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

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

IF 1.2 4区医学

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

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

{"title":"Difference in healthcare utilization trends associated with suicide death in people living with and without HIV in British Columbia, Canada, from 1998 to 2020.","authors":"Niloufar Aran, Monica Ye, Jason Chia, Kiffer G Card, Katherine W Kooij, Rory M Trevorrow, Silvia Guillemi, Valerie Nicholson, Robert S Hogg","doi":"10.1080/09540121.2025.2468965","DOIUrl":"10.1080/09540121.2025.2468965","url":null,"abstract":"People living with HIV (PLWH) face disproportionate rates of suicide death despite improvements in quality of life with antiretroviral therapy. Effective preventative efforts necessitate an understanding of healthcare utilization trends prior to suicide death for PLWH to facilitate the identification of areas for improvement in screening and prevention. The present study aimed to identify patterns of healthcare utilization in PLWH who died by suicide using a population-based cohort design. Administrative datasets from British Columbia, Canada were analyzed using unadjusted and adjusted logistic regression models to assess healthcare utilization in the 90-day period prior to suicide death for 98 PLWH and 170 age- and sex-matched people without HIV (PWoH). PLWH were found to have greater rates of healthcare engagement prior to suicide death, with increased likelihood of any healthcare visit and a greater median count of total healthcare visits compared to controls. Despite this, no significant difference in degree of engagement with mental healthcare and self-harm healthcare services was observed between PLWH and PWoH. These findings suggest that PLWH who die by suicide engage with the healthcare system more than their counterparts without HIV, and point to the importance of differential screening and prevention strategies for PLWH on antiretroviral therapy.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"812-821"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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

IF 1.2 4区医学

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

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

{"title":"Traditional and psychosocial factors associated with non-communicable diseases among people living with HIV in Cambodia: a cross-sectional study.","authors":"Beverly Wen Xin Wong, Pheak Chhoun, Sovannary Tuot, Bora Ngov, Sovannarith Samreth, Vichea Ouk, Siyan Yi","doi":"10.1080/09540121.2025.2494792","DOIUrl":"https://doi.org/10.1080/09540121.2025.2494792","url":null,"abstract":"We examined traditional and psychosocial factors associated with self-reported diabetes, hypertension, raised cholesterol, and multimorbidity among 4,089 people living with HIV in Cambodia. Participants were recruited from 20 antiretroviral therapy (ART) clinics across nine provinces and the capital city in 2021. Multiple logistic regression analyses assessed the associations between sociodemographic variables, HIV-related information, and psychosocial factors with the outcome variables. The prevalence of diabetes, hypertension, and raised cholesterol were 7.8%, 16.9%, and 6.6%, respectively. Non-adherence to ART (adjusted odds ratio [aOR]: 1.55, 95% confidence interval [CI]: 1.04-2.32), low self-efficacy in attending ART clinics regularly (aOR: 2.02, 95% CI: 1.16-3.53), and poor quality of life (aOR: 1.48, 95% CI: 1.13-1.94) were significantly associated with all outcomes. Interestingly, lower perceived social support was significantly associated with lower odds of hypertension (aOR: 0.52, 95% CI: 0.33-0.83) and multimorbidity (aOR: 0.40, 95% CI: 0.20-0.80). Past experiences with HIV-related stigma and discrimination were significantly associated with a higher likelihood of diabetes (aOR: 1.97, 95% CI: 1.23-3.15) and multimorbidity (aOR: 1.87, 95% CI: 1.23-2.85). Community-based interventions to enhance peer support and reduce stigma and discrimination may help decrease non-communicable diseases (NCDs), and integrating HIV and NCD programs could improve healthcare access among people living with HIV.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-14"},"PeriodicalIF":1.2,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-17 DOI: 10.1080/09540121.2025.2488875

Luciana Cardoso Martins, Ana Célia Oliveira Dos Santos, Marcelo Palmares Oliveira E Silva, Paulo Sérgio Ramos de Araújo

{"title":"Risk factors related to sarcopenia in people living with HIV/AIDS according to 2010 and 2019 European Working Group on Sarcopenia in Older People.","authors":"Luciana Cardoso Martins, Ana Célia Oliveira Dos Santos, Marcelo Palmares Oliveira E Silva, Paulo Sérgio Ramos de Araújo","doi":"10.1080/09540121.2025.2488875","DOIUrl":"https://doi.org/10.1080/09540121.2025.2488875","url":null,"abstract":"ABSTRACTThe European Working Group on Sarcopenia in Older People (EWGSOP) updated its criteria, prioritizing muscle strength as the most reliable measure of muscle function. People living with HIV/AIDS (PLWHA) age prematurely, making it important to understand factors associated with unfavorable outcomes and to promote good health and well-being. This study analyzes factors and the prevalence of sarcopenia in PLWHA using the 2010 (EWGSOP1) and 2018 (EWGSOP2) criteria. Were included PLWHA aged 40 or older, treated at an outpatient clinic of a tertiary hospital between 2019 and 2021. Socio-demographic, clinical, and laboratory data were evaluated. Numerical variables were analyzed using central tendency and dispersion measures, while associations between categorical variables were evaluated using chi-square and Fisher's exact tests. The sample consisted of 218 PLWHA with a mean age of 52 ± 8.3 years. According to EWGSOP1, 11.1% were diagnosed with sarcopenia, with increasing age, male gender, and Body Mass Index (BMI) as associated factors. Using EWGSOP2, only 1.4% were classified as sarcopenic, with no associations found between sarcopenia and the studied variables. The prevalence of sarcopenia in PLWHA was eight times higher using EWGSOP1 than EWGSOP2. From a disease prevention perspective, EWGSOP1 criteria seem more appropriate for PLWHA.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-7"},"PeriodicalIF":1.2,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020891","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 that influence communication between healthcare providers and sexual minority men in HIV service delivery in Zambia. 影响保健提供者和性少数男性在赞比亚艾滋病毒服务提供之间沟通的因素。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-15 DOI: 10.1080/09540121.2025.2487224

Prince Nii Ossah Addo, Shan Qiao, Nobutu Muttau, Clementina Lwatula, Levy Ngosa, McLean Kabwe, J Anitha Menon, Monique J Brown, Xiaoming Li, Gary W Harper

{"title":"Factors that influence communication between healthcare providers and sexual minority men in HIV service delivery in Zambia.","authors":"Prince Nii Ossah Addo, Shan Qiao, Nobutu Muttau, Clementina Lwatula, Levy Ngosa, McLean Kabwe, J Anitha Menon, Monique J Brown, Xiaoming Li, Gary W Harper","doi":"10.1080/09540121.2025.2487224","DOIUrl":"https://doi.org/10.1080/09540121.2025.2487224","url":null,"abstract":"Studies that have investigated client-provider interactions in HIV service delivery have focused mainly on the views of sexual and gender minorities. This study explored the views of both Healthcare Providers (HCPs) and Sexual Minority Men (SMM) in Zambia about factors that influence client-provider interactions and how this could affect HIV service delivery. We conducted in-depth interviews with 20 HCPs (>25 years old) and 20 SMM (20-34 years old) purposively recruited from Lusaka with help from local partners in 2021. Interviews lasted 30-80 min, were conducted in English, and were audio-recorded. Verbatim transcripts of audio files were iteratively coded using Nvivo. Thematic analysis was performed using the inductive approach. Study findings suggest that a lack of trust in HCPs among SMM and the religious and cultural persuasions of some HCPs negatively impact communication between SMM and HCPs. The above factors will likely make establishing a good working relationship between HCPs and SMM difficult and could negatively influence HIV service delivery. Therefore, promoting an SMM-friendly environment at health facilities and promoting HCPs' understanding of the health needs of SMM are critical to ensure the delivery of quality HIV services to SMM in Zambia.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-10"},"PeriodicalIF":1.2,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051269","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

Rural and urban differences in HIV pre-exposure prophylaxis (PrEP) awareness and acceptability among Black cisgender women living in the U.S. South. 生活在美国南部的黑人顺性女性在HIV暴露前预防（PrEP）意识和可接受性方面的城乡差异

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-14 DOI: 10.1080/09540121.2025.2487218

Acacia Sharma, Jaquetta Revees, Kristin Heron, Sylvia Shangani

{"title":"Rural and urban differences in HIV pre-exposure prophylaxis (PrEP) awareness and acceptability among Black cisgender women living in the U.S. South.","authors":"Acacia Sharma, Jaquetta Revees, Kristin Heron, Sylvia Shangani","doi":"10.1080/09540121.2025.2487218","DOIUrl":"https://doi.org/10.1080/09540121.2025.2487218","url":null,"abstract":"Black cisgender women in the U.S. South experience a significant disparity in HIV infection rates. Pre-exposure Prophylaxis (PrEP) is an effective medication that can reduce HIV risk but is underutilized among Black women. We assessed the association between setting and PrEP awareness and acceptability in Black cisgender women in the U.S. South. A cross-sectional online survey was administered from March to June 2022 to HIV-negative Black cisgender women living in the Southern United States. Participants reported demographic information, PrEP awareness, likelihood of PrEP use, HIV knowledge, risk perception, and healthcare access. Logistic regression models assessed correlates of PrEP awareness and acceptability. Of 491 participants (Mean age = 40.42 [SD = 17.5], 20.0% rural, 80.0% urban/suburban), 44.9% of rural and 38.2% of urban/suburban participants were PrEP aware. 44.9% of rural versus 36.1% of urban/suburban participants were likely to use PrEP. Rural Black women reported higher PrEP acceptability (adjusted odds ratio [aOR] = 1.96, 95% CI 1.20, 3.18, p = 0.01). Having health insurance (aOR = 2.43, 95% CI 1.28, 4.65, p = 0.01) and younger age (aOR = 0.98, 95% CI 0.96, 0.99, p < 0.001) were associated with PrEP acceptability. To improve PrEP awareness, acceptability, and uptake, intervention programs should be tailored to individuals' geographical circumstances and needs.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-9"},"PeriodicalIF":1.2,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062770","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

HIV home testing in Poland - an underappreciated approach despite huge potential : an implementation study. 波兰的艾滋病毒家庭检测——一种潜力巨大却未被充分重视的方法：一项实施研究。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-07 DOI: 10.1080/09540121.2025.2486570

Bartosz Szetela, Mateusz Bożejko, Zenon Jasyk, Iwona Krzywicka, Katarzyna Giniewicz, Magdalena Ankiersztejn-Bartczak

{"title":"HIV home testing in Poland - an underappreciated approach despite huge potential : an implementation study.","authors":"Bartosz Szetela, Mateusz Bożejko, Zenon Jasyk, Iwona Krzywicka, Katarzyna Giniewicz, Magdalena Ankiersztejn-Bartczak","doi":"10.1080/09540121.2025.2486570","DOIUrl":"https://doi.org/10.1080/09540121.2025.2486570","url":null,"abstract":"HIV testing faces barriers worldwide and little progress in systematically implementing new approaches has been made so far, especially in Europe. Testing sites (VCTs) and clubs have been the only large-scale venues in Poland to offer anonymous tests for key populations. They are located exclusively in large cities leaving large areas without any real access. We wanted to see if home tests might fill the gaps. Between November 2022 and February 2023 free Simplitude ByMe HIV home-tests were sent out to parcel lockers with orders made opportunistically by patients on the TyToTu.pl webpage. The clients were asked to fill out a short epidemiological online questionnaire (age, gender, sexual orientation, nationality, residence: provincial city/smaller city/village, previous testing) before the order and were asked to give e-feedback afterwards. Statistical analysis was performed for 887 returned questionnaires. 1473 home tests were dispensed. 76.6% of recipients reported heterosexual, 11.7% homosexual and 10.6% bisexual contacts. 57% came were from large provincial cities (p < 0.0001) and for 80% of them it was their first test ever, especially if they reported heterosexual contacts (p < 0.0001) or were older (OR 0.9736; 95% CI: 0.9507, 0.9971). If heterosexual clients had tested before then in the more distant past by 745 days (95% CI: 411-1096). Five tests were reported back as positive (all among heterosexual clients) translating to 0.34% prevalence, 91 negative (6.17% return rate) and 9 invalid (0.61%). Home testing has been underutilized in Poland despite huge interest. Barriers still exist especially for clients reporting heterosexual contacts. HIV home tests should be freely available, especially among older and heterosexual clients as well as immigrants. We urge local and national bodies to fund such testing as it may help include more people in treatment earlier.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-6"},"PeriodicalIF":1.2,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804568","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 of stigma in people living with HIV, its effect on treatment adherence and psychiatric comorbid disease. 艾滋病病毒感染者的耻辱感及其对坚持治疗和精神并发症的影响。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-04 DOI: 10.1080/09540121.2025.2486571

Salaar Ahmed, Meeral Nasir, Aleena Arshad, Hamza Ahmed Farooqi, Syed Faisal Mahmood

{"title":"Prevalence of stigma in people living with HIV, its effect on treatment adherence and psychiatric comorbid disease.","authors":"Salaar Ahmed, Meeral Nasir, Aleena Arshad, Hamza Ahmed Farooqi, Syed Faisal Mahmood","doi":"10.1080/09540121.2025.2486571","DOIUrl":"https://doi.org/10.1080/09540121.2025.2486571","url":null,"abstract":"HIV has become a rising healthcare issue in Pakistan in recent years with new outbreaks and spillover to traditionally low-risk groups. We studied the stigma around HIV, its relation to psychiatric comorbidities such as depression and anxiety, and adherence to treatment in people living with HIV (PLHIV). A hospital-based cross-sectional study was conducted over six months at a tertiary care hospital in Karachi, Pakistan. Self-administered digital questionnaires containing basic demographics, PHQ9, GAD7, HSS12, and GMAS scales were used to assess depression, anxiety, stigma, and medical adherence respectively. A total of 66 participants were included, with a mean age of 39.97 ± 14.32 years. The mean stigma score was 25.67 ± 9.46, with 9 participants (13.85%) experiencing severe stigma. Among the different stigma components, disclosure concerns had the highest mean score (7.91 ± 2.91). Most participants had no depression and a no-to-low risk for anxiety. No relationship was found between medical adherence and either stigma scores or psychiatric comorbidities. Patients identified as from key populations (n = 35) had significantly increased risk of depression (p = 0.0493), anxiety (p = 0.023), and HIV-associated stigma (p = 0.0166). Stigma continues to affect mental well-being and hinders early diagnosis and treatment of PLHIV. A comprehensive approach, cannot be complete without addressing this stigma and its effect on disease burden, diagnosis, and treatment.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-8"},"PeriodicalIF":1.2,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781699","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 double-edged sword effect: the implications of Internet exposure for Netizens' tolerant attitudes toward people living with HIV/AIDS. 双刃剑效应：网络曝光对网民对HIV/AIDS患者宽容态度的影响

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-03 DOI: 10.1080/09540121.2025.2487225

Yuqi Wang, Junjun Li, Shilian Shan

{"title":"A double-edged sword effect: the implications of Internet exposure for Netizens' tolerant attitudes toward people living with HIV/AIDS.","authors":"Yuqi Wang, Junjun Li, Shilian Shan","doi":"10.1080/09540121.2025.2487225","DOIUrl":"https://doi.org/10.1080/09540121.2025.2487225","url":null,"abstract":"Enhancing societal tolerance towards people living with HIV/AIDS (PLWHA) is crucial for curbing the spread of the disease. We investigate the impact of Internet exposure on netizens' tolerant attitudes toward PLWHA. We analyzed data from 11,927 netizens surveyed in the Chinese Social Survey (CSS) conducted in 2017, 2019, and 2021. An ordered probit model was employed to examine the direct association between Internet exposure and netizens' tolerant attitudes toward PLWHA. During this period, Chinese netizens' tolerant attitudes toward PLWHA have increased. Internet exposure enhances netizens' tolerant attitudes toward PLWHA. Social participation mediates the positive impact of Internet exposure on netizens' attitudes toward PLWHA. Additionally, subjective social status amplifies the beneficial influence of Internet exposure and social participation on these attitudes. Male netizens derive greater benefits from social participation in fostering tolerance toward PLWHA compared to female netizens. Additionally, Internet exposure exhibits a double-edged sword effect on netizens' tolerant attitudes toward PLWHA. This study represents the first systematic investigation into the impact of Internet exposure on netizens' tolerant attitudes toward PLWHA, which is conducive to improving the social status and health welfare of PLWHA.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-17"},"PeriodicalIF":1.2,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781696","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

Use of self-test to increase HIV testing among men who have sex with men and transgender women-overview of systematic reviews. 使用自我检测增加男男性行为者和变性妇女的艾滋病毒检测——系统评价综述

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-02 DOI: 10.1080/09540121.2025.2484331

Ana Regina Tavares Cairo Azevêdo, Joyce Costa Melgaço Faria, Gustavo Machado Rocha, Cristiane Aparecida Menezes de Pádua

{"title":"Use of self-test to increase HIV testing among men who have sex with men and transgender women-overview of systematic reviews.","authors":"Ana Regina Tavares Cairo Azevêdo, Joyce Costa Melgaço Faria, Gustavo Machado Rocha, Cristiane Aparecida Menezes de Pádua","doi":"10.1080/09540121.2025.2484331","DOIUrl":"https://doi.org/10.1080/09540121.2025.2484331","url":null,"abstract":"ABSTRACTHuman Immunodeficiency Virus (HIV) infection is stigmatizing, especially for key populations, who are disproportionately affected by Sexually Transmitted Infections (STIs). The stigma and discrimination suffered by these groups are among the main obstacles to HIV prevention, treatment and care, which is why the World Health Organization recommends the use of self-tests to increase HIV testing and achieve the 95-95-95 target by 2030 proposed by the United Nations. We conducted an overview of systematic reviews and meta-analyses, searching for free and indexed terms in nine databases, and using the acronym PICO as an inclusion criterion. Two independent reviewers performed the selection in two stages, and disagreements were resolved by consensus with a third reviewer. Quality analysis was performed using the Assessing the Methodological Quality of Systematic Reviews, version 2 (AMSTAR 2) tool. Four studies were included, one evaluating men who have sex with men (MSM), one evaluating MSM and another key population, and two evaluating MSM and transgender women (TGW). HIVST was effective in increasing testing frequency and uptake and was considered as good as or better in detecting new HIV infections. However, the presence of more than one critical weakness and multiple non-critical flaws reduced the overall confidence.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-11"},"PeriodicalIF":1.2,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765453","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 characteristics of people with HIV who had late, delayed and timely HIV diagnoses in Florida, 2015-2021. 2015-2021年佛罗里达州晚期、延迟和及时诊断的HIV感染者的患病率和特征

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-01 DOI: 10.1080/09540121.2025.2484299

Christina E Parisi, Shantrel S Canidate, Awewura Kwara, Zhigang Li, Zhi Zhou, Colby Cohen, Robert L Cook, Natalie Chichetto

{"title":"Prevalence and characteristics of people with HIV who had late, delayed and timely HIV diagnoses in Florida, 2015-2021.","authors":"Christina E Parisi, Shantrel S Canidate, Awewura Kwara, Zhigang Li, Zhi Zhou, Colby Cohen, Robert L Cook, Natalie Chichetto","doi":"10.1080/09540121.2025.2484299","DOIUrl":"https://doi.org/10.1080/09540121.2025.2484299","url":null,"abstract":"Different definitions of late HIV diagnosis are used to represent people diagnosed at an advanced stage of their illness. How well varying definitions represent those at risk for poor outcomes is unclear. Our aim was to examine proportions of late, delayed and timely HIV diagnoses in Florida and identify factors associated with diagnosis status. Using the first laboratory test in the Enhanced HIV/AIDS Reporting System, we determined annual proportions of late (CD4 < 200 cells/μL), delayed (200 ≤ CD4 < 350 cells/μL) and timely (CD4 ≥ 350 cells/μL) diagnoses in Florida between 2015 and 2021 and assessed characteristics associated with diagnosis status using multinomial logistic regression models. Among 30,411 individuals (20% female, 39% non-Hispanic Black, 34% Hispanic, mean age 37.1 years), 22% had a late and 17% had a delayed diagnosis. Non-Hispanic Black race, older age, and diagnosis at an inpatient facility were associated with greater odds of having a late or delayed diagnosis compared with having a timely diagnosis. There was no change in the prevalence of late, delayed, and timely diagnoses each year during the study period. Nearly 40% of HIV diagnoses in Florida were late or delayed. Given those with late and delayed diagnoses were similar, strategies to improve timeliness of diagnosis among these groups are needed.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-9"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765491","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