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

A qualitative dyad analysis of barriers and facilitators of antiretroviral therapy (ART) adherence among people who inject drugs (PWID) with HIV in Kazakhstan. 对哈萨克斯坦注射吸毒者（PWID）中艾滋病病毒感染者坚持抗逆转录病毒疗法（ART）的障碍和促进因素进行定性分析。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-10-15 DOI: 10.1080/09540121.2024.2414078

Paige Neuenschwander, Fredrick L Altice, Robert H Remien, Gaukhar Mergenova, Lyailya Sarsembayeva, Elena Rozental, Valeriy Gulyayev, Alissa Davis

{"title":"A qualitative dyad analysis of barriers and facilitators of antiretroviral therapy (ART) adherence among people who inject drugs (PWID) with HIV in Kazakhstan.","authors":"Paige Neuenschwander, Fredrick L Altice, Robert H Remien, Gaukhar Mergenova, Lyailya Sarsembayeva, Elena Rozental, Valeriy Gulyayev, Alissa Davis","doi":"10.1080/09540121.2024.2414078","DOIUrl":"https://doi.org/10.1080/09540121.2024.2414078","url":null,"abstract":"People with HIV (PWH) who inject drugs (PWID) face many barriers to ART adherence. Kazakhstan has one of the fastest growing HIV epidemics in the world, primarily fueled by injection drug use, yet ART adherence among PWID is low. Social support can help address these barriers, but ART adherence among PWID is rarely examined within the relationship context. We conducted interviews with 20 PWID with HIV and 18 of their intimate partners and performed a qualitative dyad analysis to examine ART adherence factors. The results indicated many barriers and facilitators of ART adherence at the individual level (e.g., substance use), interpersonal level (e.g., social support) and structural level (e.g., stigma, transportation). Reported adherence barriers and facilitators had high congruence between dyad members; however, some notable differences were found between dyads. Compared to PWH, partners without HIV had a lack of awareness about the role of stigma in impeding ART adherence. Different manifestations of social support to facilitate ART adherence were noted between seroconcordant dyads (e.g., taking pills together, attending appointments together) and serodiscordant dyads (e.g., reminders to take pills, providing babysitting to enable attendance at doctor appointments). Future research and programs may benefit from integrating dyad approaches into ART adherence interventions.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477942","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 role of fear as a barrier and facilitator to antiretroviral therapy initiation in Indonesia: insights from patients and providers. 在印度尼西亚，恐惧对开始抗逆转录病毒疗法所起的阻碍和促进作用：来自患者和提供者的见解。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-10-14 DOI: 10.1080/09540121.2024.2414080

Bona S H Hutahaean, Sarah E Stutterheim, Kai J Jonas

{"title":"The role of fear as a barrier and facilitator to antiretroviral therapy initiation in Indonesia: insights from patients and providers.","authors":"Bona S H Hutahaean, Sarah E Stutterheim, Kai J Jonas","doi":"10.1080/09540121.2024.2414080","DOIUrl":"https://doi.org/10.1080/09540121.2024.2414080","url":null,"abstract":"Initiating antiretroviral therapy (ART) in Indonesia poses major challenges, with limited studies on specific ART initiation barriers and facilitators. Using a socioecological approach, we explored, through semi-structured interviews, the perspectives of 67 participants: 17 people with HIV not (yet) on ART, 30 people with HIV on treatment, and 20 HIV service providers (HSPs). Fears emerged as pervasive barriers to initiation encompassing, at the intrapersonal level, (irrational) fears of negative medical and non-medical consequences. At the health system level, fears were linked to concerns about bureaucracy and insufficient universal coverage. On a societal level, fears stemmed from prevalent myths, misinformation on social media, and the impact of COVID-19. Interestingly, fear also served as a facilitator to initiation. At the intrapersonal level, initiation was driven by a fear of deteriorating health or death due to AIDS-related conditions. At the interpersonal level, buddies and HSPs leveraged to motivate initiation. At the societal level, accurate yet fear-inducing information on social media stimulated initiation. Perspectives differed between people with HIV and HSP, with people with HIV emphasizing barriers on intrapersonal to health system levels, while HSP focused mostly on intrapersonal and interpersonal barriers, albeit recognizing the crucial role of health systems.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477944","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

"I realized I had a choice": the forgiveness journey of people living with HIV. "我意识到我可以选择"：艾滋病毒感染者的宽恕之旅。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-10-09 DOI: 10.1080/09540121.2024.2411288

Kasai Elias, Dan Turner, Eugene Katchman, Miri Cohen

引用次数: 0

The relationships between perceived parental rearing, social support, PTSD, and depression in people living with HIV in China: a cross-sectional study. 中国艾滋病病毒感染者感知到的父母养育、社会支持、创伤后应激障碍和抑郁之间的关系：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 : 2024-10-09 DOI: 10.1080/09540121.2024.2411285

Li Luo, Lin Cao, Jiashu Zhang, Min Zhang, Jun Xu, Rong Hu, Pulin Liu

{"title":"The relationships between perceived parental rearing, social support, PTSD, and depression in people living with HIV in China: a cross-sectional study.","authors":"Li Luo, Lin Cao, Jiashu Zhang, Min Zhang, Jun Xu, Rong Hu, Pulin Liu","doi":"10.1080/09540121.2024.2411285","DOIUrl":"https://doi.org/10.1080/09540121.2024.2411285","url":null,"abstract":"Post-traumatic stress disorder (PTSD) and depression are two major psychological disorders that affect the mental health of people living with HIV (PLWH). The occurrence of PTSD and depression may be linked to perceptions of parental rearing styles in childhood. However, little is known about the relationship between perceived parental rearing styles, and PTSD and depression in the PLWH population. This study investigated 300 PLWH and explored the relationship between perceived parental rearing style, social support, PTSD, and depression. The results indicated that perceived paternal and maternal warmth were negatively associated with PTSD. Perceived maternal warmth and overprotection were negatively associated with depression. Social support acted as a mediator between perceived parental warmth, PTSD, and depression. Therefore, it is necessary to focus on patients who feel they experienced a lack of parental warmth during childhood and provide psychological care and support, which may help reduce the risk of developing PTSD and depression.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394259","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

Longitudinal assessments of viral rebound among people with HIV in South Carolina: a population-based cohort study. 南卡罗来纳州艾滋病毒感染者病毒反弹的纵向评估：基于人群的队列研究。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-10-07 DOI: 10.1080/09540121.2024.2411270

Jiayang Xiao, Xueying Yang, Yunqing Ma, Bankole Olatosi, Sharon Weissman, Xiaoming Li, Jiajia Zhang

{"title":"Longitudinal assessments of viral rebound among people with HIV in South Carolina: a population-based cohort study.","authors":"Jiayang Xiao, Xueying Yang, Yunqing Ma, Bankole Olatosi, Sharon Weissman, Xiaoming Li, Jiajia Zhang","doi":"10.1080/09540121.2024.2411270","DOIUrl":"https://doi.org/10.1080/09540121.2024.2411270","url":null,"abstract":"Routinely monitoring viral rebound (VR) is important in the life course of people with HIV (PWH). This study examined risk factors for time to the first VR, the number of VRs and their association with VR history in men who have sex with men (MSM). It includes 8176 adult PWH diagnosed from January 2005 to December 2018, followed until July 2021. We used the Cox model for time to the first VR, the Poisson model for a number of VRs, and logistic regression for VR history in MSM. Younger individuals (50-59 years vs 18-29 years, aHR: 0.43, 95% CI: [0.34, 0.55]) were more likely to experience VR. Black individuals (Black vs White, IRR: 1.61, 95% CI [1.38, 1.88]) had more VR, while MSM (MSM vs Heterosexual, IRR: 0.68, 95% CI: [0.57, 0.81]) was negatively associated with number of VsR. Furthermore, individuals engaging illicit drug use (IDU) (aOR: 1.50, 95% CI: [1.03, 2.17]) were more likely to experience VR in the MSM subgroup. This study highlighted the alarming risk factors related to VR among PWH. Tailored intervention should also be deployed for young, Black MSM patients with substance use for more effective and targeted public health strategies concerning VR.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394258","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 scoping review of interventions targeting HIV stigma in women living with HIV. 对针对女性艾滋病病毒感染者的艾滋病污名化干预措施进行范围界定审查。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-10-03 DOI: 10.1080/09540121.2024.2408682

Zhongfang Yang, Qianqian Hu, Weijie Xing, Zheng Zhu, Michael V Relf, Dalmacio Dennis Flores, Yan Hu

{"title":"A scoping review of interventions targeting HIV stigma in women living with HIV.","authors":"Zhongfang Yang, Qianqian Hu, Weijie Xing, Zheng Zhu, Michael V Relf, Dalmacio Dennis Flores, Yan Hu","doi":"10.1080/09540121.2024.2408682","DOIUrl":"https://doi.org/10.1080/09540121.2024.2408682","url":null,"abstract":"Since its initial detection in the 1980s, AIDS has become a significant global health threat, disproportionately affecting women. Stigma constitutes the substantial barrier to accessing healthcare for women living with HIV (WLWH). This scoping review based on the Population, Concept, and Context (PCC) framework aimed to provide evidence-based guidance for clinical caregivers to develop intervention strategies and assess their effectiveness. From database inception to May 2023, research on stigma interventions for WLWH was searched in databases including Embase (OVID), MEDLINE (OVID), CINAHL (EBSCO), ProQuest, Scopus, WANFANG, VIP, CNKI, and SinoMed. Literature was screened based on inclusion and exclusion criteria, and results were extracted for scoping review. Twelve studies were included featuring information-based, skills-based interventions, and a combination of both, targeting individuals and institutions. Six studies reported significant reduction in stigma. Assessment tools used included the 7-item Questionnaire on Attitudes toward AIDS Victims (AQAV-7), the 40-item HIV Stigma Scale (HSS-40), the 14-item Chronic Illness Stigma Scale (SSCI-14), the 28-item Internalization HIV-Related Stigma Scale (IHSS-28), the 57-item Internalized Stigma Scale (IS-57), and the 6-item Internalized AIDS-Related Stigma Scale (IA-RSS-6). Validation of existing intervention and the development of mechanisms linking interventions to stigma reduction are needed.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373267","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

Beyond HIV shame: the role of self-forgiveness and acceptance in living with HIV. 超越艾滋病毒的羞耻感：自我宽恕和接受在艾滋病毒感染者中的作用。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-10-01 Epub Date: 2024-04-26 DOI: 10.1080/09540121.2024.2343770

Sebastian Binyamin Skalski-Bednarz, Loren L Toussaint, Karol Konaszewski, Janusz Surzykiewicz

引用次数: 0

HIV symptom severity and associated factors among young people with HIV in Ghana. 加纳感染艾滋病毒的年轻人中艾滋病毒症状的严重程度及相关因素。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-10-01 Epub Date: 2024-01-07 DOI: 10.1080/09540121.2023.2299332

Nicholas Tarantino, Betty Norman, Anthony Enimil, Shadrack Osei Asibey, Charles Martyn-Dickens, Kate Guthrie, Awewura Kwara, Beth Bock, Matthew J Mimiaga, Larry Brown

{"title":"HIV symptom severity and associated factors among young people with HIV in Ghana.","authors":"Nicholas Tarantino, Betty Norman, Anthony Enimil, Shadrack Osei Asibey, Charles Martyn-Dickens, Kate Guthrie, Awewura Kwara, Beth Bock, Matthew J Mimiaga, Larry Brown","doi":"10.1080/09540121.2023.2299332","DOIUrl":"10.1080/09540121.2023.2299332","url":null,"abstract":"ABSTRACTAdolescents and young adults (young people) with HIV (YPWH) often struggle with treatment self-management. Many have symptoms due to HIV disease, medication side-effects, or comorbid conditions. Our study investigated the severity of HIV-related symptoms among YPWH aged 18-24 with detectable viral loads from an HIV clinic in Ghana (N = 60) and potential correlates of severity across a range of factors. Results indicated that YPWH currently experienced, on average, 13 symptoms (SD = 12.33). Six of the 10 most common symptoms were from two domains: fatigue and psychological. The most common symptoms were headaches (62%), weakness (53%), and fear/worries (52%). No differences were observed in number or severity of symptoms between youth based on HIV transmission status. Bivariate correlates of symptom severity were found with six that remained significant or approached significance in a multivariate model predicting severity: living with a parent/guardian, higher perceived access to HIV care, and higher treatment readiness were associated with lower severity while greater travel time to the HIV clinic, psychological distress, and more missed clinic appointments were associated with higher severity. Our findings suggest that interventions to address symptoms among YPWH should be multilevel and include strategies (e.g., telehealth, home care) to increase access to care.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11227599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378581","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

Unawareness of partner risk factors thwarts implementation of USPSTF recommendations for HIV pre-exposure prophylaxis in primary care. 对伴侣风险因素的不了解阻碍了 USPSTF 关于在初级保健中进行 HIV 暴露前预防的建议的实施。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-10-01 Epub Date: 2024-05-03 DOI: 10.1080/09540121.2024.2347435

Christopher Bouchard, Sarah Dashwood, Daniel J Parente

{"title":"Unawareness of partner risk factors thwarts implementation of USPSTF recommendations for HIV pre-exposure prophylaxis in primary care.","authors":"Christopher Bouchard, Sarah Dashwood, Daniel J Parente","doi":"10.1080/09540121.2024.2347435","DOIUrl":"10.1080/09540121.2024.2347435","url":null,"abstract":"The United States Preventive Services Task Force recommends pre-exposure chemoprophylaxis for persons at high risk of HIV exposure. The optimal screening strategy for at-risk individuals in primary care is not known. We evaluated the strategy of universal screening and discussed challenges to the implementation of this recommendation in primary care. Around 430 of 500 (86%) screening surveys were completed. Mutual monogamy was common but monogamous partners with recent negative HIV testing were uncommon. Likewise, among heterosexually active men and women, inconsistent condom use was common. Such individuals would be on guideline for HIV pre-exposure prophylaxis (PrEP) if their partner was at risk for HIV exposure. None of these potentially at-risk individuals met the criteria for PrEP, but 13% lacked knowledge of their partners' sexual and behavioral risk factors, preventing a clear decision on whether PrEP should be used. Our screen identified no individuals who clearly met the guideline criteria for HIV PrEP. We conclude that universal screening for HIV PrEP in primary care is unlikely to be an efficient strategy; targeted screening is likely more appropriate. Moreover, the 2019 guidelines for heterosexually active men and women rely on information that is often unknown to the patient, which makes these guidelines difficult to implement. Future guidelines should address these problems.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence and predictors of cigarette smoking among people with HIV in Western Jamaica. 牙买加西部艾滋病毒感染者吸烟的流行率和预测因素。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-10-01 Epub Date: 2024-05-15 DOI: 10.1080/09540121.2024.2354224

D Aguilera, B Rinola, S Tundealao, R Klaff, M Aung, M Johnson-Campbell, D Johnson-Wallace, R Stephenson, P E Jolly, I Tamí-Maury

{"title":"Prevalence and predictors of cigarette smoking among people with HIV in Western Jamaica.","authors":"D Aguilera, B Rinola, S Tundealao, R Klaff, M Aung, M Johnson-Campbell, D Johnson-Wallace, R Stephenson, P E Jolly, I Tamí-Maury","doi":"10.1080/09540121.2024.2354224","DOIUrl":"10.1080/09540121.2024.2354224","url":null,"abstract":"With highly active antiretroviral therapy, HIV infection has become a treatable chronic disease. However, modifiable risk factors such as cigarette smoking continue to impact the morbidity and mortality of people with HIV (PWH). We assessed the prevalence and factors associated with cigarette smoking and motivation to quit among PWH in Western Jamaica. A cross-sectional study was conducted in which 392 adults seeking HIV care at health facilities in Western Jamaica completed an interviewer-administered questionnaire. Current smoking prevalence among participants was 17.4%. Current smoking was significantly associated with being male (OR = 2.99), non-Christian/non-Rastafarian (OR = 2.34), living or working with another smoker (aOR =1.86), being moderate to severely depressed (OR = 3.24), having an alcohol drinking problem (OR = 1.84), and never being asked by a healthcare provider if they smoked (OR = 3.24). Among the PWH who currently smoke, 36.7% are moderately to highly dependent on nicotine. One-third of people who smoke (33.8%) started smoking for the first time after HIV diagnosis, while 66.2% initiated smoking before; 88% were willing to quit smoking. These findings provide baseline information for designing and implementing a comprehensive smoking cessation program that considers the needs of PWH in Jamaica, with the potential of becoming a replicable model for other HIV-specialized healthcare settings in the Caribbean.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11343667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946302","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