Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv最新文献_第4页

Exploring the effects of aromatherapy and acupoint herbal patching on fatigue and sleep disorders in people living with HIV: a pilot randomized trial. 探索芳香疗法和穴位草药贴片对艾滋病毒感染者疲劳和睡眠障碍的影响：一项随机试验。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-01 Epub Date: 2025-01-26 DOI: 10.1080/09540121.2025.2455450

Qi Wen, Xinyi You, Wenwen Yang, Yuhan Wu, Yan Song

{"title":"Exploring the effects of aromatherapy and acupoint herbal patching on fatigue and sleep disorders in people living with HIV: a pilot randomized trial.","authors":"Qi Wen, Xinyi You, Wenwen Yang, Yuhan Wu, Yan Song","doi":"10.1080/09540121.2025.2455450","DOIUrl":"10.1080/09540121.2025.2455450","url":null,"abstract":"The purpose of this study was to investigate the effects of aromatherapy and acupoint herbal patching on fatigue and sleep disorders in people living with HIV (PLWH). Aromatherapy and acupoint herbal patching are ancient alternative therapies in traditional Chinese medicine. We randomly selected 90 patients from the Nanjing Public Health Medical Center in China and divided them into three groups: aromatherapy group, acupoint herbal patching group and control group. They were supposed to fill in the Pittsburgh Sleepiness Index Scale (PSQI), the Piper Fatigue Scale (PFS), and the Liver Depression and Spleen Deficiency Insomnia Symptoms Scale (LDSSIPS) before and after the intervention. The results showed that the difference between the PSQI score and fatigue score of the aromatherapy group and acupressure group before and after the intervention was statistically significant (P < 0.05), and the difference between the scores of the three groups after the intervention was statistically significant (P < 0.05). This study found that aromatherapy and acupoint herbal patching could effectively alleviate fatigue of PLWH and improve the quality of sleep, and that the therapeutic effect of the aromatherapy group was comparable with that of the acupoint herbal patching group.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"646-653"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048362","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 service use among minoritized racial and ethnic transgender and gender non-conforming youth in the U.S South: a qualitative investigation. 美国南部少数种族和民族跨性别和性别不符合青年的艾滋病服务使用情况：一项定性调查。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-01 Epub Date: 2025-01-27 DOI: 10.1080/09540121.2025.2456081

Linda J Koenig, Deborah Gelaude, Yuko Mizuno, Pilgrim Spikes, Jarvis Carter, Lamont Scales White, Laura A Randall, Valerie Betley, Casey Langer Tesfaye

{"title":"HIV service use among minoritized racial and ethnic transgender and gender non-conforming youth in the U.S South: a qualitative investigation.","authors":"Linda J Koenig, Deborah Gelaude, Yuko Mizuno, Pilgrim Spikes, Jarvis Carter, Lamont Scales White, Laura A Randall, Valerie Betley, Casey Langer Tesfaye","doi":"10.1080/09540121.2025.2456081","DOIUrl":"10.1080/09540121.2025.2456081","url":null,"abstract":"Transgender youth are disproportionately affected by HIV, particularly minoritized youth in the US south. To understand HIV service use among transgender youth, we interviewed 25 young racial and ethnic minority clients of four southern community-based HIV service organizations (CBOs), and CBO staff (n = 12), about service access and use. Participants were assigned male at birth and identified as female (n = 8), transgender (n = 11) or gender-fluid or nonbinary (n = 6). The majority were Black/African American or mixed race; four were Hispanic or Latino/a. Most were unemployed; nearly half were unstably housed or homeless during the prior year. Four service types were each used by approximately two-thirds of participants: counseling/support, HIV/STD testing/education, pre-exposure prophylaxis education/prescriptions, and transgender-related medical services (primarily hormone provision). Just over a quarter used social services (e.g., housing, employment). Key facilitators to service use included a non-stigmatizing CBO atmosphere, and easy and convenient access. Poor access (e.g., inconvenient hours, location), lack of transportation or parking, social service needs, and lack of money were barriers. Qualitative reports highlighted unmet social service needs, particularly housing, especially for those without HIV. To reduce disparities, HIV prevention for racial and ethnic minoritized transgender youth should simultaneously address hormone provision, HIV risk reduction and social service needs.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"598-607"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048366","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

Human-centered design of an adapted differentiated service delivery model for pregnant and postpartum women living with HIV in Kenya. 为肯尼亚感染艾滋病毒的孕妇和产后妇女提供适应的差异化服务模式的以人为本的设计。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-01 DOI: 10.1080/09540121.2025.2485397

John Humphrey, Bett Kipchumba, James G Carlucci, Roselyne Midiwo, Edwin Were, Alan McGuire, Julia Songok, Winstone Nyandiko, Gregory Zimet, Kara Wools-Kaloustian, Violet Naanyu

{"title":"Human-centered design of an adapted differentiated service delivery model for pregnant and postpartum women living with HIV in Kenya.","authors":"John Humphrey, Bett Kipchumba, James G Carlucci, Roselyne Midiwo, Edwin Were, Alan McGuire, Julia Songok, Winstone Nyandiko, Gregory Zimet, Kara Wools-Kaloustian, Violet Naanyu","doi":"10.1080/09540121.2025.2485397","DOIUrl":"https://doi.org/10.1080/09540121.2025.2485397","url":null,"abstract":"Differentiated service delivery (DSD) models for pregnant and postpartum women living with HIV (WLH) are lacking despite guidelines recommending DSD for this population. We used human-centered design (HCD) to develop a DSD model for pregnant and postpartum WLH at the Academic Model Providing Access to Healthcare (AMPATH) in Kenya. We conducted co-creation workshops with 11 postpartum women, 9 male partners and 9 providers from three AMPATH-affiliated facilities to develop a DSD model, refined by program/county health officials. The workshops used WHO building blocks for DSD to determine eligibility criteria and strategies for clinical encounters, antiretroviral therapy (ART) distribution, and psychosocial support. We used nominal group techniques and thematic analyses to identify DSD attributes, themes and preference heterogeneity. Workshops yielded a facility-based DSD model with these attributes: eligibility criteria including age ≥18 years, not primigravida, retention in care, viral load <50 copies/mL, no active maternal/child comorbidities; monthly clinical encounters during pregnancy and 6 months postpartum, then every 2-3 months aligned with immunization/HIV testing schedules; flexible ART refills every 1-6 months; psychosocial counseling by mentor mothers as needed. This model was acceptable to stakeholders with perceived feasibility/scalability. Engaging end-users through HCD generated a person-centered DSD model for integrated MCH clinics in Kenya.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-16"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765488","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

Systemic inequities and sources of resilience: challenges faced by Indigenous women living with HIV during COVID-19 in the Canadian prairies. 系统性不平等和复原力的来源：2019冠状病毒病期间加拿大草原感染艾滋病毒的土著妇女面临的挑战

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-01 Epub Date: 2025-01-27 DOI: 10.1080/09540121.2025.2458635

Rusty Souleymanov, Samantha Moore, Melissa Morris

{"title":"Systemic inequities and sources of resilience: challenges faced by Indigenous women living with HIV during COVID-19 in the Canadian prairies.","authors":"Rusty Souleymanov, Samantha Moore, Melissa Morris","doi":"10.1080/09540121.2025.2458635","DOIUrl":"10.1080/09540121.2025.2458635","url":null,"abstract":"This study explored the challenges faced by, and resilience of First Nations, Métis, and Inuit women living with HIV in Manitoba and Saskatchewan during the COVID-19 pandemic. Through a decolonizing, community-based research approach, guided by a Community Guiding Circle (CGC), interviews were conducted with 45 Indigenous women living with HIV. Participants were recruited via community outreach, peer networks, and social media. Data collection and analysis utilized Indigenous storywork and inductive thematic analysis. The study revealed significant barriers related to housing instability, childcare, and access to healthcare, all exacerbated by systemic inequities rooted in colonialism, patriarchy, and capitalism. Despite these challenges, Indigenous cultural practices, ceremonies, community support, and family ties emerged as crucial sources of resilience, though often disrupted during the pandemic. The findings underscore the urgent need for culturally safe, women-centered care models that integrate Indigenous knowledge and practices. For health and social care practitioners, this research emphasizes the importance of advocating for systemic change to address the unique needs of Indigenous women living with HIV and calls for the development and implementation of culturally safe health and social care tailored to their unique needs and resilience.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"635-645"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048372","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'm too young to be frail!". HIV and attitudes on ageing, quality of life and being assessed for frailty. “我太年轻了，不能这么虚弱！”艾滋病毒与对老龄化、生活质量和被评估为虚弱的态度。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-01 Epub Date: 2025-02-03 DOI: 10.1080/09540121.2025.2458633

Denise Cummins, Daniel O'Raw, Kurt Andersson, Samantha Bennett

{"title":"\"I'm too young to be frail!\". HIV and attitudes on ageing, quality of life and being assessed for frailty.","authors":"Denise Cummins, Daniel O'Raw, Kurt Andersson, Samantha Bennett","doi":"10.1080/09540121.2025.2458633","DOIUrl":"10.1080/09540121.2025.2458633","url":null,"abstract":"The attitudes of People Living with HIV (PLWH) towards frailty and maintaining quality of life (QOL) whilst ageing is largely unknown. This study examines how PLWH perceive being assessed for frailty and ageing, and the importance of QOL as they age. 40 semi-structured interviews were conducted. Many of the participants voiced that ageing was unexpected and were unprepared for this. Main themes for ageing included self-determination and loss of independence; concern for the future including care provision, services required for ageing and fear of admission into aged care. Themes associated with frailty were, future loss of physical function and the assessment process reflecting both positive (proactive) and negative (confronting) responses regarding ageing and frailty as many participants felt they were too young to be considered frail. Themes for quality of life included the importance of self-expression and independence; connection to others, having adequate finances to enjoy life, having baseline needs met such as housing and having a positive outlook on the future. This study highlighted the importance of talking about ageing and how frailty is framed in discussions to develop individualised strategies for PLWH to decrease risk factors for frailty.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"626-634"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081687","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

Understanding viral non-suppression among people with HIV engaged in a mobile health program. 了解参与流动医疗项目的艾滋病毒感染者的病毒不抑制情况。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-01 Epub Date: 2025-01-28 DOI: 10.1080/09540121.2025.2457504

Hannah Zaveri, Lisa Mayevsky, Tabor E Flickinger, Helen Reed, Karen Ingersoll

{"title":"Understanding viral non-suppression among people with HIV engaged in a mobile health program.","authors":"Hannah Zaveri, Lisa Mayevsky, Tabor E Flickinger, Helen Reed, Karen Ingersoll","doi":"10.1080/09540121.2025.2457504","DOIUrl":"10.1080/09540121.2025.2457504","url":null,"abstract":"By consistently taking medication, people with HIV (PWH) can attain viral suppression, improving their health and reducing transmission risk. PositiveLinks (PL) is a clinic-deployed mobile platform designed to improve engagement in care for PWH by enabling them to track their medications, connect with peers, and communicate with providers. This project investigated the experience of PL users who had recent periods of viral non-suppression to understand how these high-risk episodes can be predicted and prevented. Fifteen participants completed mental health measures and in-depth interviews. Two members of the study team independently coded interview transcripts and resolved any discrepancies. The codebook was developed iteratively until thematic saturation and intercoder reliability were achieved. Participants revealed mental health and substance use concerns. Frequent stressors highlighted were relationship challenges, financial difficulties, and unstable living situations. Relationship challenges were a common barrier to care, along with competing priorities, transportation and finances. In contrast, positive relationships, motivation, positive interactions with clinic staff, and social programs facilitated regaining viral suppression. Participants highlighted the importance of strong patient-provider relationships and social support in overcoming barriers to care. We identified factors that impact medication adherence, which will inform efforts to mitigate and prevent viral non-suppression and thus improve health outcomes.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"608-617"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053907","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

B-OK: a visual and tactile tool for improving HIV mental models in a United States urban center. B-OK：一种视觉和触觉工具，用于改善美国城市中心的艾滋病毒心理模型。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-01 Epub Date: 2025-02-04 DOI: 10.1080/09540121.2025.2458643

Aaron Richterman, Tamar Klaiman, Daniel Palma, Eric Ryu, Laura Schmucker, Katherine Villarin, Gabrielle Grosso, Kathleen A Brady, Harsha Thirumurthy, Alison Buttenheim

{"title":"B-OK: a visual and tactile tool for improving HIV mental models in a United States urban center.","authors":"Aaron Richterman, Tamar Klaiman, Daniel Palma, Eric Ryu, Laura Schmucker, Katherine Villarin, Gabrielle Grosso, Kathleen A Brady, Harsha Thirumurthy, Alison Buttenheim","doi":"10.1080/09540121.2025.2458643","DOIUrl":"10.1080/09540121.2025.2458643","url":null,"abstract":"Lack of adherence to antiretroviral therapy (ART) and poor retention in care are significant barriers to ending HIV epidemics. Treatment adherence support effectiveness may be constrained by limited understanding of the benefits of ART. We evaluated a visual and tactile tool, the B-OK Bottles (\"B-OK\"), that incorporates human-centered design and behavioral economics principles and is designed to change and strengthen mental models about HIV. We enrolled 118 adults living with HIV who were clients of medical case managers in Philadelphia. All participants completed a pre-intervention survey, a B-OK intervention and a post-intervention survey. A subset (N = 52) completed qualitative interviews. Co-primary outcomes were differences pre- to post-intervention for 11 questions about HIV awareness, knowledge, attitudes, intentions and perception. Qualitative interviews were assessed using an integrated analysis approach. Participants had a median age of 55 years (IQR 47-60), 65% were male sex (N = 77), and 72% identified as non-Hispanic Black (N = 85). B-OK was associated with improved awareness and understanding of HIV terminology, changes in HIV treatment attitudes, and increased intention to rely on HIV treatment for transmission prevention. Qualitative interview results aligned with the quantitative findings. These findings provide a strong rationale to further evaluate the potential for B-OK to improve HIV treatment adherence support.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"565-576"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123824","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

Navigating the dual role of physician and clinician investigator in end-of-life research. 在临终研究中导航医师和临床研究者的双重角色。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-01 Epub Date: 2025-02-03 DOI: 10.1080/09540121.2025.2458629

Robert Deiss, Sara Gianella, Cheryl Dullano, Stephanie Solso, Susan J Little, Andy Kaytes, Jeff Taylor, Patricia K Riggs, Elizabeth Hastie, Davey Smith, Karine Dubé

{"title":"Navigating the dual role of physician and clinician investigator in end-of-life research.","authors":"Robert Deiss, Sara Gianella, Cheryl Dullano, Stephanie Solso, Susan J Little, Andy Kaytes, Jeff Taylor, Patricia K Riggs, Elizabeth Hastie, Davey Smith, Karine Dubé","doi":"10.1080/09540121.2025.2458629","DOIUrl":"10.1080/09540121.2025.2458629","url":null,"abstract":"ABSTRACTThe challenges of recruiting participants for end-of-life (EOL) research are multifaceted. The Last Gift study at the University of California San Diego, an observational study for people with HIV (PWH) with terminal illness, appeals to the altruism of potential participants and community of allied health providers. Involvement of the latter group highlights a potential ethical conundrum of a \"dual role\", as primary care providers (PCPs) navigate between clinical responsibilities to their patients, along with opportunities to discuss clinical research. To explore this conundrum and better understand study recruitment dynamics of the Last Gift study, we analyzed screening and enrollment data for a 12-month period (2022-2023). We found that PCPs can play an important role in the recruitment of PWH into EOL research, as having PCPs discuss the study with potential participants yielded more successful enrollments than contact by the study team alone. Our manuscript proposes considerations to mitigate dual role conflicts, including ensuring ethical awareness, prioritizing clinical care and offering strategies to involve PCPs in recruitment without causing unnecessary burden or coercion. These insights aim to guide similar EOL research efforts, emphasizing the need for balanced, ethical recruitment processes in the sensitive context of terminal illness.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"618-625"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123826","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

Perinatal HIV exposure and infection and child executive function. 围产期HIV暴露和感染与儿童执行功能的关系。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-01 Epub Date: 2025-02-10 DOI: 10.1080/09540121.2025.2458642

Sarah Brewer, Nicole Talge, Claudia Holzman, Alla Sikorskii, Sarah Zalwango, Amara Ezeamama

{"title":"Perinatal HIV exposure and infection and child executive function.","authors":"Sarah Brewer, Nicole Talge, Claudia Holzman, Alla Sikorskii, Sarah Zalwango, Amara Ezeamama","doi":"10.1080/09540121.2025.2458642","DOIUrl":"10.1080/09540121.2025.2458642","url":null,"abstract":"ABSTRACTIn the combined antiretroviral therapy era, limited information exists about cognitive function in children exposed perinatally to human immunodeficiency virus (HIV). To address this, we evaluated executive function (EF) among groups with known HIV exposure status during the perinatal period and at ages 6-10 years: children HIV-infected perinatally (CPHIV, n = 99), children born to HIV-infected mothers, but were HIV negative at enrollment (CPHEU, n = 97), and HIV unexposed, uninfected community controls (CHUU, n = 98). Caregivers completed the Behavior Rating Inventory of Executive Function (BRIEF) to assess two dimensions of child EF (BRI: Behavioral Regulation Index; MCI: Metacognition Index) and a combination of these dimensions (General Executive Composite). We derived Z-scores for BRIEF measures using the CHUU group as the reference and used generalized linear models to estimate mean differences among the groups. The CPHIV and CPHEU groups did not differ from the CHUU group on the GEC or MCI. However, the CPHIV group scored lower than CHUU on the BRI, which is indicative of better functioning in this domain (β = -0.40, 95% CI -0.77, -0.03). Results were unaffected following adjustment. EF scores did not differ substantially across perinatal HIV exposure groups, though we observed evidence that CPHIV may thrive in the BRI domain.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"555-564"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391940","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

Experiences with HIV stigma, among other barriers, in oral healthcare settings in Türkiye. 除其他障碍外，在斯里兰卡口腔卫生保健机构中艾滋病毒污名化的经验。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-04-01 Epub Date: 2025-01-28 DOI: 10.1080/09540121.2025.2458632

Sinan Kınay, Şevkat Bahar Özvarış

{"title":"Experiences with HIV stigma, among other barriers, in oral healthcare settings in Türkiye.","authors":"Sinan Kınay, Şevkat Bahar Özvarış","doi":"10.1080/09540121.2025.2458632","DOIUrl":"10.1080/09540121.2025.2458632","url":null,"abstract":"Oral healthcare settings can be a challenging environment for people with HIV. Combined with problematic insurance policies, insufficient health literacy, and higher treatment fees, HIV stigma contributes to barriers when accessing oral healthcare. We conducted a descriptive study via an online survey with open-ended questions to understand the experiences of people with HIV in oral healthcare settings. The survey was administered by non-governmental organizations. Thematic analysis was used to analyze the data via a critical realist approach. Seventy-five participants responded to survey between August and September 2023. Thematic analysis yielded three main themes: occurrences of stigma in healthcare, coping with HIV stigma and anxiety, and barriers beyond stigma. Participants reported a problematic understanding of HIV literature and stigma among dentists, which was manifested as excessive precaution measures, denial of care, unnecessary referrals, gossiping, discriminatory remarks and disclosure of HIV status without consent. This was reflected in people with HIV as self-stigma, fear of healthcare workers and avoidance of healthcare services. Advancements in dental education and post-qualification training are needed in infection control and ethics, while people with HIV need health education to preserve their rights and sustain good health and well-being to prevent adverse outcomes.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"669-684"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060920","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