Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv最新文献_第2页

"I must carefully evaluate the benefits and risks to determine the appropriate person to disclose to" exploring preferences in selection of disclosure recipients among older people living with HIV in China: a qualitative analysis. “我必须仔细评估利益和风险，以确定合适的披露对象”，探索中国老年艾滋病毒感染者选择披露对象的偏好：定性分析。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-05-01 Epub Date: 2025-02-26 DOI: 10.1080/09540121.2025.2464622

Jiaxin Hao, Limei Feng, Judi Chen

{"title":"\"I must carefully evaluate the benefits and risks to determine the appropriate person to disclose to\" exploring preferences in selection of disclosure recipients among older people living with HIV in China: a qualitative analysis.","authors":"Jiaxin Hao, Limei Feng, Judi Chen","doi":"10.1080/09540121.2025.2464622","DOIUrl":"10.1080/09540121.2025.2464622","url":null,"abstract":"The disclosure of HIV status offers significant benefits for both individual and public health. The willingness to disclose HIV status and the choice of disclosure recipients are key factors in HIV prevention, treatment, and support. Older people living with HIV (OPLWH) face more complex considerations in disclosure due to unique physiological, psychological, and social factors. However, research on their preferences for disclosure recipients remains limited. From May to June 2024, we conducted semi-structured interviews with 12 OPLWH undergoing follow-up treatment at infectious disease healthcare facilities in Wuxi, China. Using Braun and Clarke's thematic analysis, we identified four primary themes: (1) unique factors related to OPLWH, including health conditions, intersecting stigmas, and fear of losing support; (2) role selection based on role status and obligations; (3) reactions of disclosure recipients, encompassing acceptance, rejection, and uncertainty; and (4) multifaceted impacts of disclosure, including both positive and negative effects. Our findings indicate that OPLWH's unique attributes and social roles influence their selection of disclosure recipients, while recipient reactions and the resulting impacts shape their disclosure experiences. Healthcare providers and HIV-focused social organizations should assess the physiological, psychological, and social conditions of OPLWH, as well as the motivations behind their choice of disclosure recipients. Based on this, tailored guidance should be offered to mitigate negative subsequent factors, enhancing their health, social integration, and quality of life.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"697-708"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504450","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

Navigating HIV care in a mobile society: case studies of clinic transfers in South Africa's public health sector. 在流动社会中引导艾滋病毒护理：南非公共卫生部门诊所转移的案例研究。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-05-01 Epub Date: 2025-03-18 DOI: 10.1080/09540121.2025.2479044

Nsika Sithole, Busisiwe Nkosi, Janet Seeley, Ruanne V Barnabas, Mark J Siedner, Mosa Moshabela

{"title":"Navigating HIV care in a mobile society: case studies of clinic transfers in South Africa's public health sector.","authors":"Nsika Sithole, Busisiwe Nkosi, Janet Seeley, Ruanne V Barnabas, Mark J Siedner, Mosa Moshabela","doi":"10.1080/09540121.2025.2479044","DOIUrl":"10.1080/09540121.2025.2479044","url":null,"abstract":"In South Africa, people living with HIV (PWH) often relocate for work and family obligations, which creates unique challenges for continuous HIV care. We explored the experiences of mobile individuals living with HIV navigating clinic transfers without formal letters. A qualitative study was conducted with PWH on antiretroviral therapy (ART) from two clinics in KwaZulu-Natal. Participants, who had not disclosed their HIV treatment history at registration, were interviewed in-depth between March and October 2023. Content and thematic analyses, informed by Andersen's behavioral model and self-management domains, were used. This study presents two case studies of individuals who faced challenges with accessing ART after relocating to new areas: a 37-year-old female worker and a 47-year-old male construction worker. Both faced difficulties accessing ART after relocation. When they presented at new clinics, they were told they could not access care without transfer letters. Unable to return to previous clinics, they sought treatment at a third clinic as treatment-naive, changing their names to avoid detection. To cover ART gaps, they also purchased or borrowed ART from others. These individuals developed strategies to overcome barriers. Educating clinic staff on the challenges faced by migrants could help improve transfers.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"864-871"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparing PrEP adherence via objective and self-reported measures among fishermen working on Lake Victoria, Kenya. 通过客观和自我报告的措施比较在肯尼亚维多利亚湖工作的渔民的PrEP依从性。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-05-01 Epub Date: 2025-04-16 DOI: 10.1080/09540121.2025.2484312

Daniel O Adede, Lila A Sheira, Sarah A Gutin, Antony Ochung, Bernard Ayieko, Phoebe Olugo, Jayne Lewis-Kulzer, Edwin D Charlebois, Carol S Camlin, Harsha Thirumurthy, Kawango Agot, Zachary Kwena, Monica Gandhi

{"title":"Comparing PrEP adherence via objective and self-reported measures among fishermen working on Lake Victoria, Kenya.","authors":"Daniel O Adede, Lila A Sheira, Sarah A Gutin, Antony Ochung, Bernard Ayieko, Phoebe Olugo, Jayne Lewis-Kulzer, Edwin D Charlebois, Carol S Camlin, Harsha Thirumurthy, Kawango Agot, Zachary Kwena, Monica Gandhi","doi":"10.1080/09540121.2025.2484312","DOIUrl":"10.1080/09540121.2025.2484312","url":null,"abstract":"Fishermen working along Lake Victoria experience high rates of HIV acquisition that can be mitigated by pre-exposure prophylaxis (PrEP), which requires adequate adherence for effective prevention. We evaluated PrEP adherence among Kenyan fishermen using objective metrics and examine non-adherence. Data are from the Owete study (NCT04772469), a cluster randomized-controlled trial using a social network approach among fishermen to increase HIV testing and linkage to care. Survey and lab data were collected from PrEP users. We measured recent objective adherence via a point-of-care tenofovir urine assay. We conducted a logistic regression to assess the relationship between self-reported adherence data and urine tenofovir detection. Among 71 PrEP users, 34% self-reported ≥90% PrEP adherence. Reasons for non-adherence included not feeling at risk (31%), being away and without medication (27%), or feeling they did not need PrEP (24%). Detectable PrEP in urine was low (17%). Self-reported PrEP non-adherence within 30 days was associated with 13.29 times the odds of non-detection of urine tenofovir (95% CI: 2.20, 80.43). The point-of-care tenofovir assay was a valuable tool for objectively measuring PrEP adherence. Interventions to bolster PrEP adherence are needed to prevent HIV acquisition among fishermen, as are longer-acting products with lower demands for adherence.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":"37 5","pages":"749-757"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knowledge and perception of HIV pre-exposure prophylaxis among healthcare workers. 卫生保健工作者对艾滋病毒暴露前预防的知识和认知。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-05-01 Epub Date: 2025-03-12 DOI: 10.1080/09540121.2025.2473940

Paula Knoch Mendonça Gil, Danilo Dos Santos Conrado, Ana Isabel do Nascimento, João Cesar Pereira da Cunha, Gabriel Serrano Ramires Koch, Camila Guadeluppe Maciel, Cláudia Du Bocage Santos-Pinto, Everton Falcão de Oliveira

{"title":"Knowledge and perception of HIV pre-exposure prophylaxis among healthcare workers.","authors":"Paula Knoch Mendonça Gil, Danilo Dos Santos Conrado, Ana Isabel do Nascimento, João Cesar Pereira da Cunha, Gabriel Serrano Ramires Koch, Camila Guadeluppe Maciel, Cláudia Du Bocage Santos-Pinto, Everton Falcão de Oliveira","doi":"10.1080/09540121.2025.2473940","DOIUrl":"10.1080/09540121.2025.2473940","url":null,"abstract":"Introduction: In Brazil, pre-exposure prophylaxis (PrEP) is freely available to individuals at high risk of HIV infection. However, knowledge and perception of PrEP can act as barriers to its access and use. This study evaluated PrEP knowledge and perception among healthcare workers in the Unified Health System in a Brazilian capital. Methods: This cross-sectional study collected data through interviews with healthcare workers from 72 Primary Health Care (PHC) units and 5 Specialized Care (SC) services in Campo Grande, Mato Grosso do Sul. Binomial logistic regression models were used to analyze factors associated with PrEP knowledge and perception. Results: A total of 372 professionals were interviewed. The majority were PHC professionals (93.0%), female (76.1%), aged between 30 and 39 years (41.4%), heterosexual (83.3%), and non-white (51.9%). PrEP knowledge was higher among LGBTQIA + professionals, those with less than one year of healthcare work experience, those with a positive perception of PrEP, and those attending more patients per day. A positive perception of PrEP was significantly higher among professionals who care for people living with HIV and lower among those with limited knowledge about PrEP. Discussion: Identifying factors influencing PrEP access may help develop strategies to improve knowledge and perception, particularly in high-impact areas.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"780-789"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617653","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

Success rates of endodontic treatment in HIV positive (HIV +) and non-HIV patients - a systematic review. HIV阳性（HIV +）和非HIV患者的牙髓治疗成功率-系统综述。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-05-01 Epub Date: 2025-03-10 DOI: 10.1080/09540121.2025.2475210

Samantha Rodrigues Xavier, Caroline Fernandes Silva, Wellington Luiz de Oliveira da Rosa, Fábio de Almeida Gomes, Fernanda Geraldo Pappen, Natália Marcumini Pola

引用次数: 0

Digital HIV information seeking and willingness to use a smartphone application for PrEP care among persons who inject drugs in Northeast Georgia, United States. 美国佐治亚州东北部注射吸毒者中寻求数字艾滋病毒信息和使用智能手机应用程序进行PrEP护理的意愿。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-05-01 Epub Date: 2025-03-05 DOI: 10.1080/09540121.2025.2474669

Samantha Clinton, Odalis Marcial, Zelalem T Haile, Sayward E Harrison, Monique J Brown, Don Roosan, Nathan B Hansen, Mohammad Rifat Haider

{"title":"Digital HIV information seeking and willingness to use a smartphone application for PrEP care among persons who inject drugs in Northeast Georgia, United States.","authors":"Samantha Clinton, Odalis Marcial, Zelalem T Haile, Sayward E Harrison, Monique J Brown, Don Roosan, Nathan B Hansen, Mohammad Rifat Haider","doi":"10.1080/09540121.2025.2474669","DOIUrl":"10.1080/09540121.2025.2474669","url":null,"abstract":"Georgia has one of the highest rates of new HIV diagnoses in the United States, while rates of PrEP uptake are among the lowest. This study examines the association between seeking digital HIV information and willingness to use smartphone applications (app) for PrEP resources and services among people who inject drugs (PWID) living in northeast Georgia. Data were collected from adult HIV-negative PWID who reported using the internet (N = 130). Most participants were cisgender men (67.7%), uninsured (53.3%), and were heavily drug dependent (74.6%). A majority were aware of PrEP (51.5%), used the internet daily (65.4%), and had a mobile device with internet access (89.2%). However, most reported they did not seek HIV information on the internet (72.3%). Almost half of participants (49.2%) were willing to use a PrEP-focused app. In the multivariable logistic regression model, willingness to use a PrEP app was more likely among PWID who sought HIV information (adjusted OR: 2.69, 95%CI: 1.06-6.86) than those who did not, who had never or rarely engaged in HIV testing (adjusted OR: 4.11, 95%CI: 1.52-11.14) than those who tested more frequently. The results show that a PrEP app may be a promising strategy for increasing PrEP awareness and uptake among PWID.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"720-727"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preferences for longer acting pre-exposure prophylaxis in transgender and gender expansive texans: centering gender affirming hormone therapy. 跨性别和性别膨胀的德克萨斯人对更长效暴露前预防的偏好：以性别肯定激素治疗为中心。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-05-01 Epub Date: 2025-02-17 DOI: 10.1080/09540121.2025.2464617

Julie A Zuñiga, Julie E Mellin, Gabrielle Benitez, Paul Fliedner, Aliza Norwood, Madeleine Croll, Liany D Serrano Oviedo, Jacey Buchorn, John Oeffinger, Rocky Lane, Emmett Schelling, Gin Pham, TreShaun Pate, Phillip W Schnarrs

{"title":"Preferences for longer acting pre-exposure prophylaxis in transgender and gender expansive texans: centering gender affirming hormone therapy.","authors":"Julie A Zuñiga, Julie E Mellin, Gabrielle Benitez, Paul Fliedner, Aliza Norwood, Madeleine Croll, Liany D Serrano Oviedo, Jacey Buchorn, John Oeffinger, Rocky Lane, Emmett Schelling, Gin Pham, TreShaun Pate, Phillip W Schnarrs","doi":"10.1080/09540121.2025.2464617","DOIUrl":"10.1080/09540121.2025.2464617","url":null,"abstract":"The prevalence of HIV is higher in the transgender population than in the general population, and pre-exposure prophylaxis (PrEP) is an effective biomedical HIV prevention strategy for the prevention of HIV. However, the transgender and gender-expansive community faces several challenges to PrEP uptake and adherence. This community-based participatory study was conducted to understand preferences for long-acting PrEP modalities better. Data were collected virtually with an adapted version of the World Café Conversation method and in-depth interviews. A total of 33 transgender and gender-diverse individuals participated in either a World Café conversation or an individual interview about preferences for long-acting PrEP. All qualitative data were transcribed and coded for themes. Two themes emerged: (1) challenges related to long-acting PrEP for transgender and gender-expansive individuals and (2) bundling long-acting PrEP and gender-affirming hormone therapy. To improve access and adherence, HIV prevention needs to be included as part of gender-affirming hormone therapy to align with patients' health priorities.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"758-767"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442353","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

Associations between interpersonal and community-level violence experiences and HIV outcomes: implications for violence screening in Ryan White Clinics. 人际和社区暴力经历与HIV结果之间的关系：对Ryan White诊所暴力筛查的影响。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-05-01 Epub Date: 2025-01-29 DOI: 10.1080/09540121.2025.2459303

Ameeta S Kalokhe, Katherine M Anderso, Madelyn Carlson, Selaem Hadera, Eve Rose, Melvin D Livingston, Jessica M Sales

{"title":"Associations between interpersonal and community-level violence experiences and HIV outcomes: implications for violence screening in Ryan White Clinics.","authors":"Ameeta S Kalokhe, Katherine M Anderso, Madelyn Carlson, Selaem Hadera, Eve Rose, Melvin D Livingston, Jessica M Sales","doi":"10.1080/09540121.2025.2459303","DOIUrl":"10.1080/09540121.2025.2459303","url":null,"abstract":"Violence experience, interpersonal and community-level, is commonly reported by people living with HIV (PLWH). Understanding the impact of the various forms of violence on HIV outcomes is critical for prioritizing violence screening and support resources in care settings. From February 2021 to December 2022, among 285 PLWH purposively sampled to attain diversity by gender, race/ethnicity, and HIV care retention status in Atlanta, Georgia, we examined interpersonal and community violence experiences and proxy measures of violence (post-traumatic stress disorder (PTSD), anxiety, depression) and their associations with HIV outcomes (engagement and retention in care and HIV viral suppression) using multivariable analysis. Participants commonly reported lifetime intimate partner violence (89%), non-partner violence (97%), hate crimes (93%), and moderate-to-severe adverse childhood events (59%). Lifetime violence experiences were not significantly linked to HIV care engagement, retention, nor durable viral suppression, but were each individually associated with PTSD, which in turn, was significantly associated lower odds of durable viral suppression (AOR 0.35, CI 0.14-0.86). Thus, the high prevalence and multiplicity of interpersonal and community-level violence experienced among PLWH in Atlanta underscores the need for universal trauma-informed approaches and supports implementation of PTSD screening to identify patients at greatest need for trauma support services.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"790-801"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Difference in healthcare utilization trends associated with suicide death in people living with and without HIV in British Columbia, Canada, from 1998 to 2020. 1998年至2020年加拿大不列颠哥伦比亚省与艾滋病毒感染者和非艾滋病毒感染者自杀死亡相关的保健利用趋势差异。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-05-01 Epub Date: 2025-03-05 DOI: 10.1080/09540121.2025.2468965

Niloufar Aran, Monica Ye, Jason Chia, Kiffer G Card, Katherine W Kooij, Rory M Trevorrow, Silvia Guillemi, Valerie Nicholson, Robert S Hogg

{"title":"Difference in healthcare utilization trends associated with suicide death in people living with and without HIV in British Columbia, Canada, from 1998 to 2020.","authors":"Niloufar Aran, Monica Ye, Jason Chia, Kiffer G Card, Katherine W Kooij, Rory M Trevorrow, Silvia Guillemi, Valerie Nicholson, Robert S Hogg","doi":"10.1080/09540121.2025.2468965","DOIUrl":"10.1080/09540121.2025.2468965","url":null,"abstract":"People living with HIV (PLWH) face disproportionate rates of suicide death despite improvements in quality of life with antiretroviral therapy. Effective preventative efforts necessitate an understanding of healthcare utilization trends prior to suicide death for PLWH to facilitate the identification of areas for improvement in screening and prevention. The present study aimed to identify patterns of healthcare utilization in PLWH who died by suicide using a population-based cohort design. Administrative datasets from British Columbia, Canada were analyzed using unadjusted and adjusted logistic regression models to assess healthcare utilization in the 90-day period prior to suicide death for 98 PLWH and 170 age- and sex-matched people without HIV (PWoH). PLWH were found to have greater rates of healthcare engagement prior to suicide death, with increased likelihood of any healthcare visit and a greater median count of total healthcare visits compared to controls. Despite this, no significant difference in degree of engagement with mental healthcare and self-harm healthcare services was observed between PLWH and PWoH. These findings suggest that PLWH who die by suicide engage with the healthcare system more than their counterparts without HIV, and point to the importance of differential screening and prevention strategies for PLWH on antiretroviral therapy.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"812-821"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568570","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

Traditional and psychosocial factors associated with non-communicable diseases among people living with HIV in Cambodia: a cross-sectional study. 与柬埔寨艾滋病毒感染者非传染性疾病相关的传统和社会心理因素：一项横断面研究。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-23 DOI: 10.1080/09540121.2025.2494792

Beverly Wen Xin Wong, Pheak Chhoun, Sovannary Tuot, Bora Ngov, Sovannarith Samreth, Vichea Ouk, Siyan Yi

{"title":"Traditional and psychosocial factors associated with non-communicable diseases among people living with HIV in Cambodia: a cross-sectional study.","authors":"Beverly Wen Xin Wong, Pheak Chhoun, Sovannary Tuot, Bora Ngov, Sovannarith Samreth, Vichea Ouk, Siyan Yi","doi":"10.1080/09540121.2025.2494792","DOIUrl":"https://doi.org/10.1080/09540121.2025.2494792","url":null,"abstract":"We examined traditional and psychosocial factors associated with self-reported diabetes, hypertension, raised cholesterol, and multimorbidity among 4,089 people living with HIV in Cambodia. Participants were recruited from 20 antiretroviral therapy (ART) clinics across nine provinces and the capital city in 2021. Multiple logistic regression analyses assessed the associations between sociodemographic variables, HIV-related information, and psychosocial factors with the outcome variables. The prevalence of diabetes, hypertension, and raised cholesterol were 7.8%, 16.9%, and 6.6%, respectively. Non-adherence to ART (adjusted odds ratio [aOR]: 1.55, 95% confidence interval [CI]: 1.04-2.32), low self-efficacy in attending ART clinics regularly (aOR: 2.02, 95% CI: 1.16-3.53), and poor quality of life (aOR: 1.48, 95% CI: 1.13-1.94) were significantly associated with all outcomes. Interestingly, lower perceived social support was significantly associated with lower odds of hypertension (aOR: 0.52, 95% CI: 0.33-0.83) and multimorbidity (aOR: 0.40, 95% CI: 0.20-0.80). Past experiences with HIV-related stigma and discrimination were significantly associated with a higher likelihood of diabetes (aOR: 1.97, 95% CI: 1.23-3.15) and multimorbidity (aOR: 1.87, 95% CI: 1.23-2.85). Community-based interventions to enhance peer support and reduce stigma and discrimination may help decrease non-communicable diseases (NCDs), and integrating HIV and NCD programs could improve healthcare access among people living with HIV.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-14"},"PeriodicalIF":1.2,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992477","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