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

{"title":"Cultural formation and determinants of HIV stigma among a minority group in Southwest China.","authors":"Rachel Sing-Kiat Ting, Jia-Yee Choo, Ke-Jia Zhang, Mu-Di Li, Ezer Kang, Azhi Lewu, Ke-Ning Zhang, Da-Wei Zhang","doi":"10.1080/09540121.2026.2660134","DOIUrl":"https://doi.org/10.1080/09540121.2026.2660134","url":null,"abstract":"<p><p><b>ABSTRACT</b>Deeply ingrained cultural beliefs shape how HIV is framed and stigmatized, particularly among rural minoritized communities such as the Yi-Nuosu of Liangshan, China. This parallel-convergent mixed-methods study investigated the sociocultural formation and determinants of HIV-related stigma among Yi-Nuosu minorities. We conducted qualitative interviews with 19 Yi-Nuosu participants to understand local beliefs about the HIV-illness course and perceptions of people living with HIV (PLWH). We then administered an online quantitative survey to Yi-Nuosu (<i>n</i> = 221) and Han-Chinese (majority group; <i>n</i> = 109) residents of Liangshan to examine the relationships between HIV etiology beliefs and HIV-related stigma. Qualitative results indicated that prevailing fear of \"unclean blood\" and its perceived threat to communal harmony and familial lineage perpetuated stigmatization and exclusion of PLWH. Quantitatively, endorsement of traditional spiritual explanations of HIV, attributions of HIV transmission to unhygienic practices and casual contact with PLWH were associated with higher levels of stigma towards PLWH for both groups. Collectively, these findings underscore the importance of HIV stigma-mitigation interventions that integrate biomedical and traditional belief frameworks that challenge fears of proximal engagement with PLWH and reify intra- and inter-familial support for PLWH - a core cultural value within Yi communities.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-14"},"PeriodicalIF":1.2,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785893","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}

{"title":"Feasibility and acceptability of an integrated economic empowerment and substance use risk reduction intervention for youth living with HIV in Uganda: a pilot cluster randomized study.","authors":"Massy Mutumba, Rachel Brathwaite, Sylvia Nannono, Anita Kabarambi, Fred M Ssewamala","doi":"10.1080/09540121.2026.2655052","DOIUrl":"https://doi.org/10.1080/09540121.2026.2655052","url":null,"abstract":"<p><p>Youth living with HIV (YLHIV) in sub-Saharan Africa experience high rates of alcohol and drug use (ADU), yet evidence-based interventions remain limited. We conducted a pilot cluster randomized trial to assess the feasibility, acceptability, and short-term outcomes of a life-skills-based Alcohol and Drug Use Risk Reduction intervention (ADURR), delivered alone or combined with economic empowerment (EE) through financial literacy training and matched savings accounts. Ninety-five YLHIV aged 18 to 24 years were enrolled from six clinics in southwestern Uganda and followed at baseline, 3 months, and 6 months using surveys and urine toxicology. Participants had a mean age of 21.9 years, and 65.3% were female. Retention at 6 months was 94.7%. Compared with ADURR-only, the ADURR+EE intervention was associated with larger declines in self-reported past-6-month drug use (-20.1 vs -5.8 percentage points), alcohol use (-17.9 vs -6.5 percentage points). Urine-confirmed drug use decreased in both arms (-30.4 vs -26.7 percentage points), while urine-confirmed alcohol use declined only in ADURR+EE (-33.1 percentage points). Psychosocial changes were modest; hopelessness decreased in ADURR+EE (-6.4%) but increased in ADURR-only (+13.0%). Qualitative findings indicated high acceptability, though savings uptake faced structural barriers. Findings support progression to a fully powered trial.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-16"},"PeriodicalIF":1.2,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640208","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}

{"title":"Correlates of health-related quality of life among older adults living with HIV in northern Nigeria.","authors":"Zainab Abdulazeez Umar, Fatima Ismail Tsiga-Ahmed, Zainab Abdulkadir, Abdulgafar Lekan Olawumi, Zainab Uba Ibrahim, Sherifah Sheriff, Safiya Usman Zahradeen, C William Wester, Muktar Hassan Aliyu","doi":"10.1080/09540121.2026.2653174","DOIUrl":"https://doi.org/10.1080/09540121.2026.2653174","url":null,"abstract":"<p><p>The physical, psychosocial, and environmental well-being of people living with HIV, particularly older adults, is receiving greater attention as more individuals with HIV reach older ages. This study explored health-related quality of life (HRQOL) and its associated factors among HIV-positive adults aged 50 years and older attending a tertiary facility in northern Nigeria. A cross-sectional study was conducted with 222 participants recruited using systematic random sampling. The WHOQOL-HIV BREF instrument was used to assess HRQOL alongside clinical and sociodemographic data. Data analysis was performed using SPSS version 24. Overall, 59% of participants reported good HRQOL, with the environmental domain showing the highest scores, while the physical and social domains had the lowest scores. Chronic comorbidities were observed in 74.8% of participants. Multivariate logistic regression identified religion, family support, asymptomatic status, and the absence of dyspepsia or visual impairment as factors associated with good HRQOL. In summary, among older adults living with HIV in northern Nigeria, just over half reported good HRQOL. HRQOL was independently associated with comorbidity status, symptom burden, and family support. Achieving the \"fourth 90\" will require HIV care that extends beyond viral suppression to address comorbid conditions and strengthen social support systems.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-15"},"PeriodicalIF":1.2,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634952","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}

{"title":"Husbands' knowledge of the timing of mother-to-child HIV transmission in Gacho Baba District, Southern Ethiopia, 2024.","authors":"Kinde Kibe, Addisalem Haile, Aster Dure, Arega Abebe Lonsako","doi":"10.1080/09540121.2026.2627514","DOIUrl":"https://doi.org/10.1080/09540121.2026.2627514","url":null,"abstract":"<p><p>Mother-to-child transmission (MTCT) of HIV remains a significant public health challenge in Ethiopia. Husbands' knowledge of the timing of MTCT is critical for improving the uptake of prevention of mother-to-child transmission (PMTCT) services. This study assessed husbands' knowledge of MTCT timing and associated factors in Gacho Baba District, Southern Ethiopia, in 2024. A community-based cross-sectional study was conducted among 418 randomly selected husbands. Data were collected using an interviewer-administered questionnaire and analyzed with SPSS version 27. Multivariable logistic regression analysis was used to identify factors associated with husbands' knowledge of MTCT, with adjusted odds ratios and 95% confidence intervals used to determine statistical significance at p < 0.05. Overall, 40.7% of husbands had good knowledge of the timing of MTCT. Prior HIV testing, attainment of secondary education, awareness of PMTCT services, home visits by health extension workers, and accompanying spouses to maternal health services were positively associated with good knowledge, whereas being a merchant was negatively associated. Less than half of husbands had adequate knowledge of the timing of MTCT of HIV. Strengthening health extension worker outreach, promoting male HIV testing, increasing awareness of PMTCT services, and addressing occupation-related barriers may improve MTCT knowledge and enhance PMTCT service utilization.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-11"},"PeriodicalIF":1.2,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634083","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}

{"title":"Pre-Exposure Prophylaxis (PrEP) for HIV: A secular comparison of willingness to use PrEP among black cisgender women in the United States.","authors":"Irene Ontiveros, Sydney Bornstein, Manya Magnus","doi":"10.1080/09540121.2026.2652371","DOIUrl":"https://doi.org/10.1080/09540121.2026.2652371","url":null,"abstract":"<p><p>Although Pre-Exposure Prophylaxis (PrEP) is a powerful tool to prevent HIV acquisition, Black cisgender women (CGW) face disparities in accessing PrEP in the United States. This scoping review aimed to (1) describe PrEP awareness, willingness, and preferred delivery modes, and (2) assess willingness measurement among Black CGW before and after PrEP's widespread availability. We searched PubMed and Google Scholar databases to identify peer-reviewed studies using keywords for pre-exposure prophylaxis and Black women. Although PrEP received FDA approval in 2012, early implementation efforts were disproportionately centered on men who have sex with men, resulting in a lag in awareness among Black CGW. The 2017 cutoff reflects the approximate period when PrEP awareness and accessibility began to more consistently reach this population. Thirty-six studies met the inclusion criteria. Awareness increased over time, from <10% to 40-71% in more recent studies. PrEP willingness ranged from 31% to 77% pre-widespread availability and 10-88% post-widespread availability, highlighting barriers including cost, stigma, and adherence challenges. Long-acting injectables were often preferred over daily pills. Willingness measurement evolved from hypothetical scenarios to more specific intentions and timeframes. Findings underscore an urgent need for culturally tailored interventions to address multilevel barriers to PrEP prescribing, enhance knowledge, and promote uptake among Black CGW.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-20"},"PeriodicalIF":1.2,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628871","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}

{"title":"From setbacks to progress: Brazilian faculty perspectives on teaching sexually transmitted infections to undergraduate nursing students - A qualitative study.","authors":"Stéfany Petry, Maria Itayra Padilha, Maria Lígia Dos Reis Bellaguarda, Jaime Alonso Caravaca-Morera, Shirley Da Rocha Afonso, Amina Silva","doi":"10.1080/09540121.2026.2654804","DOIUrl":"https://doi.org/10.1080/09540121.2026.2654804","url":null,"abstract":"<p><p>Advances in antiretroviral therapy have enabled near-normal life expectancy for people living with HIV, increasing the global need for a well-prepared nursing workforce to deliver comprehensive prevention, treatment, and long-term care. Because quality of care is closely linked to undergraduate preparation, persistent curricular gaps in sexually transmitted infections (STIs), including HIV/AIDS, are concerning. This qualitative historical-social study explored faculty members' perceptions on teaching STIs/HIV/AIDS to undergraduate nursing students at Brazil's federal universities. Interviews were transcribed and analyzed for content and meaning. The perspectives of 23 faculty members were analyzed due to their strategic position. Three categories emerged: advances (technological progress in treatment and greater person-centered care), setbacks (loss of prevention momentum, dismantling of specialized public health structures, and superficial student knowledge), and pervasive stigmas and taboos surrounding sexuality. Conservative political climates were viewed as amplifying setbacks and resistance to gender and sexuality content. Faculty emphasized that political opposition and entrenched stigma remain major barriers to comprehensive, standardized education aligned with international nursing core competencies. Addressing these barriers is essential to strengthening global nursing education and to preparing graduates to provide non-discriminatory, high-quality care across the HIV/AIDS continuum.<b>Key considerations</b>Nursing education must integrate essential STIs/HIV competencies across biomedical, psychosocial, ethical, and professional domains.Curricula should be standardized and updated with evidence-based content on STIs/HIV prevention, testing, and treatment.Confronting stigma and political resistance is essential to advance equitable and inclusive STIs/HIV education.Empowering nurses to advocate for human rights and social justice strengthens care for people living with STIs/HIV and supports global progress toward ending the epidemic.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-9"},"PeriodicalIF":1.2,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628874","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}

{"title":"Understanding problematic versus non-problematic chemsex practices from a user's perspective: a qualitative study.","authors":"Doortje A C van den Dungen, Henry J C de Vries, Titia Heijman, Elske Hoornenborg, Udi Davidovich","doi":"10.1080/09540121.2026.2633293","DOIUrl":"https://doi.org/10.1080/09540121.2026.2633293","url":null,"abstract":"<p><p>Chemsex is predominantly reported among men who have sex with men (MSM) and plays an important role in HIV transmission and prevention, being associated with heightened vulnerability to HIV and other sexually transmitted infections. While often used recreationally, chemsex is linked to physical and mental health harms. This study explores how participants define problematic chemsex and perceive contributing and protective factors. Semi-structured, in-depth interviews were conducted among MSM who had used at least one chemsex substance defined in this study. Participants were recruited between January and September 2023 through the Public Health Service of Amsterdam, Centre for Sexual Health, the Netherlands. Among 27 participants (median age 37 years, range 20-62), problematic chemsex was characterised by loss of control affecting daily life, boundaries, emotional regulation, safety, health and reliance on drugs for sex. Contributing factors included coping with mental distress, lack of purpose, escalating use and injecting. Protective factors included self-imposed limits, fear of consequences, learning from experience and being in a steady relationship. Problematic chemsex appears influenced by interactions between psychological well-being, sense of purpose and substance use patterns. These indicators may inform quantifiable measures and improve chemsex-related support and interventions.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-14"},"PeriodicalIF":1.2,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624362","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}

{"title":"A global scoping review of published HIV disclosure counselling guidelines.","authors":"Michael Evangeli, Roneisha Gogoi, Eleftheria-Zacharenia Vettou","doi":"10.1080/09540121.2026.2652376","DOIUrl":"https://doi.org/10.1080/09540121.2026.2652376","url":null,"abstract":"<p><p>Sharing an HIV status with others (onward HIV disclosure) can increase social support for people living with HIV (PLWH). Professionals working with PLWH are often unsure, however, about how to offer advice, particularly in the era of U = U. HIV disclosure practice guidelines could help to increase professionals' confidence and competence in this area. We conducted a global scoping review of HIV disclosure counselling guidelines for professionals working with PLWH. PubMed, Web of Science and Google Scholar were searched. A thematic synthesis was conducted on the recommended strategies included in the guidelines. 1871 records were screened. Twelve guidelines met the inclusion criteria. Paediatric populations were the most frequently addressed. The thematic synthesis revealed two main categories: HIV disclosure issues (most commonly, the importance of assessing and discussing the potential consequences of HIV disclosure) and counselling strategies (e.g., consent and confidentiality). There were many issues that were rarely included in the guidelines: specific therapeutic approaches, models of disclosure, training considerations, measurement and evaluation, recent HIV developments, evidence-based disclosure interventions, and key populations. The next phase of disclosure counselling guideline development should focus on these issues to improve practice and patient outcomes.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-25"},"PeriodicalIF":1.2,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624365","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}

{"title":"Prevalence of suicidal ideation, attempt and associated factors among adult people living with HIV/AIDS clients attending ART Clinic at Wachemo University Nigist Eleni Mohamed Memorial Comprehensive Specialized Hospital, Ethiopia.","authors":"Desta Erkalo Abame, Temesgen Mishamo","doi":"10.1080/09540121.2025.2600019","DOIUrl":"10.1080/09540121.2025.2600019","url":null,"abstract":"<p><p>Suicide is a global public health issue, ranking as the tenth leading cause of death worldwide and the second leading cause among individuals aged 15-29. Over 20 individuals living with HIV attempt suicide daily, resulting in fatalities. This study aimed to assess the prevalence of suicidal ideation, attempts and associated factors among individuals living with HIV/AIDS at Wachemo University Nigist Eleni Mohamed Memorial Comprehensive Specialized Hospital, Ethiopia. An institution-based, cross-sectional study was conducted among 341 HIV/AIDS patients using a structured questionnaire and systematic random sampling. Descriptive, bivariate and multivariate logistic regression were employed to identify the independent effect of suicidal ideation and attempts. The level of significance was confirmed if the <i>p</i>-value was less than 0.05. This study found that 24.6% and 14.4% of respondents experienced suicidal ideation and attempts, respectively. Psychoactive substance use, family history of mental illness and the educational level of participants were significant factors in suicidal ideation and attempts. The prevalence of suicidal ideation and attempts among people living with HIV/AIDS remains high. Educational attainment and social support were found to be protective factors, while psychoactive substance use increased the risk of suicidal ideation. The finding highlights the need for integrating mental health assessment and suicide prevention strategies into routine HIV care services to improve patient outcomes.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"728-740"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758120","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}

{"title":"The effectiveness of mindfulness-based cognitive therapy on happiness of women with HIV in Iran.","authors":"Nahid Asadi, Parvin Abedi, Parvaneh Mousavi, Shahla Molavi, Mohammad Hossein Haghighizadeh","doi":"10.1080/09540121.2025.2605514","DOIUrl":"10.1080/09540121.2025.2605514","url":null,"abstract":"<p><p>This study evaluated the effectiveness of mindfulness-based cognitive therapy (MBCT) in enhancing happiness among women living with HIV in Ahvaz, Iran. A randomized controlled trial assigned 92 eligible women to either an MBCT group (<i>n</i> = 46) or a control group (<i>n</i> = 46). The MBCT group participated in eight 90 min sessions, while the control group received no intervention. Data were collected using demographic questionnaires, the Oxford Happiness Inventory, and Beck Depression Inventory-II. Statistical analyses included chi-square, <i>t</i>-tests, Mann-Whitney U, and repeated measures ANOVA (<i>p</i> < 0.05). Post-intervention, the MBCT group showed a significant increase in happiness (30.9 ± 7.1 to 40.5 ± 4.9) compared to minimal change in controls (32.8 ± 7.1 to 33.9 ± 7.0, <i>p</i> < 0.001). Subscale improvements included self-esteem (2.1 ± 1.4 to 3.3 ± 1.0), mood (8.8 ± 2.9 to 11.0 ± 2.5), self-efficacy (3.4 ± 1.7 to 4.8 ± 1.7), health perception (6.8 ± 2.1 to 9.2 ± 1.6), and life satisfaction (11.7 ± 3.4 to 14.7 ± 2.5) (all <i>p</i> < 0.01). Depression scores decreased significantly (16.6 ± 4.9 to 11.9 ± 3.1, <i>p</i> < 0.001). Findings indicate MBCT effectively enhances happiness and related psychological factors in women with HIV, supporting its role in improving mental well-being.<b>Trial registration:</b> Iranian Registry of Clinical Trials identifier: IRCT20231004059614N1.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"741-751"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145806021","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}