇和产后妇女提供适应的差异化服务模式的以人为本的设计。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-01 DOI: 10.1080/09540121.2025.2485397

John Humphrey, Bett Kipchumba, James G Carlucci, Roselyne Midiwo, Edwin Were, Alan McGuire, Julia Songok, Winstone Nyandiko, Gregory Zimet, Kara Wools-Kaloustian, Violet Naanyu

{"title":"Human-centered design of an adapted differentiated service delivery model for pregnant and postpartum women living with HIV in Kenya.","authors":"John Humphrey, Bett Kipchumba, James G Carlucci, Roselyne Midiwo, Edwin Were, Alan McGuire, Julia Songok, Winstone Nyandiko, Gregory Zimet, Kara Wools-Kaloustian, Violet Naanyu","doi":"10.1080/09540121.2025.2485397","DOIUrl":"https://doi.org/10.1080/09540121.2025.2485397","url":null,"abstract":"Differentiated service delivery (DSD) models for pregnant and postpartum women living with HIV (WLH) are lacking despite guidelines recommending DSD for this population. We used human-centered design (HCD) to develop a DSD model for pregnant and postpartum WLH at the Academic Model Providing Access to Healthcare (AMPATH) in Kenya. We conducted co-creation workshops with 11 postpartum women, 9 male partners and 9 providers from three AMPATH-affiliated facilities to develop a DSD model, refined by program/county health officials. The workshops used WHO building blocks for DSD to determine eligibility criteria and strategies for clinical encounters, antiretroviral therapy (ART) distribution, and psychosocial support. We used nominal group techniques and thematic analyses to identify DSD attributes, themes and preference heterogeneity. Workshops yielded a facility-based DSD model with these attributes: eligibility criteria including age ≥18 years, not primigravida, retention in care, viral load <50 copies/mL, no active maternal/child comorbidities; monthly clinical encounters during pregnancy and 6 months postpartum, then every 2-3 months aligned with immunization/HIV testing schedules; flexible ART refills every 1-6 months; psychosocial counseling by mentor mothers as needed. This model was acceptable to stakeholders with perceived feasibility/scalability. Engaging end-users through HCD generated a person-centered DSD model for integrated MCH clinics in Kenya.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-16"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Systemic inequities and sources of resilience: challenges faced by Indigenous women living with HIV during COVID-19 in the Canadian prairies. 系统性不平等和复原力的来源：2019冠状病毒病期间加拿大草原感染艾滋病毒的土著妇女面临的挑战

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-01 Epub Date: 2025-01-27 DOI: 10.1080/09540121.2025.2458635

Rusty Souleymanov, Samantha Moore, Melissa Morris

{"title":"Systemic inequities and sources of resilience: challenges faced by Indigenous women living with HIV during COVID-19 in the Canadian prairies.","authors":"Rusty Souleymanov, Samantha Moore, Melissa Morris","doi":"10.1080/09540121.2025.2458635","DOIUrl":"10.1080/09540121.2025.2458635","url":null,"abstract":"This study explored the challenges faced by, and resilience of First Nations, Métis, and Inuit women living with HIV in Manitoba and Saskatchewan during the COVID-19 pandemic. Through a decolonizing, community-based research approach, guided by a Community Guiding Circle (CGC), interviews were conducted with 45 Indigenous women living with HIV. Participants were recruited via community outreach, peer networks, and social media. Data collection and analysis utilized Indigenous storywork and inductive thematic analysis. The study revealed significant barriers related to housing instability, childcare, and access to healthcare, all exacerbated by systemic inequities rooted in colonialism, patriarchy, and capitalism. Despite these challenges, Indigenous cultural practices, ceremonies, community support, and family ties emerged as crucial sources of resilience, though often disrupted during the pandemic. The findings underscore the urgent need for culturally safe, women-centered care models that integrate Indigenous knowledge and practices. For health and social care practitioners, this research emphasizes the importance of advocating for systemic change to address the unique needs of Indigenous women living with HIV and calls for the development and implementation of culturally safe health and social care tailored to their unique needs and resilience.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"635-645"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0