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

Caring for a young child who is HIV exposed and whose HIV status is not yet known: a scoping review of mothers' experiences. 照顾接触艾滋病毒且艾滋病毒状况尚不清楚的幼儿：对母亲经验的范围审查。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-02-01 Epub Date: 2024-12-19 DOI: 10.1080/09540121.2024.2441251

Himani Pandya, Xanthe Hunt, Thea Carstens, Peter S Nyasulu, Amy L Slogrove

{"title":"Caring for a young child who is HIV exposed and whose HIV status is not yet known: a scoping review of mothers' experiences.","authors":"Himani Pandya, Xanthe Hunt, Thea Carstens, Peter S Nyasulu, Amy L Slogrove","doi":"10.1080/09540121.2024.2441251","DOIUrl":"10.1080/09540121.2024.2441251","url":null,"abstract":"Living with HIV can affect mothers' wellbeing, functioning, and experiences of caregiving. Most research about caregiving in the context of HIV comes from studies of dyads where both mother and child are living with HIV. Less is known about how mothers experience caregiving when their children are HIV exposed, but their HIV-status is not yet known. We conducted a scoping review to map out existing evidence on this topic. Systematic database search was conducted combined with a purposive hand search and expert consultation to identify relevant peer-reviewed literature. Title and abstract screening followed by a full-text review was done to select eligible studies. Studies were eligible for inclusion if they related to maternal caregivers; young children exposed to HIV, confirmed to be uninfected or whose HIV-status is unknown; and caregiving including any maternal involvement with her child. We identified 19 relevant studies. Analysis revealed that many mothers' caregiving experience was marked by feelings of fear and stress in the early months of motherhood, mostly to do with the possibility of the child receiving a positive HIV diagnosis. Two dominant themes emerged - (1) experiences related to feeding and (2) experiences related to HIV testing, medications and health care utilization. Mothers had concerns pertaining to HIV transmission, feeding choices, efficacy of antiretrovirals and infant testing at multiple stages. Finally, any kind of support received from family, community or health workers, acted as a facilitator to improve caregiving experiences. This review highlights the need to provide additional support to mothers in their caregiving roles, especially before a child's negative HIV-status is confirmed. Further investigation is warranted to determine if mothers' concerns and challenges with caregiving persist even after HIV has been ruled out in the child.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"179-201"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

HIV self-management and associated factors among people living with HIV in Hunan, China: a nine-year longitudinal study. 中国湖南HIV感染者的HIV自我管理及相关因素：一项为期9年的纵向研究

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-02-01 Epub Date: 2024-12-27 DOI: 10.1080/09540121.2024.2445786

Lannan Peng, Yeping Wang, Xi Chen, Zhi Xie, Jie Li, Dan Luo

{"title":"HIV self-management and associated factors among people living with HIV in Hunan, China: a nine-year longitudinal study.","authors":"Lannan Peng, Yeping Wang, Xi Chen, Zhi Xie, Jie Li, Dan Luo","doi":"10.1080/09540121.2024.2445786","DOIUrl":"10.1080/09540121.2024.2445786","url":null,"abstract":"Self-management refers to the behaviors and strategies individuals employ to manage their health conditions. For people living with HIV (PLWH), it encompasses medication adherence, health monitoring, symptom management, lifestyle maintenance and seeking emotional support. While previous studies on the factors influencing self-management in PLWH are predominantly cross-sectional, longitudinal studies are scarce. This nine-year longitudinal study aimed to investigate the trajectories of psychosocial characteristics in PLWH and their effects on self-management. A total of 265 PLWH were assessed for psychosocial factors, including stigma, depression, anxiety, and social support, at baseline and at one-, five- and nine-year follow-ups. Self-management was evaluated at the nine-year follow-up. Psychosocial trajectories were identified using latent growth trajectory models (LGMM), and associations with self-management were analyzed via multiple linear regression. The majority of participants exhibited a low-level decline in depression (79.6%) and rising social support (54.3%). The high-level decline depression group demonstrated the lowest self-management scores (b = -4.67, 95% CI: -8.166 to -1.175). Multivariate analysis revealed significant associations between self-management and exercise (b = 5.360, 95% CI: 3.934-6.786), depressive symptoms (b = -0.168, 95% CI: -0.305 to -0.031) and social support (b = 0.182, 95% CI: 0.101-0.264). These findings emphasize the need for continuous monitoring and targeted interventions to improve self-management in PLWH.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"253-262"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899486","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

"She tells me the HIV is eating my brains": barriers and facilitators to antiretroviral therapy adherence among Eswatini adolescents living with HIV. “她告诉我艾滋病毒正在吞噬我的大脑”：斯瓦蒂尼感染艾滋病毒的青少年坚持抗逆转录病毒治疗的障碍和促进因素。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-02-01 Epub Date: 2024-12-30 DOI: 10.1080/09540121.2024.2443677

Londiwe D Hlophe, Peter S Nyasulu, Constance S Shumba

{"title":"\"She tells me the HIV is eating my brains\": barriers and facilitators to antiretroviral therapy adherence among Eswatini adolescents living with HIV.","authors":"Londiwe D Hlophe, Peter S Nyasulu, Constance S Shumba","doi":"10.1080/09540121.2024.2443677","DOIUrl":"https://doi.org/10.1080/09540121.2024.2443677","url":null,"abstract":"Despite the successful rollout of antiretroviral therapy (ART) and positive ART outcomes in the Kingdom of Eswatini, adolescents still present poor ART outcomes including low viral load suppression and suboptimal ART adherence. The aim of the study was to explore the perceptions of adolescents living with HIV (ALHIV) on the barriers and facilitators to ART adherence in Eswatini. We conducted a qualitative study using in-depth interviews among 29 ALHIV and on ART in Eswatini in December 2023. Adolescents aged 10-19 years who were aware of their HIV status were recruited purposively from five Teen Clubs in the Hhohho region. Six barriers to ART were reported by participants namely perceived stigma and discrimination, competing demands between ART schedules and their personal and social lives, medication issues, health facility factors, lack of transport and food, and diminishing support from caregivers. The main facilitators of ART adherence were having a social support system, status disclosure, privacy, HIV and ART knowledge, and motivation to stay alive. Supportive environments are crucial to enhance ART adherence among ALHIV. These can be promoted through multi-component interventions that target status disclosure, increase knowledge of HIV and ART, ensure privacy and address stigma and discrimination.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":"37 2","pages":"310-323"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014236","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

Effect of depressive symptoms on health services utilization in the HIV and hepatitis C co-infected population in Canada. 加拿大艾滋病毒和丙型肝炎合并感染人群抑郁症状对卫生服务利用的影响

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-02-01 Epub Date: 2024-12-25 DOI: 10.1080/09540121.2024.2432801

Gayatri Marathe, Erica Em Moodie, Marie-Josée Brouillette, Charlotte Lanièce Delaunay, Joseph Cox, Curtis Cooper, Valérie Martel-Laferrière, Mark Hull, Alexander Wong, Sharon Walmsley, Marina B Klein

{"title":"Effect of depressive symptoms on health services utilization in the HIV and hepatitis C co-infected population in Canada.","authors":"Gayatri Marathe, Erica Em Moodie, Marie-Josée Brouillette, Charlotte Lanièce Delaunay, Joseph Cox, Curtis Cooper, Valérie Martel-Laferrière, Mark Hull, Alexander Wong, Sharon Walmsley, Marina B Klein","doi":"10.1080/09540121.2024.2432801","DOIUrl":"10.1080/09540121.2024.2432801","url":null,"abstract":"Depression is common among people living with HCV and HIV, which contributes to health services utilization (HSU). It is unknown whether successful HCV treatment affects this. We examined depressive symptoms and HSU in people co-infected with HIV-HCV and their association with sustained virologic response (SVR) during the direct-acting antiviral era. We predicted depressive symptoms by a random forest classifier in the Canadian Co-infection Cohort. HSU was measured by inpatient and out-patient visits in the previous six months. We fit zero-inflated negative binomial models. Of the 1153 HCV RNA+participants, 530 were treated and of them, 95% achieved SVR. Without SVR, inpatient and out-patient visits were 17% and 5% higher among those with depressive symptoms than those without respectively; with SVR, this association disappeared. SVR was associated with 24% fewer inpatient visits. Thus, depressive symptoms were associated with a modest increase in HSU, and SVR appears to attenuate this effect.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"226-232"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899485","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

Community client-led anti-retroviral therapy delivery for people newly diagnosed with HIV: a pilot study in Nakivale Refugee Settlement in Uganda. 以社区客户为主导，为新确诊的艾滋病毒感染者提供抗逆转录病毒治疗：在乌干达 Nakivale 难民定居点开展的试点研究。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-02-01 Epub Date: 2024-12-12 DOI: 10.1080/09540121.2024.2436559

Canada Parrish, Samuel Lewis, Zikama Faustin, Robin Klabbers, Valentine Nshimiyimana, Braiden Eilers, Patient Iraguha, Timothy Muwonge, Kelli N O'Laughlin

{"title":"Community client-led anti-retroviral therapy delivery for people newly diagnosed with HIV: a pilot study in Nakivale Refugee Settlement in Uganda.","authors":"Canada Parrish, Samuel Lewis, Zikama Faustin, Robin Klabbers, Valentine Nshimiyimana, Braiden Eilers, Patient Iraguha, Timothy Muwonge, Kelli N O'Laughlin","doi":"10.1080/09540121.2024.2436559","DOIUrl":"10.1080/09540121.2024.2436559","url":null,"abstract":"ABSTRACTEngaging in HIV care services can be challenging for refugees as they navigate new care systems while meeting daily needs. This pilot study assessed Early Community Client-led ART Delivery (Early CCLAD) as a differentiated care strategy for those newly diagnosed with HIV in Nakivale Refugee Settlement, Uganda. Early CCLAD was a community antiretroviral therapy delivery option where group members take turns coming to the health center.Adults accessing routine HIV testing were offered participation in the study. Participants completed intake surveys, and those interested in joining a community group received the intervention when feasible. The primary outcome was linkage to HIV clinical care within 90 days. Exit interviews were conducted to identify program benefits and challenges.Out of 2793 individuals enrolled, 92 tested positive for HIV and 74 (80.4%) were willing to participate in Early CCLAD. After 6 months, all participants in Early CCLAD groups had initiated ART and 87.0% achieved viral suppression. Convenience, social support and community building were identified as program benefits, while challenges included member commitment, reliability and mobility. Early CCLAD demonstrated feasibility and acceptability as an intervention strategy in a refugee settlement. Further research is needed to assess the scalability and long-term outcomes.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"300-309"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819649","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

Non-adherence, discontinuation, and seroconversion among people on daily HIV pre-exposure prophylaxis (PrEP) in Brazil: a nationwide cohort study. 巴西每日HIV暴露前预防（PrEP）人群中的不依从、停药和血清转化：一项全国性队列研究

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-02-01 Epub Date: 2024-12-27 DOI: 10.1080/09540121.2024.2443824

Kennedy Crepalde-Ribeiro, Maria das Graças Braga, Micheline Rosa Silveira, Alexandre Sampaio Moura, Pedro O S Vaz-de-Melo, Matheus Marchesotti Dutra Ferraz, Sallie-Anne Pearson, Juliana de Oliveira Costa

{"title":"Non-adherence, discontinuation, and seroconversion among people on daily HIV pre-exposure prophylaxis (PrEP) in Brazil: a nationwide cohort study.","authors":"Kennedy Crepalde-Ribeiro, Maria das Graças Braga, Micheline Rosa Silveira, Alexandre Sampaio Moura, Pedro O S Vaz-de-Melo, Matheus Marchesotti Dutra Ferraz, Sallie-Anne Pearson, Juliana de Oliveira Costa","doi":"10.1080/09540121.2024.2443824","DOIUrl":"10.1080/09540121.2024.2443824","url":null,"abstract":"The goal of this study was to evaluate characteristics associated with Pre-exposure Prophylaxis for HIV infection (PrEP) non-adherence or discontinuation in Brazil and assess the association between these outcomes and HIV seroconversion. We used linked national dispensing and pathology data to identify people aged 14+ years initiating PrEP in 2018. We estimated non-adherence using the proportion of days covered (PDC), defining non-adherence as PDC < 60%. We defined discontinuation as a gap in therapy of at least 120 days. We used logistic regression models to assess characteristics associated with non-adherence or discontinuation within 365 days and to assess HIV seroconversion and its association with non-adherence or discontinuation. In 2018, 5100 people initiated PrEP; 34.4% (95%CI 33.1%; 35.7%) were non-adherent and 34.3% (95%CI 33.0%; 35.6%) discontinued. People aged 34 years or less, women, people with lower education levels, or living in the Northern region of Brazil were more likely to be non-adherent or discontinue therapy. Thirty people (0.6% 95%CI 0.4%; 0.8%) seroconverted. HIV seroconversion was associated with PrEP non-adherence or discontinuation (OR = 6.2 for both). Non-adherence and discontinuation were common in people initiating PrEP and strongly associated with HIV seroconversion. Our work identifies populations at higher risk of non-adherence or discontinuation which could be targeted in interventions to reduce new HIV cases in Brazil.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"289-299"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899487","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

Food insecurity and pediatric HIV: patient perspectives on clinical solutions. 粮食不安全与儿童艾滋病毒：患者对临床解决方案的看法。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-02-01 Epub Date: 2024-12-12 DOI: 10.1080/09540121.2024.2437696

Caroline E Owens, Miranda Cook, Julia Chowdhury, Nabeeha Virani, Khaliah A Johnson

{"title":"Food insecurity and pediatric HIV: patient perspectives on clinical solutions.","authors":"Caroline E Owens, Miranda Cook, Julia Chowdhury, Nabeeha Virani, Khaliah A Johnson","doi":"10.1080/09540121.2024.2437696","DOIUrl":"10.1080/09540121.2024.2437696","url":null,"abstract":"Food insecurity is a prevalent social determinant of health for people living with HIV and is associated with suboptimal treatment outcomes. While clinic-based efforts to address food insecurity have increased over the past decade, few studies have explored the perspectives of paitents and caregivers managing chronic illnesses such as HIV. Caregiver insights are particularly critical in pediatric HIV care, where caregivers often play a central role in screening and referral processes. This study examined the experiences of adolescents and young adults living with HIV and caregivers of children with HIV, to inform screening and referral practices within a pediatric palliative care clinic in Atlanta, GA. We conducted audio-recorded, in-depth interviews (n = 14) and focus groupswith 10 patients and caregivers living with food insecurity. Thematic analysis, guided by our interview topics, revealed five key themes: (1) trust in providers, (2) coping by \"making it work\", (3) barriers to healthy eating, (4) challenges to medication adherence, and (5) recommendations for cross-sector resource connection. Our findings underscore the need for partnerships between clinics and community-based organizations, bolstered by structural and systems-level interventions and policies, to promote food security and well-being for pediatric patients in complex care settings.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"208-217"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814635","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

Expanding the reach of HIV pre-exposure prophylaxis (PrEP) among Kenyan adolescent girls and young women: the acceptability of HIV PrEP integration into post-abortal care services. 在肯尼亚少女和年轻妇女中扩大艾滋病毒接触前预防疗法（PrEP）的覆盖范围：将艾滋病毒 PrEP 纳入死后护理服务的可接受性。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-02-01 Epub Date: 2024-12-19 DOI: 10.1080/09540121.2024.2443678

Edinah Casmir, Njeri Wairimu, Lydia Etyang, Felix Mogaka, Kelvin Oware, Bernard Nyerere, Inviolata Nafula, Susan Kimani, Elizabeth Bukusi, Renee Heffron, Nelly Mugo, Kenneth Ngure

{"title":"Expanding the reach of HIV pre-exposure prophylaxis (PrEP) among Kenyan adolescent girls and young women: the acceptability of HIV PrEP integration into post-abortal care services.","authors":"Edinah Casmir, Njeri Wairimu, Lydia Etyang, Felix Mogaka, Kelvin Oware, Bernard Nyerere, Inviolata Nafula, Susan Kimani, Elizabeth Bukusi, Renee Heffron, Nelly Mugo, Kenneth Ngure","doi":"10.1080/09540121.2024.2443678","DOIUrl":"10.1080/09540121.2024.2443678","url":null,"abstract":"Adolescent girls and young women (AGYW) seeking post-abortal care (PAC) remain at risk of unintended pregnancies and HIV due to infrequent condom use. Integrating HIV prevention services, such as PrEP, into PAC services offers an opportunity to enhance reach, uptake, and efficiency, particularly in high-burden settings like Kenya. However, data on acceptability, feasibility, and sustainability of PAC clinics as entry points for PrEP is limited. A cross-sectional qualitative study, part of a cluster-randomized trial in 14 Kenyan public and private facilities, explored the integration of PrEP delivery for AGYW aged 15-30 within PAC clinics. Using in-depth interviews, focus group discussions, and key informant interviews, the study gathered perspectives from AGYW, providers, and implementing partners. Guided by the theoretical framework of acceptability, findings revealed receptiveness for the integration as a timely and effective intervention to expand PrEP reach, enhance access , and reduce stigma. Provider competence, their attitudes towards the integration, and AGYWs' confidence in using PrEP were identified as critical influencers. Essentail operational considerations were staffing, availability of safe spaces, commodity management, and efficient reporting systems. The study highlights the acceptability and scalability of integrating PrEP services into PAC while emphasizing the need for strategies to enhance operational efficiency.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"233-243"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865763","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

Associations between interpersonal and community-level violence experiences and HIV outcomes: implications for violence screening in Ryan White Clinics.

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-01-29 DOI: 10.1080/09540121.2025.2459303

Ameeta S Kalokhe, Katherine M Anderso, Madelyn Carlson, Selaem Hadera, Eve Rose, Melvin D Livingston, Jessica M Sales

{"title":"Associations between interpersonal and community-level violence experiences and HIV outcomes: implications for violence screening in Ryan White Clinics.","authors":"Ameeta S Kalokhe, Katherine M Anderso, Madelyn Carlson, Selaem Hadera, Eve Rose, Melvin D Livingston, Jessica M Sales","doi":"10.1080/09540121.2025.2459303","DOIUrl":"10.1080/09540121.2025.2459303","url":null,"abstract":"Violence experience, interpersonal and community-level, is commonly reported by people living with HIV (PLWH). Understanding the impact of the various forms of violence on HIV outcomes is critical for prioritizing violence screening and support resources in care settings. From February 2021 to December 2022, among 285 PLWH purposively sampled to attain diversity by gender, race/ethnicity, and HIV care retention status in Atlanta, Georgia, we examined interpersonal and community violence experiences and proxy measures of violence (post-traumatic stress disorder (PTSD), anxiety, depression) and their associations with HIV outcomes (engagement and retention in care and HIV viral suppression) using multivariable analysis. Participants commonly reported lifetime intimate partner violence (89%), non-partner violence (97%), hate crimes (93%), and moderate-to-severe adverse childhood events (59%). Lifetime violence experiences were not significantly linked to HIV care engagement, retention, nor durable viral suppression, but were each individually associated with PTSD, which in turn, was significantly associated lower odds of durable viral suppression (AOR 0.35, CI 0.14-0.86). Thus, the high prevalence and multiplicity of interpersonal and community-level violence experienced among PLWH in Atlanta underscores the need for universal trauma-informed approaches and supports implementation of PTSD screening to identify patients at greatest need for trauma support services.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"1-12"},"PeriodicalIF":1.2,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068963","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

Intersectional stigma among Latino MSM and HIV prevention: barriers to HIV prevention and strategies to overcome the barriers. 拉丁裔男男性行为者中的交叉污名与艾滋病毒预防：艾滋病毒预防的障碍和克服这些障碍的策略。

IF 1.2 4区医学

Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2025-01-01 Epub Date: 2024-11-08 DOI: 10.1080/09540121.2024.2414076

Helen Zhu, Nicole A Stadnick, Jamila K Stockman, Marina Katague, Veronica Moore, Vicente Torres, Rosalinda Cano, Katherine Penninga, Jeannette Aldous, Kiyomi Tsuyuki

{"title":"Intersectional stigma among Latino MSM and HIV prevention: barriers to HIV prevention and strategies to overcome the barriers.","authors":"Helen Zhu, Nicole A Stadnick, Jamila K Stockman, Marina Katague, Veronica Moore, Vicente Torres, Rosalinda Cano, Katherine Penninga, Jeannette Aldous, Kiyomi Tsuyuki","doi":"10.1080/09540121.2024.2414076","DOIUrl":"10.1080/09540121.2024.2414076","url":null,"abstract":"Latino men, especially Latino men who have sex with men (LMSM), experience disparities in HIV prevention. Lack of attention to key barriers to care, such as stigma, result in inequitable access to HIV prevention and care for LMSM. This paper describes how intersectional stigma and related factors act as barriers to HIV prevention among Latino men and proposes strategies to overcome these barriers. Qualitative data were collected via in-depth interviews (n = 15) with Latino men about HIV prevention services, mobile outreach, peer navigation and care coordination, and analyzed using rapid qualitative methods. Three key themes emerged: (1) HIV stigma as a barrier to HIV testing, (2) sexual minority stigma as a barrier to accessing HIV prevention services and (3) strategies for stigma reduction, such as confidentiality, comprehensive education about HIV and prevention, and empathy and warmth from staff/care providers. Identified stigmas were intersectional. Addressing and reducing stigma is critical to engaging Latino men in HIV prevention and care, and requires strategies sensitive to the Latino cultural context and community.","PeriodicalId":48370,"journal":{"name":"Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv","volume":" ","pages":"88-98"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607083","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