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

"I have many burdens": experiences and perceptions of vulnerabilities, healthcare, and support among PLHIV in Sweden: a qualitative interview study. “我有很多负担”：瑞典艾滋病毒感染者的脆弱性，医疗保健和支持的经验和看法：一项定性访谈研究。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2026-04-01 Epub Date: 2025-11-08 DOI: 10.1080/09540121.2025.2584612

Faustine Kyungu Nkulu-Kalengayi, Anne Adhiambo Ouma, Anna-Karin Hurtig

{"title":"\"I have many burdens\": experiences and perceptions of vulnerabilities, healthcare, and support among PLHIV in Sweden: a qualitative interview study.","authors":"Faustine Kyungu Nkulu-Kalengayi, Anne Adhiambo Ouma, Anna-Karin Hurtig","doi":"10.1080/09540121.2025.2584612","DOIUrl":"10.1080/09540121.2025.2584612","url":null,"abstract":"People living with human immunodeficiency virus (PLHIV) often navigate complex and vulnerable circumstances shaped by intersecting social identities that influence their experiences with human immunodeficiency virus (HIV) infection, healthcare, and support services. This qualitative study explored how PLHIV in Sweden perceive and experience healthcare and social support. It draws on 32 in-depth interviews conducted in 2019, 2021, and 2024 with participants aged 20-65 years. Three central themes were identified through thematic analysis. The first theme, \"Carrying Many Burdens: Multiple Vulnerabilities, Overlapping Conditions, and Socioeconomic Hardship\", how overlapping identities, health issues, and financial hardship compound vulnerability. Second, \"Varying Attitudes and Practices in Healthcare Settings\", reflect inconsistent and sometimes problematic encounters with healthcare systems. The third theme, \"Nongovernmental Organizations Support is Valuable but Limited\", emphasizes the importance of support while revealing its inadequacy in reaching everyone and meeting all needs. These findings highlight the multifaceted vulnerabilities faced by PLHIV in Sweden and point to significant gaps in both healthcare and social support systems. Addressing these challenges calls for coordinated efforts across the structural, institutional, and individual levels.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"701-715"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145472165","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 initial awareness to sustained involvement: using social and behavioral stage models to better understand engagement in HIV cure efforts in the Netherlands, France, Australia, and sub-saharan Africa. 从最初的意识到持续的参与：利用社会和行为阶段模型更好地了解荷兰、法国、澳大利亚和撒哈拉以南非洲艾滋病治愈工作的参与情况。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2026-04-01 Epub Date: 2025-11-28 DOI: 10.1080/09540121.2025.2592889

Maaike A J Noorman, Kim A G J Romijnders, Sarah Lefebvre, Jillian S Y Lau, Virginie L Bakeroot, Jennifer Power, Christel Protiere, Sarah E Stutterheim, John B F de Wit

{"title":"From initial awareness to sustained involvement: using social and behavioral stage models to better understand engagement in HIV cure efforts in the Netherlands, France, Australia, and sub-saharan Africa.","authors":"Maaike A J Noorman, Kim A G J Romijnders, Sarah Lefebvre, Jillian S Y Lau, Virginie L Bakeroot, Jennifer Power, Christel Protiere, Sarah E Stutterheim, John B F de Wit","doi":"10.1080/09540121.2025.2592889","DOIUrl":"10.1080/09540121.2025.2592889","url":null,"abstract":"HIV remains a persistent global health challenge, emphasizing the urgent need for an effective cure. Meaningful engagement of affected communities is essential for advancing HIV cure efforts. Using stage theories of behavior change, this paper investigated engagement as a dynamic process. Engagement was highlighted with five interconnected stages: awareness, perceived relevance, decision-making, participation, and sustained involvement. These stages were used to understand how individuals and communities engage with HIV cure efforts across diverse contexts. Drawing predominantly, but not exclusively, on our own work in the Netherlands, France, Australia, and plans for work in Sub-Saharan Africa, we identified common patterns and local variations in engagement. Previous research underscored the importance of tailoring engagement strategies to lived experiences and sociohistorical contexts, moving beyond one-way information sharing to foster deeper, more meaningful involvement and engagement. Applying social and behavioral stage models in further interdisciplinary research may help pinpoint key opportunities for intervention and promote sustainable engagement with affected communities. Thus, this structured lens of engagement holds potential to advance the ethical and effective development of HIV cure efforts, ensuring that diverse perspectives shape its future trajectory.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"771-788"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641175","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

Considerations and discussions about later life among people living with HIV: insights from a nationwide cross-sectional study in Japan. 关于艾滋病毒感染者晚年生活的考虑和讨论：来自日本全国横断面研究的见解。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2026-04-01 Epub Date: 2026-01-16 DOI: 10.1080/09540121.2026.2614343

Ruiko Yakuwa, Soichiro Hotta, Aki Kawakami, Makoto Tanaka

{"title":"Considerations and discussions about later life among people living with HIV: insights from a nationwide cross-sectional study in Japan.","authors":"Ruiko Yakuwa, Soichiro Hotta, Aki Kawakami, Makoto Tanaka","doi":"10.1080/09540121.2026.2614343","DOIUrl":"10.1080/09540121.2026.2614343","url":null,"abstract":"The increasing population of older people living with human immunodeficiency virus (PLWH) highlights the importance of advance care planning (ACP) and tailored approaches to later life and end-of-life care. This study examined the extent to which PLWH consider their own aging and end-of-life stage, their discussion of these topics with healthcare providers, and factors associated with such discussions. PLWH aged ≥50 years were recruited from nine hospitals and one clinic in Japan. Among 715 eligible participants, 48.9% had considered the person they would like to entrust with important decisions, and 47.8% had considered the preferred medical treatments at the end of life. However, fewer than 10% of the participants had discussed their own aging and end-of-life stage with healthcare providers. In the multivariate analysis, the following factors were significantly associated with such discussions: consideration of late-life and end-of-life planning (β = 0.226, p < 0.001), shared decision-making (β = 0.157, p < 0.001), over 70 years of age, very good perceived health status, highest educational level, and social support. These findings emphasize the need to create opportunities for PLWH to concretely reflect on their aging and end-of-life preferences and to facilitate communication with healthcare providers to promote ACP.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"832-845"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991505","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 human cost of US foreign aid cuts: implications for HIV service delivery, research and innovation in South Africa. 美国削减对外援助的人力成本：对南非艾滋病服务提供、研究和创新的影响。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2026-04-01 Epub Date: 2025-11-24 DOI: 10.1080/09540121.2025.2592251

Tawanda Makusha, Moherndran Archary, Brian C Zanoni

{"title":"The human cost of US foreign aid cuts: implications for HIV service delivery, research and innovation in South Africa.","authors":"Tawanda Makusha, Moherndran Archary, Brian C Zanoni","doi":"10.1080/09540121.2025.2592251","DOIUrl":"10.1080/09540121.2025.2592251","url":null,"abstract":"In early 2025, the abrupt suspension of U.S. foreign aid to South Africa - including funding from United States President's Emergency Plan for AIDS Relief (PEPFAR), the United States Agency for International Development (USAID), the Centers for Disease Control and Prevention (CDC), and the National Institutes of Health (NIH) - has triggered a multidimensional crisis in the country's HIV response. This paper synthesises emerging evidence on the human and systemic costs of these cuts, highlighting disruptions in HIV service delivery, research continuity, and health workforce stability in South Africa. As of March 2025, over 8,000 healthcare workers have been displaced, leading to service gaps in testing, treatment, and outreach to key populations. The cessation of many NIH sub-awards has halted clinical trials and weakened South Africa's global leadership in HIV research. Modelling studies project up to 500,000 excess HIV-related deaths and millions of new HIV infections if services are not restored. The paper calls for urgent, multisectoral action - including domestic funding reform, mental health integration, and research continuity - to prevent the reversal of two decades of progress and to build a more resilient, self-sustaining HIV response in South Africa.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"765-770"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145597837","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

Managing the move: HIV and coping for men moving to Johannesburg. 管理搬迁：艾滋病毒和应对男性移居约翰内斯堡。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2026-04-01 Epub Date: 2025-11-19 DOI: 10.1080/09540121.2025.2583222

Maria Francesca Nardell, Jenny Jyoung Lee, Sithabile Mngadi-Ncube, Bharath Ram, Caroline Govathson, Lawrence Long, Mark Lurie, Lisa Butler, Sophie Pascoe, Ingrid Theresa Katz

{"title":"Managing the move: HIV and coping for men moving to Johannesburg.","authors":"Maria Francesca Nardell, Jenny Jyoung Lee, Sithabile Mngadi-Ncube, Bharath Ram, Caroline Govathson, Lawrence Long, Mark Lurie, Lisa Butler, Sophie Pascoe, Ingrid Theresa Katz","doi":"10.1080/09540121.2025.2583222","DOIUrl":"10.1080/09540121.2025.2583222","url":null,"abstract":"Men in South Africa are disproportionately underrepresented in HIV care, and men who migrate face challenges using HIV services. Positive coping skills are critical for effective healthcare decision-making, yet little is known how men's HIV status and mobility-related stressors affect their coping strategies. Johannesburg is home to ∼5 million people who have relocated from elsewhere, mostly men. From February-April 2024, we conducted a cross-sectional survey among men who moved to Johannesburg, including questions on HIV status and the Soweto Coping Scale, with problem-focused/emotional and religious coping scores as summed responses. We fitted linear regression models using data from 157 men with complete responses to assess associations between coping scores with HIV status and mobility variables. Religious coping score was 2.21 points higher among men living with HIV versus others (p = 0.026). Religious (2.34 points higher; p = 0.024) and problem-focused/emotional (2.93 points higher; p = 0.022) scores were higher among men with citizenship/permanent versus those without. Targeted coping support for men without permanent residency status may improve engagement in HIV care. Although our findings are not generalizable to all migrant population, further research may help to understand how religious beliefs impact coping and clinical outcomes among South African men living with HIV to inform interventions.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"689-700"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551713","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

Methamphetamine use and HIV prevention: a qualitative study on challenges and opportunities for PrEP utilization. 甲基苯丙胺使用与艾滋病毒预防：PrEP使用的挑战和机遇的定性研究。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2026-04-01 Epub Date: 2026-01-07 DOI: 10.1080/09540121.2025.2611079

Suky Martinez, Albert Garcia-Romeu, Jennifer Wisdom, Jermaine Jones

{"title":"Methamphetamine use and HIV prevention: a qualitative study on challenges and opportunities for PrEP utilization.","authors":"Suky Martinez, Albert Garcia-Romeu, Jennifer Wisdom, Jermaine Jones","doi":"10.1080/09540121.2025.2611079","DOIUrl":"10.1080/09540121.2025.2611079","url":null,"abstract":"Methamphetamine use often co-occurs with sexual behaviors that may increase HIV acquisition risk and disrupt adherence to HIV pre-exposure prophylaxis (PrEP). To explore barriers and opportunities for PrEP among people who use methamphetamine, we conducted semi-structured interviews with 28 self-reported HIV-negative adults (ages 18-55) with current moderate-to-high risk methamphetamine use in the New York City metropolitan area. Transcripts were thematically analyzed with double coding and iterative consensus. Participants described sexualized methamphetamine use, polysubstance use, and sexual behaviors associated with increased HIV exposure risk (condomless intercourse, group sex, transactional sex, encounters with unfamiliar partners). Awareness of PrEP was high (86%), whereas 46% reported current use. Adherence frequently decreased during periods of heavy methamphetamine and polysubstance use, despite self-management strategies (e.g., phone/calendar reminders). Reported obstacles included insurance coverage interruptions, concerns about side effects, and reluctance to discuss sexual health with clinicians. Interest in long-acting PrEP was considerable (71% would try injections; 57% would try implants), though some expressed concerns about comparative efficacy, visit adherence, and access. Findings suggest that long-acting formulations may mitigate daily dosing burdens, particularly if delivered in settings already accessed by this population. Prospective clinical studies, ideally randomized trials, are needed to determine whether long-acting PrEP improves adherence and reduces HIV incidence in methamphetamine-using populations.Trial registration: ClinicalTrials.gov identifier: NCT06101342.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"856-869"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913556","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

Neurocognitive and neuropsychiatric evaluation of individuals living with HIV compared to HIV uninfected individuals. 艾滋病毒感染者与未感染艾滋病毒者的神经认知和神经精神评价

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2026-04-01 Epub Date: 2025-12-03 DOI: 10.1080/09540121.2025.2594611

Gamze Kaya Özdemir, Bircan Kayaaslan, İmran Hasanoğlu, Ayşe Kaya, Fatma Eser, Hatice Rahmet Güner

{"title":"Neurocognitive and neuropsychiatric evaluation of individuals living with HIV compared to HIV uninfected individuals.","authors":"Gamze Kaya Özdemir, Bircan Kayaaslan, İmran Hasanoğlu, Ayşe Kaya, Fatma Eser, Hatice Rahmet Güner","doi":"10.1080/09540121.2025.2594611","DOIUrl":"10.1080/09540121.2025.2594611","url":null,"abstract":"This study aimed to compare the neurocognitive function and neuropsychiatric symptoms of individuals living with HIV and HIV-negative controls, and to evaluate their associations with clinical markers of disease activity. The study included 111 HIV-positive individuals followed at Ankara City Hospital and 54 HIV-negative controls matched for age, sex, and educational level. All participants were assessed using the Montreal Cognitive Assessment (MoCA), the Beck Depression Inventory (BDI), and the Beck Anxiety Inventory (BAI). Vitamin D levels were significantly higher in the control group than in the HIV-positive group (p = 0.043). Using a MoCA cut-off score of 21, the proportion of participants scoring ≥21 was significantly higher among controls (p = 0.036). No significant differences were observed between the groups in depression or anxiety scores (p > 0.05). Additionally, neurocognitive performance and psychiatric symptoms were not significantly associated with CD4 count or HIV RNA levels. These findings indicate that neurocognitive impairment remains prevalent among individuals living with HIV despite effective antiretroviral therapy. Although depression and anxiety levels did not differ between groups, regular neurocognitive and psychiatric assessments remain essential components of comprehensive HIV care, emphasizing the importance of multidisciplinary management.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"716-727"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662497","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

Identifying factors related to longitudinal viral load patterns among people living with HIV. 确定与艾滋病毒感染者纵向病毒载量模式相关的因素。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2026-04-01 Epub Date: 2025-12-22 DOI: 10.1080/09540121.2025.2605493

Jasmine Manalel, Jennifer Kaufman, Carey Brandenburg, Ethan Fusaris, Arlene Correa, Jerome Ernst, Mark Brennan-Ing

{"title":"Identifying factors related to longitudinal viral load patterns among people living with HIV.","authors":"Jasmine Manalel, Jennifer Kaufman, Carey Brandenburg, Ethan Fusaris, Arlene Correa, Jerome Ernst, Mark Brennan-Ing","doi":"10.1080/09540121.2025.2605493","DOIUrl":"10.1080/09540121.2025.2605493","url":null,"abstract":"Durable HIV viral suppression is the primary goal of initiatives aimed at ending the HIV epidemic. This study (1) identified viral suppression patterns over a four-year period, and (2) determined the association of viral suppression patterns with demographic characteristics. This study was a retrospective observational analysis of insurance claims data of 2,677 members of a New York City managed care plan who were living with HIV (PLWH). Using cluster analysis, five distinct viral suppression patterns were identified: consistently unsuppressed (15%), became unsuppressed (12%), fluctuated (16%), became suppressed (12%), and consistently suppressed (45%). Adults aged 18-29 were more likely to be consistently unsuppressed than older individuals. Compared to non-Hispanic White individuals, PLWH who were non-Hispanic Black had greater odds of becoming suppressed or becoming unsuppressed, and to be consistently unsuppressed. Hispanic PLWH also had greater odds of being consistently unsuppressed. Transgender or gender diverse PLWH had greater odds of being in the fluctuated viral load group than their cisgender peers. Thus, demographic characteristics are useful in identifying groups at-risk for viremia, reflecting the association of these factors with social determinants of health. Future research should examine how to reduce barriers to healthcare and increase care engagement for these populations.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"870-879"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805969","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 antiretroviral shortages in HIV therapy and prevention uptake in Australia. 抗逆转录病毒药物短缺对澳大利亚艾滋病毒治疗和预防的影响。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2026-04-01 Epub Date: 2025-12-09 DOI: 10.1080/09540121.2025.2599502

Chieu-Hoang Ly Luong, Lisa Kalisch Ellett, Juliana de Oliveira Costa, Kendal Chidwick, Nicole Pratt, Jack Janetzki

{"title":"Impact of antiretroviral shortages in HIV therapy and prevention uptake in Australia.","authors":"Chieu-Hoang Ly Luong, Lisa Kalisch Ellett, Juliana de Oliveira Costa, Kendal Chidwick, Nicole Pratt, Jack Janetzki","doi":"10.1080/09540121.2025.2599502","DOIUrl":"10.1080/09540121.2025.2599502","url":null,"abstract":"Human immunodeficiency virus (HIV) remains a major public health priority in Australia, with treatment and prevention efforts underpinned by access to government-subsidised antiretroviral therapy (ART) through the Pharmaceutical Benefits Scheme (PBS). In 2023-2024, multiple tenofovir with emtricitabine products used for HIV treatment and pre-exposure prophylaxis (PrEP) were subject to national shortages, raising concerns about access and continuity of care. This study aimed to examine changes in monthly PBS dispensings of tenofovir with emtricitabine before, during and after the reported shortages, and assess potential impacts on HIV diagnostic testing behaviour. Using publicly available aggregated PBS and Medicare Benefits Schedule (MBS) data from January 2023 to December 2024, we quantified trends in ART and PrEP dispensings alongside HIV test claims. We found a 42% reduction in PrEP dispensing during the shortage period, with a notable decline across all PBS-listed PrEP products. Despite the approval of an overseas-registered Section 19A product in October 2024, PrEP dispensing did not return to pre-shortage levels. Diagnostic testing volumes remained relatively consistent across the study period. These findings suggest that HIV prevention efforts may be sensitive to medicine shortages and underscore the value of timely regulatory responses to help maintain access to essential medicines.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"789-799"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A comprehensive analysis of HIV partner notification experiences in the Netherlands. 荷兰艾滋病毒伴侣通报经验的综合分析。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2026-04-01 Epub Date: 2025-12-29 DOI: 10.1080/09540121.2025.2608136

Anita J Watzeels, Hannelore M Götz, Denise E Twisk

{"title":"A comprehensive analysis of HIV partner notification experiences in the Netherlands.","authors":"Anita J Watzeels, Hannelore M Götz, Denise E Twisk","doi":"10.1080/09540121.2025.2608136","DOIUrl":"10.1080/09540121.2025.2608136","url":null,"abstract":"Despite its benefits, partner notification (PN) for HIV faces multiple barriers. This study explores HIV PN experiences, barriers and enabling factors in Rotterdam, the Netherlands, between November 2019 and February 2022. Semi-structured interviews were conducted with 19 recently HIV diagnosed individuals (<2 years; indexes), 11 notified partners and 10 key persons, alongside two focus groups with 10 peers. Data collection was iterative, and analysis was guided by the social-ecological model of McLeroy et al. The findings showed that most indexes were surprised by their diagnosis and had limited knowledge of HIV. PN was often supported by healthcare providers and conducted through digital platforms such as WhatsApp or anonymous online PN tools. Motivations for disclosure included moral responsibility and protecting partners, while barriers included fear, stigma, emotional distress, lack of contact details and perceived illness. Empathic support from providers and peers was a key enabling factor. Most interviewed notified partners underwent testing, often for the first time, and none tested positive. Participants emphasised the need to normalise HIV testing, promote undetectable = untransmittable messaging, improve PN tools, expand testing access and strengthen public awareness. In conclusion, PN is shaped by intersecting personal, social and structural factors, requiring flexible, context-specific interventions.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"817-831"},"PeriodicalIF":1.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145850689","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