Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv最新文献_第3页

Factors, practices and health needs of men who have sex with men, transgender and female sex workers engaged in sexualized drug use in Pakistan. 巴基斯坦男男性行为者、跨性别者和女性性工作者从事性毒品使用的因素、做法和健康需求。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-10-01 Epub Date: 2025-08-20 DOI: 10.1080/09540121.2025.2545302

Usman Ali, Rab Nawaz Samo, Umar Riaz, Asad Ullah, Mohammad Shahswar Ali, Syed Azhar Ali, Kamran Maqsood

{"title":"Factors, practices and health needs of men who have sex with men, transgender and female sex workers engaged in sexualized drug use in Pakistan.","authors":"Usman Ali, Rab Nawaz Samo, Umar Riaz, Asad Ullah, Mohammad Shahswar Ali, Syed Azhar Ali, Kamran Maqsood","doi":"10.1080/09540121.2025.2545302","DOIUrl":"10.1080/09540121.2025.2545302","url":null,"abstract":"The objective of the study is to explore factors, practices, and health needs of men who have sex with men (MSM), transgender (TG), and female sex workers (FSW) engaged in sexualized drug use in Pakistan. A qualitative exploratory study was conducted from August 2024 to December 2024. Community-based organization (CBO) staff (stakeholders) for MSM, TG, and FSW, as well as self-identified MSM, TG, and FSW who have engaged in SDU previously or currently, were recruited. Four focus group discussions (FGD), one each with MSM, TG, FSW engaged in SDU, and HIV Treatment Center staff, were conducted. Interviews were transcribed, and English translation was imported into NVIVO version 14.0. Eight themes were identified. Participants reported a common practice of SDU in large cities, primarily with stimulant-type substances. Key reasons for engaging in SDU included poor mental health and the demands of sex work. Participants reported increased risky sexual practices such as group sex and violent sex. Participants also noted psychotic, homicidal, and suicidal experiences with those engaged in SDU. Participants suggested the incorporation of comprehensive harm reduction, HIV prevention, and mental and physical health services through CBO as an acceptable method of service delivery to people engaged in SDU.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1768-1784"},"PeriodicalIF":1.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974489","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

From implementation to sustainability? A 5-year follow-up on a physical activity counseling program in Uganda for people with HIV and mental health conditions. 从实施到可持续性？对乌干达艾滋病毒和精神疾病患者的体育活动咨询项目进行了为期5年的跟踪调查。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-10-01 Epub Date: 2025-09-01 DOI: 10.1080/09540121.2025.2550343

Davy Vancampfort, James Mugisha

{"title":"From implementation to sustainability? A 5-year follow-up on a physical activity counseling program in Uganda for people with HIV and mental health conditions.","authors":"Davy Vancampfort, James Mugisha","doi":"10.1080/09540121.2025.2550343","DOIUrl":"10.1080/09540121.2025.2550343","url":null,"abstract":"Physical activity (PA) interventions benefit people living with HIV and co-morbid mental health conditions, but sustaining them in low-resource settings remains difficult. This study explored the long-term sustainability of a multi-stakeholder PA counseling program in a rural Ugandan fishing community, five years post-implementation. The program integrated a PA counseling into routine HIV care, combining motivational interviewing and self-determination theory. It began with sessions led by health care providers and later transitioned to lay-led group sessions that focused on goal-setting, identifying barriers, and fostering community support. Using a context-mechanism-outcome (CMO) framework and Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis, a focus group (n = 10) involving patients, lay health workers, and staff identified key influencing factors. Although the program ended, PA awareness and some brief counseling persisted. Lay health workers remained partially active despite unpaid roles and limited supervision. Early success was supported by family involvement, and stakeholder enthusiasm, while long-term delivery was hindered by funding gaps and persistent stigma. Sustainability was supported by co-creation, community engagement, and task-shifting, but depended on material support and health system integration. Future efforts should prioritize early financial planning, integration into existing systems, and strengthening of lay roles through stable funding and supportive policy.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1652-1666"},"PeriodicalIF":1.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974463","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

Factors associated with driving simulator performance in vocational drivers with HIV. HIV职业司机驾驶模拟器性能的相关因素。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-10-01 Epub Date: 2025-07-17 DOI: 10.1080/09540121.2025.2532599

Hetta Gouse, Michelle Henry, Jane Masson, Lizette Swannepoel, Anna Dreyer, Reuben Robbins, Greg Kew, John Joska, Leslie London, Kevin G F Thomas, Thomas D Marcotte

{"title":"Factors associated with driving simulator performance in vocational drivers with HIV.","authors":"Hetta Gouse, Michelle Henry, Jane Masson, Lizette Swannepoel, Anna Dreyer, Reuben Robbins, Greg Kew, John Joska, Leslie London, Kevin G F Thomas, Thomas D Marcotte","doi":"10.1080/09540121.2025.2532599","DOIUrl":"10.1080/09540121.2025.2532599","url":null,"abstract":"Neurocognitive symptoms persist in many people living with HIV (PLWH). Safe driving practices are dependent on intact cognition. Research in the general driving population suggests that PLWH with neurocognitive impairment (NCI) perform worse on driving assessment tasks than cognitively intact PLWH. We explored the relationship between HIV status, NCI, and driving ability in vocational drivers. Two-hundred-and-four male drivers [68 drivers with HIV] completed neuropsychological testing and two driving simulator tasks assessing driving under routine and challenging circumstances. Drivers with NCI, regardless of HIV status, exhibited worse driving performance than cognitively intact drivers overall (p = .032), and on the challenging drive (p = .048) in particular. Better driving performance was associated with having received professional driver training. Other favorable predictors included being a truck driver and not having HIV. Drivers with NCI are at greater risk of making driving simulator errors, and errors are more evident under challenging driving conditions. Driver training interventions may be effective in remediating poorer driving performance in drivers with NCI. Studying the impact of HIV and cognition in individuals who are working professionally is a complex undertaking that requires consideration of factors (e.g., training and experience) alongside the usual variables considered when studying the general population.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1795-1810"},"PeriodicalIF":1.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660763","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

"Give us a chance": recommendations from Black women living with HIV multimorbidity. “给我们一个机会”：多病黑人女性HIV感染者的建议。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-10-01 Epub Date: 2025-07-28 DOI: 10.1080/09540121.2025.2536180

Eboneé T Johnson, Carrie L Wilbert, Tiffany Simon, Amber M Hawkins, Rana Yaghmaian

{"title":"\"Give us a chance\": recommendations from Black women living with HIV multimorbidity.","authors":"Eboneé T Johnson, Carrie L Wilbert, Tiffany Simon, Amber M Hawkins, Rana Yaghmaian","doi":"10.1080/09540121.2025.2536180","DOIUrl":"10.1080/09540121.2025.2536180","url":null,"abstract":"Black women with HIV Multimorbidity (i.e., living with HIV and two or more chronic health conditions) face unique barriers to care management. However, their perspectives are lacking in terms of medical and psychosocial intervention design, implementation, and evaluation. This qualitative study used disaggregated data from a community-engaged research project to identify the unique needs and experiences of Black women living with HIV multimorbidity to provide better care management. In-depth interviews were conducted with 29 Black women living with HIV multimorbidity aged 29-65 years. Participants were recruited from a HIV Case Management agency, located in the southern United States, disproportionately impacted by broader health inequities. Participants were asked to respond to the question, \"What should we consider when developing interventions to help Black women manage HIV and multiple chronic health conditions?\" The team of three qualitative researchers used iterative, reflexive thematic analysis to analyze 29 individual interviews and found four themes: (1) Elevating Lived Experiences; (2) \"Basic Human Support,\" (3) Culturally Congruent Care, and (4) Capacity Building. We conclude with suggestions for service providers, researchers, and policymakers to develop targeted and tailored interventions to meet the needs of this population.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1753-1767"},"PeriodicalIF":1.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734017","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

Uptake of voluntary medical male circumcision services among young adults in rural Tanzania: a cross-sectional study of willingness. 坦桑尼亚农村年轻人自愿接受医疗男性包皮环切服务：意愿的横断面研究。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-10-01 Epub Date: 2025-08-05 DOI: 10.1080/09540121.2025.2540337

Robert Rugonzibwa Rweyemamu, Costantine Chasama Kamata, Ikunda Dionis, Mary Kisima, Silas Shemdoe, Yasinta Kedmon Chibehe, Davis Ngarashi, Dorkas L Mwakawanga, Manase Kilonzi, Nathanael Sirili

{"title":"Uptake of voluntary medical male circumcision services among young adults in rural Tanzania: a cross-sectional study of willingness.","authors":"Robert Rugonzibwa Rweyemamu, Costantine Chasama Kamata, Ikunda Dionis, Mary Kisima, Silas Shemdoe, Yasinta Kedmon Chibehe, Davis Ngarashi, Dorkas L Mwakawanga, Manase Kilonzi, Nathanael Sirili","doi":"10.1080/09540121.2025.2540337","DOIUrl":"10.1080/09540121.2025.2540337","url":null,"abstract":"ABSTRACTThe World Health Organization (WHO) and its member states, particularly in Eastern and Southern Africa, have implemented various strategies to increase male circumcision coverage. Despite notable progress, the target has yet to be met, raising concerns about the willingness of young men to undergo the procedure. This study aimed to assess the willingness of young male adults in rural Tanzania to undergo circumcision. A community-based cross-sectional study was conducted in May and June 2022 in the Mbarali district of the Mbeya region, southwestern Tanzania. A total of 135 uncircumcised young men aged 18-24 years were enrolled. A structured questionnaire was used to assess their willingness to undergo circumcision and the reasons influencing their decision. Data were analyzed using SPSS version 23. The majority of participants (87, 64.4%) were aged 21-24 years, and 97 (71.9%) were unmarried. Most respondents (94, 69.6%) expressed a willingness to undergo circumcision. Besides, 41(80.4%) expressed concern about time spent and 46(76.7%) said fear of HIV testing was not a problem. Conversely, being married and knowing that circumcision improves sexual pleasure and penile hygiene significantly (p < 0.05) increased willingness. To enhance the uptake of male circumcision services, age-targeted counseling and awareness campaigns are recommended.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1680-1689"},"PeriodicalIF":1.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785679","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

Oral health and behavioral problems in children living with and without HIV in South Africa. 南非感染和未感染艾滋病毒儿童的口腔健康和行为问题。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-10-01 Epub Date: 2025-07-26 DOI: 10.1080/09540121.2025.2536720

Ana Barrios-Tascon, Tian Wang, Renate Strehlau, Nicole H Tobin, Avy Violari, Fan Li, Faeezah Patel, Afaaf Liberty, Stephanie Shiau, Sunil Wadhwa, Michael T Yin, Shuang Wang, Caroline T Tiemessen, Grace M Aldrovandi, Louise Kuhn

{"title":"Oral health and behavioral problems in children living with and without HIV in South Africa.","authors":"Ana Barrios-Tascon, Tian Wang, Renate Strehlau, Nicole H Tobin, Avy Violari, Fan Li, Faeezah Patel, Afaaf Liberty, Stephanie Shiau, Sunil Wadhwa, Michael T Yin, Shuang Wang, Caroline T Tiemessen, Grace M Aldrovandi, Louise Kuhn","doi":"10.1080/09540121.2025.2536720","DOIUrl":"10.1080/09540121.2025.2536720","url":null,"abstract":"The prevalence of behavioral problems in children and adolescents living with HIV is high. We investigate associations between oral microbiota and behavioral problems in children living with HIV (CLWH) and children who are HIV-uninfected (CHU). Oral swab samples, assessment of behavioral functioning using the Strengths and Difficulties Questionnaire (SDQ), and clinical and social data were collected from 477 CLWH and 123 CHU at two sites in Johannesburg, South Africa. DNA was extracted from oral swab samples and the V4 amplicon of the 16S rRNA gene sequenced. Behavioral problems were more prevalent in CLWH than in CHU, and in boys than in girls. Oral microbiota diversity and taxa abundances in CLWH did not differ between those with and without behavioral problems. In contrast, in CHU, those with behavioral problems had higher alpha diversity indices and lower abundances of Rothia and Schaalia than those without behavioral problems. Behavioral problems in CLWH were associated with being male, lower Tanner stage, less maternal education, and dental caries. Markers of poor oral health were associated with behavioral problems in CLWH, and oral microbiota profile correlated with behavioral problems in CHU. Oral health may be a preventable factor that could help reduce behavior problems in CLWH.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1667-1679"},"PeriodicalIF":1.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12461875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876096","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

The role of masculinity in HIV disclosure among adolescent South African boys living with HIV. 男子气概在南非感染艾滋病毒的青少年男孩中披露艾滋病毒的作用。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-10-01 Epub Date: 2025-08-21 DOI: 10.1080/09540121.2025.2547941

Elizabeth M Inman, Campion Zharima, Amy Hammock, Avy Violari, Rachel Kidman

{"title":"The role of masculinity in HIV disclosure among adolescent South African boys living with HIV.","authors":"Elizabeth M Inman, Campion Zharima, Amy Hammock, Avy Violari, Rachel Kidman","doi":"10.1080/09540121.2025.2547941","DOIUrl":"10.1080/09540121.2025.2547941","url":null,"abstract":"HIV transmission among adolescents remains a pressing public health challenge in South Africa. Onward HIV disclosure to sexual partners can reduce transmission, but disclosure is low among adolescents. Adherence to hegemonic masculine norms may create a barrier to disclosure among boys. Repeated measures designs are necessary to more accurately capture disclosure, which is an ongoing behavior shaped by multiple processes. 251 South African adolescent boys living with perinatally-acquired HIV and in an intimate relationship were enrolled between 2020-2023. They completed a survey capturing their adherence to masculine norms and their HIV disclosure self-efficacy. They then completed brief mobile surveys weekly for the following year, reporting their recent HIV disclosure behavior. Using mixed effects models, we found that adherence to hegemonic masculine norms at baseline was associated with significantly lower odds of onward HIV disclosure to a sexual partner over the study year. Adherence to hegemonic masculine norms was also associated with lower HIV disclosure self-efficacy at two timepoints. This study confirms a quantitative association between hegemonic masculinity and disclosure and extends the literature to an understudied population. To prevent new HIV infections among South African adolescents, it will be important to develop and adapt interventions that address hegemonic masculinity.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1785-1794"},"PeriodicalIF":1.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974486","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

"Un amigo secreto": perceived acceptability of a chatbot for depression education, self-help and linkage to care among adolescents living with HIV in Peru. “秘密之友”：秘鲁青少年艾滋病毒感染者抑郁教育、自助和联系护理的聊天机器人的可接受性。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-10-01 Epub Date: 2025-07-31 DOI: 10.1080/09540121.2025.2518731

Neil Rupani, Diego H Vasquez, Carmen Contreras, Luis Menacho, Milagros Tapia, Lenka Kolevic, Molly F Franke, Jerome T Galea

{"title":"\"Un amigo secreto\": perceived acceptability of a chatbot for depression education, self-help and linkage to care among adolescents living with HIV in Peru.","authors":"Neil Rupani, Diego H Vasquez, Carmen Contreras, Luis Menacho, Milagros Tapia, Lenka Kolevic, Molly F Franke, Jerome T Galea","doi":"10.1080/09540121.2025.2518731","DOIUrl":"10.1080/09540121.2025.2518731","url":null,"abstract":"Adolescents living with HIV (ALWH) in Peru face significant mental health challenges, including a high prevalence of depression, exacerbated by limited access to mental health resources. This study explores the perceived acceptability of chatbots to support depression education, self-care, and referral among ALWH. Focus groups and interviews were conducted with 28 adolescents, 5 caregivers, and 5 HIV care personnel. A semi-structured interview guide assessed seven core chatbot acceptability constructs: affective attitude, ethics, burden, intervention coherence, opportunity costs, perceived effectiveness, and self-efficacy. Most participants expressed positive attitudes towards a potential mental health chatbot, highlighting the possibilities it could offer as a non-threatening and accessible source of information and support, offering immediate responses and facilitating a safe space for ALWH to communicate their needs in moments of isolation. Participants understood a potential chatbot's three main purposes and had confidence in their abilities to use one successfully. However, concerns were raised regarding a potential chatbot's inability to provide human empathy and potential privacy issues related to data security. Despite some reservations, participants generally believed that chatbots could effectively deliver educational content, promote self-help strategies, and serve as a bridge to professional care.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1718-1731"},"PeriodicalIF":1.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761817","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

Sexual satisfaction and quality of life: a cross-sectional study of women living with HIV in an outpatient clinic in Southern Brazil. 性满意度和生活质量：巴西南部一个门诊的艾滋病毒感染妇女的横断面研究。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-10-01 Epub Date: 2025-08-14 DOI: 10.1080/09540121.2025.2546564

Caroline da Luz Pereira, Nicole Nascimento, Diego Rodrigues Falci

{"title":"Sexual satisfaction and quality of life: a cross-sectional study of women living with HIV in an outpatient clinic in Southern Brazil.","authors":"Caroline da Luz Pereira, Nicole Nascimento, Diego Rodrigues Falci","doi":"10.1080/09540121.2025.2546564","DOIUrl":"10.1080/09540121.2025.2546564","url":null,"abstract":"Despite the feminization of the HIV epidemic, sexual satisfaction and quality of life (QoL) among women living with HIV and AIDS (WLHA) remain underexplored, yet they are critically important for comprehensive care. This cross-sectional study aimed to evaluate QoL and sexual satisfaction in WLHA followed at an outpatient clinic of a universitary hospital in Southern Brazil. The Sexual Satisfaction Scale for Women (SSS-W) was used to quantify sexual satisfaction, and the WHOQOL-HIV BREF assessed QoL. The study included 77 women with a mean age of 49 years (M = 48.92, SD = 11.92). Results indicated that women in stable relationships tended to report higher sexual satisfaction scores (M = 110.92) compared to those in unstable relationships or not in a relationship (M = 102.43). A moderate, statistically significant correlation between QoL and sexual satisfaction was observed (R = 0.33, p = 0.0030). The findings suggest that a stable relationship enhances perspectives on sexual satisfaction and that promoting QoL positively impacts sexual satisfaction among WLHA, with a reciprocal effect. This study highlights neglected yet critical aspects of WLHA's lives, advocating for open discussions on their sexual and reproductive rights and other dimensions pertinent to improving QoL and sexual satisfaction.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1690-1695"},"PeriodicalIF":1.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849408","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 multilevel interventions on reducing reasons for drinking among men living with HIV. 多层次干预措施对减少艾滋病毒感染者饮酒原因的影响。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-10-01 Epub Date: 2025-08-22 DOI: 10.1080/09540121.2025.2547030

Toan Ha, Thien Quy Pham, Sougat Misra, Tom Wen-Han Su, Lam Ha, Shayna D Cunningham, Rogie Royce Carandang, Stephen L Schensul

{"title":"Impact of multilevel interventions on reducing reasons for drinking among men living with HIV.","authors":"Toan Ha, Thien Quy Pham, Sougat Misra, Tom Wen-Han Su, Lam Ha, Shayna D Cunningham, Rogie Royce Carandang, Stephen L Schensul","doi":"10.1080/09540121.2025.2547030","DOIUrl":"10.1080/09540121.2025.2547030","url":null,"abstract":"Alcohol use is prevalent among people living with HIV and poses a significant barrier to antiretroviral therapy (ART) adherence. This study evaluated the effectiveness of multilevel interventions in addressing the underlying reasons for drinking among men with HIV receiving ART in India. This secondary analysis of a randomized trial in Mumbai assessed the impact of counseling, group interventions, and advocacy on alcohol use. Participants completed surveys on demographic characteristics, reasons for drinking, HIV stigma, ART adherence, depressive symptoms, family support, and CD4 count at multiple time points. Mixed-effect models were used to evaluate intervention effects. At baseline, participants in the intervention group reported more reasons for drinking than those in the control group. Over time, the intervention group showed significant reductions in reasons for drinking, with odds decreasing by 61.3% at Visit 2, 90.5% at Visit 3, and 86.2% at Visit 4 compared to the control group (p < .001). Findings suggest that repeated exposure to intervention components plays a crucial role in sustaining behavioral change. Multilevel interventions integrating individual, group, and community-based approaches may effectively reduce alcohol use among men with HIV, with potential benefits for improving ART adherence and overall health outcomes.Trial registration: ClinicalTrials.gov identifier: NCT03746457..","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1696-1705"},"PeriodicalIF":1.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974527","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