Janac-Journal of the Association of Nurses in Aids Care最新文献_第2页

Decolonizing HIV Nursing for Health Equity: Challenges, Strategies, and Paths Forward.

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-03-13 DOI: 10.1097/JNC.0000000000000536

Noriel P Calaguas

引用次数: 0

Do Adolescents Living With HIV in Kenya Know Their Viral Load Results? Record Audit and Adolescent Exit Surveys in Kiambu and Nakuru Counties: A Cross-Sectional Study.

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-03-06 DOI: 10.1097/JNC.0000000000000535

Deepa Oja, Alvin Onyango, Cyrus Mugo, Irene Njuguna, Dalton Wamalwa, Molly R Altman, Jillian Pintye, Grace John-Stewart, Pamela Kohler

{"title":"Do Adolescents Living With HIV in Kenya Know Their Viral Load Results? Record Audit and Adolescent Exit Surveys in Kiambu and Nakuru Counties: A Cross-Sectional Study.","authors":"Deepa Oja, Alvin Onyango, Cyrus Mugo, Irene Njuguna, Dalton Wamalwa, Molly R Altman, Jillian Pintye, Grace John-Stewart, Pamela Kohler","doi":"10.1097/JNC.0000000000000535","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000535","url":null,"abstract":"Abstract: Timely and accurate return of viral load (VL) results to adolescents living with HIV (ALHIV) is essential for early detection of adherence challenges and treatment failure. Our cross-sectional study evaluated VL data of ALHIV, ages 15-19 years, enrolled in six care facilities in Kiambu and Nakuru Counties in Kenya. We summarized the proportion of results available in both the electronic medical record (EMR) and the national database. Modified Poisson regression models assessed the relationship between ALHIV characteristics and knowledge of VL results. Of 20% (n = 207) of the charts that were randomly selected, 86% (n = 179) matched the national database source; however, 7% (n = 14) of VL results were missing from the clinic-EMR, and 8% (n = 17) were incongruent between the national database and EMR. Only half (52%) of the surveyed ALHIV (n = 132) reported receiving their last VL result, with older ALHIV more likely to receive VL results than younger (Prevalence ratio: 1.46, p = .02). Missing or incorrect data records suggest gaps need to be addressed in addition to increasing the proportion of ALHIV who receive accurate VL results to optimize care and management.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568360","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

Communication and Connection Fostered Care Engagement During the COVID-19 Pandemic: A Qualitative Study of People Living With HIV in New York City.

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-03-06 DOI: 10.1097/JNC.0000000000000534

Jennifer E Kaufman, Yiyi Wu, Jasmine A Manalel, Alvin Gao, Vera Antonios, Carey Brandenburg, Luis Scaccabarrozzi, Jerome Ernst, Mark Brennan-Ing

{"title":"Communication and Connection Fostered Care Engagement During the COVID-19 Pandemic: A Qualitative Study of People Living With HIV in New York City.","authors":"Jennifer E Kaufman, Yiyi Wu, Jasmine A Manalel, Alvin Gao, Vera Antonios, Carey Brandenburg, Luis Scaccabarrozzi, Jerome Ernst, Mark Brennan-Ing","doi":"10.1097/JNC.0000000000000534","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000534","url":null,"abstract":"Abstract: The COVID-19 pandemic disrupted health care systems and resulted in some delays of care, challenging health care engagement among people living with HIV (PLWH). Using in-depth interviews, we explored the experiences of PLWH during the pandemic and identified barriers to and facilitators of care engagement. We recruited 40 participants from a managed-care Medicaid plan in New York City and conducted phone interviews during fall 2023. Thematic analysis identified 5 themes related to care engagement during the pandemic: (a) health care system strains led to some delays in care; (b) patient-provider connections suffered; (c) the pandemic led to personal crises and challenges to care engagement; (d) strong communication and connection reduced disruption and stress; and (e) the pandemic had a lasting effect on interpersonal connections. These findings highlight ways to help maintain care engagement among PLWH even during social and public health crises and contribute to ending the epidemic.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568365","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

What Motivates Older Sedentary People Living With HIV in the United States to Participate in an Exercise Trial? A Qualitative Study. 在美国，是什么促使久坐不动的老年艾滋病毒感染者参加运动试验？定性研究。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-03-01 Epub Date: 2024-12-24 DOI: 10.1097/JNC.0000000000000517

Evelyn Iriarte, Allison R Webel, Paul F Cook, Ashley Turner, Grace L Ditzenberger, Kristine M Erlandson, Catherine Jankowski

{"title":"What Motivates Older Sedentary People Living With HIV in the United States to Participate in an Exercise Trial? A Qualitative Study.","authors":"Evelyn Iriarte, Allison R Webel, Paul F Cook, Ashley Turner, Grace L Ditzenberger, Kristine M Erlandson, Catherine Jankowski","doi":"10.1097/JNC.0000000000000517","DOIUrl":"10.1097/JNC.0000000000000517","url":null,"abstract":"Abstract: Although exercise supports the physical function and health of older people living with HIV (PLWH), less than half of PLWH globally achieve recommended levels of activity. A qualitative descriptive design was used to determine what motivates sedentary PLWH, 50 years and older, to participate in an exercise trial. Interviews were conducted with PLWH who participated in an exercise trial ( n = 30) and PLWH who declined enrollment in the same exercise trial ( n = 4). The theory of planned behavior (TPB) guided a directed content analysis of the interviews. Data analysis identified four themes: (a) intention or motivation (perceived benefits, maintaining the exercise behavior over time), (b) attitudes (goals and preferences), (c) perceived behavioral control (barriers, facilitators, and self-efficacy), and (d) subjective norms (pressure from health care providers and social networks). Findings from our study contribute to informing the development of future exercise interventions or trials and to planning care to encourage a physically active lifestyle.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":"143-155"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883543","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

The Intersection of HIV and Aging.

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-03-01 Epub Date: 2025-02-05 DOI: 10.1097/JNC.0000000000000527

Christine Horvat Davey

引用次数: 0

Low Bone Mineral Density and Associated Factors Among People Living With HIV in Kerman, Iran: A Cross-Sectional Study in 2021-2022. 伊朗Kerman地区HIV感染者骨密度低及相关因素：一项2021-2022年的横断面研究

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-03-01 Epub Date: 2025-01-14 DOI: 10.1097/JNC.0000000000000521

Hamidreza Rashidi, Soheil Mehmandoost, Noushin Fahimfar, Hamid Reza Aghaei Meybodi, Seyed Mohammad Hosseinian, Noushin Shirzad, Fatemeh Hajivalizade, Mahnaz Sanjari, Mohammad Reza Shakibi, Tarlan Hasan Aghaei, Farzaneh Yazdi Yahaabadi, Pouriya Salajegheh, Gita Shafiee, Farideh Razi, Ebrahim Ranjbar, Willi McFarland, Afshin Ostovar, Hamid Sharifi

{"title":"Low Bone Mineral Density and Associated Factors Among People Living With HIV in Kerman, Iran: A Cross-Sectional Study in 2021-2022.","authors":"Hamidreza Rashidi, Soheil Mehmandoost, Noushin Fahimfar, Hamid Reza Aghaei Meybodi, Seyed Mohammad Hosseinian, Noushin Shirzad, Fatemeh Hajivalizade, Mahnaz Sanjari, Mohammad Reza Shakibi, Tarlan Hasan Aghaei, Farzaneh Yazdi Yahaabadi, Pouriya Salajegheh, Gita Shafiee, Farideh Razi, Ebrahim Ranjbar, Willi McFarland, Afshin Ostovar, Hamid Sharifi","doi":"10.1097/JNC.0000000000000521","DOIUrl":"10.1097/JNC.0000000000000521","url":null,"abstract":"Abstract: Chronic diseases such as osteoporosis and low bone mineral density (BMD) are significant public health concerns for people living with HIV (PLWH), especially with the increased life expectancy because of antiretroviral therapy (ART). This study evaluated the prevalence and associated factors of low BMD among 94 PLWH in Kerman, Iran, from September 2021 to February 2022. Using dual-energy X-ray absorptiometry, BMD was measured, with low BMD defined by specific T-scores and Z-scores. Predictors were assessed through interviews, medical records, and blood tests. Bivariable and multivariable logistic regression models identified associations between low BMD and various factors. The study found a 51.1% prevalence of low BMD, with significant associations with hypogonadism (adjusted odds ratio [aOR]: 3.19), longer ART duration (aOR per month: 1.02), and lower body mass index (aOR per unit: 0.83). The findings highlight the need for regular screening and timely intervention for low BMD among PLWH, particularly with prolonged ART use.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":"98-107"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980304","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

Primary Care Screening for Nonalcoholic Fatty Liver Disease Among People With HIV in the United States: A Real-World Provider Survey. 美国HIV感染者非酒精性脂肪性肝病的初级保健筛查：一项真实世界的提供者调查

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-03-01 Epub Date: 2024-12-24 DOI: 10.1097/JNC.0000000000000505

Jennifer C Price, Kyoko Hirose, Naga Chalasani, Holly Crandall, Sonya Heath, Rohit Loomba, Susanna Naggie, Richard K Sterling, Mark Sulkowski, Laura Wilson, Jordan E Lake

{"title":"Primary Care Screening for Nonalcoholic Fatty Liver Disease Among People With HIV in the United States: A Real-World Provider Survey.","authors":"Jennifer C Price, Kyoko Hirose, Naga Chalasani, Holly Crandall, Sonya Heath, Rohit Loomba, Susanna Naggie, Richard K Sterling, Mark Sulkowski, Laura Wilson, Jordan E Lake","doi":"10.1097/JNC.0000000000000505","DOIUrl":"10.1097/JNC.0000000000000505","url":null,"abstract":"Abstract: Nonalcoholic fatty liver disease (NAFLD) is highly prevalent in people with HIV (PWH) and increases the risk of hepatic fibrosis and hepatocellular carcinoma. We sent an online survey to providers of the American Academy of HIV Medicine. Of respondents ( n = 214, 8% response rate), 65% reported screening for NAFLD in PWH, with 28% routinely screening all patients. Most respondents refer patients to hepatology if workup suggests another coexisting liver disease or cirrhosis, with the primary goals of referral being additional diagnostic testing (60%) or specific treatments (75%). The most common barriers to screening were feeling unsure of what tests to order (28%) and how to conclusively diagnose NAFLD (29%). Most respondents were interested in society guidelines (73%) and NAFLD education for patients (57%) and providers (55%). Our findings support the development of NAFLD clinical practice guidelines for HIV providers and the inclusion of PWH in clinical trials of novel agents.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":"177-182"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883538","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 : 2025-03-01 Epub Date: 2025-02-06 DOI: 10.1097/JNC.0000000000000528

引用次数: 0

Expert Consensus on an Exercise Prescription Framework for Older People Living With HIV in a South African Setting-A Delphi Study. 专家共识的运动处方框架，为老年人艾滋病毒感染者在南非设置-德尔福研究。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-03-01 Epub Date: 2025-01-03 DOI: 10.1097/JNC.0000000000000519

Levin Chetty, Saul Cobbing, Verusia Chetty

引用次数: 0

" I Look in the Mirror and Say ' You Know What, There Is Hope for You '"-An Interpretative Qualitative Study of Current and Future Well-Being in Black African Women Older Than 50 Years With HIV in the United Kingdom. “我对着镜子说‘你知道吗，你还有希望’”——一项对英国50岁以上感染艾滋病毒的非洲黑人妇女当前和未来福祉的解释性定性研究。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2025-03-01 Epub Date: 2025-01-21 DOI: 10.1097/JNC.0000000000000522

Rebecca Conway, Michael Evangeli, Angelina Namiba, Rachael Jones

{"title":"\" I Look in the Mirror and Say ' You Know What, There Is Hope for You '\"-An Interpretative Qualitative Study of Current and Future Well-Being in Black African Women Older Than 50 Years With HIV in the United Kingdom.","authors":"Rebecca Conway, Michael Evangeli, Angelina Namiba, Rachael Jones","doi":"10.1097/JNC.0000000000000522","DOIUrl":"10.1097/JNC.0000000000000522","url":null,"abstract":"Abstract: Effective antiretroviral treatment means that people with HIV are living for longer. This includes Black African women, who represent a large proportion of people aging with HIV in the United Kingdom. Despite this, the impact of living and aging with HIV on the well-being of Black African women aging with HIV has not been investigated. Interpretative phenomenological analysis of interviews with eight Black African women ages 50 years and older living with HIV developed six superordinate themes. Findings demonstrated how experiences of HIV-related stigma negatively affected social, occupational, and psychological well-being. Perspectives on living and aging with HIV into the future included experiences of acceptance, uncertainty, anxiety, and hope. Recommendations are made, including developing clinical practice to consider needs relating to social and psychological well-being, as well as physical well-being, for women aging with HIV.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":"118-129"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015347","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