Samuel Akyirem, Guangyu Tong, Gloria Aidoo-Frimpong, Diana Namumbejja Abwoye, Daniel Jacobson López, Leo Wilton, LaRon E Nelson
{"title":"HIV Symptom Clusters Among Sexual Minority Men in Ghana, West Africa: A Cross-sectional Study.","authors":"Samuel Akyirem, Guangyu Tong, Gloria Aidoo-Frimpong, Diana Namumbejja Abwoye, Daniel Jacobson López, Leo Wilton, LaRon E Nelson","doi":"10.1097/JNC.0000000000000497","DOIUrl":"10.1097/JNC.0000000000000497","url":null,"abstract":"<p><strong>Abstract: </strong>The aims of this study were to determine if HIV symptoms among sexual minority men formed clusters and to examine the sociodemographic and clinical characteristics that are associated with these clusters. We analyzed cross-sectional data from Ghanaian sexual minority men ( N = 225) living with HIV. We used both principal component analysis and multivariable linear regression. Our findings indicate that sadness (64.0%) and headache (62.7%) were the most prevalent symptoms among our sample. Seven symptom clusters were identified: neurological symptoms, psychological symptoms, gastrointestinal symptoms, dermatological symptoms, self-concept/self-esteem, weight/diet-related symptoms, and sleep quality and potential disturbances. Late HIV diagnosis was significantly associated with higher distress scores for all symptom clusters except for the self-concept/self-esteem and gastrointestinal symptoms clusters. The findings emphasize the importance of early HIV symptom identification.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":"108-117"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114353","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}
Erin Burk-Leaver, Christopher Zivalich, Justine Sunshine, Christopher A Lowry, Kristine M Erlandson
{"title":"Evaluation of a Cohort-Based Healthy Aging With HIV Wellness Pilot Intervention: \"People Aging and Thriving With HIV\" in Colorado.","authors":"Erin Burk-Leaver, Christopher Zivalich, Justine Sunshine, Christopher A Lowry, Kristine M Erlandson","doi":"10.1097/JNC.0000000000000509","DOIUrl":"10.1097/JNC.0000000000000509","url":null,"abstract":"<p><strong>Abstract: </strong>The aging population of people living with HIV (PLWH) face unique health and social challenges. We piloted a community-based wellness program, People Aging and Thriving with HIV (PATH2Wellness), aiming to improve health outcomes through physical activity, nutritional counseling, and social support within Colorado Health Network, a statewide AIDS service organization. Participants ages 50+ were recruited into three cohorts between September 2020 and December 2021. Weekly step counts and psychosocial measures were collected. Overall, while there were no statistically significant improvements in step count or secondary outcomes (including depression, social connectedness, self-reported physical function, and quality of life [all p ≥ .55]), participants noted a high level of satisfaction. Ongoing feedback led to modifications for program improvement; as such, PATH2Wellness shows promise in improving mental health and social connectedness, and findings underscore the importance of tailored programs for older PLWH, suggesting avenues for research and program development.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":"167-176"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781699","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}
Jennifer S Tinman, Nqobile Nzama, Jenifer Patterson, Lesley M Harris, Jelani C Kerr
{"title":"\"Don't Tell Nobody Nothing\": A Phenomenological Study on Fear of HIV Disclosure Among Older African Americans During Incarceration Living in Kentucky, USA.","authors":"Jennifer S Tinman, Nqobile Nzama, Jenifer Patterson, Lesley M Harris, Jelani C Kerr","doi":"10.1097/JNC.0000000000000514","DOIUrl":"10.1097/JNC.0000000000000514","url":null,"abstract":"<p><strong>Abstract: </strong>The intersections of HIV with aging, incarceration, and racial disparities have been well studied, but little is known about the lived incarceration experiences of older African American persons living with HIV. This phenomenological study examined the fear of HIV disclosure among older African Americans living in Kentucky who have experienced incarceration. Based on the interviews analyzed, five main themes were identified: experiences with fear, experiences pertaining to confidentiality, experiences with disclosure, experiences with stigma, and the desire to be accepted. These themes demonstrate HIV disclosure fear within incarceration settings and the desire for support and services. Findings suggest that there should be more efforts to increase HIV knowledge and awareness within incarceration settings. Participants shared that having a support network alleviates isolation. We recommend that correctional settings implement policies to protect confidentiality violations and facilitate groups to help foster a more supportive environment for individuals living with HIV.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":"130-142"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883536","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":"Giants.","authors":"Allison R Webel","doi":"10.1097/JNC.0000000000000526","DOIUrl":"10.1097/JNC.0000000000000526","url":null,"abstract":"","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":"93-94"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191156","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}
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":"https://doi.org/10.1097/JNC.0000000000000530","url":null,"abstract":"<p><strong>Abstract: </strong>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.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Caroline D Deaterly, Bianca Forsyth, Paula Nazario, Setu Bhagwat, Leslie A Parker, Angela Starkweather, Robert L Cook, Deepthi S Varma
{"title":"Impacts of Substance Use and Mental Health Symptoms on Cervical Cancer Screening and Viral Suppression: A Mixed Methods Study With Reproductive-Age Women With HIV in Florida.","authors":"Caroline D Deaterly, Bianca Forsyth, Paula Nazario, Setu Bhagwat, Leslie A Parker, Angela Starkweather, Robert L Cook, Deepthi S Varma","doi":"10.1097/JNC.0000000000000529","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000529","url":null,"abstract":"<p><strong>Abstract: </strong>Women with HIV (WWH) often receive suboptimal screening for cervical cancer despite being at an increased risk for cervical cancer and poor viral suppression. Mental health symptoms and substance use can adversely influence cervical cancer screening and viral suppression. The subjective experience of how these variables influence these outcomes in reproductive-age WWH is not well understood. Our study explored the perspectives of reproductive-age WWH living in Florida regarding the mechanisms by which mental health or substance abuse influences cervical cancer screening and viral suppression. An explanatory sequential mixed methods research design was used. A one-on-one semi-structured interview guided and informed by the Social Ecological Model (SEM) and results from previous quantitative analysis were used (N =16). Themes related to how substance use and mental health symptoms as barriers, and facilitators, including motherhood, community support, marijuana use, and medication adherence were reported. Study finding implications for research and clinicians are discussed.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450885","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}
Suzanne de Munnik, Chantal den Daas, Heidi Sophia Maria Ammerlaan, Gerjo Kok, John de Wit, Sigrid Cornelia Johanna Maria Vervoort
{"title":"Observations of Communication Practices Between Men Who Have Sex With Men With HIV and HIV Specialist Nurses During Routine Consultations Regarding Sexual Health Counseling in the Netherlands: A Qualitative Study.","authors":"Suzanne de Munnik, Chantal den Daas, Heidi Sophia Maria Ammerlaan, Gerjo Kok, John de Wit, Sigrid Cornelia Johanna Maria Vervoort","doi":"10.1097/JNC.0000000000000525","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000525","url":null,"abstract":"<p><strong>Abstract: </strong>This study investigated how HIV specialist nurses communicate with men who have sex with men with HIV during routine consultations with a focus on sexual health counseling in the Netherlands. In this multicenter observational study, 16 video-recorded consultations from four HIV treatment centers were analyzed. Verbatim transcriptions were analyzed to assess the topics discussed, the duration of consultations, time spent on sexual health counseling, and specific issues covered. Communication skills were evaluated through a predefined framework. The findings indicated inconsistent coverage of sexual health, varied topics, and a lack of structure. Various communication skills and techniques were applied inconsistently. Given these findings, we recommend implementing communication strategies during routine consultations to improve the quality of sexual health counseling, especially for men who have sex with men with HIV. This is essential to improve the quality of sexual health counseling for persons with HIV, especially men who have sex with men.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450887","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}
Timothy Krulic, Graham Brown, Sara Graham, Carlos Araya, Emil Cañita, Adam Bourne
{"title":"Regaining Control, Quality of Life, and the Experiences of New and Temporary Migrants Who Participated in Peer Navigation for People Living With HIV in Australia: A Qualitative Study.","authors":"Timothy Krulic, Graham Brown, Sara Graham, Carlos Araya, Emil Cañita, Adam Bourne","doi":"10.1097/JNC.0000000000000531","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000531","url":null,"abstract":"<p><strong>Abstract: </strong>In Australia, migrant people living with HIV comprise a disproportionate number of new diagnoses across the country, yet little is known about their experiences with peer navigation. Semistructured interviews examined the quality and impact of HIV peer navigation for 15 new and temporary migrants in Melbourne, Victoria. Participants were diverse in gender and sexuality and were primarily from Asia and Latin America. Their accounts describe stigma, discrimination, and social exclusion related to transnational experiences of HIV, sexuality, and gender and positioned peer navigation as a source of hope, reassurance, acceptance, and belonging. Peer navigation facilitated practical advice and pathways into community, health, legal, and social services that enabled agency and a better quality of life. Our findings suggest that navigators' skill and personal insight into transnational experiences of HIV-related stigma, gender, and sexuality enhanced the effectiveness of support. We discuss recruitment, training, and peer matches as strategies to engage migrants and recommendations to improve wider service and policy responses.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450889","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":"Understanding Patient-Provider Relationships: A Qualitative Study of Rural HIV Care in a Low-Prevalence Mountain West State in the United States.","authors":"Kaitlin Fertaly, McKenzie Javorka","doi":"10.1097/JNC.0000000000000524","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000524","url":null,"abstract":"<p><strong>Abstract: </strong>Supportive relationships between people living with HIV (PLWH) and their health care providers are crucial for treatment adherence and communication about health needs. This study explored key elements of patient-provider relationships (PPRs) among PLWH in a predominantly rural, Mountain West state with a low HIV prevalence. We analyzed in-depth interviews conducted with 17 PLWH. We identified 4 key themes related to PPR: (a) providers' limited competencies in HIV and lesbian, gay, bisexual, transgender and queer issues, (b) patients' desire for empathetic and nonjudgmental care, (c) patients' experiences of dismissal or dehumanization by providers or the health care system, and (d) experiences and fear of stigma. Our findings underscore the role that PPR plays in addressing or exacerbating barriers for PLWH in rural areas, emphasizing the need for both interpersonal (e.g., provider-focused) and structural interventions to increase providers' HIV knowledge, decrease stigma, and foster positive PPR.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371444","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}
Shannon Woodward, Donna Tilley, Adam Spinks, El Thompson, Danielle Collins
{"title":"Do Nurse Practitioners Deliver? A Retrospective Self-audit Comparing Nurse Practitioner Care for People With HIV in Australia to Screening and Monitoring Guidelines.","authors":"Shannon Woodward, Donna Tilley, Adam Spinks, El Thompson, Danielle Collins","doi":"10.1097/JNC.0000000000000523","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000523","url":null,"abstract":"<p><strong>Abstract: </strong>In Australia, nurse practitioners (NPs) provide care to people with HIV (PWH) in hospital and community settings. We describe a national audit evaluating NP care for PWH, assessing adherence to 2 HIV monitoring guidelines. Five NPs conducted a retrospective case note self-audit. Deidentified data were collected, pooled, and analyzed using Microsoft Excel and compared with HIV monitoring guideline targets. The review was undertaken for 212 NP patients, the majority being cisgendered men (86%), ages 45-49 years, identifying as gay (65%). The majority (95%) of PWH were on an appropriate HIV treatment, meeting the United Nations Programme on HIV/AIDS target of 95%. HIV viral load testing was current for 211 (99%) individuals. Of 138 individuals eligible for cardiovascular screening, 84 (60%) were screened, below a guideline target of 90%. Compliance with HIV monitoring guidelines exceeded targets in most areas. Our audit demonstrates that NPs provide effective and guideline compliant HIV care to PWH in Australia.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191154","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}