Janac-Journal of the Association of Nurses in Aids Care最新文献

Assessing the Disruption of Health Services During the COVID-19 Pandemic Among Adults Living With HIV by Age in Essex County, NJ: A Cross-Sectional Study. 评估 COVID-19 大流行期间新泽西州埃塞克斯县按年龄划分的成人 HIV 感染者医疗服务中断情况：一项横断面研究。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-09-26 DOI: 10.1097/JNC.0000000000000499

Kristen D Krause, Anita G Karr, Juhi Aggarwal, Sanjana Subramhanya, Michelle DallaPiazza, Shobha Swaminathan, Pamela Valera, Perry N Halkitis, Stephanie Shiau

{"title":"Assessing the Disruption of Health Services During the COVID-19 Pandemic Among Adults Living With HIV by Age in Essex County, NJ: A Cross-Sectional Study.","authors":"Kristen D Krause, Anita G Karr, Juhi Aggarwal, Sanjana Subramhanya, Michelle DallaPiazza, Shobha Swaminathan, Pamela Valera, Perry N Halkitis, Stephanie Shiau","doi":"10.1097/JNC.0000000000000499","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000499","url":null,"abstract":"Abstract: At the onset of the COVID-19 pandemic, clinicians and researchers were concerned about its impact on the health of people living with HIV (PLWH). Although mitigation measures during the early part of the pandemic used telehealth, it was uncertain whether PLWH would be amenable to this type of care and whether health outcomes would be affected. PLWH actively seeking treatment at a large urban outpatient practice in Essex County, New Jersey, were interviewed from October 2020 to June 2021 about their health-related experiences during COVID-19. The sample was dichotomized by age (< 55 and ≥ 55). In all, participants (69.2%, n = 92) used telehealth during this period, 85.0% (n = 113) actively tested for COVID-19, with only 7% (n = 8) testing positive at the time of interview. Our findings demonstrate that PLWH who engaged with health care before the COVID-19 pandemic continued doing that and had relatively favorable health outcomes with few differences by age.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331574","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

Perceived Stress and Health Outcomes Among Latinx and Non-Latinx White Adult People With HIV in East Harlem, New York: A Cross-Sectional Study. 纽约东哈莱姆区拉美裔和非拉美裔白人成年 HIV 感染者的感知压力和健康结果：一项横断面研究。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-09-25 DOI: 10.1097/JNC.0000000000000504

Alexander W Slaughter, Jordan Stiver, Micah Savin, Denise S Oleas, Hyunjung Lee, Angela Summers, Danqi Zhu, Heining Cham, Jessica Robinson-Papp, Monica Rivera Mindt

{"title":"Perceived Stress and Health Outcomes Among Latinx and Non-Latinx White Adult People With HIV in East Harlem, New York: A Cross-Sectional Study.","authors":"Alexander W Slaughter, Jordan Stiver, Micah Savin, Denise S Oleas, Hyunjung Lee, Angela Summers, Danqi Zhu, Heining Cham, Jessica Robinson-Papp, Monica Rivera Mindt","doi":"10.1097/JNC.0000000000000504","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000504","url":null,"abstract":"Abstract: Stress and HIV disproportionately affect Latinx adults in the United States, contributing to numerous health inequities. Among people living with HIV (PLWH), increased stress is associated with decreased medication adherence, effectiveness, and higher rates of immunosuppression and comorbidities. Our study (N = 126) examined the relationship between perceived stress and HIV-related health among Latinx (n = 83) and non-Latinx White (n = 43) PLWH. Latinx PLWH reported better HIV-related health outcomes than non-Latinx White PLWH, despite higher viral load (all p's < .05). An interaction effect showed that higher perceived distress was associated with worse health outcomes and lower CD4+ T cell count only in Latinx PLWH (p's < .05). Our findings highlight the consequences of stress on HIV-related health. Notably, higher stress may be especially detrimental among Latinx PLWH, underscoring the need for more culturally tailored interventions in HIV-related care. Future research should include additional sociocultural factors and longitudinal assessment in a larger sample.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331575","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

An Integrative Review of the Literature Examining Sexual Relationship Power, Depressive Symptoms, Silencing the Self, and HIV Vulnerability for Women in the United States. 对研究美国女性性关系能力、抑郁症状、自我沉默和艾滋病易感性的文献进行综合评述。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-09-06 DOI: 10.1097/JNC.0000000000000498

Wanda L Goodwyn, Courtney Caiola, Donna Roberson

{"title":"An Integrative Review of the Literature Examining Sexual Relationship Power, Depressive Symptoms, Silencing the Self, and HIV Vulnerability for Women in the United States.","authors":"Wanda L Goodwyn, Courtney Caiola, Donna Roberson","doi":"10.1097/JNC.0000000000000498","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000498","url":null,"abstract":"Abstract: The purpose of our integrative review was to synthesize the literature examining relationships between depressive symptoms, silencing the self (STS), sexual relationship power (SRP), and HIV vulnerability among women in the United States. Literature searches were conducted through CINAHL, MEDLINE, PsycINFO, SCOPUS, Sociological Abstracts, and SocINDEX. Integrative review methodology of Whittemore and Knafl guided the review process, and 37 articles met inclusion criteria. The Theory of Gender and Power, modified by Wingood and DiClemente, was the guiding framework to organize and synthesize findings. Primary findings suggest that depressive symptoms, STS, and SRP in relationships may individually influence women's vulnerability for acquiring HIV, yet research lags behind. Evidence documenting relationships between these factors is insufficient to draw generalizable conclusions. Findings suggest that the current literature on this topic does not reflect those women most highly affected by HIV and those who identify as African American or Black in the Southeast region of the United States.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142143463","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

Smoking and Type 1 Versus Type 2 Myocardial Infarction Among People With HIV in the United States. 美国艾滋病病毒感染者中吸烟与 1 型和 2 型心肌梗死的关系。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-09-06 DOI: 10.1097/JNC.0000000000000492

Heidi M Crane, Robin M Nance, Stephanie A Ruderman, Lydia N Drumright, L Sarah Mixson, Susan R Heckbert, Matthew J Feinstein, Matthew J Budoff, Laura Bamford, Edward Cachay, Sonia Napravnik, Richard D Moore, Jeanne Keruly, Amanda L Willig, Greer A Burkholder, Andrew Hahn, Jimmy Ma, Rob Fredericksen, Michael S Saag, Geetanjali Chander, Mari M Kitahata, Kristina Crothers, Kenneth H Mayer, Conall O'Cleirigh, Karen Cropsey, Bridget M Whitney, Joseph A C Delaney

{"title":"Smoking and Type 1 Versus Type 2 Myocardial Infarction Among People With HIV in the United States.","authors":"Heidi M Crane, Robin M Nance, Stephanie A Ruderman, Lydia N Drumright, L Sarah Mixson, Susan R Heckbert, Matthew J Feinstein, Matthew J Budoff, Laura Bamford, Edward Cachay, Sonia Napravnik, Richard D Moore, Jeanne Keruly, Amanda L Willig, Greer A Burkholder, Andrew Hahn, Jimmy Ma, Rob Fredericksen, Michael S Saag, Geetanjali Chander, Mari M Kitahata, Kristina Crothers, Kenneth H Mayer, Conall O'Cleirigh, Karen Cropsey, Bridget M Whitney, Joseph A C Delaney","doi":"10.1097/JNC.0000000000000492","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000492","url":null,"abstract":"Abstract: Smoking is a myocardial infarction (MI) risk factor among people with HIV (PWH). Questions persist regarding the role of smoking behaviors and measurements (e.g., intensity, duration) on MI risk. We used Cox proportional hazards regression to compare the association of smoking parameterization with incidents of type 1 and type 2 MI and whether smoking intensity or duration improves MI risk prediction among PWH. Among 11,637 PWH, 37% reported currently smoking, and there were 346 MIs. Current smoking was associated with type 1 (84% increased risk) but not type 2 MI in adjusted analyses. The type 1 MI model with pack years had the best goodness of fit compared with other smoking parameterizations. Ever or never parameterization and smoking diagnosis data had significantly poorer model fit. These results highlight the importance of differentiating MI types and performing patient-based smoking assessments to improve HIV care and research rather than relying on smoking status from diagnoses.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142143464","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

"Successful Living" Among Adolescents With HIV in Sub-Saharan Africa: An Evolutionary Concept Analysis. 撒哈拉以南非洲感染艾滋病毒的青少年中的 "成功生活"：概念演变分析》。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-09-01 DOI: 10.1097/JNC.0000000000000485

Dieudonne Kayiranga, Donatilla Mukamana, Darius Gishoma, Michael V Relf

引用次数: 0

"Where No One Has Gone Before": Questions to Ensure the Ethical, Rigorous, and Thoughtful Application of Artificial Intelligence in the Analysis of HIV Research. "前无古人"：确保人工智能在艾滋病研究分析中的伦理、严谨和深思熟虑应用的问题。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-09-01 Epub Date: 2024-08-06 DOI: 10.1097/JNC.0000000000000483

Alanna J Bergman, Katherine C McNabb, Michael V Relf, Mark H Dredze

{"title":"\"Where No One Has Gone Before\": Questions to Ensure the Ethical, Rigorous, and Thoughtful Application of Artificial Intelligence in the Analysis of HIV Research.","authors":"Alanna J Bergman, Katherine C McNabb, Michael V Relf, Mark H Dredze","doi":"10.1097/JNC.0000000000000483","DOIUrl":"10.1097/JNC.0000000000000483","url":null,"abstract":"Abstract: ChatGPT, an artificial intelligence (AI) system released by OpenAI on November 30th, 2022, has upended scientific and educational paradigms, reshaping the way that we think about teaching, writing, and now research. Since that time, qualitative data analytic software programs such as ATLAS.ti have quickly incorporated AI into their programs to assist with or even replace human coding. Qualitative research is key to understanding the complexity and nuance of HIV-related behaviors, through descriptive and historical textual research, as well as the lived experiences of people with HIV. This commentary weighs the pros and cons of the use of AI coding in HIV-related qualitative research. We pose guiding questions that may help researchers evaluate the application and scope of AI in qualitative research as determined by the research question, underlying epistemology, and goal(s). Qualitative data encompasses a variety of media, methodologies, and styles that exist on a spectrum underpinned by epistemology. The research question and the data sources are informed by the researcher's epistemological viewpoint. Given the heterogeneous applications of qualitative research in nursing, medicine, and public health there are circumstances where qualitative AI coding is appropriate, but this should be congruent with the aims and underlying epistemology of the research.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11364210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142086409","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

Select Dietary Components Are Associated With Better Global Cognition in U.S. Adults With HIV: A Pilot Study. 某些膳食成分与提高艾滋病毒感染者的整体认知能力有关。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-09-01 Epub Date: 2024-08-13 DOI: 10.1097/JNC.0000000000000479

Pariya L Fazeli, Christine Horvat Davey, Allison R Webel, Vitor Oliveira, Thomas W Buford, David E Vance, Greer Burkholder, Heidi M Crane, Julia Fleming, Amanda L Willig

{"title":"Select Dietary Components Are Associated With Better Global Cognition in U.S. Adults With HIV: A Pilot Study.","authors":"Pariya L Fazeli, Christine Horvat Davey, Allison R Webel, Vitor Oliveira, Thomas W Buford, David E Vance, Greer Burkholder, Heidi M Crane, Julia Fleming, Amanda L Willig","doi":"10.1097/JNC.0000000000000479","DOIUrl":"10.1097/JNC.0000000000000479","url":null,"abstract":"Abstract: People with HIV (PWH) are at an increased risk for cognitive impairment. Lifestyle factors can have protective effects on cognition; little work has examined diet and cognitive function in PWH. In this cross-sectional pilot study, 86 PWH (mean age 56 years) completed diet recalls and a neurocognitive assessment. Correlations were conducted between diet and cognitive function, adjusting for total calories, sex, and education (multiple comparison correction p values are reported). Diet quality of the sample was poor. Greater calories per day ( r = 0.28, p =.08) and greater percentage of calories from saturated fatty acids (SFAs; r = 0.26, p = 0.08) were associated with better cognition. Higher intake of SFAs ( r s 0.30-0.31, p s = 0.07), amino acids ( r s = 0.27, p s = 0.08), and phosphorus ( r = 0.29, p = .07) and magnesium ( r = 0.25, p = .08) were associated with better cognition. A diet reflecting higher protein and fat relative to carbohydrates was associated with better cognition. Targeting individual nutrients, improving diet quality, and adequate caloric intake may preserve cognition in PWH.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11361838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977106","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

The Unique Challenges of Older Informal Caregivers Living With HIV in the U.S. Deep South: A Qualitative Study. 感染艾滋病毒的老年护理者：他们的护理故事。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-09-01 Epub Date: 2024-08-13 DOI: 10.1097/JNC.0000000000000484

Yookyong Lee, David E Vance, D Scott Batey

{"title":"The Unique Challenges of Older Informal Caregivers Living With HIV in the U.S. Deep South: A Qualitative Study.","authors":"Yookyong Lee, David E Vance, D Scott Batey","doi":"10.1097/JNC.0000000000000484","DOIUrl":"10.1097/JNC.0000000000000484","url":null,"abstract":"Abstract: As people with HIV live longer and healthier, it has become more likely that they will assume a caregiver role for their families and/or friends. Yet, there is a significant gap in the literature that older caregivers with HIV (OCWH) have not received attention from practitioners and researchers. To fill the gap, our qualitative study was conducted with OCWH ( N = 19) to explore various themes such as adjustment to caregiving, caregiving responsibilities, HIV and other health issues, support systems, caregiving outcomes, needs assessment, cognitive health, and the impact of COVID-19. Results indicated that each OCWH faced their own unique challenges (e.g., severity of health conditions, intense caregiving responsibilities, caregiving situation, lack of social support/transportation/financial means), but they expressed positive and fulfilling caregiving outcomes. Understanding the lived experiences of OCWH is requisite to develop holistic service programs to meet their caregiving needs while supporting their HIV health and co-occurring health conditions.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977104","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

Marriage and Fertility Desire and Associated Factors Among Unmarried People Living With HIV in Jinan, China: A Cross-Sectional Study. 中国济南未婚艾滋病病毒感染者的婚育意愿及相关因素。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-09-01 Epub Date: 2024-08-13 DOI: 10.1097/JNC.0000000000000487

Yong Yu, Jiahong Li, Keke Qin, Fuqun Xiao, Huiling Cai

引用次数: 0

Provider Factors Likely to Impact Access and Uptake of Long-Acting Injectable Cabotegravir for Transgender Women in the United States: Results of a Qualitative Study. 可能影响变性女性获得和接受长效注射卡博特拉韦的提供者因素：定性研究结果。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-09-01 Epub Date: 2024-08-13 DOI: 10.1097/JNC.0000000000000488

Christine Tagliaferri Rael, Doyel Das, Jonathan Porter, Javier Lopez-Ríos, Elena Abascal, Curtis Dolezal, Michael P Vaughn, Pilar Giffenig, Jasmine M Lopez, Samantha Stonbraker, Christina Sun, Roque Anthony Velasco, Leandra Bitterfeld, Walter O Bockting, Jose Bauermeister

{"title":"Provider Factors Likely to Impact Access and Uptake of Long-Acting Injectable Cabotegravir for Transgender Women in the United States: Results of a Qualitative Study.","authors":"Christine Tagliaferri Rael, Doyel Das, Jonathan Porter, Javier Lopez-Ríos, Elena Abascal, Curtis Dolezal, Michael P Vaughn, Pilar Giffenig, Jasmine M Lopez, Samantha Stonbraker, Christina Sun, Roque Anthony Velasco, Leandra Bitterfeld, Walter O Bockting, Jose Bauermeister","doi":"10.1097/JNC.0000000000000488","DOIUrl":"10.1097/JNC.0000000000000488","url":null,"abstract":"Abstract: Long-acting injectable cabotegravir (CAB-LA) was US Food and Drug Administration-approved in 2021. However, little is known about providers' CAB-LA knowledge, attitudes, challenges, and prescribing preferences for transgender women patients. Understanding this is critical to developing new pre-exposure prophylaxis (PrEP) interventions tailored to transgender women. We conducted 45-min, in-depth Zoom interviews (IDIs) with United States-based health care providers who prescribe PrEP to transgender women. IDIs focused on providers' CAB-LA knowledge/acceptability, willingness to prescribe CAB-LA to transgender women, potential challenges, and solutions to mitigate challenges. Providers ( N = 17) had a mean age of 43 years, and 35.4% ( n = 6) identified as people of color. Most ( n = 12) had basic knowledge of CAB-LA but wanted additional training. All participants found CAB-LA acceptable and were willing to prescribe. Most ( n = 11) anticipated minimal challenges to implementation. Others ( n = 4) reported potential issues, including logistical/scheduling concerns that impede CAB-LA integration and staffing concerns. Many providers expressed support for self-injection ( n = 13) and injections at \"drop-in\" clinics ( n = 8) to overcome challenges.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11361836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977105","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