SeyedAhmad SeyedAlinaghi, Esmaeil Mehraeen, Pegah Mirzapour, Payman Rahimzadeh, Alam Abbasi Yazdi, Mohammad Mahdi Roozbahani, Hadis Mirzaee Godarzee, Ayoob Molla, Zahra Soltanali, Morteza Ghayomzadeh, Daniel Hackett
{"title":"Effectiveness of exercise on sarcopenia in HIV patients: a systematic review of current literature.","authors":"SeyedAhmad SeyedAlinaghi, Esmaeil Mehraeen, Pegah Mirzapour, Payman Rahimzadeh, Alam Abbasi Yazdi, Mohammad Mahdi Roozbahani, Hadis Mirzaee Godarzee, Ayoob Molla, Zahra Soltanali, Morteza Ghayomzadeh, Daniel Hackett","doi":"10.1080/09540121.2025.2452528","DOIUrl":"10.1080/09540121.2025.2452528","url":null,"abstract":"<p><p>Exercise is vital in managing sarcopenia in people living with HIV (PLWH). This study explores the role of exercise in reducing sarcopenia in HIV patients. A systematic search of electronic databases including PubMed, Scopus, and Web of Science identifed relevant articles published in English up to April 2024. Inclusion criteria were: 1) humans aged 18 or older, 2) clinical trials involving exercise interventions, 3) outcomes addressing aging-related effects, and 4) English-language original articles. Study quality and risk of bias were assessed using the Newcastle-Ottawa scale (NOS).Ten studies with 2039 participants met the criteria. Exercise interventions included resistance training, cardiorespiratory training, and combined approaches at various intensities. Regular exercise can help prevent muscle wasting in PLWH and mitigate age-related sarcopenia. HIV itself is a risk factor for sarcopenia, but resistance training combined with moderate to high-intensity cardiorespiratory training, can increase muscle mass, reducing sarcopenia risk and improving life expectancy in PLWH. The findings emphasize the effectiveness of exercise, particularly combined resistance and cardiorespiratory training, in mitigating sarcopenia in PLWH. Healthcare providers are urged to promote exercise interventions as a preventive measure against sarcopenia in this clinical population.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"349-361"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014234","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}
Jack Thepsourinthone, Thomas Norman, Dean Murphy, Jennifer Power
{"title":"The relationship between access to peer support programs and quality of life among people living with HIV in Australia.","authors":"Jack Thepsourinthone, Thomas Norman, Dean Murphy, Jennifer Power","doi":"10.1080/09540121.2025.2456085","DOIUrl":"10.1080/09540121.2025.2456085","url":null,"abstract":"<p><p>Peer support services for people living with HIV (PLHIV) serve varying functions and are a unique resource for support. Peer support programs are considered an important strategy for achieving better quality of life (QoL) for PLHIV and there has been substantial investment in provision of such programs. The present study asks whether being connected to other PLHIV is associated with better QoL for PLHIV in Australia and; whether involvement in formal peer support programs is associated with QoL among people newly diagnosed with HIV. A sample of 816 PLHIV participated in a nationwide survey. Regression analyses showed that having a friend living with HIV who they could talk to about HIV was significantly associated with better QoL. However, a multiple regression analysis showed that use of peer advice/support and peer navigator programs was associated with lower QoL among PLHIV who had been living with HIV for more than five years. This suggests that people experiencing poorer QoL are more likely to access these programs long after diagnosis. It is therefore critical that peer support continue to be available and accessible to PLHIV beyond initial diagnosis and treatment as a means of ongoing HIV-related care.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"435-444"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053905","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}
Alberta S J Van der Watt, Georgina Spies, Soraya Seedat
{"title":"A longitudinal analysis of neurocognitive profiles in South African women with HIV.","authors":"Alberta S J Van der Watt, Georgina Spies, Soraya Seedat","doi":"10.1080/09540121.2025.2454340","DOIUrl":"10.1080/09540121.2025.2454340","url":null,"abstract":"<p><p>HIV and the consequences of HIV-associated neurocognitive disorders (HAND) disproportionally affect South African women. Longitudinal neurocognitive data on women with HIV are limited. We tracked longitudinal neurocognitive profiles of South African women with HIV (baseline <i>n</i> = 140) compared to women without HIV (baseline <i>n</i> = 156). We determined if lifetime and childhood trauma were significantly correlated with global deficit scores (GDS). We assessed neurocognitive performance at baseline, 1-year, and 5-years. We used mixed linear models to determine between-group differences and neurocognitive profiles over time. We used Pearson's correlations to assess correlations with GDS. There were no significant between-group differences in GDS. Both groups showed a significant decline in GDS (i.e., improved cognition) between baseline and 1-year follow-up (<i>p</i> < 0.01). There were significant group differences in learning (<i>p</i> = 0.02) and attention/working memory (<i>p</i> = 0.01) at baseline, with HIV + status associated with higher deficit scores. Childhood neglect was correlated with baseline GDS among women with HIV. Our results support the use of antiretroviral treatment to improve and/or maintain neurocognition in women with HIV. Future research should focus on the specific types of trauma exposure, specifically neglect and its association with HAND.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"396-409"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030182","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}
Charity V Mudhikwa, Kate Salters, Katherine W Kooij, Taylor McLinden, Scott D Emerson, Monica Ye, Jenny Li, Cassidy Tam, Valerie Nicholson, Robert S Hogg, Kalysha Closson
{"title":"Experiences of violence and hospitalization rates among people living with HIV in British Columbia, Canada.","authors":"Charity V Mudhikwa, Kate Salters, Katherine W Kooij, Taylor McLinden, Scott D Emerson, Monica Ye, Jenny Li, Cassidy Tam, Valerie Nicholson, Robert S Hogg, Kalysha Closson","doi":"10.1080/09540121.2025.2453126","DOIUrl":"10.1080/09540121.2025.2453126","url":null,"abstract":"<p><p>People living with HIV (PLWH) in Canada experience high rates of interpersonal violence which may lead to adverse health outcomes that require hospitalization. Using self-reported data on experiences of violence linked to administrative health data on hospitalizations, we used Poisson regression modelling to examine and compare the associations between experiences of violence (recent [in the past 6 months], non-recent [>6 months ago], or none) and hospitalization rates, among a sample of PLWH in British Columbia, Canada. Of 984 PLWH included in this study, 60.0% reported experiencing non-recent violence, and 14.8% experienced recent violence. Those who experienced non-recent violence had a higher rate of hospitalization than those who never experienced violence (adjusted Rate Ratio [aRR]: 1.41; 95% Confidence Interval [CI]: 1.05-1.87). There was no difference in hospitalization rates between those who experienced recent violence and those who never did (aRR: 1.08; 95% CI: 0.74-1.60). PLWH who experienced recent violence had the highest proportion of hospitalizations attributed to mental, behavioural, or neurodevelopmental disorders. Efforts are needed to provide violence-aware care that recognizes violence and its impacts on PLWH experiencing multiple sociostructural inequities. Further studies should evaluate the impacts of violence on other types of healthcare utilization in generalizable samples of PLWH in Canada.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"384-395"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053903","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}
{"title":"Can AIDS education reduce HIV stigma? Evidence from Zimbabwe.","authors":"Getrude Njokwe, Yoko Kijima","doi":"10.1080/09540121.2025.2453127","DOIUrl":"10.1080/09540121.2025.2453127","url":null,"abstract":"<p><p>HIV stigma remains a barrier to HIV prevention, testing, and treatment in sub-Saharan Africa. This study uses Zimbabwe Demographic and Health Survey data to examine how education reduces HIV stigma, focusing on two key initiatives: the 1992 AIDS Action Program, which enhanced HIV awareness, and the 1980 education reform, which expanded schooling access. By addressing gaps in the literature on external HIV stigma, the study highlights education's long-term impact on attitudes toward people living with HIV. Our findings show that the 1980 reform is associated with a 1.19-year increase in educational attainment and a 42.6% rise in secondary school attendance for children aged 2-7 years in 1980 compared to those aged 16 and older. Furthermore, each additional year of schooling after the AIDS Action Program is associated with a 12.1% reduction in the likelihood of stigmatizing people with HIV and a 12.8% increase in HIV knowledge. Stigma reduction is more pronounced among rural residents (13.3%) and women (5.9%) but is insignificant for men and urban dwellers. These results underscore the role of schools in improving public health knowledge and reducing HIV stigma, offering valuable insights for future educational and health strategies.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"512-524"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042107","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}
Jaclyn M W Hughto, Hiren Varma, Kim Yee, Gray Babbs, Landon D Hughes, David R Pletta, David J Meyers, Theresa I Shireman
{"title":"Characterizing disparities in the HIV care continuum among U.S. transgender and cisgender Medicare beneficiaries, 2008-2017.","authors":"Jaclyn M W Hughto, Hiren Varma, Kim Yee, Gray Babbs, Landon D Hughes, David R Pletta, David J Meyers, Theresa I Shireman","doi":"10.1080/09540121.2025.2453831","DOIUrl":"10.1080/09540121.2025.2453831","url":null,"abstract":"<p><p>Although HIV is more prevalent among transgender and gender-diverse individuals than cisgender people, a dearth of research has compared the HIV-related care engagement of these populations. Using 2008-2017 Medicare data, we identified TGD (trans feminine and non-binary [TFN], trans masculine and non-binary [TMN], unclassified gender) and cisgender (male, female) beneficiaries with HIV and explored within and between gender group differences in the predicted probability of engagement in the HIV Care Continuum. Transgender and gender-diverse individuals had a higher predicted probability of every HIV-related care outcome vs. cisgender individuals, with TFN individuals showing the highest probability of HIV care visit engagement, sexually transmitted infection screening, and antiretroviral treatment receipt and persistence. Notably, except for sexually transmitted infection screening, cisgender females and TMN people had a slightly lower probability of engaging in HIV-related care than TFN people and cisgender males. Although transgender and gender-diverse beneficiaries living with HIV had better engagement in the HIV Care Continuum than cisgender individuals, findings highlight disparities in engagement for TMN individuals and cisgender females, though engagement was still low for Medicare beneficiaries of all genders. Interventions are needed to reduce HIV care engagement barriers for all Medicare beneficiaries.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"423-434"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069005","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}
Sanyukta Mathur, Anita F Eromhonsele, Zachary Vallarino, Craig Savel, Edward Oche, Olisa Ononye, Elizabeth Shoyemi, Waimar Tun
{"title":"\"Let's chat!\" Piloting a digital chatbot for HIV prevention among cisgender women and transgender men in Nigeria.","authors":"Sanyukta Mathur, Anita F Eromhonsele, Zachary Vallarino, Craig Savel, Edward Oche, Olisa Ononye, Elizabeth Shoyemi, Waimar Tun","doi":"10.1080/09540121.2025.2470318","DOIUrl":"https://doi.org/10.1080/09540121.2025.2470318","url":null,"abstract":"<p><p>Awareness and uptake of HIV pre-exposure prophylaxis (PrEP), a highly efficacious medication for HIV prevention, remains low in many sub-Saharan African countries. This study explored the acceptability and feasibility of an HIV prevention chatbot tailored for cisgender women and transgender men in Lagos, Nigeria. The chatbot was developed and implemented in the Nigerian healthcare context using participatory approaches engaging HIV healthcare providers and representatives from the target populations to ensure that the content was appropriate, comprehensible, and non-stigmatizing. The chatbot included information about PrEP, HIV risk/ vulnerabilities, and self-assessment guidelines. The pilot was conducted among 150 participants (132 cisgender women and 18 transgender men) recruited at public health facilities and community health clinics. The chatbot was well-received by clients and healthcare providers and has the potential for rapid scale-up to facilitate PrEP uptake among HIV vulnerable populations. Participants reported the chatbot was easy to understand (97%), a good way to learn health information (99%), and that they would recommend it to others (96%). Participants appreciated the confidentiality of the chatbot, the conversational prompts and offered suggestions to make the chatbot more accessible and user-friendly. Most participants (92%) reported that they learned new information about HIV from the chatbot.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-11"},"PeriodicalIF":1.2,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524938","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}
{"title":"\"I must carefully evaluate the benefits and risks to determine the appropriate person to disclose to\" exploring preferences in selection of disclosure recipients among older people living with HIV in China: a qualitative analysis.","authors":"Jiaxin Hao, Limei Feng, Judi Chen","doi":"10.1080/09540121.2025.2464622","DOIUrl":"https://doi.org/10.1080/09540121.2025.2464622","url":null,"abstract":"<p><p>The disclosure of HIV status offers significant benefits for both individual and public health. The willingness to disclose HIV status and the choice of disclosure recipients are key factors in HIV prevention, treatment, and support. Older people living with HIV (OPLWH) face more complex considerations in disclosure due to unique physiological, psychological, and social factors. However, research on their preferences for disclosure recipients remains limited. From May to June 2024, we conducted semi-structured interviews with 12 OPLWH undergoing follow-up treatment at infectious disease healthcare facilities in Wuxi, China. Using Braun and Clarke's thematic analysis, we identified four primary themes: (1) unique factors related to OPLWH, including health conditions, intersecting stigmas, and fear of losing support; (2) role selection based on role status and obligations; (3) reactions of disclosure recipients, encompassing acceptance, rejection, and uncertainty; and (4) multifaceted impacts of disclosure, including both positive and negative effects. Our findings indicate that OPLWH's unique attributes and social roles influence their selection of disclosure recipients, while recipient reactions and the resulting impacts shape their disclosure experiences. Healthcare providers and HIV-focused social organizations should assess the physiological, psychological, and social conditions of OPLWH, as well as the motivations behind their choice of disclosure recipients. Based on this, tailored guidance should be offered to mitigate negative subsequent factors, enhancing their health, social integration, and quality of life.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-12"},"PeriodicalIF":1.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504450","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}
Caroline Deaterly, Michael Weaver, Leslie Parker, Angela Starkweather, Bianca Forsyth, Zhi Zhou, Colby Cohen, Robert L Cook
{"title":"Association between mental health and substance use among reproductive-age women with HIV on cervical cancer screening and viral suppression outcomes.","authors":"Caroline Deaterly, Michael Weaver, Leslie Parker, Angela Starkweather, Bianca Forsyth, Zhi Zhou, Colby Cohen, Robert L Cook","doi":"10.1080/09540121.2025.2464618","DOIUrl":"10.1080/09540121.2025.2464618","url":null,"abstract":"<p><p>Women with HIV (WWH) face a heightened risk of cervical cancer and sub-optimal viral suppression. Although mental health conditions and substance use are known barriers to cervical cancer screening and viral suppression among WWH, little is known about the impact of specific mental health symptoms and substance use issues in reproductive-age WWH. This cross-sectional study examined the associations among depression and anxiety symptoms, substance use, cervical cancer screening, and viral suppression in a cohort of reproductive-age WWH enrolled in the Florida Cohort Study. Of WWH (<i>n</i> = 202) in the study, 42% reported anxiety, 35% reported depressive symptoms, 49% reported drug use, and 64% reported alcohol use within the past 12 months. In addition, 24% were not virally suppressed, 34% did not receive cervical cancer screening within the last year, and 13% did not receive cervical cancer screening within the last 3 years. Sub-optimal cervical cancer screening within the last year was associated with depression (<i>p</i> = 0.04) and anxiety (<i>p</i> = 0.007) symptoms. Mental health symptoms were significantly related to sub-optimal cervical cancer screening, which may be a target for clinical intervention. Future research should include social and structural barriers that may exist for achieving guideline-concordant cervical cancer screening and viral suppression.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-8"},"PeriodicalIF":1.2,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484554","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}
Gabriel G Edwards, Brandon Moghanian, Cathy J Reback, Katrina M Schrode, Robert E Weiss, Nina T Harawa
{"title":"Comparing PrEP use among men who have sex with men with a recent incarceration history.","authors":"Gabriel G Edwards, Brandon Moghanian, Cathy J Reback, Katrina M Schrode, Robert E Weiss, Nina T Harawa","doi":"10.1080/09540121.2025.2465733","DOIUrl":"10.1080/09540121.2025.2465733","url":null,"abstract":"<p><p>This study compares pre-exposure prophylaxis (PrEP) use among men who have sex with men (MSM) with a recent history of incarceration across various factors known to contribute to HIV transmission risk, including sexual identity, race/ethnicity, sexual activity, incarceration history, injection drug use, and internalized homophobia. We analyzed baseline lifetime PrEP use (yes or no) of 170 male-identifying participants enrolled in a randomized-controlled trial in Los Angeles County between 2019 and 2022. Using logistic regression, we assessed the association of PrEP with sexual identity, socio-demographics, and potential confounders. Compared to gay/same-gender loving-identified participants, straight/heterosexual-identified (aOR = 0.10, CI = 0.02-0.49) and bi-pansexual-identified (0.39, 0.16-0.95) participants had reduced odds of PrEP use. Black/African American-identified participants had lower odds (0.15, 0.03-0.78) of PrEP use than White-identified participants. Participants reporting 3+ years cumulative lifetime incarceration had lower odds (0.28, 0.09-0.87) of PrEP use than participants reporting <6 months. Controlling for internalized homophobia rendered differences among sexual identity groups non-significant. A similar effect was not observed for race/ethnicity and lifetime incarceration. Internalized homophobia was an important driver of PrEP use differences among MSM along the lines of sexual identity but not along the lines of race/ethnicity or cumulative incarceration.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-11"},"PeriodicalIF":1.2,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442349","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}