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

Experiences of Young Women Living in Kibra, Kenya, on HIV Risk and Sexual Violence: A Descriptive Study. 生活在肯尼亚基布拉的年轻妇女在艾滋病毒风险和性暴力方面的经历：一项描述性研究。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-05-14 DOI: 10.1097/JNC.0000000000000560

Florine Ndakuya-Fitzgerald, Anne E Dressel, Lucy Mkandawire-Valhmu, Bernard Langat, Emmanuel Ngui, Tavonna D Kako, Charles Nzioka, Peninnah M Kako

{"title":"Experiences of Young Women Living in Kibra, Kenya, on HIV Risk and Sexual Violence: A Descriptive Study.","authors":"Florine Ndakuya-Fitzgerald, Anne E Dressel, Lucy Mkandawire-Valhmu, Bernard Langat, Emmanuel Ngui, Tavonna D Kako, Charles Nzioka, Peninnah M Kako","doi":"10.1097/JNC.0000000000000560","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000560","url":null,"abstract":"Abstract: Before the COVID-19 pandemic, Kenya had seen a significant decline in new HIV infections among most age groups except for young people aged 15-24 years. Young women residing in urban areas are significantly affected by gender-based violence. Guided by the theory of gender and power and postcolonial theory, our descriptive qualitative study sought to understand young women's experiences with HIV risk and the impact of sexual violence before the COVID-19 pandemic. We conducted individual and focus group interviews with 73 young women residing in Kibra, Kenya. Using thematic analysis, interviews were recorded, transcribed, and coded. We identified six themes: financial insecurity, drug use, peer pressure, fear of condom use, physical environment, and disco matanga traditions. Findings revealed structural factors such as poverty and gender norms affect young women. Strategies for HIV risk prevention focused on young women in Kenya should include efforts for protecting young women from sexual violence.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056925","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

"I'm So Passive, Every Visit Is a Challenge": Stigma Experienced by Older People Living With HIV During Follow-up Health Care Visits in Wuxi, China-A Qualitative Study. “我很被动，每次就诊都是挑战”：无锡市老年艾滋病病毒感染者随访期间的耻辱感——一项定性研究

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-05-14 DOI: 10.1097/JNC.0000000000000557

Jiaxin Hao, Limei Feng, Dan Zhang, Judi Chen

引用次数: 0

Development of a Locator Tool and Protocol to Support People Living With HIV in Baltimore: A Quality Improvement Project. 开发定位工具和协议，以支持巴尔的摩的艾滋病毒感染者：一个质量改进项目。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-05-14 DOI: 10.1097/JNC.0000000000000562

Katherine Scott, Marik Moen, Marg Hammersla, Megan Doede

引用次数: 0

"They Want to Take Care of Themselves to Take Care of Their Kids": Provider Focus Group Perspectives of Stress and Resilience in Parents Living With HIV and Their Children in the Southeast United States. “他们想照顾自己照顾孩子”：美国东南部艾滋病毒感染者父母及其子女的压力和恢复力的提供者焦点小组观点。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-05-07 DOI: 10.1097/JNC.0000000000000556

Nada M Goodrum, Julie K Nguyen, Aaron O'Brien, Shambreka Livingston, Angela D Moreland

{"title":"\"They Want to Take Care of Themselves to Take Care of Their Kids\": Provider Focus Group Perspectives of Stress and Resilience in Parents Living With HIV and Their Children in the Southeast United States.","authors":"Nada M Goodrum, Julie K Nguyen, Aaron O'Brien, Shambreka Livingston, Angela D Moreland","doi":"10.1097/JNC.0000000000000556","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000556","url":null,"abstract":"Abstract: Parents living with HIV (PLWH) are often affected by co-occurring trauma, substance use, and mental health concerns. These complex challenges may contribute to intergenerational transmission of health risk, yet few studies have examined how these challenges affect family well-being in HIV-affected families. HIV care providers' insights can inform prevention efforts. Our study used qualitative focus group methods in two Southeast US cities to explore providers' perceptions of PLWH's challenges navigating parenting and HIV-related concerns and strengths supporting positive adaptation. Six themes emerged: PLWH's challenges; strengths; COVID-19 impacts; impact of trauma, mental health, and substance use; supports needed; and engagement strategies. Providers highlighted trade-offs between parents' self-care and parenting and that parents often draw strength from their children. Challenges identified were both common to parenting and unique to living with HIV. Results underscore the need for multilevel prevention, including addressing basic needs; integration of mental health and medical services; and increased family services.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023060","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 Multiple Source Qualitative Case Study of Person-Centered Care in HIV Care Delivered to Adults Living With HIV by Chile's Public Health Care System. 以人为本的多源定性案例研究在艾滋病毒护理提供给成人艾滋病毒感染者的智利公共卫生保健系统。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-05-07 DOI: 10.1097/JNC.0000000000000555

María Vergara, Paulina Bravo

{"title":"A Multiple Source Qualitative Case Study of Person-Centered Care in HIV Care Delivered to Adults Living With HIV by Chile's Public Health Care System.","authors":"María Vergara, Paulina Bravo","doi":"10.1097/JNC.0000000000000555","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000555","url":null,"abstract":"Abstract: In Chile, little research exists depicting how a person-centered care (PCC) model is translated into clinical practice. A multiple-source qualitative case study design was used to analyze which elements of PCC are implemented in care for people living with HIV (PLWH). Data collection included documentary analysis of national governance documents and semi-structured interviews conducted within two public hospitals in Chile with health care providers (HCPs) and PLWH. Data analysis identified five key elements PCC used in HIV clinical practice in Chile. Participants and governance documents highlighted \"access to care\" as a key element in PCC care. \"Patient safety\" was highly represented in governance documents. For HCPs and PLWH, \"essential characteristics of HCPs\" and \"trusting relationship\" were the main elements in HIV care. Simultaneously, \"access to care,\" \"essential characteristics of HCP,\" \"adequate communication,\" and \"patient safety\" have a considerable margin of improvement. Challenges associated with fitting HIV as a chronic condition persist.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030722","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

Influences of Gender-Based Stigma on HIV Prevention and Care Among Older Women: A Scoping Review. 基于性别的污名对老年妇女艾滋病毒预防和护理的影响：范围综述

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-05-02 DOI: 10.1097/JNC.0000000000000551

Thi Vu, Jasmine A Manalel, Shivesh Shourya, Bryce Takenaka, Joan K Monin

{"title":"Influences of Gender-Based Stigma on HIV Prevention and Care Among Older Women: A Scoping Review.","authors":"Thi Vu, Jasmine A Manalel, Shivesh Shourya, Bryce Takenaka, Joan K Monin","doi":"10.1097/JNC.0000000000000551","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000551","url":null,"abstract":"Abstract: Older women living with HIV are uniquely situated at multiple marginalized intersections because of their gender, age, and HIV status. However, research into how gender-based stigma (GBS) affects HIV prevention and care for older women is sparse. We conducted a scoping review to explore the relationship between GBS and HIV-related psychosocial, behavioral, and well-being outcomes among older women. Our systematic search yielded 25 articles describing 22 unique studies. We identified five main themes highlighting how GBS exists at individual, interpersonal, and societal levels to adversely affect HIV prevention and treatment among older women: (a) relationship power, safe sex practices, and intimate partner violence; (b) stigma, discrimination, and harmful stereotypes; (c) quality of care; (d) caregiving roles and responsibilities; and (e) psychological and physiological manifestations. Outstanding questions remain on best methods for measuring and conceptualizing GBS in HIV research and ways to translate research findings to public health practice.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006530","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 Meta-Analysis of Prevalence and Moderating Factors of Malnutrition Among People Living With HIV Across Countries. 各国艾滋病病毒感染者营养不良患病率及调节因素荟萃分析。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-05-02 DOI: 10.1097/JNC.0000000000000547

Tintin Sukartini, Hidayat Arifin, Arina Qona'ah, Herdina Mariyanti, Christina Yeni Kustanti, Kuei-Ru Chou, Trihaningsih Puji Astuti, Dluha Mafula, Muhammad Fikri Alfaruq, Alfiani Rahmi Putri, Kondwani Joseph Banda

{"title":"A Meta-Analysis of Prevalence and Moderating Factors of Malnutrition Among People Living With HIV Across Countries.","authors":"Tintin Sukartini, Hidayat Arifin, Arina Qona'ah, Herdina Mariyanti, Christina Yeni Kustanti, Kuei-Ru Chou, Trihaningsih Puji Astuti, Dluha Mafula, Muhammad Fikri Alfaruq, Alfiani Rahmi Putri, Kondwani Joseph Banda","doi":"10.1097/JNC.0000000000000547","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000547","url":null,"abstract":"Abstract: Malnutrition is a critical issue for people living with HIV (PLWH), affecting their immune function, health outcomes, and response to antiretroviral therapy. This meta-analysis assessed the prevalence of malnutrition among PLWH and explored key moderating factors across countries. A systematic search of six databases-Cumulative Index to Nursing and Allied Health Literature, Embase, ProQuest, PubMed, Scopus, and Web of Science, included 103 studies involving 240,879 PLWH. The pooled prevalence of malnutrition was 16.6% (95% confidence interval = 14.1-19.5). Subgroup analysis revealed higher prevalence in Southeast Asia (31.1%), PLWH with primary education (37.7%), those on antiretroviral therapy for over a year (51.7%), and World Health Organization Stage 3 (36.4%). Meta-regression identified alcohol consumption, smoking, hepatitis, and tuberculosis as significant moderators. The prevalence of malnutrition among PLWH is substantial, with several moderating factors identified. Addressing malnutrition among PLWH requires routine nutritional assessments and targeted interventions to improve health outcomes and quality of life for PLWH globally.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042738","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

Pre-exposure Prophylaxis: Clinical Considerations for Overcoming Barriers to Uptake and Persistence. 暴露前预防：克服吸收和持久性障碍的临床考虑。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-05-01 Epub Date: 2025-04-08 DOI: 10.1097/JNC.0000000000000549

Nathaniel Albright, Adam Leonard, Alanna J Bergman

引用次数: 0

Identifying Health Services Preferences for a Community-Based HIV Status-Neutral Mobile Clinic Among Marginalized Populations in Oakland, CA: A Maximum-Difference Analysis. 在加利福尼亚州奥克兰边缘人群中确定社区艾滋病毒状态中立流动诊所的卫生服务偏好：最大差异分析。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-05-01 Epub Date: 2025-02-28 DOI: 10.1097/JNC.0000000000000530

Jose I Gutierrez, Elizabeth S Nguyen, Kristin D Soriano, Lidia Rodriguez Garcia, Albert Liu, Natalie L Wilson

{"title":"Identifying Health Services Preferences for a Community-Based HIV Status-Neutral Mobile Clinic Among Marginalized Populations in Oakland, CA: A Maximum-Difference Analysis.","authors":"Jose I Gutierrez, Elizabeth S Nguyen, Kristin D Soriano, Lidia Rodriguez Garcia, Albert Liu, Natalie L Wilson","doi":"10.1097/JNC.0000000000000530","DOIUrl":"10.1097/JNC.0000000000000530","url":null,"abstract":"Abstract: Leveraging patient preferences can improve patient satisfaction and engagement in intentional health services. We explored desired health services preferences of marginalized populations accessing HIV-related care engagement to inform the implementation of an HIV prevention and treatment mobile clinic model. We conducted a maximum-difference survey with 154 people at community events and homeless encampments in Oakland, CA. Participants ranked 32 items in differentials of importance on a tablet, which were analyzed with Hierarchical Bayesian modeling. Fourteen services were prioritized, including housing, mental health counseling and screening, drug overdose prevention, personal hygiene, and food assistance. Participants indicated preferences for services that address basic physiological and safety needs (i.e., housing services, food, personal hygiene supplies, drug overdose treatment, and mental health support and engagement), physical examinations, screenings, and medication refills. Incorporating community-informed preferences into the development of services may improve engagement in care alongside a syndemic approach toward ending the HIV epidemic.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":"215-226"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12021560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143527992","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

Preexposure Prophylaxis and Intimate Partner Violence Among Gay, Bisexual, and Other Men Who Have Sex With Men: A Global Scoping Review of the Literature. 同性恋、双性恋和其他男男性行为者的暴露前预防和亲密伴侣暴力：一项全球范围的文献综述。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-05-01 DOI: 10.1097/JNC.0000000000000552

引用次数: 0