Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv最新文献_第8页

Substance use patterns among U.S. adults with HIV: identifying priorities for screening and interventions. 美国成年艾滋病毒感染者的物质使用模式：确定筛查和干预的优先事项。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-05-01 Epub Date: 2025-03-17 DOI: 10.1080/09540121.2025.2477718

Audrey Hang Hai, David Scott Batey, Christina S Lee, Jocelyn N Simons, Anna Beadleston, Rebecca Schnall

{"title":"Substance use patterns among U.S. adults with HIV: identifying priorities for screening and interventions.","authors":"Audrey Hang Hai, David Scott Batey, Christina S Lee, Jocelyn N Simons, Anna Beadleston, Rebecca Schnall","doi":"10.1080/09540121.2025.2477718","DOIUrl":"10.1080/09540121.2025.2477718","url":null,"abstract":"Given the significant syndemic of HIV and substance use in the U.S., this study sought to examine substance use patterns (consistent user, former user, recent adopter, and abstainers) and identify sociodemographic disparities among people with HIV (PWH). Using 2015-2019 National Survey on Drug Use and Health data (N = 212,411), we estimated prevalence rates and conducted multinomial logistic regression to assess associations between HIV status and (1) substance use and (2) sociodemographic factors. Results show PWH have higher rates of consistent and former use of a range of substances, including inhalants, methamphetamine, cocaine, and heroin. Younger PWH are more likely to use cannabis and hallucinogens, while middle-aged PWH show elevated methamphetamine use. Male and urban-residing PWH face higher risks for inhalants and cocaine. These findings underscore the need for targeted interventions addressing substance use disparities among PWH, particularly for high-risk subgroups and substances. Integrated care models emphasizing harm reduction and relapse prevention are critical. Policy reforms should expand Medicaid and Ryan White Program coverage to include comprehensive substance use treatment for PWH. Future research should explore longitudinal patterns of substance use transitions and the impact of structural factors such as stigma on these disparities to inform effective prevention and treatment strategies.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"843-854"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12131967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651234","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

Gender norms and sexual violence among South African adolescents: discrepancies between personal attitudes and perceived peer norms. 南非青少年中的性别规范与性暴力：个人态度与感知到的同伴规范之间的差异。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-05-01 Epub Date: 2025-03-10 DOI: 10.1080/09540121.2025.2464627

Morayo Akande, Lindsay Orchowski, Abigail Harrison, Alan Berkowitz, Catherine Mathews, Caroline Kuo

{"title":"Gender norms and sexual violence among South African adolescents: discrepancies between personal attitudes and perceived peer norms.","authors":"Morayo Akande, Lindsay Orchowski, Abigail Harrison, Alan Berkowitz, Catherine Mathews, Caroline Kuo","doi":"10.1080/09540121.2025.2464627","DOIUrl":"10.1080/09540121.2025.2464627","url":null,"abstract":"Social norms, particularly those pertaining to gender equity, can shape attitudes and behaviors that contribute to adolescent sexual violence (SV). This study examines personal attitudes and perceived peer norms regarding gender equity and associations with perpetration of SV among 100 South Africans aged 13-17 in 2019. We assessed: (1) sexual activity and SV behaviors and (2) personal attitudes and perceived peer norms around gender equity. Descriptive statistics, t-tests, and logistic regressions examined associations between attitudes, norms, and SV, adjusting for demographics. Findings reveal that 59% of sexually active adolescents reported perpetrating SV behaviors, though only 8% classified their actions as \"rape\". Adolescents endorsed more gender equitable personal attitudes compared to their perceptions of peers, highlighting a misperception of social norms. Differences in gender equitable attitudes by biological sex and perpetration status were minimal, however, males and those reporting perpetration were more likely to endorse specific inequitable gender attitudes. Number of lifetime sexual partners was significantly associated with SV perpetration, particularly among males. An age-sex interaction revealed opposing trends - older age was associated with reduced odds of SV perpetration among males but increased odds among females. Correcting misperceived norms is a promising strategy for SV prevention among South African adolescents.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"768-779"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597891","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

Misconceptions and limited experience with HIV pre-exposure prophylaxis (PrEP) among fishermen in Western Kenya: a qualitative study. 肯尼亚西部渔民对艾滋病毒暴露前预防（PrEP）的误解和有限经验：一项定性研究

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-05-01 Epub Date: 2025-03-25 DOI: 10.1080/09540121.2025.2480149

Phoebe Olugo, Holly Nishimura, Marguerite Thorp, Jayne Lewis-Kulzer, Bernard Ayieko, Kawango Agot, Zachary A Kwena, Carol S Camlin, Sarah A Gutin

{"title":"Misconceptions and limited experience with HIV pre-exposure prophylaxis (PrEP) among fishermen in Western Kenya: a qualitative study.","authors":"Phoebe Olugo, Holly Nishimura, Marguerite Thorp, Jayne Lewis-Kulzer, Bernard Ayieko, Kawango Agot, Zachary A Kwena, Carol S Camlin, Sarah A Gutin","doi":"10.1080/09540121.2025.2480149","DOIUrl":"10.1080/09540121.2025.2480149","url":null,"abstract":"Daily oral HIV pre-exposure prophylaxis (PrEP) is highly effective when taken consistently, but its uptake remains low among mobile fishermen in Kenya. This study explored barriers and facilitators to PrEP uptake in three Lake Victoria beach communities. In-depth interviews (IDIs) and focus group discussions (FGDs) were conducted with 65 fishermen, purposively sampled by community, age and study arm. IDIs and FGDs examined PrEP knowledge, perceptions and experiences and were conducted in Swahili or Dholuo, transcribed and translated into English. Data were analyzed using a framework approach. Most participants were >35 years old (56%), married (83%) and half (48%) had completed primary education or higher. Although most had heard of PrEP, some confused it with post-exposure prophylaxis, and many were unsure of correct dosing and eligibility. Barriers to uptake included anticipated partner conflict, confusion with HIV treatment medications and stigma associated with PrEP use, leading to fear of disclosing use to sexual partners. Facilitators included a preference for PrEP over condoms and its perceived protection in sero-different partnerships. Despite free availability in clinics, misconceptions may hinder uptake. Educational interventions are needed to improve PrEP knowledge and reduce stigma, especially among mobile populations like fishermen.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"728-737"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711641","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

Awareness and willingness regarding organ donation among people with HIV in Canada. 加拿大艾滋病毒感染者对器官捐赠的认识和意愿。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-05-01 Epub Date: 2025-04-03 DOI: 10.1080/09540121.2025.2484304

Branka Vulesevic, Jessica Lu, Darren Lauscher, Brittany Shelton, Karine Dubé, Jean-Pierre Routy, Carolina Berini, Cecilia T Costiniuk

{"title":"Awareness and willingness regarding organ donation among people with HIV in Canada.","authors":"Branka Vulesevic, Jessica Lu, Darren Lauscher, Brittany Shelton, Karine Dubé, Jean-Pierre Routy, Carolina Berini, Cecilia T Costiniuk","doi":"10.1080/09540121.2025.2484304","DOIUrl":"10.1080/09540121.2025.2484304","url":null,"abstract":"Given the current organ shortage crisis, organ transplantation among people with HIV (PWH) has become a reality. To effectively implement this practice, understanding the attitudes and beliefs about organ donation among PWH in Canada is imperative. PWH receiving care at the McGill University Health Centre were recruited to participate in a survey between October 2023-June 2024. The questionnaire assessed knowledge of organ donation and willingness to donate or receive organs from donors with HIV. Descriptive statistics were performed. Of 100 participants, 33.0% knew that PWH can undergo organ transplantation in Canada, and 26.0% knew that PWH in Canada can donate their organs to PWH. Additionally, 74.5% would consider accepting an organ from a deceased donor with HIV, 78.0% would consider accepting an organ from a living donor regardless of HIV status, 78.0% would be willing to be deceased donors, and 44.0% would be willing to be a living organ donor. Female-identifying and African, Caribbean or Black participants showed higher awareness about organ donation, whereas male-identifying and White participants demonstrated higher willingness to donate and receive organs from donors with HIV. While willingness among PWH was high, knowledge of organ transplantation was suboptimal, highlighting the need for increased awareness efforts.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"832-842"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781697","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

Demographic disparities in blood-borne-virus screening in two London Emergency Departments: a case for implied consent. 伦敦两家急诊科血液传播病毒筛查中的人口统计学差异：默示同意的案例。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-05-01 Epub Date: 2025-03-17 DOI: 10.1080/09540121.2025.2477721

Cassandra Fairhead, Tristan J Barber, Hajra Okhai, Russell Durkin, Jennifer Hart, Jessica Pinto, Alan Hunter, Douglas Macdonald, Fiona Burns

{"title":"Demographic disparities in blood-borne-virus screening in two London Emergency Departments: a case for implied consent.","authors":"Cassandra Fairhead, Tristan J Barber, Hajra Okhai, Russell Durkin, Jennifer Hart, Jessica Pinto, Alan Hunter, Douglas Macdonald, Fiona Burns","doi":"10.1080/09540121.2025.2477721","DOIUrl":"10.1080/09540121.2025.2477721","url":null,"abstract":"\"Opt-out\" Emergency Department (ED) blood-borne-virus screening enables early diagnosis, improving outcomes. Whereas some EDs encourage verbal reminders at blood draw, others emphasise \"implied consent\". Associations between these approaches and screening equity have not been explored. This retrospective cohort evaluation quantified demographic disparities in screening in two EDs following \"reminder model\" screening rollout. Staff attitudes were explored, identifying screening barriers. ED attendees from July-October 2022 were identified electronically. Associations between age, sex, self-identified ethnicity, attendance time and admission status on screening were analysed using odds ratios (ORs). Twenty ED staff underwent semi-structured interviews. There were 33,388 eligible ED attendances (54.8% female; median age 53y). 58.9% of attendees received screening. In unadjusted analysis, the screening rate was higher in men (OR 1.05; 95%CI 1.00-1.10) and in non-admitted attendees. People of Black, Asian or Other ethnic backgrounds had lower rates compared to White ethnicity. Attendees between 5pm-11pm had lower rates and 11pm-9am higher rates compared to 9am-5pm. All associations persisted in multivariable models. Interviews revealed low confidence in follow-up discussion in attendees who opted out and a high workload precluding screening. Demographic disparities were seen in this \"reminder model\" context. Simplifying processes and emphasising implied consent may improve equitable screening.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"855-863"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651224","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

Ongoing crisis across the HIV care continuum: high mortality among PWH admitted to the ICU in an urban safety-net hospital in the South. 整个艾滋病毒护理连续体的持续危机：南方城市安全网医院ICU收治的PWH死亡率高。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-05-01 Epub Date: 2025-02-05 DOI: 10.1080/09540121.2025.2459878

Elisa M Pichlinski, Kyle H Saysana, Anna E Moscowitz, Daniel N Maxwell, Matthew J Leveno, Helen L King, Ank E Nijhawan

{"title":"Ongoing crisis across the HIV care continuum: high mortality among PWH admitted to the ICU in an urban safety-net hospital in the South.","authors":"Elisa M Pichlinski, Kyle H Saysana, Anna E Moscowitz, Daniel N Maxwell, Matthew J Leveno, Helen L King, Ank E Nijhawan","doi":"10.1080/09540121.2025.2459878","DOIUrl":"10.1080/09540121.2025.2459878","url":null,"abstract":"We present a retrospective study of people with HIV (PWH) admitted to the medical intensive care unit (MICU) of an 862-bed academic, safety-net hospital. We aimed to determine the characteristics of ICU admissions among PWH, measure the mortality in this population and identify predictors of mortality. All patients ≥ 18 years old with a diagnosis of HIV infection admitted to the MICU between January 1, 2017 and December 31, 2019 were included. A total of 195 ICU admissions occurred during the study period. The mean age was 46.2 years, 77.4% were male and the majority were people of color. Overall, 125 (64.8%) patients had CD4<200 cells/mL and 12 (6.7%) were newly diagnosed with HIV. ICU mortality was 21.5% and hospital mortality was 24.6%. High APACHE score and CD4<200 were independent predictors of ICU mortality. Our three-year retrospective analysis of PWH admitted to the ICU in a large urban safety-net hospital in the US South during the recent modern ART era identified high ICU- and hospital mortality. We also identified a higher mortality risk at each step of the HIV care cascade, reinforcing the importance of proactive interventions including expanded HIV testing and implementation of strategies which improve engagement in care, ART adherence and virologic suppression.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"802-811"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257070","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

Storytelling sessions for PrEP/ART education and psychosocial support among expectant serodiscordant couples: results from a pilot feasibility trial in Zambézia Province, Mozambique. 在预期血清不一致的夫妇中开展预防艾滋病/抗逆转录病毒治疗教育和社会心理支持的讲故事会议：莫桑比克zambzizia省可行性试点试验的结果。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-05-01 Epub Date: 2025-03-29 DOI: 10.1080/09540121.2025.2482647

Caroline De Schacht, Hannah L Brooks, Erin Graves, Almiro Emílio, Ariano Matino, Taofik Oyekunle, Arifo Aboobacar, Carolyn M Audet

{"title":"Storytelling sessions for PrEP/ART education and psychosocial support among expectant serodiscordant couples: results from a pilot feasibility trial in Zambézia Province, Mozambique.","authors":"Caroline De Schacht, Hannah L Brooks, Erin Graves, Almiro Emílio, Ariano Matino, Taofik Oyekunle, Arifo Aboobacar, Carolyn M Audet","doi":"10.1080/09540121.2025.2482647","DOIUrl":"10.1080/09540121.2025.2482647","url":null,"abstract":"Pre-exposure prophylaxis (PrEP) is offered to pregnant HIV-uninfected women in serodiscordant relationships in Mozambique, yet uptake is still low. We conducted a randomized feasibility trial of PrEP education and psychosocial support to serodiscordant expectant couples via three storytelling sessions in two districts within Zambézia Province. Data were collected between December 2020 and December 2022. We recruited 64 couples (31 control and 33 intervention) from two health facilities. We assessed the intervention's effect on psychosocial metrics related to PrEP (stigma, treatment self-efficacy, treatment expectations, relationship satisfaction, social support), retention in clinical services, and participants' acceptability of each storytelling session. Among couples randomized to the intervention, 24 (73%) completed all three sessions. No impact was seen on median medication possession ratio (among women: 74.0% and 73.8% [p = 0.514]; among men: 78.3% and 75.4% [p = 0.543] for control and intervention groups, respectively). Surveys revealed no change in PrEP stigma, treatment self-efficacy, treatment expectations, or relationship satisfaction. In interviews, participants reported increased PrEP knowledge, improved trust, capacity, and motivation to remain adherent to their medications. Some described low PrEP awareness within their communities and suggested community-based educational sessions. In-person narrative-style storytelling could be an acceptable method of conveying PrEP information to serodiscordant couples in rural areas in Mozambique.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"738-748"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743126","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

"We can tell them, but not right now!" - HIV status disclosure and related factors among children aged 6-14 years living with HIV in Kilimanjaro region, Tanzania. “我们可以告诉他们，但不是现在！”-坦桑尼亚乞力马扎罗山地区6-14岁艾滋病毒感染儿童的艾滋病毒状况披露及其相关因素。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-05-01 Epub Date: 2025-02-17 DOI: 10.1080/09540121.2025.2459301

Perry Cyril Msoka, Benson Mtesha, Lyidia Masika, Iraseni Swai, Rehema Maro, Naomi Emmanuel, Kennedy Ngowi, Marion Sumari-de Boer

{"title":"\"We can tell them, but not right now!\" - HIV status disclosure and related factors among children aged 6-14 years living with HIV in Kilimanjaro region, Tanzania.","authors":"Perry Cyril Msoka, Benson Mtesha, Lyidia Masika, Iraseni Swai, Rehema Maro, Naomi Emmanuel, Kennedy Ngowi, Marion Sumari-de Boer","doi":"10.1080/09540121.2025.2459301","DOIUrl":"10.1080/09540121.2025.2459301","url":null,"abstract":"In Tanzania, disclosing HIV status to children is challenging despite WHO recommendations to inform children between the ages of 6 and 12 based on cognitive and emotional development. This study aimed to determine HIV status disclosure and related factors among children living with HIV in Tanzania. A study employing quantitative and qualitative methods was conducted from September 2021 to March 2022 among children aged 6-14 receiving HIV care. Semi-structured questionnaires were administered to disclosed and undisclosed children (through their parents/caregivers). The analysis included bivariate and multivariate logistic regression analyses and thematic content analysis for qualitative data. A total of 121 children participated in the quantitative analysis, with 51 (42%) aware of their HIV status. Multivariate analysis showed children aged 9-11 (OR=2.7; 95% CI=0.8-9.0) and 12 years (OR=30; 95% CI=7.2-124) were more likely to know their status than those aged 6-8. Having a treatment supporter/relative (OR=2.9; 95% CI=1.0-8.2) was significantly associated with disclosure. Disclosure was not associated with depression. In-depth interviews revealed themes like disclosure challenges, stigma, and reasons for non-disclosure. HIV status disclosure in Kilimanjaro was associated with age and having a treatment supporter. Addressing age-related challenges and emphasizing the role of treatment supporters can improve disclosure outcomes.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"685-696"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442345","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

Comparing PrEP adherence via objective and self-reported measures among fishermen working on Lake Victoria, Kenya. 通过客观和自我报告的措施比较在肯尼亚维多利亚湖工作的渔民的PrEP依从性。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-05-01 Epub Date: 2025-04-16 DOI: 10.1080/09540121.2025.2484312

Daniel O Adede, Lila A Sheira, Sarah A Gutin, Antony Ochung, Bernard Ayieko, Phoebe Olugo, Jayne Lewis-Kulzer, Edwin D Charlebois, Carol S Camlin, Harsha Thirumurthy, Kawango Agot, Zachary Kwena, Monica Gandhi

{"title":"Comparing PrEP adherence via objective and self-reported measures among fishermen working on Lake Victoria, Kenya.","authors":"Daniel O Adede, Lila A Sheira, Sarah A Gutin, Antony Ochung, Bernard Ayieko, Phoebe Olugo, Jayne Lewis-Kulzer, Edwin D Charlebois, Carol S Camlin, Harsha Thirumurthy, Kawango Agot, Zachary Kwena, Monica Gandhi","doi":"10.1080/09540121.2025.2484312","DOIUrl":"10.1080/09540121.2025.2484312","url":null,"abstract":"Fishermen working along Lake Victoria experience high rates of HIV acquisition that can be mitigated by pre-exposure prophylaxis (PrEP), which requires adequate adherence for effective prevention. We evaluated PrEP adherence among Kenyan fishermen using objective metrics and examine non-adherence. Data are from the Owete study (NCT04772469), a cluster randomized-controlled trial using a social network approach among fishermen to increase HIV testing and linkage to care. Survey and lab data were collected from PrEP users. We measured recent objective adherence via a point-of-care tenofovir urine assay. We conducted a logistic regression to assess the relationship between self-reported adherence data and urine tenofovir detection. Among 71 PrEP users, 34% self-reported ≥90% PrEP adherence. Reasons for non-adherence included not feeling at risk (31%), being away and without medication (27%), or feeling they did not need PrEP (24%). Detectable PrEP in urine was low (17%). Self-reported PrEP non-adherence within 30 days was associated with 13.29 times the odds of non-detection of urine tenofovir (95% CI: 2.20, 80.43). The point-of-care tenofovir assay was a valuable tool for objectively measuring PrEP adherence. Interventions to bolster PrEP adherence are needed to prevent HIV acquisition among fishermen, as are longer-acting products with lower demands for adherence.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":"37 5","pages":"749-757"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062772","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

"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. “我必须仔细评估利益和风险，以确定合适的披露对象”，探索中国老年艾滋病毒感染者选择披露对象的偏好：定性分析。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-05-01 Epub Date: 2025-02-26 DOI: 10.1080/09540121.2025.2464622

Jiaxin Hao, Limei Feng, Judi Chen

{"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":"10.1080/09540121.2025.2464622","url":null,"abstract":"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.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"697-708"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","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}

引用次数: 0