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

{"title":"Impact of Food Insecurity and Undernutrition on Frailty and Physical Functioning in Aging People With HIV in the United States.","authors":"Christine Horvat Davey, Brianna Navis, Allison R Webel, Catherine Jankowski, Vitor H F Oliveira, Vincent Khuu, Paul F Cook, Kristine M Erlandson","doi":"10.1097/JNC.0000000000000395","DOIUrl":"10.1097/JNC.0000000000000395","url":null,"abstract":"<p><strong>Abstract: </strong>We conducted an observational cross-sectional study to explore whether food insecurity or undernutrition was associated with frailty or low physical functioning in aging persons with HIV (PWH). Forty-eight PWH aged 50 years and older were enrolled. Independent samples t -tests and chi-square tests were used to examine the relationship of food insecurity or undernutrition to frailty or physical function. Participants were 58.6 (±6.3) years old, 83% male, 77% White, 21% Hispanic. In total, 44% experienced food insecurity and 71% experienced undernutrition, whereas 23% were frail and 69% were prefrail. Food insecurity was associated with impaired total short physical performance battery score ( p = .02), impaired balance ( p = .02), slower chair rise time ( p = .03), and weight loss within 12 months ( p = .05). Undernutrition was related to female gender ( p = .01), worse frailty ( p = .04), and weaker grip strength ( p = .03). In this sample of undernourished and frail PWH, strong relationships between undernutrition and frailty were observed.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":"34 3","pages":"238-247"},"PeriodicalIF":2.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10159892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10392447","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}

{"title":"Exploring the All of Us Database: An Invitation to Nurse Scientists and Public Health Researchers.","authors":"Carole Treston","doi":"10.1097/JNC.0000000000000405","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000405","url":null,"abstract":"","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":"34 3","pages":"325-326"},"PeriodicalIF":2.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9573542","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}

{"title":"What Factors Are Associated With Willingness to Use HIV Pre-exposure Prophylaxis (PrEP) Among U.S. Men Who Have Sex With Men Not on PrEP? A Systematic Review and Meta-analysis.","authors":"Emiko Kamitani,&nbsp;Megan E Wichser,&nbsp;Yuko Mizuno,&nbsp;Julia B DeLuca,&nbsp;Darrel H Higa","doi":"10.1097/JNC.0000000000000384","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000384","url":null,"abstract":"<p><strong>Abstract: </strong>Pre-exposure prophylaxis (PrEP), an antiretroviral medication to prevent HIV, is becoming more widely available in the United States since the Federal Drug Administration approved it in 2012. However, PrEP use among men who have sex with men (MSM) is still limited and many MSM who are willing to take PrEP are not on PrEP. We performed a systematic review to identify factors associated with willingness to use PrEP among MSM who are not on PrEP. The majority of the 23 relevant studies had low risk of bias and used a cross-sectional design. Willingness was associated with being Hispanic/Latino (odds ratio [OR] = 1.68, 95% confidence interval [CI] [1.01-2.78]), Black (OR = 1.41, 95% CI [1.02-1.95]), younger (OR = 1.08, 95% CI [1.02-1.15]), having no college degree (OR = 1.37, 95% CI [1.12-1.59]), or low income (OR = 1.21, 95% CI [1.12-1.32]). A higher proportion of MSM who had recent condomless anal sex (OR = 1.85, 95% CI [1.49-2.29]) were diagnosed with sexually transmitted infection (OR = 1.60, 95% CI [1.27-2.01]), or MSM who had multiple sex partners (OR = 1.58, 95% CI [1.07-2.32]) were more willing to use PrEP compared with their respective counterparts. Findings suggest that MSM with racial/ethnic minority status, low-socioeconomic status, younger age, and engagement in HIV risk behaviors are willing to take PrEP but may lack access. Study limitations include the inability to conduct meta-analyses on certain predictor variables due to a small number of studies. This review identified MSM subpopulations who may benefit from interventions increasing PrEP access.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":"34 2","pages":"135-145"},"PeriodicalIF":2.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10184317/pdf/nihms-1892318.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10016481","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}

{"title":"Injectable Long-Acting Cabotegravir-Rilpivirine Therapy for People Living With HIV/AIDS: Addressing Implementation Barriers From the Start.","authors":"Rogério M Pinto, Evan Hall, Ryan Tomlin","doi":"10.1097/JNC.0000000000000386","DOIUrl":"10.1097/JNC.0000000000000386","url":null,"abstract":"<p><strong>Abstract: </strong>Injectable cabotegravir and rilpivirine (CAB/RPV), administered bimonthly by a medical provider, is convenient and improves privacy and medication management. One year after approval, myriad implementation barriers threaten the access and sustainability of this life-saving innovation: (1) eligibility issues (viral suppression, drug resistance, and failed oral regimens); (2) injection requires medical provider and transportation to facility; (3) strict medication adherence; (4) life challenges-mental health, homelessness, joblessness; and (5) lack of insurance and high cost. Universal implementation of CAB/RPV calls for social, human, and health organizations to partner and provide HIV continuum of care and prevention services to facilitate CAB/RPV access and maintenance and for transparent health insurance billing practices to abate uncertainty concerning CAB/RPV's classification as a pharmaceutical or medical benefit and related cost implications.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":"34 2","pages":"216-220"},"PeriodicalIF":2.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ec/e0/jnc-34-216.PMC9951790.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10017244","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}

{"title":"Cardiometabolic Diseases and Quality-of-Life Outcomes in Adults With HIV in the Deep South: A Cross-sectional Study.","authors":"Ene M Enogela, Raymond Jones, Thomas W Buford, David E Vance, Pariya L Fazeli","doi":"10.1097/JNC.0000000000000387","DOIUrl":"10.1097/JNC.0000000000000387","url":null,"abstract":"<p><strong>Abstract: </strong>The role of cardiometabolic diseases (CMDs) on physical health-related quality of life (P-HRQoL) and quality of sleep was examined among 261 PLWH ≥40 years, recruited from a university-affiliated HIV clinic in the Deep U.S. South. Using a cross-sectional study design, participants completed the Medical Outcomes Study HIV Health Survey (MOS-HIV; P-HRQoL) and Pittsburgh Sleep Quality Index. The overall prevalence of self-reporting ≥1 CMD was 64.4%. P-HRQoL scores were lower in PLWH with ≥1 CMD compared with those with no CMDs (45.53 ± 11.54 vs. 49.67 ± 10.77, p <.01). Poor sleep quality was higher among participants with ≥1 CMD compared with those with no CMDs (9.28 ± 4.42 vs. 7.26 ± 4.17, p <.01). Each additional CMD resulted in a 1.83-point decrease in P-HRQoL and 0.74-point increase in poor sleep quality scores. Interventions that focus on targeting these quality-of-life domains in PLWH with CMDs are needed.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":"34 2","pages":"171-181"},"PeriodicalIF":1.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10391965","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}

{"title":"HIV Continuum of Care Among People Who Inject Drugs in Iran: A Cross-sectional Study.","authors":"Nima Ghalekhani,&nbsp;Ali Mirzazadeh,&nbsp;Fatemeh Tavakoli,&nbsp;Ghazal Mousavian,&nbsp;Mehrdad Khezri,&nbsp;Omid Zamani,&nbsp;Soheil Mehmandoost,&nbsp;Ali Akbar Haghdoost,&nbsp;Hamid Sharifi","doi":"10.1097/JNC.0000000000000391","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000391","url":null,"abstract":"<p><strong>Abstract: </strong>People living with HIV who inject drugs may have lower access to treatment services. We aimed to assess the HIV continuum of care among people who inject drugs (PWID) in Iran. Data were collected from 2,663 PWID who were recruited via respondent-driven sampling from 11 cities of Iran between June 2019 and March 2020. Participants who tested positive for HIV infection were asked questions to calculate the status of HIV cascade of care. Of 95 PWID living with HIV, 67% were aware of their HIV status, 57% were linked to care service and initiated ART, 49% retained on ART, and only 15% had viral load less than 1,000 copies/ml. About half of the PWID diagnosed with HIV ever started ART and less than one in six were virally suppressed. Strategies to improve linkage to ART programs and ART retention may improve HIV care outcomes among PWID in Iran.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":"34 2","pages":"182-187"},"PeriodicalIF":2.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10017260","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}

{"title":"ANAC Policy Agenda 2022-2025.","authors":"Carole Treston","doi":"10.1097/JNC.0000000000000393","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000393","url":null,"abstract":"","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":"34 2","pages":"221-222"},"PeriodicalIF":2.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10392446","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}

{"title":"A Pilot Study Examining a Culture-centric Story to Promote HIV Testing in African American Women in the South.","authors":"Alyssa G Robillard,&nbsp;Jamie Troutman,&nbsp;Chelsea Perry,&nbsp;Linda Larkey","doi":"10.1097/JNC.0000000000000390","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000390","url":null,"abstract":"Like many health conditions that disproportionately affect Blackwomen,HIV is one that highlights health inequalities for Black women that persist despite overall improvements in women’s health (Chinn et al., 2021). Despite advances in treatment and prevention, Black women remain disproportionately overrepresented in HIV incidence amongwomen, comprising 54%of newly diagnosed cases in 2020 (CDC, 2022). The prevalence of HIV is highest in the South (CDC, 2022), yetHIV stigma, racial discrimination, poverty, limited access to quality care, and gender inequity perpetuate inequalities and negatively affect HIV prevention, care, and treatment. These social andstructural inequitieshavebeenhampered further by inconsistent efforts to prioritize Black women in the HIV response over the course of the epidemic despite consistent disparities (Bond et al., 2021; Holliday, et al., in press). The disproportionate rates of new infection, and the bold plan of ending the HIV epidemic (Department of Health and Human Services, 2022), warrant continued efforts around “treatment as prevention” as well as efforts targeting the very first stage of the HIV care continuum: diagnosis through increased testing. Populationlevel increases in testing mask less than ideal testing patterns in groups at increased risk for contracting HIV, including Black women (Hall et al., 2015; Kapadia & Landers, 2020). In a nationally representative sample, 67.8% of heterosexual Black women reported “ever” having been tested (Agenor et al., 2019). However, lifetime testingdoesnot account for testing in thepast year or testing among those at “recent” risk. A study examining themedian interval since last testing for peoplewith recent risk found 1,047 and 534 days for women and Black respondents, respectively (Pitasi et al., 2018), offering evidenceof delayed testing that has implications for delayed diagnosis and treatment. An analysis of CDC’s National Health Interview Survey reported that only 21%of Blackwomenwere tested in 2017 comparedwith 6% of White women (Kaiser Family Foundation, 2020). The National Survey on HIV in the Black Community (NSHBC) found annual testing to be 40%amongwomen (Ojikutu et al., 2020), and the COVID-19 pandemic has led to further declines in testing (CDC, 2022). The NSHBC found that higher perceived risk was associated with higher testing. However, a study of younger Black women aged 18–29 years found that neither high-risk sex nor “high-risk”male partners were associated with HIV testing (Jones et al., 2020). Although Black women may be more likely to be tested compared with other groups, these findings are indicative of testing inconsistencies and gaps in prevention and perceived risk. The “test and treat” strategy has implications for diagnosis and linkage to care, as well as prevention among people at increased risk for contracting HIV. Increased, focused testing can serve as a gateway to pre-exposure prophylaxis (PrEP), a proven biomedical strategy to prevent HIV","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":"34 2","pages":"207-215"},"PeriodicalIF":2.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10370902","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}

{"title":"Experiences of Mothers Living With HIV in a South African Prevention of Mother-to-Child Transmission of HIV Programme: A Qualitative Descriptive Study.","authors":"Linda Velapi,&nbsp;Pat M Mayers,&nbsp;Jose Frantz","doi":"10.1097/JNC.0000000000000372","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000372","url":null,"abstract":"<p><strong>Abstract: </strong>More than 90% of all HIV infections in children result from mother to child transmission. Elimination of mother-child transmission is a global priority and vital for the improvement of child survival in high-burden, limited resource settings. Retention in HIV care is vital to reduce transmission risk. This qualitative study explored the experiences and adherence challenges of mothers living with HIV of the Prevention of Mother-to-Child Transmission of HIV (PMTCT) programme in Khayelitsha, Cape Town, South Africa. Interviews were conducted with purposively selected participants enrolled in a PMTCT programme at a primary care facility. Thematic analysis generated six themes. Findings demonstrate the complexity of living as a woman with HIV in a socioeconomically disadvantaged and marginalized periurban community. For each woman, there is a set of concerns relating to person, home, community, and clinic which may affect her understanding, acceptance of, and adherence to the PMTCT programme.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":"34 2","pages":"188-197"},"PeriodicalIF":2.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10007599","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}

{"title":"Open Access Publishing and Global HIV Nursing-An Issue of Access and Equity!","authors":"Michael V Relf","doi":"10.1097/JNC.0000000000000396","DOIUrl":"10.1097/JNC.0000000000000396","url":null,"abstract":"","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":"34 2","pages":"133-134"},"PeriodicalIF":2.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10016513","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}