Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv最新文献_第9页

"Let's chat!" Piloting a digital chatbot for HIV prevention among cisgender women and transgender men in Nigeria. “让我们聊天吧!”在尼日利亚的顺性女性和变性男性中试用一种预防艾滋病毒的数字聊天机器人。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-02-27 DOI: 10.1080/09540121.2025.2470318

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":"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.","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}

引用次数: 0

Association between mental health and substance use among reproductive-age women with HIV on cervical cancer screening and viral suppression outcomes. 感染艾滋病毒的育龄妇女心理健康与药物使用对宫颈癌筛查和病毒抑制结果的影响

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-02-24 DOI: 10.1080/09540121.2025.2464618

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":"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 (n = 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 (p = 0.04) and anxiety (p = 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.","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}

引用次数: 0

Experiences of gender-affirming practices in healthcare settings and HIV testing among transgender and nonbinary young adults in the United States. 美国跨性别和非双性恋年轻人在医疗机构中的性别确认实践和艾滋病毒检测经验。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-02-16 DOI: 10.1080/09540121.2025.2465735

Neil Mehta, Madeline Noh, Madina Agénor, Gabriel R Murchison, Jaclyn M W Hughto, Kimberly M Nelson, Allegra R Gordon

{"title":"Experiences of gender-affirming practices in healthcare settings and HIV testing among transgender and nonbinary young adults in the United States.","authors":"Neil Mehta, Madeline Noh, Madina Agénor, Gabriel R Murchison, Jaclyn M W Hughto, Kimberly M Nelson, Allegra R Gordon","doi":"10.1080/09540121.2025.2465735","DOIUrl":"https://doi.org/10.1080/09540121.2025.2465735","url":null,"abstract":"Transgender and nonbinary young adults in the United States (U.S.) experience disproportionately high rates of HIV and face unique barriers to accessing HIV testing, a key component of HIV prevention. Gender-affirming practices in healthcare settings may improve care access and reduce care avoidance among transgender and nonbinary people. To our knowledge, no study has examined the association between gender-affirming practices in healthcare settings and HIV testing among transgender and nonbinary U.S. young adults. This study analyzed national cross-sectional, online data from transgender and nonbinary U.S. young adults aged 18-30 years (N = 225) to assess the association between the gender affirmation sub-scale of the Transgender and Gender Diverse Healthcare Discrimination and Adverse Experiences Scale (range: 0-20) and past-year HIV testing using multivariable logistic regression. We found that a one-point increase in the gender affirmation sub-scale score was positively associated with past-year HIV testing (odds ratio = 1.15; 95% confidence interval: 1.06, 1.26), adjusting for age, geographic region, gender identity, educational attainment, employment status, having a usual source of care, and health insurance status. Our findings provide additional evidence that access to gender-affirming healthcare settings is important in facilitating utilization of preventive services among transgender and nonbinary U.S. young adults.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-9"},"PeriodicalIF":1.2,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426362","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

Relationship between high adverse childhood experience score, HIV risk behavior, and previous HIV testing in the South Carolina behavioral risk factor surveillance system. 在南卡罗莱纳行为危险因素监测系统中，童年不良经历得分高、HIV危险行为和既往HIV检测之间的关系

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-02-13 DOI: 10.1080/09540121.2025.2464619

Karley Dutra, Gweneth B Lazenby, Miyonta Mavins

{"title":"Relationship between high adverse childhood experience score, HIV risk behavior, and previous HIV testing in the South Carolina behavioral risk factor surveillance system.","authors":"Karley Dutra, Gweneth B Lazenby, Miyonta Mavins","doi":"10.1080/09540121.2025.2464619","DOIUrl":"https://doi.org/10.1080/09540121.2025.2464619","url":null,"abstract":"ABSTRACTIdentifying HIV risk factors is important for screening. High adverse childhood experience (ACE) scores (≥ 4) reflect childhood trauma and are associated with HIV risk behaviors. Studies examining ACE and HIV testing are limited, with mixed results. We performed a retrospective cross-sectional study examining ACE score, HIV risk behaviors, and previous HIV testing utilizing the S.C Behavioral Risk Factor Surveillance System over six years. We separately compared individuals <35/≥35 years old, with/without risk behaviors, and with/without previous testing. Using logistic regression, we determined factors associated with risk behaviors and previous testing. Of 55,087 surveyed, 15% reported high ACE. High ACE was associated with risk behaviors (aOR 2.652, 95% CI: 1.987-3.538) and previous testing (aOR 2.340, 95% CI: 2.031-2.696). Female respondents had lower odds of risk behaviors (aOR 0.442, 95% CI: 0.336-0.581) and previous testing (aOR 0.822, 95% CI: 0.736-0.919). Individuals <35 years old more often reported high ACE score (25% vs 14%, p < 0.001), risk behaviors (13% vs 2.5%, p < 0.001), and previous testing (46% vs 30%, p < 0.001). Women, who make up 20% of HIV diagnoses, were less likely to report risk behaviors and testing, suggesting traditional risk factors underestimate risk. ACE score could be evaluated prospectively to identify high-risk women.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-8"},"PeriodicalIF":1.2,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411197","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

Does scientific uncertainty alter public perception of HIV-cure science? A message experiment with U.S. adults. 科学的不确定性会改变公众对艾滋病治疗科学的看法吗？一项针对美国成年人的信息实验。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-02-12 DOI: 10.1080/09540121.2025.2464613

Sebastiaan Gorissen, Yi Liao, Jakob D Jensen, Kevin K John

{"title":"Does scientific uncertainty alter public perception of HIV-cure science? A message experiment with U.S. adults.","authors":"Sebastiaan Gorissen, Yi Liao, Jakob D Jensen, Kevin K John","doi":"10.1080/09540121.2025.2464613","DOIUrl":"https://doi.org/10.1080/09540121.2025.2464613","url":null,"abstract":"Science communicators often grapple with conveying tentative or incremental research findings to the public, particularly regarding progress made toward treating or curing illnesses and diseases. A growing cohort of studies has utilized message experiments to examine how different approaches for communicating scientific uncertainty impact public perceptions. Extending this program, we examine the effects of communicating different levels of uncertainty on public perceptions of advancements in HIV/AIDS research. Participants (N = 306) were randomly assigned to view one of three messages in a single-factor experiment with low-, medium-, or high-uncertainty tweets. Outcome measures included perceived uncertainty and support for HIV research. Tweets with a greater emphasis on uncertainty decreased individuals' support not just for the research reported but for research in this critical field as a whole; the way individuals interpret the level of uncertainty presented in the tweets played a crucial role in shaping their attitudes towards supporting HIV/AIDS research. Perceived uncertainty mediated this relationship. As the messaging became more uncertain, participants were more likely to perceive higher levels of uncertainty overall. Participants who perceived greater levels of uncertainty were inclined to express a reduced level of support for HIV/AIDS research. The source of the uncertainty influenced message credibility.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-12"},"PeriodicalIF":1.2,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400373","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

Risk factors for mother-to-child transmission of HIV infection in Ghana: evidence from the 2021-2022 HIV positive babies audit. 加纳母婴传播艾滋病毒感染的危险因素：来自2021-2022年艾滋病毒阳性婴儿审计的证据

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-02-09 DOI: 10.1080/09540121.2025.2461173

J E Tawiah, M M Opoku, J M K Aheto, R Adu-Gyamfi, A Ashinyo, S Ayisi-Addo, H A Bonful

{"title":"Risk factors for mother-to-child transmission of HIV infection in Ghana: evidence from the 2021-2022 HIV positive babies audit.","authors":"J E Tawiah, M M Opoku, J M K Aheto, R Adu-Gyamfi, A Ashinyo, S Ayisi-Addo, H A Bonful","doi":"10.1080/09540121.2025.2461173","DOIUrl":"https://doi.org/10.1080/09540121.2025.2461173","url":null,"abstract":"Despite years of preventive interventions, Mother-to-child transmission (MTCT) of HIV remains high in low- and middle-income countries. This study aimed to identify risk factors associated with MTCT of HIV in Ghana. A 1:1 unmatched case-control study was conducted among HIV-infected mothers and their exposed children (184 cases and 184 controls) using data from the 2021-2022 HIV-Positive Babies Audit by the National AIDS/STI Control Programme in Ghana. Only variables with missing values ≤ 5% were included in univariable logistic regression analysis. Variables with p-values ≤ 0.20 were entered into multivariable logistic regression. Six variables were considered: marital status, employment status, mode of delivery, supervision of delivery, type of antiretroviral (ARV) prophylaxis for the baby, and duration of ARV prophylaxis. After adjustment, lack of ARV prophylaxis (AOR = 4.35, 95% CI: 2.41-7.83, p < 0.001) and ARV prophylaxis for less than 12 weeks (AOR = 75.70, 95% CI: 17.18-333.62, p < 0.001) significantly increased the odds of MTCT of HIV. The predictive power of the multivariable logistic regression model was 81%. Introducing systems to ensure that all HIV-exposed babies in Ghana receive at least 12 weeks of ARV prophylaxis is crucial for significantly reducing the burden of MTCT of HIV.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-9"},"PeriodicalIF":1.2,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383551","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

Perceptions on circumcision for HIV prevention: an application of the health belief model in a qualitative enquiry among young men in Eswatini. 对包皮环切预防艾滋病毒的看法：健康信念模型在斯瓦蒂尼青年男子定性调查中的应用。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-02-01 Epub Date: 2024-12-29 DOI: 10.1080/09540121.2024.2445193

Samukelisiwe Mamba, Valerie Holton, Song-Lih Huang

{"title":"Perceptions on circumcision for HIV prevention: an application of the health belief model in a qualitative enquiry among young men in Eswatini.","authors":"Samukelisiwe Mamba, Valerie Holton, Song-Lih Huang","doi":"10.1080/09540121.2024.2445193","DOIUrl":"10.1080/09540121.2024.2445193","url":null,"abstract":"Voluntary medical male circumcision (VMMC) was identified as an effective strategy in HIV prevention. Although circumcision reduces heterosexual acquisition of HIV by 60%, there is low uptake of VMMC services in Eswatini. This study applies the health belief model (HBM) in understanding perceptions of young men in Eswatini towards VMMC for HIV prevention to upscale its adoption. A qualitative design was followed. Uncircumcised males aged 20-29 years were recruited among university students. In-depth interviews were conducted, transcribed verbatim, and transcripts imported into NVivo12 for line-by-line analysis. Emerging codes were categorized under major constructs of the HBM. Condomless sex, having multiple sex partners, genital caressing and being uncircumcised were seen as susceptible exposure. Taking life-long treatment and stigma were perceived as severity. However, participants had no intent to circumcise in the near future even after acknowledging the severity. Hygiene, prevention of sexually transmitted infections including HIV were perceived as main benefits. Fear of pain was perceived as key barrier impeding adopting circumcision and seemed to outweigh the benefits for some participants. These findings will assist programme planners to review and promote VMMC services that will improve good health and well-being of young men to avert HIV new infections in Eswatini.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"244-252"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899488","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 mixed methods exploration of HIV and drug use disclosure in healthcare settings among HIV-positive women who inject drugs in Ukraine. 乌克兰注射毒品的艾滋病毒阳性妇女在医疗保健机构中艾滋病毒和药物使用情况披露的混合方法探索。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-02-01 Epub Date: 2024-12-23 DOI: 10.1080/09540121.2024.2414068

Julia Burlaka, Shannon Fuller, Karin Tobin, Melissa Davey-Rothwell, Tetiana Kiriazova, Jill Owczarzak

{"title":"A mixed methods exploration of HIV and drug use disclosure in healthcare settings among HIV-positive women who inject drugs in Ukraine.","authors":"Julia Burlaka, Shannon Fuller, Karin Tobin, Melissa Davey-Rothwell, Tetiana Kiriazova, Jill Owczarzak","doi":"10.1080/09540121.2024.2414068","DOIUrl":"10.1080/09540121.2024.2414068","url":null,"abstract":"Disclosing one's HIV status or drug use in healthcare settings has significant implications for public and individual health. It is related to reduced occupational risk of infection for medical providers, improved care, reduction in disease transmission, and other clinical benefits for patients. However, disclosure can be challenging and problematic due to its discrediting aspects. We explored HIV and drug use disclosure experiences in clinical settings among Ukrainian women who live with HIV (WLWH) and inject drugs. This study was conducted in Kyiv, Ukraine. 309 surveys were completed between December 2019 and November 2020, followed by qualitative in-depth interviews with 18 participants. Some women in our study believed that disclosing their status ensured optimal medical care and necessary precautions by providers (e.g., sterilizing equipment). Other participants said they did not disclose after experiencing mistreatment in healthcare settings in the past. Still others utilized alternative strategies to disclose, such as using indirect language or cautiously informing about a less stigmatizing condition such as hepatitis. Clinical implications include training women who live with HIV to use communication skills to support disclosure in healthcare settings, taking into consideration consequences of disclosure to medical professionals to increase women's self-efficacy around this process.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"218-225"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883347","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 Life's Simple Seven between newly diagnosed, ART-naive people living with HIV and HIV-uninfected adults in Tanzania: clues for cardiovascular disease prevention. 比较坦桑尼亚新诊断的、未接受抗逆转录病毒治疗的艾滋病毒感染者和未感染艾滋病毒的成年人的生活简单七件事：预防心血管疾病的线索。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-02-01 Epub Date: 2025-01-02 DOI: 10.1080/09540121.2024.2445198

Gloria J Manyangu, Safah Khan, Bahati Wajanga, Bernard Desderius, Megan Wilkens, Pilly Chillo, Fredrick Kalokola, George Praygod, Samuel Kalluvya, Godfrey A Kisigo, Robert N Peck

{"title":"Comparing Life's Simple Seven between newly diagnosed, ART-naive people living with HIV and HIV-uninfected adults in Tanzania: clues for cardiovascular disease prevention.","authors":"Gloria J Manyangu, Safah Khan, Bahati Wajanga, Bernard Desderius, Megan Wilkens, Pilly Chillo, Fredrick Kalokola, George Praygod, Samuel Kalluvya, Godfrey A Kisigo, Robert N Peck","doi":"10.1080/09540121.2024.2445198","DOIUrl":"10.1080/09540121.2024.2445198","url":null,"abstract":"Cardiovascular disease (CVD) represents a major cause of premature mortality in people living with HIV (PLWH). There is a need to characterize the cardiovascular health profiles of PLWH to appropriately guide primary prevention efforts, particularly in settings like Sub-Saharan Africa, where there is a high burden of HIV and limited resources. A cross-sectional analysis was conducted on a cohort of newly diagnosed PLWH and HIV-uninfected adults recruited from three HIV clinics in Mwanza, Tanzania. Modified Life's Simple 7 definitions were applied to the cohort to compare cardiovascular health profiles between the two study groups using Poisson regressions. Pooled cohort equation (PCE) scores were also calculated to compare the distribution of CVD risk between the two groups. Our study included 995 study participants (492 PLWH, 503 HIV-uninfected). PLWH had a higher prevalence of ideal body mass index (75%), ideal blood pressure (56%), and ideal total cholesterol but a lower prevalence of ideal smoking (84%) and ideal physical activity (39%) than HIV-uninfected counterparts. PCE scores were low throughout the study population (76.5%), regardless of HIV status. Primary prevention of CVD in newly diagnosed people living with HIV in Africa may need to focus on smoking cessation and optimization of physical activity levels.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"279-288"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915996","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

User-centered adaption of PEERNaija, A novel mhealth application integrating medication reminders with virtual peer support and social/financial incentives to improve medication adherence. 以用户为中心的PEERNaija改编。PEERNaija是一款新颖的移动医疗应用程序，将药物提醒与虚拟同伴支持和社会/财务激励相结合，以提高药物依从性。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-02-01 Epub Date: 2025-01-06 DOI: 10.1080/09540121.2024.2445789

Ifeoma Idigbe, Martin Were, Leslie J Pierce, Chesley Ekelem, Ashley Nmoh, Titilola Gbaja-Biamila, Agatha David, Queen Ejiga, Joy Ogunwale, Dickson Adetoye, Prosper Okonkwo, Zaidat Musa, Nadia Downshen, Oliver Ezechi, Carolyn Audet, Aima A Ahonkhai

{"title":"User-centered adaption of PEERNaija, A novel mhealth application integrating medication reminders with virtual peer support and social/financial incentives to improve medication adherence.","authors":"Ifeoma Idigbe, Martin Were, Leslie J Pierce, Chesley Ekelem, Ashley Nmoh, Titilola Gbaja-Biamila, Agatha David, Queen Ejiga, Joy Ogunwale, Dickson Adetoye, Prosper Okonkwo, Zaidat Musa, Nadia Downshen, Oliver Ezechi, Carolyn Audet, Aima A Ahonkhai","doi":"10.1080/09540121.2024.2445789","DOIUrl":"10.1080/09540121.2024.2445789","url":null,"abstract":"Youth living with HIV (YLWH) have high rates of virologic failure due to medication non-adherence. PEERNaija is a novel, gamified mobile health (mHealth) application designed with user-centered principles to improve medication adherence by integrating medication reminders with social and financial incentives, virtual peer social support and early clinic outreach for non-adherent YLWH in Nigeria. Focus Group Discussions (FGDs) were conducted to identify reactions to key prototype features (user interface, medication reminders, incentives, and peer support), facilitators and barriers to app use, and how well the app would meet adherence needs. FGDs were analyzed using thematic analysis. Fifty-one Nigerian YLWH 15-27 years (29 females, 22 males), 14 parents of YLWH (11 mothers, 3 fathers), and 5 adolescent public health experts participated in FGDs. All groups expressed enthusiasm about PEERNaija and thought it would improve medication adherence. YLWH expressed excitement about gamified and incentive components. All participants highlighted the importance of maintaining privacy. The app was refined in response to feedback, prioritizing desired features of YLWH and addressing barriers across groups. Findings suggest that PEERNaija will be acceptable (to YLWH, parents of YLWH, and adolescent public health experts) and highlight the importance of user-centered design principles to adapt and refine mHealth interventions.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":"37 2","pages":"263-278"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11809558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014256","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