Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv最新文献

筛选
英文 中文
Drug use during the second year of the COVID-19 pandemic: observations from repeated cross-sectional surveys of sexual minority men in the US active on social networking applications. COVID-19大流行第二年的毒品使用情况:对活跃在社交网络应用程序上的美国性少数群体男性的重复横截面调查观察。
IF 1.2 4区 医学
Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-01-30 DOI: 10.1080/09540121.2024.2308738
Tyrel J Starks, Joseph R Hillesheim, Juan Castiblanco, Demetria Cain, Rob Stephenson
{"title":"Drug use during the second year of the COVID-19 pandemic: observations from repeated cross-sectional surveys of sexual minority men in the US active on social networking applications.","authors":"Tyrel J Starks, Joseph R Hillesheim, Juan Castiblanco, Demetria Cain, Rob Stephenson","doi":"10.1080/09540121.2024.2308738","DOIUrl":"10.1080/09540121.2024.2308738","url":null,"abstract":"<p><p>Studies conducted early in the COVID-19 pandemic - before vaccines were widely available - indicated that drug use may have declined among sexual minority men (SMM). This study evaluated drug use trends in the second year of the pandemic. Cross-sectional responses from cisgender SMM living in the US and recruited online (<i>n </i>= 15,897) were grouped for analyses: Time 1: 3/1/2021-5/30/2021; Time 2: 6/1/2021-8/31/2021; Time 3: 9/1/2021-11/30/2021; and Time 4: 12/1 2021-2/28/2022. Results of multivariable models indicated that illicit drug use (excluding cannabis) increased at Times 2 (<i>OR </i>= 1.249, <i>p </i>< .001), 3 (<i>OR </i>= 1.668, <i>p </i>< .001), and 4 (<i>OR </i>= 1.674, <i>p </i>< .001) compared to Time 1. In contrast, cannabis use was relatively stable over time. Rates did not differ significantly among Times 1, 2, and 4. While rates of COVID-19 vaccination increased over time, illicit drug use was negatively associated with the odds of vaccination (<i>OR</i> = 0.361, <i>p </i>< .001). These findings highlight the need for ongoing attention to the risks drug use poses among SMM. Illicit drug use - a long-standing health disparity among SMM - increased significantly across the second year of the pandemic. Because they are less likely to be vaccinated, SMM who use illicit drugs may be at greater risk of COVID-19 infection or complications.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"145-153"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11283985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139575748","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
COVID-19, pandemic lockdowns and intimate partner violence among HIV-positive women in Ghana. 加纳艾滋病毒呈阳性妇女中的 COVID-19、大流行病封锁和亲密伴侣暴力。
IF 1.2 4区 医学
Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-02-06 DOI: 10.1080/09540121.2024.2312876
Eric Y Tenkorang, Akosua Pokua Adjei, Victor Agyei-Yeboah, Adobea Y Owusu
{"title":"COVID-19, pandemic lockdowns and intimate partner violence among HIV-positive women in Ghana.","authors":"Eric Y Tenkorang, Akosua Pokua Adjei, Victor Agyei-Yeboah, Adobea Y Owusu","doi":"10.1080/09540121.2024.2312876","DOIUrl":"10.1080/09540121.2024.2312876","url":null,"abstract":"<p><p>This study examines the prevalence and risk factors of physical, sexual, psychological, and economic violence during lockdowns associated with COVID-19 among HIV-positive women in Ghana. Data were collected in August 2021 from a cross-section of 538 HIV-positive women aged 18 years and older in the Lower Manya Krobo District in the Eastern region of Ghana. Logit models were used to explore relationships between women's self-reported experiences of physical, sexual, psychological /emotional, and economic violence under lockdown and key socio-economic and demographic characteristics. The findings indicate moderate to high prevalence of intimate partner violence (IPV) under lockdown in our sample: physical violence (30.1%), sexual violence (28.6%), emotional/psychological violence (53.7%), and economic violence (54.2%). IPV was higher on all four measures for educated women, poorer women, employed women, cohabiting and married women, and HIV seroconcordant couples.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1018-1028"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698722","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
The power for action - now! 行动的力量--现在!
IF 1.2 4区 医学
Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-05-09 DOI: 10.1080/09540121.2024.2321697
Lena Nilsson Schönnesson, Lucie Cluver, Lars E Eriksson, Udi Davidovich, Richard Harding, Bruno Spire, José Catalan, Mehdi Karkouri, Kathryn Steventon-Roberts, Bridgette Prince, Lorraine Sherr
{"title":"The power for action - now!","authors":"Lena Nilsson Schönnesson, Lucie Cluver, Lars E Eriksson, Udi Davidovich, Richard Harding, Bruno Spire, José Catalan, Mehdi Karkouri, Kathryn Steventon-Roberts, Bridgette Prince, Lorraine Sherr","doi":"10.1080/09540121.2024.2321697","DOIUrl":"10.1080/09540121.2024.2321697","url":null,"abstract":"","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-5"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899467","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
The salience of structural barriers and behavioral health problems to ART adherence in people receiving HIV primary care in South Africa. 结构性障碍和行为健康问题对南非接受艾滋病初级治疗者坚持抗逆转录病毒疗法的突出影响。
IF 1.2 4区 医学
Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-02-15 DOI: 10.1080/09540121.2024.2308750
Steven A Safren, Jasper S Lee, Lena S Andersen, Amelia M Stanton, Ashraf Kagee, Norik Kirakosian, Conall O'Cleirigh, John A Joska
{"title":"The salience of structural barriers and behavioral health problems to ART adherence in people receiving HIV primary care in South Africa.","authors":"Steven A Safren, Jasper S Lee, Lena S Andersen, Amelia M Stanton, Ashraf Kagee, Norik Kirakosian, Conall O'Cleirigh, John A Joska","doi":"10.1080/09540121.2024.2308750","DOIUrl":"10.1080/09540121.2024.2308750","url":null,"abstract":"<p><p>Multilevel factors (individual and structural) influence adherence to antiretroviral therapy, particularly in high HIV prevalence areas such as South Africa. The present study examined the relative importance of structural barriers to HIV care and behavioral health factors, depression and alcohol use, in Khayelitsha, Cape Town, South Africa. People receiving HIV care in six primary care clinics in Khayelitsha (N = 194) completed the Center for Epidemiologic Studies Depression Scale, the Alcohol Use Disorders Identification Test, the Structural Barriers to Medication Taking questionnaire, and a qualitative rating of past-two-week adherence. Correlations were employed to examine associations among these variables, and hierarchical regression analysis was used to examine the unique effects of structural barriers over and above depression and alcohol use as predictors of adherence. Participants were primarily Black South African (99%) women (83%), and 41 years old on average. All four variables were significantly correlated. The hierarchical regression analysis showed that among behavioral health predictors, alcohol use alone significantly predicted ART adherence (b = -.032, <i>p</i> = .002). When structural barriers was added to the model, it was the only significant unique predictor of ART adherence (b = -1.58, <i>p</i> < .001). Findings highlight the need to consider structural vulnerabilities in HIV care in South Africa when developing behavioral health interventions.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"154-160"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11283988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742383","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
Latent class analysis of ART barriers among adolescents and young adults living with HIV in South Africa. AIDSImpact 特刊:南非青少年艾滋病感染者抗逆转录病毒疗法障碍的潜类分析。
IF 1.2 4区 医学
Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-02-29 DOI: 10.1080/09540121.2024.2307389
Johanna Nice, Leia Saltzman, Tonya R Thurman, Babalwa Zani
{"title":"Latent class analysis of ART barriers among adolescents and young adults living with HIV in South Africa.","authors":"Johanna Nice, Leia Saltzman, Tonya R Thurman, Babalwa Zani","doi":"10.1080/09540121.2024.2307389","DOIUrl":"10.1080/09540121.2024.2307389","url":null,"abstract":"<p><p>This study examined adherence to antiretroviral therapy (ART) among adolescents and young adults living with HIV in South Africa. Using survey data from 857 youth on ART, the study employed latent class analysis to identify subgroups based on self-reported reasons for missed ART doses. Three distinct classes emerged: the largest class (85%) occasionally forgot to take their medication or missed a dose because others were around, the second class (9%) missed doses only due to feeling sick, and the third class (6%) faced multiple barriers such as forgetting, feeling sick, worrying about side effects, or doubting the effectiveness of ART. Youth who reported multiple barriers to adherence had significantly lower adjusted odds (AOR = 0.35, 95% CI = 0.16-0.78) of reporting 90% past month adherence compared to those who occasionally forgot their medication. Additionally, contextual factors such as food security, being treated well at the clinic, and being accompanied to the clinic were associated with higher odds of adherence. The findings highlight the importance of considering co-occurring barriers to adherence and tailoring interventions accordingly. Addressing contextual factors, such as ensuring food security and providing supportive clinic environments, is also crucial for promoting optimal adherence among adolescents and young adults living with HIV.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"45-53"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139997870","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
High mortality in adolescents and young adults with perinatally-acquired HIV in Thailand during the transition to adulthood. 泰国围产期感染艾滋病毒的青少年和年轻成人在向成年过渡期间的高死亡率。
IF 1.2 4区 医学
Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-03-06 DOI: 10.1080/09540121.2024.2325100
Pradthana Ounchanum, Linda Aurpibul, Sirinya Teeraananchai, Pagakrong Lumbiganon, Wipaporn Natalie Songtaweesin, Tavitiya Sudjaritruk, Kulkanya Chokephaibulkit, Supattra Rungmaitree, Pope Kosalaraksa, Tulathip Suwanlerk, Jeremy L Ross, Annette H Sohn, Thanyawee Puthanakit
{"title":"High mortality in adolescents and young adults with perinatally-acquired HIV in Thailand during the transition to adulthood.","authors":"Pradthana Ounchanum, Linda Aurpibul, Sirinya Teeraananchai, Pagakrong Lumbiganon, Wipaporn Natalie Songtaweesin, Tavitiya Sudjaritruk, Kulkanya Chokephaibulkit, Supattra Rungmaitree, Pope Kosalaraksa, Tulathip Suwanlerk, Jeremy L Ross, Annette H Sohn, Thanyawee Puthanakit","doi":"10.1080/09540121.2024.2325100","DOIUrl":"10.1080/09540121.2024.2325100","url":null,"abstract":"<p><p>Transitioning from pediatric to adult care remains a challenge for adolescents and young adults with perinatally-acquired HIV (AYA-PHIV). We assessed treatment outcomes and mortality among Thai AYA-PHIV. The study included AYA-PHIV who reached age 18-24 years who started antiretroviral treatment during childhood at five pediatric HIV clinics across Thailand. From November 2020-July 2021, data were gathered from a cohort database, medical records, and the Thai National AIDS Program. Of 811 eligible AYA-PHIV, 93% were alive; median age 22.3 years (IQR 20.6-23.7), treatment duration 16.1 years (IQR 13.4-18.0). Current HIV care was provided in adults (71%) and pediatric clinics (29%). Treatment regimens included non-nucleoside reverse transcriptase inhibitors (55%), protease inhibitors (36%), and integrase inhibitors (8%); 78% had HIV RNA <200 copies/ml. Of the 7.0% who died, median age at death was 20.8 years (IQR 20.6-22.1); 88% were AIDS-related death. Mortality after age 18 was 1.76 per 100-person years (95% confidence interval 1.36-2.28). Those with CD4 <200 cell/mm<sup>3</sup> at age 15 had higher risk of mortality (adjusted hazard ratio 6.16, 95% CI 2.37-16.02). In conclusion, the high mortality among Thai AYA-PHIV indicated the need for better systems to support AYA-PHIV during the transition to adulthood.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"964-973"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11518584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140050753","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
Correlates of ART attrition among adults under antiretroviral therapy in Southern Ethiopia, retrospective cohort study. 埃塞俄比亚南部接受抗逆转录病毒疗法的成年人中抗逆转录病毒疗法流失的相关因素,回顾性队列研究。
IF 1.2 4区 医学
Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2023-12-29 DOI: 10.1080/09540121.2023.2293758
Molalegn Mesele, Getachew Asmare, Gizachew Ambaw, Misganaw Asmamaw, Mohammed Abdu, Endeshaw Chekol, Denekew Tenaw, Sefineh Fenta, Tadesse Asmamaw, Melkamu Aderajew, Anteneh Mengist, Yenealem Solomon, Berihun Bantie, Wubet Alebachew, Natnael Atnafu
{"title":"Correlates of ART attrition among adults under antiretroviral therapy in Southern Ethiopia, retrospective cohort study.","authors":"Molalegn Mesele, Getachew Asmare, Gizachew Ambaw, Misganaw Asmamaw, Mohammed Abdu, Endeshaw Chekol, Denekew Tenaw, Sefineh Fenta, Tadesse Asmamaw, Melkamu Aderajew, Anteneh Mengist, Yenealem Solomon, Berihun Bantie, Wubet Alebachew, Natnael Atnafu","doi":"10.1080/09540121.2023.2293758","DOIUrl":"10.1080/09540121.2023.2293758","url":null,"abstract":"<p><p>High attrition rates from ART are the primary contributors to morbidity, death, hospitalisation, rising transmission rates, treatment failure, rising burden of opportunistic infections (OIs), and the evolution of HIV-virus resistance (HIVDR). In Sub-Saharan Africa, more than two-thirds of ART patients will not receive continuous care. There is little information about the correlates that contribute to attrition from ART services among ART patients in Southern Ethiopia. Hence, this study aims to identify correlates of attrition from antiretroviral therapy services for adults under antiretroviral therapy at Otona Teaching and Referral Hospital, Wolaita Zone, Southern Ethiopia. From 1 January 2013 to 31 December 2017, a retrospective cohort analysis was performed. The pre-determined 328 medical records were chosen using a simple random sampling technique using computer-generated random numbers. Epi Info version 3.5.3 was used to enter and clean the data, which were then exported to STATA version 11 for analysis. The Cox proportional hazards model, both bivariate and multivariable, was used. Variables with <i>p</i>-values less than 0.25 in bivariate analysis were considered candidates for multivariable analysis, and variables with <i>p</i>-values less than 0.05 were deemed statistically important in multivariable analysis. The intensity of the correlation and statistical significance were determined using the CHR, AHR, and 95 per cent confidence intervals. The magnitude of attrition from ART service was 21.60% (95% CI: 17.10, 26.10). The distance between home and hospital is more than five kilometres (AHR:3.84;95% CI: 1.99,7.38), no registered phone number (AHR:2.47;95%CI:1.32,4.09), have not taken isoniazid prophylaxis (AHR:2.23;95%CI:1.30,4.09), alcohol consumption (AHR: 1.77; 95% CI:1.01, 3.12), and had no caregiver (AHR: 2.11; 95% CI:1.23, 3.60) were statistically significant in the Cox proportional hazard model. Distance between home and hospital, phone number registration on follow-up chart, having a history of alcohol consumption, isoniazid prophylaxis provision, and having family support were independent correlates of attrition from antiretroviral treatment services.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1010-1017"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075561","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
Pathways between adverse childhood experiences and viral suppression among male HIV-infected adolescents in South Africa. 南非感染艾滋病毒的男性青少年童年不良经历与病毒抑制之间的关系。
IF 1.2 4区 医学
Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-03-31 DOI: 10.1080/09540121.2024.2332451
Rachel Kidman, Sabera Hossain, Wei Hou, Avy Violari
{"title":"Pathways between adverse childhood experiences and viral suppression among male HIV-infected adolescents in South Africa.","authors":"Rachel Kidman, Sabera Hossain, Wei Hou, Avy Violari","doi":"10.1080/09540121.2024.2332451","DOIUrl":"10.1080/09540121.2024.2332451","url":null,"abstract":"<p><p>Fewer adolescents achieve viral suppression compared to adults. One impediment may be a history of adverse childhood experiences (ACEs). To better develop targets and timeframes for intervention, this study created more robust estimates of the impact of cumulative adversity on viral suppression, tested whether the association is sensitive to the timing of adversity, and simultaneously tested several potential mechanisms. We focus on males, who have lower viral suppression than females and who may contribute to disproportionate incidence among young women. We recruited 251 male perinatally HIV-infected adolescents aged 15-19 from HIV clinics in Soweto, South Africa. Adversity was captured using the Adverse Childhood Experience - International Questionnaire (ACE-IQ). Viral load was measured using blood samples; viral suppression was defined as <20 copies/mL. Indicators of medication adherence, depression, post-traumatic stress disorder (, and substance misuse were captured. A series of pathway analysis were performed. Our sample experienced a median of 7 lifetime and 4 past-year adversities. Less than half (44%) exhibited viral suppression. Adversity demonstrated a significant association with suppression; depression mediated the association. Primary prevention of adversity among children living with HIV is paramount, as is addressing the subsequent mental and behavioral health challenges that impede viral suppression among adolescents.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"36-44"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11283965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140332205","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
Food insecurity in pediatric HIV: understanding a critical challenge in the United States. 儿科艾滋病毒感染者的粮食不安全问题:了解美国面临的严峻挑战。
IF 1.2 4区 医学
Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-02-22 DOI: 10.1080/09540121.2023.2287734
Khaliah A Johnson, Caroline Owens, Hannah Claire Edelson, Magdalene Yonker, Shae Robinson-Mosley, Jenny Park, Miranda Cook
{"title":"Food insecurity in pediatric HIV: understanding a critical challenge in the United States.","authors":"Khaliah A Johnson, Caroline Owens, Hannah Claire Edelson, Magdalene Yonker, Shae Robinson-Mosley, Jenny Park, Miranda Cook","doi":"10.1080/09540121.2023.2287734","DOIUrl":"10.1080/09540121.2023.2287734","url":null,"abstract":"<p><p>Advancing the well-being of individuals living with HIV necessitates attention to social determinants of health, including food insecurity. Through a clinical and community-based needs assessment, we aimed to gain insight into experiences of food insecurity among patients receiving care at a large pediatric HIV outpatient clinic in the Southeastern United States. We adopted a multimodal assessment approach involving a literature review, community profiling, key informant interviews, focus group discussions with staff, patients and parents and a community stakeholder advisory meeting. Our needs assessment demonstrates that food insecurity is an important aspect of the lived experience of children, adolescents and young adults living with HIV. Clinical staff agreed that food insecurity screening should be incorporated into the patient care workflow but ideally only in concert with providing resources that meet their needs. We formulated a recommendation matrix for addressing food insecurity based on priority importance and feasibility. Collaborative relationships between healthcare practitioners and leaders, community-based organizations and local and federal funding sources are vital for enhancing patients' access to sustainable, reliable solutions to this fundamental determinant of health. Our approach provides a tested model for other clinics seeking to identify and alleviate food insecurity among patients.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"918-926"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933598","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
The Gigii-Bapiimin Study: resilience and the impacts of COVID-19 on health and wellbeing of Indigenous people living with HIV in Manitoba and Saskatchewan. Gigii-Bapiimin 研究:COVID-19 对马尼托巴省和萨斯喀彻温省感染艾滋病毒的土著人健康和福祉的影响。
IF 1.2 4区 医学
Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-06-06 DOI: 10.1080/09540121.2024.2361827
Rusty Souleymanov, Marni Still, Tara Christianson, Melissa Morris, Ann Favel, Danita Wahpoosewyan, Albert McLeod, Laverne Gervais, Alexandra King, Margaret Kîsikâw Piyesis, Randy Jackson, Mike Payne, Laurie Ringaert, Linda Larcombe, Gayle Restall, Dallas Montpetit
{"title":"The Gigii-Bapiimin Study: resilience and the impacts of COVID-19 on health and wellbeing of Indigenous people living with HIV in Manitoba and Saskatchewan.","authors":"Rusty Souleymanov, Marni Still, Tara Christianson, Melissa Morris, Ann Favel, Danita Wahpoosewyan, Albert McLeod, Laverne Gervais, Alexandra King, Margaret Kîsikâw Piyesis, Randy Jackson, Mike Payne, Laurie Ringaert, Linda Larcombe, Gayle Restall, Dallas Montpetit","doi":"10.1080/09540121.2024.2361827","DOIUrl":"10.1080/09540121.2024.2361827","url":null,"abstract":"<p><p>The Gigii-Bapiimin study explored the impacts of the COVID-19 pandemic on the health and wellbeing of First Nations, Inuit, and Métis people living with HIV in Manitoba and Saskatchewan, two provinces in Canada with alarmingly high rates of HIV infections. Participants (<i>n</i> = 28 in Manitoba and <i>n</i> = 23 in Saskatchewan) were recruited using various methods, including flyers, community organizations, peers, and social media. The qualitative interviews focused on the pandemic's impact on health, access to services, and ceremonies. The data were analyzed using inductive thematic analysis. The study identified three key themes: (a) resilience and coping; (b) negative impacts on health and substance use; (c) decreased access to health services, HIV care and harm reduction. The participants shared their experiences of social isolation and the loss of community support, which had deleterious effects on their mental health and substance use. The impacts on access to HIV care were exacerbated by poverty, homelessness, and distress over inadvertent disclosure of HIV status. Participants mitigated these impacts by relying on Indigenous knowledges, ceremonies, and resilience within their communities. Service providers must address the impacts of the COVID-19 pandemic on Indigenous people living with HIV and their access to HIV services and ceremonies.</p>","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"899-907"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285083","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
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信