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

Tobacco cessation prescription rates among Veterans living with human immunodeficiency virus who smoke. 携带人类免疫缺陷病毒的退伍军人吸烟的戒烟处方率。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-10-09 DOI: 10.1080/09540121.2025.2564201

Ellen Herbst, Katherine J Hoggatt, Ning Zhang, Natalie Purcell, Stella Bialous

{"title":"Tobacco cessation prescription rates among Veterans living with human immunodeficiency virus who smoke.","authors":"Ellen Herbst, Katherine J Hoggatt, Ning Zhang, Natalie Purcell, Stella Bialous","doi":"10.1080/09540121.2025.2564201","DOIUrl":"https://doi.org/10.1080/09540121.2025.2564201","url":null,"abstract":"Introduction: Cigarette smoking remains the leading preventable cause of death in the United States, with prevalence remaining dangerously high in at-risk groups, including people living with Human Immunodeficiency Virus (HIV). Military Veterans with HIV and receiving Veterans Health Administration (VHA) care have a high prevalence of smoking, and risk factors such as hazardous drinking and substance use disorder (SUD), despite access to smoking cessation treatment. Little is known about the prevalence of smoking and smoking cessation medication receipt among Veterans with HIV and co-occurring hazardous drinking or SUD. Methods: In this cohort study, we analysed nationwide VHA electronic health record (EHR) data from 1 October 2015 to 30 September 2021, to examine the prevalence of smoking among Veterans with HIV with and without hazardous drinking or SUD diagnoses. We then assessed VHA cessation prescription rates for the 12 months following the documentation of smoking in the VA EHR. Results: In the overall sample of Veterans with HIV who smoke and have co-occurring hazardous drinking or SUD, 33.9% (N = 3220) were prescribed smoking cessation medications in the 12 months following documented smoking. Among Veterans who smoke with HIV, 42.5% of those with hazardous drinking or SUD were prescribed medication compared to 29.6% of those without hazardous substance use. Discussion: These trends demonstrate that Veterans with HIV who smoke but do not have hazardous drinking or SUD have lower access to smoking cessation pharmacotherapy in VA care. Efforts to provide tobacco cessation pharmacotherapy to this population may improve smoking outcomes.Trial registration: Netherlands National Trial Register identifier: ntr206.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-10"},"PeriodicalIF":1.2,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259650","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

Staff perspectives on using long-acting antiretroviral treatment among persons being released from carceral settings in Baltimore, Maryland, USA. 工作人员对美国马里兰州巴尔的摩监狱释放人员使用长效抗逆转录病毒治疗的看法。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-10-08 DOI: 10.1080/09540121.2025.2562459

Zaire Cullins, Aurielle Ross, Curt G Beckwith, Michael Gordon, Thomas Blue, Christian Black, Hannah Camp, Lauren Brinkley-Rubinstein

{"title":"Staff perspectives on using long-acting antiretroviral treatment among persons being released from carceral settings in Baltimore, Maryland, USA.","authors":"Zaire Cullins, Aurielle Ross, Curt G Beckwith, Michael Gordon, Thomas Blue, Christian Black, Hannah Camp, Lauren Brinkley-Rubinstein","doi":"10.1080/09540121.2025.2562459","DOIUrl":"https://doi.org/10.1080/09540121.2025.2562459","url":null,"abstract":"The prevalence of HIV among individuals who experience incarceration is estimated to be three times higher than that of the general population in the United States. Currently, the standard of care, antiretroviral medications taken daily, is effective in reducing mortality and HIV transmission but individuals experiencing community re-entry face barriers while re-integrating with their community which may make adherence to daily medication challenging. Long acting injectable antiretroviral treatment (LAI ART) may offer an opportunity for individuals experiencing community re-entry to remain in treatment while prioritizing their other needs. Our team conducted 16 interviews with various staff in both community and carceral settings pertaining to the potential administration of LAI ART in prison settings with treatment continuing while individuals are experiencing community re-entry. Many participants were supportive of administering LAI ART in this population, but challenges related to ensuring continuation of care, access to clinics, and the lack of resources in health settings were frequently cited as potential barriers.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-7"},"PeriodicalIF":1.2,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252956","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

Healthcare provider perspectives on Patient Reported Outcome (PRO) use in Danish HIV care - A qualitative focus group study. 医疗保健提供者对丹麦艾滋病毒护理中患者报告结果（PRO）使用的看法-一项定性焦点小组研究。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-10-07 DOI: 10.1080/09540121.2025.2570406

Olivia Borchmann, Nina Weis, Ann-Brit E Hansen, Merete Storgaard, P Paul Chandanabhumma, Ellen Moseholm

{"title":"Healthcare provider perspectives on Patient Reported Outcome (PRO) use in Danish HIV care - A qualitative focus group study.","authors":"Olivia Borchmann, Nina Weis, Ann-Brit E Hansen, Merete Storgaard, P Paul Chandanabhumma, Ellen Moseholm","doi":"10.1080/09540121.2025.2570406","DOIUrl":"https://doi.org/10.1080/09540121.2025.2570406","url":null,"abstract":"The use of Patient Reported Outcomes (PROs) in HIV care may contribute to a more holistic approach. There is no gold standard of PRO measures that best reflect the concerns and needs of people with HIV, because these may vary depending on healthcare contexts. The aim of this study was to explore HIV healthcare providers' (HCPs') experiences regarding the concerns and needs of people with HIV, and their perspectives on the use of PROs in HIV care. This was a single-centre, Danish qualitative study. We included nine HCPs in two focus group discussions, which followed an interview guide. Data were thematically analyzed following Interpretive Description framework. We identified three main themes: 1: People with HIV have varying healthcare needs. 2: Beyond biomedical care - within the current clinical framework. 3: Ambivalence towards PROs. The healthcare needs of people with HIV vary and depend on their social circumstances. HCPs try to have a holistic approach, but they are limited by a lack of time and resources in the healthcare system. HCPs were generally positive about the experimental implementation of PRO. However, PRO might raise care expectations for people with HIV that may be difficult to meet within the current healthcare framework.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-13"},"PeriodicalIF":1.2,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240115","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

Self-reported sleep quality and frailty in middle-aged people living with HIV in an African setting: a pilot study. 非洲中年艾滋病毒感染者自我报告的睡眠质量和虚弱：一项试点研究。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-10-06 DOI: 10.1080/09540121.2025.2564882

Xi Zheng, Ruixue Cai, Chenlu Gao, Ponego Ponatshego, Lei Gao, Monty A Montano, Kun Hu, Mosepele Mosepele, Peng Li

{"title":"Self-reported sleep quality and frailty in middle-aged people living with HIV in an African setting: a pilot study.","authors":"Xi Zheng, Ruixue Cai, Chenlu Gao, Ponego Ponatshego, Lei Gao, Monty A Montano, Kun Hu, Mosepele Mosepele, Peng Li","doi":"10.1080/09540121.2025.2564882","DOIUrl":"https://doi.org/10.1080/09540121.2025.2564882","url":null,"abstract":"People living with HIV (PLWH) are at increased risk of frailty, yet the role of sleep disturbances in this risk remains underexplored. In this cross-sectional study, we aimed to evaluate self-reported sleep quality in PLWH and relevance to frailty in a high HIV-prevalence setting within Africa. We enrolled 50 PLWH on suppressive antiretroviral therapy (age: 56.9 ± 4.4 years; 26 females) and 50 matched HIV-seronegative controls (age: 56.6 ± 4.3 years; 24 females) in Botswana. Sleep quality was scored subjectively as \"good\" or \"poor\" based on participants' responses to two self-reported sleep questions. The frailty index was constructed based on thirty-three health deficits related to body mass index, waist circumference, physical activity, emotional status, and fatigue, and scored ranging between 0 (no deficit present) and 1 (all deficits present). PLWH displayed a 2.88-fold increase in odds of having poor sleep than controls (95% CI: 1.22-6.79, p = 0.02). Having poor sleep was associated with increased frailty index in PLWH but not in controls. Specifically, compared with PLWH who had good sleep, PLWH who reported poor sleep had a 0.15 (95% CI: 0.09-0.21, p < 0.0001) increase in their frailty index. These findings highlight the importance of sleep health in understanding frailty risk in PLWH.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-11"},"PeriodicalIF":1.2,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233739","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

The "ART review": formalizing a process to document complex HIV treatment histories and to support treatment optimization. “抗逆转录病毒治疗审查”：正式确立记录复杂的艾滋病毒治疗史和支持治疗优化的程序。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-10-06 DOI: 10.1080/09540121.2025.2566862

Kellie L Hawkins, Leila S Hojat, Carrie Hicks, Margaret P McLees, Sarah Rowan, William J Burman, Edward M Gardner

{"title":"The \"ART review\": formalizing a process to document complex HIV treatment histories and to support treatment optimization.","authors":"Kellie L Hawkins, Leila S Hojat, Carrie Hicks, Margaret P McLees, Sarah Rowan, William J Burman, Edward M Gardner","doi":"10.1080/09540121.2025.2566862","DOIUrl":"https://doi.org/10.1080/09540121.2025.2566862","url":null,"abstract":"Contemporary antiretroviral therapy (ART) is well-tolerated, safe and has simple dosing schedules. Here we evaluate a clinic wide initiative that uses detailed ART reviews when switching highly treatment-experienced individuals with or without HIV viremia to new regimens. We hypothesized that viral suppression post-switch would be maintained or improved. Persons who had a comprehensive ART review performed between March 2016 and December 2020 for optimization or virologic failure in an urban HIV clinic were included. Primary outcome was viral suppression at 6 months post-switch, and secondary outcomes included sustained viral suppression at 2 years, ART regimen characteristics and metabolic-associated changes. In patients with suppressed HIV-RNA who optimized therapy, 43 (96%) of 45 remained suppressed at 6 months. Among people switching for virologic failure, 16 (84%) of 19 achieved viral suppression at 6 months. Two years post-switch, 44 (88%) of 50 people were still in care on the optimized regimen and had viral suppression. Multiple different ART regimen characteristics improved as well. The use of ART reviews to assist in regimen recommendations for people with HIV who are highly treatment experienced is safe and effective. HIV clinicians should consider using detailed ART reviews in highly treatment-experienced individuals to facilitate optimization and record this critical medical history.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-11"},"PeriodicalIF":1.2,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240054","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

Impact of social media health promotion on HIV/AIDS stigma reduction: the role of multi-language campaign and emotional empathy. 社交媒体健康促进对减少艾滋病毒/艾滋病污名的影响：多语言运动和情感共情的作用

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-10-06 DOI: 10.1080/09540121.2025.2562460

Philip Siaw Kissi

{"title":"Impact of social media health promotion on HIV/AIDS stigma reduction: the role of multi-language campaign and emotional empathy.","authors":"Philip Siaw Kissi","doi":"10.1080/09540121.2025.2562460","DOIUrl":"https://doi.org/10.1080/09540121.2025.2562460","url":null,"abstract":"HIV/AIDS stigma remains a global challenge, restricting healthcare access and reinforcing discrimination. This study examines how social media health promotion reduces HIV/AIDS stigma, focusing on the mediating role of multi-language campaigns and the moderating effect of emotional empathy. Using a cross-sectional survey of 659 social media users analyzed with PLS-SEM, the results show that social media health promotion significantly reduces stigma. Multi-language campaigns partially mediate this effect, highlighting the importance of linguistic inclusivity in health communication. Emotional empathy further moderates the relationship, with highly empathetic individuals more receptive to stigma-reduction messages across languages. Unlike prior studies emphasizing social media's direct role in health awareness, this research reveals how language accessibility and emotional engagement strengthen digital health campaigns. The findings hold implications for health communicators, policymakers, and advocacy groups seeking inclusive and impactful strategies. Additionally, the study supports SDG 4: Quality Education by showing how social media fosters HIV/AIDS awareness, reduces stigma, and promotes inclusive education. Platforms such as Facebook and TikTok are key in enhancing digital literacy, reducing misinformation, and creating equitable, stigma-free learning opportunities.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-19"},"PeriodicalIF":1.2,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240090","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

The reciprocal relationships between loneliness and antiretroviral therapy adherence in persons with HIV: a two-wave cross-lagged model. 艾滋病毒感染者孤独感与抗逆转录病毒治疗依从性之间的相互关系：一个双波交叉滞后模型。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-10-05 DOI: 10.1080/09540121.2025.2566384

Moka Yoo-Jeong, Drenna Waldrop

{"title":"The reciprocal relationships between loneliness and antiretroviral therapy adherence in persons with HIV: a two-wave cross-lagged model.","authors":"Moka Yoo-Jeong, Drenna Waldrop","doi":"10.1080/09540121.2025.2566384","DOIUrl":"https://doi.org/10.1080/09540121.2025.2566384","url":null,"abstract":"Loneliness has been linked to medication-taking behaviors in the general population, yet its role in antiretroviral therapy (ART) adherence among persons with HIV (PWH) remains less understood. This study examined whether loneliness is a risk factor for, or consequence of, poor ART adherence. We conducted a secondary analysis of an observational study on racial disparities in health outcomes among PWH in the Southeastern United States. A cross-lag model tested reciprocal relationships between loneliness (PROMIS-Social Isolation Scale) and self-reported ART adherence across two time points (baseline and 6-month follow-up). Complete cases on both variables yielded a sample of 153 participants (mean age=46.3; 28.1% female; 64.7% Black). Adjusting for depressive symptoms, life stressors, HIV-related stigma and age, the results indicated that baseline loneliness predicted greater loneliness at follow-up (β=0.68, p<.001) and lower ART adherence (β=-0.28, p=.003). Baseline adherence predicted future adherence (β=0.36, p<.001) but not future loneliness (β=0.02, p=.73). Older age was positively associated with adherence (β=0.16, p=.02). The findings suggest that loneliness undermines ART adherence over time, highlighting the need for interventions in community and clinical settings that address loneliness to improve long-term HIV care outcomes.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-8"},"PeriodicalIF":1.2,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233756","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

Low uptake of HIV self-testing among Black men who have sex with men living in a Southern U.S. city (Nashville, Tennessee): determinants and implications from a community-based study. 居住在美国南部城市（田纳西州纳什维尔）的黑人男男性行为者中HIV自我检测率低：一项基于社区的研究的决定因素和影响。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-10-04 DOI: 10.1080/09540121.2025.2565431

Yutong Xu, Chen Zhang, Yu Liu

{"title":"Low uptake of HIV self-testing among Black men who have sex with men living in a Southern U.S. city (Nashville, Tennessee): determinants and implications from a community-based study.","authors":"Yutong Xu, Chen Zhang, Yu Liu","doi":"10.1080/09540121.2025.2565431","DOIUrl":"https://doi.org/10.1080/09540121.2025.2565431","url":null,"abstract":"Black men who have sex with men (BMSM) face a disproportionate HIV burden in the U.S. Yet, HIV self-testing (HIVST) uptake remains limited. We conducted a cross-sectional study with 203 BMSM in Nashville, Tennessee (2019-2020) to assess HIVST patterns, determinants, and barriers/facilitators. Overall, 29.6% reported ever using HIVST, with 9.8% using it in the past three months. Higher likelihood of HIVST use was associated with older age, higher income, condomless anal sex, knowing peers who used HIVST, and moderate to severe anxiety. Lower likelihood was associated with self-identifying as heterosexual, disclosing sexual orientation to healthcare professionals, and experiencing moderate to severe perceived stress. Top barriers included lack of emotional support (87.6%), uncertainty about what to do after a positive result (75.3%), medical mistrust (69.5%), limited knowledge in using HIVST (57.2%), and limited access to free kits (46.8%). Top facilitators included peer-led demonstrations (77.6%), linkage to Black LGBTQ+ support services (70.8%), integration of social media (65.3%), discreet home delivery (61.2%), and incentives (56.1%). Findings highlight modifiable individual and structural determinants that may inform culturally and contextually tailored interventions to enhance HIVST uptake among BMSM in the US.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-15"},"PeriodicalIF":1.2,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145228570","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 autistic traits in people living with HIV and users of HIV pre-exposure prophylaxis: a cross-sectional study in Belgian HIV reference centres. 艾滋病毒感染者和艾滋病毒暴露前预防使用者中自闭症特征的流行：比利时艾滋病毒参考中心的横断面研究。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-10-04 DOI: 10.1080/09540121.2025.2565432

Veerle Huyst, Jens Van Praet, Achilleas Tsoumanis, Thibaut Vanbaelen, Anne-Sophie Sauvage, Jeroen Dewinter, Ilse Noens, Kathleen Van Damme, Kristien Roelens

{"title":"Prevalence of autistic traits in people living with HIV and users of HIV pre-exposure prophylaxis: a cross-sectional study in Belgian HIV reference centres.","authors":"Veerle Huyst, Jens Van Praet, Achilleas Tsoumanis, Thibaut Vanbaelen, Anne-Sophie Sauvage, Jeroen Dewinter, Ilse Noens, Kathleen Van Damme, Kristien Roelens","doi":"10.1080/09540121.2025.2565432","DOIUrl":"https://doi.org/10.1080/09540121.2025.2565432","url":null,"abstract":"Autistic individuals are potentially at increased HIV risk due to gaps in adequate sexual health education, elevated sexual victimisation rates, and higher numbers of same-sex attraction compared to non-autistic adults. Data on autism prevalence among people living with HIV (PLHIV) or using Pre-Exposure Prophylaxis (PrEP) are lacking but critical to address gaps in sexual health provision for autistic individuals. This cross-sectional, multicentre study investigated the prevalence of autistic traits among PLHIV and PrEP users in Belgian HIV Reference Centres (HRCs). Adult PLHIV and PrEP users from four HRCs were invited to complete the validated Autism Spectrum Quotient (AQ) questionnaire and report prior autism diagnoses. Autism prevalence was estimated using the proportion scoring above the AQ cut-off of 32 (autism specificity .90, sensitivity .41). Among 1,439 participants (45.45% PLHIV, 53.79% PrEP users), 6.39% (95% CI 5.24% - 7.78%) surpassed the cut-off, with only 33.70% of them reporting prior autism diagnoses. A significant difference emerged: 4.28% of PLHIV versus 8.27% of PrEP users surpassed the threshold (p = 0.002). Rates of autistic traits in both groups were higher than in the general population, where only 2% exceed the 32 score. These findings highlight the importance of autism-friendly care in HIV clinics.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-16"},"PeriodicalIF":1.2,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145228592","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

Interventions to reduce HIV-related stigma among older people living with HIV in sub-Saharan Africa: a scoping review. 减少撒哈拉以南非洲老年艾滋病毒感染者艾滋病毒相关污名的干预措施：范围审查。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-10-03 DOI: 10.1080/09540121.2025.2562247

Hannah M Wolpe, Lucia Knight, Tsidiso Tolla, Law J Mugadhuyi, Enid Schatz, Jennifer Pellowski, Jennifer Nyawira Githaiga

{"title":"Interventions to reduce HIV-related stigma among older people living with HIV in sub-Saharan Africa: a scoping review.","authors":"Hannah M Wolpe, Lucia Knight, Tsidiso Tolla, Law J Mugadhuyi, Enid Schatz, Jennifer Pellowski, Jennifer Nyawira Githaiga","doi":"10.1080/09540121.2025.2562247","DOIUrl":"https://doi.org/10.1080/09540121.2025.2562247","url":null,"abstract":"HIV-related stigma remains a major barrier to testing, treatment, and quality of life, especially for the growing population of older people living with HIV (OPLWH, aged 50+). Such stigma intersects with age-related and other stigmas, compounding health vulnerabilities. Research on this issue remains limited, particularly in sub-Saharan Africa (SSA). This review thus sought to explore stigma-reduction interventions for OPLWH in SSA to inform future efforts. Guided by Joanna Briggs Institute and PRISMA-ScR standards, studies published between 2004 and 2024 including OPLWH in SSA and reporting stigma-reduction interventions were reviewed. A search of seven databases produced 709 articles, with 21 manually sought manually. Eight studies were included, five of which were from Kenya. Five were qualitative, and only one quantitative study included follow-up data. Three explicitly targeted stigma, and one intersectional stigma. Various features (e.g., education) were targeted, mostly at individual or interpersonal levels. Few operated at higher levels and age reporting was inconsistent. There is an evident lack of stigma-reduction interventions for OPLWH in SSA. Future efforts should consider age-related dynamics and intersecting stigmas. Social support (formal and informal) showed particular promise, alongside economic and nutrition-based strategies. Broader, higher-level efforts addressing social and institutional drivers of stigma are also needed.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-18"},"PeriodicalIF":1.2,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214247","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