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

{"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":null,"pages":null},"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":null,"pages":null},"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":"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":null,"pages":null},"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":"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":null,"pages":null},"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":"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":null,"pages":null},"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":null,"pages":null},"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}

{"title":"Validity Properties of a Self-reported Modified Frailty Phenotype Among People With HIV in Clinical Care in the United States.","authors":"Stephanie A Ruderman,&nbsp;Allison R Webel,&nbsp;Amanda L Willig,&nbsp;Lydia N Drumright,&nbsp;Annette L Fitzpatrick,&nbsp;Michelle C Odden,&nbsp;John D Cleveland,&nbsp;Greer Burkholder,&nbsp;Christine H Davey,&nbsp;Julia Fleming,&nbsp;Thomas W Buford,&nbsp;Raymond Jones,&nbsp;Robin M Nance,&nbsp;Bridget M Whitney,&nbsp;L Sarah Mixson,&nbsp;Andrew W Hahn,&nbsp;Kenneth H Mayer,&nbsp;Meredith Greene,&nbsp;Michael S Saag,&nbsp;Charles Kamen,&nbsp;Chintan Pandya,&nbsp;William B Lober,&nbsp;Mari M Kitahata,&nbsp;Paul K Crane,&nbsp;Heidi M Crane,&nbsp;Joseph A C Delaney","doi":"10.1097/JNC.0000000000000389","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000389","url":null,"abstract":"<p><strong>Abstract: </strong>Modifications to Fried's frailty phenotype (FFP) are common. We evaluated a self-reported modified frailty phenotype (Mod-FP) used among people with HIV (PWH). Among 522 PWH engaged in two longitudinal studies, we assessed validity of the four-item Mod-FP compared with the five-item FFP. We compared the phenotypes via receiver operator characteristic curves, agreement in classifying frailty, and criterion validity via association with having experienced falls. Mod-FP classified 8% of PWH as frail, whereas FFP classified 9%. The area under the receiver operator characteristic curve for Mod-FP classifying frailty was 0.93 (95% CI = 0.91-0.96). We observed kappa ranging from 0.64 (unweighted) to 0.75 (weighted) for categorizing frailty status. Both definitions found frailty associated with a greater odds of experiencing a fall; FFP estimated a slightly greater magnitude (i.e., OR) for the association than Mod-FP. The Mod-FP has good performance in measuring frailty among PWH and is reasonable to use when the gold standards of observed assessments (i.e., weakness and slowness) are not feasible.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10088432/pdf/nihms-1888739.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10370873","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":"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":"","doi":"10.1097/JNC.0000000000000397","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000397","url":null,"abstract":"","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9292892","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":"Self-reported Nonadherence to Antiretroviral Therapy Among Miami-Dade Ryan White Program Clients During the COVID-19 Pandemic: A Cross-sectional Study.","authors":"Melissa K Ward, Stephanie Aleite, Diana M Sheehan, Tan Li, Semiu O Gbadamosi, Michèle Jean-Gilles, Robert A Ladner, Mary Jo Trepka","doi":"10.1097/JNC.0000000000000382","DOIUrl":"10.1097/JNC.0000000000000382","url":null,"abstract":"","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10062022/pdf/nihms-1873436.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10014426","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":"Nursing Workforce Optimization Study: A Multi-method Evaluation and Process Improvement Intervention for HIV Service Delivery in Tanzania and Zambia.","authors":"Megan Coe, Nami Kawakyu, Sarah Gimbel, Baraka Nyakuya, Neema Gabriel, Devotha Leonard, Stella Chale, Felix Masiye, Charles M Banda, Saturini Manangwa, Gustav Moyo, Gabriela Boyle, Fernanda Freistadt, Pamela Kohler","doi":"10.1097/JNC.0000000000000388","DOIUrl":"10.1097/JNC.0000000000000388","url":null,"abstract":"<p><strong>Abstract: </strong>Nurses are often suboptimally used in HIV care, due to misalignment of training and practice, workflow inefficiencies, and management challenges. We sought to understand nursing workforce capacity and support implementation of process improvement strategies to improve efficiency of HIV service delivery in Tanzania and Zambia. We conducted time and motion observations and task analyses at 16 facilities followed by process improvement workshops. On average, each nurse cared for 45 clients per day in Tanzania and 29 in Zambia. Administrative tasks and documentation occupied large proportions of nurse time. Self-reported competency was low at baseline and higher at follow-up for identifying and managing treatment failure and prescribing antiretroviral therapy. After workshops, facilities changed care processes, provided additional training and mentorship, and changed staffing and supervision. Efficiency outcomes were stable despite staffing increases. Collaborative approaches to use workforce data to engage providers in improvement strategies can support roll-out of nurse-managed HIV treatment.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10237310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10392449","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}