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

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Pre-exposure Prophylaxis: Clinical Considerations for Overcoming Barriers to Uptake and Persistence.
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-04-08 DOI: 10.1097/JNC.0000000000000549
Nate Albright, Adam Leonard, Alanna J Bergman
{"title":"Pre-exposure Prophylaxis: Clinical Considerations for Overcoming Barriers to Uptake and Persistence.","authors":"Nate Albright, Adam Leonard, Alanna J Bergman","doi":"10.1097/JNC.0000000000000549","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000549","url":null,"abstract":"<p><strong>Abstract: </strong>Pre-exposure prophylaxis (PrEP) is the administration of antiretroviral medications before HIV exposure to prevent HIV infection. PrEP or biomedical prevention is an essential part of the ending the HIV epidemic strategy. Currently, there are 4 guideline-approved dosing approaches to PrEP, which include 2 oral formulations and 1 long-acting injectable. Unfortunately, most individuals who would benefit from PrEP do not receive a prescription, and even fewer initiate and continue PrEP. Barriers to PrEP uptake and persistence are complex and extend along a socio-ecologic framework from individual through structural. In this article, we highlight the barriers to PrEP care among priority populations, discuss evidence-based solutions, and offer multilevel considerations for clinicians, researchers, and community members to increase access, uptake, and persistence in PrEP care for all.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804220","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
"Taking Charge and Being Responsible": A Qualitative Study of Meaning Making and Motivations for PrEP Adherence Among Gay, Bisexual, and Other Sexual Minoritized Men Engaged in Alcohol Misuse in Kentucky.
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-04-08 DOI: 10.1097/JNC.0000000000000541
Lesley M Harris, Blake D Skidmore, Nqobile Nzama, Mifleh Al Araydeh, Jelani C Kerr, Martin T Hall, Andrea Reyes-Vega, Harideep Samanapally, Asmaa Bkhet, Smita Ghare, Shirish Barve
{"title":"\"Taking Charge and Being Responsible\": A Qualitative Study of Meaning Making and Motivations for PrEP Adherence Among Gay, Bisexual, and Other Sexual Minoritized Men Engaged in Alcohol Misuse in Kentucky.","authors":"Lesley M Harris, Blake D Skidmore, Nqobile Nzama, Mifleh Al Araydeh, Jelani C Kerr, Martin T Hall, Andrea Reyes-Vega, Harideep Samanapally, Asmaa Bkhet, Smita Ghare, Shirish Barve","doi":"10.1097/JNC.0000000000000541","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000541","url":null,"abstract":"<p><strong>Abstract: </strong>Our qualitative study explores meaning making and motivation for preexposure prophylaxis (PrEP) adherence and engagement among gay, bisexual, and other sexual minoritized men (GBSMM) who misuse alcohol. Nineteen interviews with 10 participants who screened positive for harmful alcohol consumption (Alcohol Use Disorders Identification Test scores > 8) indicated that PrEP meaning making contributes to mental well-being, serving as a stabilizing ritual. Motivation for engagement included a commitment to proactive health management and personal and community safety. In the analysis, meaning making and motivation converged through themes of (a) identity affirmation, (b) accountability for self-care, (c) peace of mind, and (d) agency. Complementary themes included relationship dynamics and strategies for adherence. Participants' alcohol use was also explored, examining its intersections with the themes and understandings of PrEP and social well-being. Recommendations include integrating motivational enhancements into the care continuum to increase PrEP adherence and engagement with clinical care and community support among patients misusing alcohol.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803945","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
Leadership Succession Planning at the Association of Nurses in AIDS Care.
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-04-08 DOI: 10.1097/JNC.0000000000000548
Mitchell Wharton, Carole Treston
{"title":"Leadership Succession Planning at the Association of Nurses in AIDS Care.","authors":"Mitchell Wharton, Carole Treston","doi":"10.1097/JNC.0000000000000548","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000548","url":null,"abstract":"","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804219","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
Is the Science of PrEP a Public Good?
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-04-02 DOI: 10.1097/JNC.0000000000000550
Allison R Webel
{"title":"Is the Science of PrEP a Public Good?","authors":"Allison R Webel","doi":"10.1097/JNC.0000000000000550","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000550","url":null,"abstract":"","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774644","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
Call for Papers: Ethical, Social, and Political Issues in HIV Prevention, Care, and Treatment.
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-03-27 DOI: 10.1097/JNC.0000000000000544
{"title":"Call for Papers: Ethical, Social, and Political Issues in HIV Prevention, Care, and Treatment.","authors":"","doi":"10.1097/JNC.0000000000000544","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000544","url":null,"abstract":"","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722444","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 Prevention Interventions and Research in the Philippines for High-Risk Populations: Proposals From a Scoping Review of Contributing Factors.
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-03-26 DOI: 10.1097/JNC.0000000000000539
James Montegrico, Jungmin Lee, Jezyl C Cutamora, Janet Alexis A De Los Santos
{"title":"HIV Prevention Interventions and Research in the Philippines for High-Risk Populations: Proposals From a Scoping Review of Contributing Factors.","authors":"James Montegrico, Jungmin Lee, Jezyl C Cutamora, Janet Alexis A De Los Santos","doi":"10.1097/JNC.0000000000000539","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000539","url":null,"abstract":"<p><strong>Abstract: </strong>Despite a global decrease in HIV cases and efforts to reduce HIV incidence in the country, the Philippines has an increasing HIV incidence rate, which is the highest in the Asia-Pacific region. A multiplicity of factors is driving the HIV epidemic in the Philippines. Our scoping review aims to describe the current literature about factors influencing the Philippine HIV landscape. The available literature shows that individual, sociocultural, environmental, educational, environmental, and biological factors fueled the HIV epidemic in the Philippines. Specifically, low levels of HIV knowledge, low testing rates, high-risk sex behaviors, stigma, lifestyle, location, lack of HIV education in schools, conservative society, and restrictive policies are contributing factors. Our findings provide direction for designing comprehensive targeted interventions, increasing public awareness, advocating for policy formulation, and developing a dedicated HIV research program to guide HIV preventive programs and research in the country.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732807","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
Efficacy Testing of a Culturally Relevant Stigma Reduction Intervention for Women Living With HIV in Tanzania: Protocol for a Randomized Controlled Trial.
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-03-26 DOI: 10.1097/JNC.0000000000000538
Laura Nyblade, Mrema N Kilonzo, Diana H Kisamo, Rachel J Mtei, Wei Pan, Michael V Relf
{"title":"Efficacy Testing of a Culturally Relevant Stigma Reduction Intervention for Women Living With HIV in Tanzania: Protocol for a Randomized Controlled Trial.","authors":"Laura Nyblade, Mrema N Kilonzo, Diana H Kisamo, Rachel J Mtei, Wei Pan, Michael V Relf","doi":"10.1097/JNC.0000000000000538","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000538","url":null,"abstract":"<p><strong>Abstract: </strong>HIV-related stigma impedes HIV prevention and treatment and affects the health and quality of life of people living with HIV. Evidence-based internalized stigma reduction interventions are an identified gap in the response to HIV stigma. Our protocol article describes the methods and procedures for a randomized controlled trial in Tanzania to test the preliminary efficacy of the Labda Siku Moja (Maybe Someday) internalized stigma reduction intervention for women living with HIV on the proximal outcomes of internalized stigma, coping self-efficacy, self-esteem, and resilience, which we hypothesize are the mechanisms of change through which the intervention would work to improve distal clinical and behavioral outcomes. In addition, our study will provide data on implementation feasibility. If this preliminary efficacy trial demonstrates intervention effect on the proximal outcomes, it will signal that a larger trial testing the effect on downstream distal clinical and behavioral outcomes is warranted. Our study will add to the nascent literature on rigorously evaluated internalized HIV stigma interventions.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732805","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
Implementation and Overall Impressions of a PrEP Bootcamp for Health Care Professional Learners in the Southern United States Designed to Highlight Active Learning, Interdisciplinary Collaboration, and Simulation: A Qualitative Study.
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-03-26 DOI: 10.1097/JNC.0000000000000543
Crystal Walker, Drew Armstrong, Jamie Pitt, Nathan A Summers, London Spears, Shannon Han, Samuel Scruggs, Janeane N Anderson, Tyler M Kiles, L Alexia Williams, Alina Cernasev
{"title":"Implementation and Overall Impressions of a PrEP Bootcamp for Health Care Professional Learners in the Southern United States Designed to Highlight Active Learning, Interdisciplinary Collaboration, and Simulation: A Qualitative Study.","authors":"Crystal Walker, Drew Armstrong, Jamie Pitt, Nathan A Summers, London Spears, Shannon Han, Samuel Scruggs, Janeane N Anderson, Tyler M Kiles, L Alexia Williams, Alina Cernasev","doi":"10.1097/JNC.0000000000000543","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000543","url":null,"abstract":"<p><strong>Abstract: </strong>Educational initiatives related to improving pre-exposure prophylaxis (PrEP) knowledge, confidence, comfort, and awareness remain a priority for those who can prescribe and manage PrEP. An interdisciplinary PrEP bootcamp was designed and implemented for health care professional students and included PrEP basics, epistemic justice, patient-clinician communication, and social determinants of health. A constructivist educational approach was used as students implemented new PrEP knowledge and skills when interacting with a simulated patient. Three bootcamps were piloted on a health science center campus January 2023-May 2024, and 28 students participated in post-bootcamp focus groups. Students reported enhanced knowledge, comfort, and confidence, and they appreciated engagement through active learning and interdisciplinary collaboration. As studies continue to show a lack of PrEP education in health care training programs, future researchers and educators should build on the promising structure of this bootcamp and continue to meet the needs of students and communities being served.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732811","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
Hope for the Future: Key Informants' Perspectives on HIV Prevention in Dominican Republic Batey Communities: A Qualitative Description Study.
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-03-26 DOI: 10.1097/JNC.0000000000000537
Alaina Filiau, Jean Boucher, Michele Pugnaire, Tara Casimir
{"title":"Hope for the Future: Key Informants' Perspectives on HIV Prevention in Dominican Republic Batey Communities: A Qualitative Description Study.","authors":"Alaina Filiau, Jean Boucher, Michele Pugnaire, Tara Casimir","doi":"10.1097/JNC.0000000000000537","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000537","url":null,"abstract":"<p><strong>Abstract: </strong>The purpose of our study was to understand the interlocking spheres of cultural identity and health behaviors related to HIV prevention within Haitian migrant batey communities in La Romana, Dominican Republic. A qualitative description design was employed using the PEN-3 model by Airhihenbuwa (1990) as a theoretical framework. Data were collected through semi-structured interviews with 12 key informants. Participants, primarily adults of Hispanic (10) and African descent (2), ranged from 33 to 53 years old, with a majority having high school or higher education. A central theme, \"Hope for the Future,\" emerged, highlighting five subthemes: stigma/discrimination, religious beliefs, voodoo tenets, community nurturers, and HIV education. Findings emphasized the need for a multifaceted approach using community health workers and incorporating local cultural contexts, including religious beliefs and stigma, to enhance HIV prevention efforts. Cultural identity of Haitian migrant batey communities included religious beliefs, stigma, and cultural practices as considerations in HIV prevention interventions.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732809","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 Call to Action: Nursing Leadership in HIV Prevention Through Equitable PrEP Access.
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-03-18 DOI: 10.1097/JNC.0000000000000542
Jenn Sobolik, Justin Alves, Nina Sublette, Nathaniel Albright
{"title":"A Call to Action: Nursing Leadership in HIV Prevention Through Equitable PrEP Access.","authors":"Jenn Sobolik, Justin Alves, Nina Sublette, Nathaniel Albright","doi":"10.1097/JNC.0000000000000542","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000542","url":null,"abstract":"<p><strong>Abstract: </strong>Pre-exposure prophylaxis (PrEP) has been an essential tool in our progress to End the HIV Epidemic. Nurses continue to be essential to the education, provisioning and advocacy for continued use of and accessibility of PrEP. ANAC aligns with the science and supports continued biomedical innovation, swift implementation, and equitable access. ANAC also presses our policymakers to support expnded access to this life saving medication.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659519","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
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