Janac-Journal of the Association of Nurses in Aids Care最新文献_第5页

Evaluating the Sick Quitting Hypothesis for Frailty Status and Reducing Alcohol Use Among People With HIV in a Longitudinal Clinical Cohort Study. 在一项纵向临床队列研究中，评估艾滋病毒感染者的虚弱状态和减少饮酒的 "病态戒酒假说"。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-01-01 DOI: 10.1097/JNC.0000000000000441

Stephanie A Ruderman, Lydia N Drumright, Joseph A C Delaney, Allison R Webel, Annette L Fitzpatrick, Bridget M Whitney, Robin M Nance, Andrew W Hahn, Jimmy Ma, L Sarah Mixson, Sherif Eltonsy, Amanda L Willig, Kenneth H Mayer, Sonia Napravnik, Meredith Greene, Mary McCaul, Edward Cachay, Stephen B Kritchevsky, Steven N Austad, Alan Landay, Michael S Saag, Mari M Kitahata, Bryan Lau, Catherine Lesko, Geetanjali Chander, Heidi M Crane, Michelle C Odden

{"title":"Evaluating the Sick Quitting Hypothesis for Frailty Status and Reducing Alcohol Use Among People With HIV in a Longitudinal Clinical Cohort Study.","authors":"Stephanie A Ruderman, Lydia N Drumright, Joseph A C Delaney, Allison R Webel, Annette L Fitzpatrick, Bridget M Whitney, Robin M Nance, Andrew W Hahn, Jimmy Ma, L Sarah Mixson, Sherif Eltonsy, Amanda L Willig, Kenneth H Mayer, Sonia Napravnik, Meredith Greene, Mary McCaul, Edward Cachay, Stephen B Kritchevsky, Steven N Austad, Alan Landay, Michael S Saag, Mari M Kitahata, Bryan Lau, Catherine Lesko, Geetanjali Chander, Heidi M Crane, Michelle C Odden","doi":"10.1097/JNC.0000000000000441","DOIUrl":"10.1097/JNC.0000000000000441","url":null,"abstract":"Abstract: \"Sick quitting,\" a phenomenon describing reductions in alcohol consumption following poor health, may explain observations that alcohol appears protective for frailty risk. We examined associations between frailty and reductions in drinking frequency among people with HIV (PWH). At six Centers for AIDS Research Network of Integrated Clinical Systems (CNICS) sites between January 2012 and August 2021, we assessed whether frailty, measured through validated modified frailty phenotype, precedes reductions in drinking frequency. We associated time-updated frailty with quitting and reducing frequency of any drinking and heavy episodic drinking (HED), adjusted for demographic and clinical characteristics in Cox models. Among 5,654 PWH reporting drinking, 60% reported >monthly drinking and 18% reported ≥monthly HED. Over an average of 5.4 years, frail PWH had greater probabilities of quitting (HR: 1.56, 95% confidence interval [95% CI] [1.13-2.15]) and reducing (HR: 1.35, 95% CI [1.13-1.62]) drinking frequency, as well as reducing HED frequency (HR: 1.58, 95% CI [1.20-2.09]) versus robust PWH. Sick quitting likely confounds the association between alcohol use and frailty risk, requiring investigation for control.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139049653","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

Evaluating the Sick Quitting Hypothesis for Frailty Status and Reducing Alcohol Use Among People With HIV in a Longitudinal Clinical Cohort Study. 在一项纵向临床队列研究中，评估艾滋病毒感染者的虚弱状态和减少饮酒的 "病态戒酒假说"。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-01-01 DOI: 10.1097/JNC.0000000000000445

引用次数: 0

An Analysis of Biopsychosocial Factors Associated With Chronic Pain Severity Among Hospitalized People Living With HIV in Shenzhen, China: A Cross-Sectional Study. 中国深圳住院艾滋病病毒感染者慢性疼痛严重程度的相关生物心理社会因素分析：一项横断面研究。

IF 2 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-01-01 DOI: 10.1097/JNC.0000000000000438

Ni Wu, Hanhan Kong, Lu Han, Yongfeng Chen, Jinbing Bai, Yanqun Liu

引用次数: 0

"I Have to Do It in Secrecy": Provider Perspectives on HIV Service Delivery and Quality of Care for Key Populations in Zambia. “我必须保密”:提供者对赞比亚关键人群艾滋病毒服务提供和护理质量的看法。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-01-01 Epub Date: 2023-11-29 DOI: 10.1097/JNC.0000000000000443

Drosin M Mulenga, Joseph G Rosen, Lunda Banda, Maurice Musheke, Michael T Mbizvo, Henry F Raymond, Ryan Keating, Harold Witola, Lyson Phiri, Scott Geibel, Waimar Tun, Nanlesta Pilgrim

{"title":"\"I Have to Do It in Secrecy\": Provider Perspectives on HIV Service Delivery and Quality of Care for Key Populations in Zambia.","authors":"Drosin M Mulenga, Joseph G Rosen, Lunda Banda, Maurice Musheke, Michael T Mbizvo, Henry F Raymond, Ryan Keating, Harold Witola, Lyson Phiri, Scott Geibel, Waimar Tun, Nanlesta Pilgrim","doi":"10.1097/JNC.0000000000000443","DOIUrl":"10.1097/JNC.0000000000000443","url":null,"abstract":"Abstract: Key populations (KPs) experience suboptimal outcomes along the HIV care and prevention continua, but there is limited study of the challenges service providers encounter delivering HIV services to KPs, particularly in settings like Zambia, where provision of these services remains legally ambiguous. Seventy-seven providers completed in-depth interviews exploring constraints to HIV service delivery for KPs and recommendations for improving access and care quality. Thematic analysis identified salient challenges and opportunities to service delivery and quality of care for KPs, spanning interpersonal, institutional, and structural domains. Limited provider training in KP-specific needs was perceived to influence KP disclosure patterns in clinical settings, impeding service quality. The criminalization of KP sexual and drug use behaviors, coupled with perceived institutional and legal ambiguities to providing HIV services to KPs, cultivated unwelcoming service delivery environments for KPs. Findings elucidate opportunities for improving HIV service delivery/quality, from decentralized care to expanded legal protections for KPs and service providers.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10842367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138452974","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

Now Is the Time. 就是现在

IF 2 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-01-01 Epub Date: 2023-12-05 DOI: 10.1097/JNC.0000000000000446

Michael V Relf

引用次数: 0

The Social, Mental, and Physical Health Impacts of the COVID-19 Pandemic on People With HIV: Protocol of an Observational International Multisite Study. COVID-19 大流行对艾滋病毒感染者的社会、心理和身体健康的影响：国际多地点观察研究方案》。

IF 2 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-01-01 Epub Date: 2023-12-14 DOI: 10.1097/JNC.0000000000000444

Yvette P Cuca, Christine Horvat Davey, Inge B Corless, J Craig Phillips, Álvaro José Sierra-Perez, Solymar Solís Báez, Emilia Iwu, Motshedisi Sabone, Mercy Tshilidzi Mulaudzi, Christina Murphey, Sheila Shaibu, Wei-Ti Chen, Diane Santa Maria, Rebecca Schnall, Patrick Palmieri, Panta Apiruknapanond, Tongyao Wang, Tania de Jesús, Emily Huang, Janessa Broussard, Carol Dawson-Rose

{"title":"The Social, Mental, and Physical Health Impacts of the COVID-19 Pandemic on People With HIV: Protocol of an Observational International Multisite Study.","authors":"Yvette P Cuca, Christine Horvat Davey, Inge B Corless, J Craig Phillips, Álvaro José Sierra-Perez, Solymar Solís Báez, Emilia Iwu, Motshedisi Sabone, Mercy Tshilidzi Mulaudzi, Christina Murphey, Sheila Shaibu, Wei-Ti Chen, Diane Santa Maria, Rebecca Schnall, Patrick Palmieri, Panta Apiruknapanond, Tongyao Wang, Tania de Jesús, Emily Huang, Janessa Broussard, Carol Dawson-Rose","doi":"10.1097/JNC.0000000000000444","DOIUrl":"10.1097/JNC.0000000000000444","url":null,"abstract":"Abstract: As the COVID-19 pandemic spread across the world, immunocompromised individuals such as people with HIV (PWH) may have faced a disproportionate impact on their health and HIV outcomes, both from COVID-19 and from the strategies enacted to contain it. Based on the SPIRIT guidelines, we describe the protocol for an international multisite observational study being conducted by The International Nursing Network for HIV Research, with the Coordinating Center based at the University of California, San Francisco (UCSF) School of Nursing. Site Principal Investigators implement a standardized protocol to recruit PWH to complete the study online or in-person. Questions address demographics; HIV continuum of care indicators; mental and social health; COVID-19 and vaccination knowledge, attitudes, behaviors, and fears; and overall outcomes. Results of this study will contribute to knowledge that can inform responses to future public health crises to minimize their impacts on vulnerable populations such as PWH.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10749681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812549","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

The Association of Emotional Support, HIV Stigma, and Home Environment With Disclosure Efficacy and Perceived Disclosure Outcomes in Young People Living With HIV in Zambia: A Cross-Sectional Study. 赞比亚青少年HIV感染者的情感支持、HIV污名、家庭环境对信息披露效果和感知信息披露结果的影响:一项横断面研究。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-01-01 Epub Date: 2023-11-22 DOI: 10.1097/JNC.0000000000000442

Rainier Masa, Mathias Zimba, Gilbert Zimba, Graham Zulu, Joseph Zulu, Don Operario

{"title":"The Association of Emotional Support, HIV Stigma, and Home Environment With Disclosure Efficacy and Perceived Disclosure Outcomes in Young People Living With HIV in Zambia: A Cross-Sectional Study.","authors":"Rainier Masa, Mathias Zimba, Gilbert Zimba, Graham Zulu, Joseph Zulu, Don Operario","doi":"10.1097/JNC.0000000000000442","DOIUrl":"10.1097/JNC.0000000000000442","url":null,"abstract":"Abstract: This study examined the association of various forms of social support, attitudes toward living at home, and HIV stigma experiences with HIV self-disclosure efficacy and perceived negative disclosure outcomes. We analyzed cross-sectional data from 120 young people with HIV (YPWH) aged 18-21 years receiving outpatient care in Eastern Province, Zambia. Perceived negative disclosure outcomes and disclosure self-efficacy were measured using an adapted version of the Adolescent HIV Disclosure Cognitions and Affect Scale. Explanatory variables included parental or caregiver support, emotional support, instrumental support, HIV stigma experiences, and attitudes toward living at home. Findings suggest that YPWH's confidence in their ability to self-disclose their HIV status and their assessment of negative outcomes associated with HIV disclosure are influenced by emotional support, experiences of HIV stigma, and the quality of the home environment.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10842355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138296412","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

Thank You JANAC Reviewers. 感谢 JANAC 评论员。

IF 2 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2023-12-18 DOI: 10.1097/JNC.0000000000000447

引用次数: 0

PEPFAR and the Ending the HIV Epidemic in the U.S. Initiative Should Not be Politically Weaponized. PEPFAR和美国倡议中的“结束艾滋病毒流行”不应被政治武器化。

IF 2 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2023-11-01 Epub Date: 2023-10-06 DOI: 10.1097/JNC.0000000000000434

Michael V Relf

引用次数: 0

Patient and Provider Decision Making About HIV Postexposure Prophylaxis Following Sexual Violence: A Qualitative Analysis. 患者和提供者关于性暴力后HIV暴露后预防的决策：定性分析。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2023-11-01 Epub Date: 2023-09-28 DOI: 10.1097/JNC.0000000000000430

Jocelyn C Anderson, Michelle D S Boakye, Jessica Draughon Moret

{"title":"Patient and Provider Decision Making About HIV Postexposure Prophylaxis Following Sexual Violence: A Qualitative Analysis.","authors":"Jocelyn C Anderson, Michelle D S Boakye, Jessica Draughon Moret","doi":"10.1097/JNC.0000000000000430","DOIUrl":"10.1097/JNC.0000000000000430","url":null,"abstract":"Abstract: To explore patient and health care provider HIV postexposure prophylaxis (PEP) decision making following sexual assault, semistructured interviews regarding HIV PEP provision with 15 patients and 10 health care providers were conducted. A qualitative, descriptive, thematic analysis approach was used. Four themes were derived: (a) medical concerns; (b) emotional, trauma, and support factors; (c) daily medication management; and (d) ensuring access to HIV PEP. How participants described these themes and the importance placed on factors within each theme varied between the two groups. Altering provider communication so that HIV PEP discussions better align with patient decision-making factors (e.g., trauma and ability to take in information, how to manage side effects) could facilitate improvement in HIV PEP decision making following sexual assault for patients. High-level policy changes would improve HIV PEP access for sexual assault patients without necessitating the extraordinary efforts individual providers currently undertake.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10592041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41160683","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