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

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Assessing the Disruption of Health Services During the COVID-19 Pandemic Among Adults Living With HIV by Age in Essex County, NJ: A Cross-Sectional Study. 评估 COVID-19 大流行期间新泽西州埃塞克斯县按年龄划分的成人 HIV 感染者医疗服务中断情况: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 : 2024-11-01 Epub Date: 2024-09-26 DOI: 10.1097/JNC.0000000000000499
Kristen D Krause, Anita G Karr, Juhi Aggarwal, Sanjana Subramhanya, Michelle DallaPiazza, Shobha Swaminathan, Pamela Valera, Perry N Halkitis, Stephanie Shiau
{"title":"Assessing the Disruption of Health Services During the COVID-19 Pandemic Among Adults Living With HIV by Age in Essex County, NJ: A Cross-Sectional Study.","authors":"Kristen D Krause, Anita G Karr, Juhi Aggarwal, Sanjana Subramhanya, Michelle DallaPiazza, Shobha Swaminathan, Pamela Valera, Perry N Halkitis, Stephanie Shiau","doi":"10.1097/JNC.0000000000000499","DOIUrl":"10.1097/JNC.0000000000000499","url":null,"abstract":"<p><strong>Abstract: </strong>At the onset of the COVID-19 pandemic, clinicians and researchers were concerned about its impact on the health of people living with HIV (PLWH). Although mitigation measures during the early part of the pandemic used telehealth, it was uncertain whether PLWH would be amenable to this type of care and whether health outcomes would be affected. PLWH actively seeking treatment at a large urban outpatient practice in Essex County, New Jersey, were interviewed from October 2020 to June 2021 about their health-related experiences during COVID-19. The sample was dichotomized by age (< 55 and ≥ 55). In all, participants (69.2%, n = 92) used telehealth during this period, 85.0% ( n = 113) actively tested for COVID-19, with only 7% ( n = 8) testing positive at the time of interview. Our findings demonstrate that PLWH who engaged with health care before the COVID-19 pandemic continued doing that and had relatively favorable health outcomes with few differences by age.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":"544-555"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11527571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331574","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
Perspectives and Factors Related to Pre-exposure Prophylaxis Use Among Young Men Who Have Sex With Men in the United States: A Mixed-Methods Study on the Role of History of PrEP Use. 美国年轻男男性行为者使用暴露前预防疗法的观点和相关因素:关于 PrEP 使用历史的作用的混合方法研究》(A Mixed-Methods Study on the Role of History of PrEP Use)。
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-11-01 Epub Date: 2024-08-29 DOI: 10.1097/JNC.0000000000000489
Junye Ma, Zach Soberano, Bryce F Stamp, Matthew Rosso, Lisa Hightow-Weidman, Kimberly A Powers, Jacob Benjamin Stocks, Sybil Hosek, Keith J Horvath
{"title":"Perspectives and Factors Related to Pre-exposure Prophylaxis Use Among Young Men Who Have Sex With Men in the United States: A Mixed-Methods Study on the Role of History of PrEP Use.","authors":"Junye Ma, Zach Soberano, Bryce F Stamp, Matthew Rosso, Lisa Hightow-Weidman, Kimberly A Powers, Jacob Benjamin Stocks, Sybil Hosek, Keith J Horvath","doi":"10.1097/JNC.0000000000000489","DOIUrl":"10.1097/JNC.0000000000000489","url":null,"abstract":"<p><strong>Abstract: </strong>This study quantitatively examined factors related to young men who have sex with men (YMSM)'s decisions to use pre-exposure prophylaxis (PrEP) by their history of PrEP use and qualitatively elicited their perspectives on PrEP options. Higher proportions of YMSM who had never used (vs. ever used) PrEP considered the following factors as important in their decisions to use PrEP: (a) Returning to PrEP follow-up visits ( p = .02), (b) having to talk about sex/PrEP with providers ( p = .013), (c) people assuming they are infected with HIV ( p = .021), (d) family finding out about their PrEP use ( p = .001), and (e) friends finding out about their PrEP use ( p = .008). Through inductive content analysis, qualitative data showed that a higher proportion of YMSM who had never used PrEP (vs. ever used) expressed concerns about HIV stigma from nonaffirming health care providers and the potential risk of inadvertently revealing their LGBTQ+ identity to others, which were described as potential barriers to PrEP use. Overall, our findings suggest that future interventions may consider tailoring PrEP messaging to YMSM's history of PrEP use, which may ultimately increase PrEP uptake and adherence.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":"530-543"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11529780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114354","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
Smoking and Type 1 Versus Type 2 Myocardial Infarction Among People With HIV in the United States: Results from the Center for AIDS Research Network Integrated Clinical Systems Cohort. 美国艾滋病病毒感染者中吸烟与 1 型和 2 型心肌梗死的关系。
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-11-01 Epub Date: 2024-09-06 DOI: 10.1097/JNC.0000000000000492
Heidi M Crane, Robin M Nance, Stephanie A Ruderman, Lydia N Drumright, L Sarah Mixson, Susan R Heckbert, Matthew J Feinstein, Matthew J Budoff, Laura Bamford, Edward Cachay, Sonia Napravnik, Richard D Moore, Jeanne Keruly, Amanda L Willig, Greer A Burkholder, Andrew Hahn, Jimmy Ma, Rob Fredericksen, Michael S Saag, Geetanjali Chander, Mari M Kitahata, Kristina Crothers, Kenneth H Mayer, Conall O'Cleirigh, Karen Cropsey, Bridget M Whitney, Joseph A C Delaney
{"title":"Smoking and Type 1 Versus Type 2 Myocardial Infarction Among People With HIV in the United States: Results from the Center for AIDS Research Network Integrated Clinical Systems Cohort.","authors":"Heidi M Crane, Robin M Nance, Stephanie A Ruderman, Lydia N Drumright, L Sarah Mixson, Susan R Heckbert, Matthew J Feinstein, Matthew J Budoff, Laura Bamford, Edward Cachay, Sonia Napravnik, Richard D Moore, Jeanne Keruly, Amanda L Willig, Greer A Burkholder, Andrew Hahn, Jimmy Ma, Rob Fredericksen, Michael S Saag, Geetanjali Chander, Mari M Kitahata, Kristina Crothers, Kenneth H Mayer, Conall O'Cleirigh, Karen Cropsey, Bridget M Whitney, Joseph A C Delaney","doi":"10.1097/JNC.0000000000000492","DOIUrl":"10.1097/JNC.0000000000000492","url":null,"abstract":"<p><strong>Abstract: </strong>Smoking is a myocardial infarction (MI) risk factor among people with HIV (PWH). Questions persist regarding the role of smoking behaviors and measurements (e.g., intensity, duration) on MI risk. We used Cox proportional hazards regression to compare the association of smoking parameterization with incidents of type 1 and type 2 MI and whether smoking intensity or duration improves MI risk prediction among PWH. Among 11,637 PWH, 37% reported currently smoking, and there were 346 MIs. Current smoking was associated with type 1 (84% increased risk) but not type 2 MI in adjusted analyses. The type 1 MI model with pack years had the best goodness of fit compared with other smoking parameterizations. Ever or never parameterization and smoking diagnosis data had significantly poorer model fit. These results highlight the importance of differentiating MI types and performing patient-based smoking assessments to improve HIV care and research rather than relying on smoking status from diagnoses.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":"507-518"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142143464","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
Validation and Refinement of the Self-Regulatory HIV/AIDS Symptom Management Model Among People With HIV in China Using Path Analysis: A Secondary Data Analysis. 艾滋病病毒感染者生活质量的路径分析:自我调节艾滋病症状管理模式的验证与完善。
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-11-01 Epub Date: 2024-08-13 DOI: 10.1097/JNC.0000000000000493
Meilian Xie, Aiping Wang, Zhiyun Zhang, Kerong Wang, Yanping Yu
{"title":"Validation and Refinement of the Self-Regulatory HIV/AIDS Symptom Management Model Among People With HIV in China Using Path Analysis: A Secondary Data Analysis.","authors":"Meilian Xie, Aiping Wang, Zhiyun Zhang, Kerong Wang, Yanping Yu","doi":"10.1097/JNC.0000000000000493","DOIUrl":"10.1097/JNC.0000000000000493","url":null,"abstract":"<p><strong>Abstract: </strong>This study explored the path affecting the quality of life (QOL) of people with HIV in China and clarified the applicability and interpretability of the Self-Regulatory HIV/AIDS Symptom Management Model. We conducted a cross-sectional survey in nine regions of China and collected information about demographics, symptom experience, social support, perceived symptom manageability, self-efficacy, and QOL. A total of 711 patients participated in this survey. After four rounds of path analysis were conducted, the most fit indices met the standards (χ 2 /df = 2.633, Root Mean Square Error of Approximation = 0.081, Goodness-of-Fit Index/Adjusted Goodness-of-Fit Index/Comparative Fit Index/Incremental Fit Index/Tucker-Lewis Coefficient > 0.9), and the relationships between variables were statistically significant ( p < .05). Among all the pathways, social support had the most significant impact on the QOL, with a total path coefficient of 0.665. Symptom experience, as a negative factor, had a total effect value of -0.361. This study showed how all the factors influencing QOL were interconnected, serving as a crucial theoretical foundation for intervention strategies in future clinical practice.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":"495-506"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11520334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983772","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
"Successful Living" Among Adolescents With HIV in Sub-Saharan Africa: An Evolutionary Concept Analysis. 撒哈拉以南非洲感染艾滋病毒的青少年中的 "成功生活":概念演变分析》。
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-09-01 DOI: 10.1097/JNC.0000000000000485
Dieudonne Kayiranga, Donatilla Mukamana, Darius Gishoma, Michael V Relf
{"title":"\"Successful Living\" Among Adolescents With HIV in Sub-Saharan Africa: An Evolutionary Concept Analysis.","authors":"Dieudonne Kayiranga, Donatilla Mukamana, Darius Gishoma, Michael V Relf","doi":"10.1097/JNC.0000000000000485","DOIUrl":"10.1097/JNC.0000000000000485","url":null,"abstract":"<p><strong>Abstract: </strong>The concept of successful living in the context of adolescents with HIV lacks clarity and is unexplored. Without a common understanding of successful living among adolescents with HIV (AWH) in Sub-Saharan Africa (SSA), health care interventions focusing on this population may continue to fall short, resulting in avoidable morbidity and mortality. Therefore, this analysis used Rodgers Evolutionary Concept Analysis method to identify attributes, antecedents, consequences, and related concepts of successful living among AWH in SSA. Health care interventions are encouraged to promote successful living among AWH to achieve behavioral and clinical outcomes.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":"35 5","pages":"376-387"},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11356674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142086408","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
"Where No One Has Gone Before": Questions to Ensure the Ethical, Rigorous, and Thoughtful Application of Artificial Intelligence in the Analysis of HIV Research. "前无古人":确保人工智能在艾滋病研究分析中的伦理、严谨和深思熟虑应用的问题。
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-09-01 Epub Date: 2024-08-06 DOI: 10.1097/JNC.0000000000000483
Alanna J Bergman, Katherine C McNabb, Michael V Relf, Mark H Dredze
{"title":"\"Where No One Has Gone Before\": Questions to Ensure the Ethical, Rigorous, and Thoughtful Application of Artificial Intelligence in the Analysis of HIV Research.","authors":"Alanna J Bergman, Katherine C McNabb, Michael V Relf, Mark H Dredze","doi":"10.1097/JNC.0000000000000483","DOIUrl":"10.1097/JNC.0000000000000483","url":null,"abstract":"<p><strong>Abstract: </strong>ChatGPT, an artificial intelligence (AI) system released by OpenAI on November 30th, 2022, has upended scientific and educational paradigms, reshaping the way that we think about teaching, writing, and now research. Since that time, qualitative data analytic software programs such as ATLAS.ti have quickly incorporated AI into their programs to assist with or even replace human coding. Qualitative research is key to understanding the complexity and nuance of HIV-related behaviors, through descriptive and historical textual research, as well as the lived experiences of people with HIV. This commentary weighs the pros and cons of the use of AI coding in HIV-related qualitative research. We pose guiding questions that may help researchers evaluate the application and scope of AI in qualitative research as determined by the research question, underlying epistemology, and goal(s). Qualitative data encompasses a variety of media, methodologies, and styles that exist on a spectrum underpinned by epistemology. The research question and the data sources are informed by the researcher's epistemological viewpoint. Given the heterogeneous applications of qualitative research in nursing, medicine, and public health there are circumstances where qualitative AI coding is appropriate, but this should be congruent with the aims and underlying epistemology of the research.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":"35 5","pages":"450-455"},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11364210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142086409","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
Select Dietary Components Are Associated With Better Global Cognition in U.S. Adults With HIV: A Pilot Study. 某些膳食成分与提高艾滋病毒感染者的整体认知能力有关。
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-09-01 Epub Date: 2024-08-13 DOI: 10.1097/JNC.0000000000000479
Pariya L Fazeli, Christine Horvat Davey, Allison R Webel, Vitor Oliveira, Thomas W Buford, David E Vance, Greer Burkholder, Heidi M Crane, Julia Fleming, Amanda L Willig
{"title":"Select Dietary Components Are Associated With Better Global Cognition in U.S. Adults With HIV: A Pilot Study.","authors":"Pariya L Fazeli, Christine Horvat Davey, Allison R Webel, Vitor Oliveira, Thomas W Buford, David E Vance, Greer Burkholder, Heidi M Crane, Julia Fleming, Amanda L Willig","doi":"10.1097/JNC.0000000000000479","DOIUrl":"10.1097/JNC.0000000000000479","url":null,"abstract":"<p><strong>Abstract: </strong>People with HIV (PWH) are at an increased risk for cognitive impairment. Lifestyle factors can have protective effects on cognition; little work has examined diet and cognitive function in PWH. In this cross-sectional pilot study, 86 PWH (mean age 56 years) completed diet recalls and a neurocognitive assessment. Correlations were conducted between diet and cognitive function, adjusting for total calories, sex, and education (multiple comparison correction p values are reported). Diet quality of the sample was poor. Greater calories per day ( r = 0.28, p =.08) and greater percentage of calories from saturated fatty acids (SFAs; r = 0.26, p = 0.08) were associated with better cognition. Higher intake of SFAs ( r s 0.30-0.31, p s = 0.07), amino acids ( r s = 0.27, p s = 0.08), and phosphorus ( r = 0.29, p = .07) and magnesium ( r = 0.25, p = .08) were associated with better cognition. A diet reflecting higher protein and fat relative to carbohydrates was associated with better cognition. Targeting individual nutrients, improving diet quality, and adequate caloric intake may preserve cognition in PWH.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":"388-396"},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11361838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977106","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 Unique Challenges of Older Informal Caregivers Living With HIV in the U.S. Deep South: A Qualitative Study. 感染艾滋病毒的老年护理者:他们的护理故事。
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-09-01 Epub Date: 2024-08-13 DOI: 10.1097/JNC.0000000000000484
Yookyong Lee, David E Vance, D Scott Batey
{"title":"The Unique Challenges of Older Informal Caregivers Living With HIV in the U.S. Deep South: A Qualitative Study.","authors":"Yookyong Lee, David E Vance, D Scott Batey","doi":"10.1097/JNC.0000000000000484","DOIUrl":"10.1097/JNC.0000000000000484","url":null,"abstract":"<p><strong>Abstract: </strong>As people with HIV live longer and healthier, it has become more likely that they will assume a caregiver role for their families and/or friends. Yet, there is a significant gap in the literature that older caregivers with HIV (OCWH) have not received attention from practitioners and researchers. To fill the gap, our qualitative study was conducted with OCWH ( N = 19) to explore various themes such as adjustment to caregiving, caregiving responsibilities, HIV and other health issues, support systems, caregiving outcomes, needs assessment, cognitive health, and the impact of COVID-19. Results indicated that each OCWH faced their own unique challenges (e.g., severity of health conditions, intense caregiving responsibilities, caregiving situation, lack of social support/transportation/financial means), but they expressed positive and fulfilling caregiving outcomes. Understanding the lived experiences of OCWH is requisite to develop holistic service programs to meet their caregiving needs while supporting their HIV health and co-occurring health conditions.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":"409-421"},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977104","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
Marriage and Fertility Desire and Associated Factors Among Unmarried People Living With HIV in Jinan, China: A Cross-Sectional Study. 中国济南未婚艾滋病病毒感染者的婚育意愿及相关因素。
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-09-01 Epub Date: 2024-08-13 DOI: 10.1097/JNC.0000000000000487
Yong Yu, Jiahong Li, Keke Qin, Fuqun Xiao, Huiling Cai
{"title":"Marriage and Fertility Desire and Associated Factors Among Unmarried People Living With HIV in Jinan, China: A Cross-Sectional Study.","authors":"Yong Yu, Jiahong Li, Keke Qin, Fuqun Xiao, Huiling Cai","doi":"10.1097/JNC.0000000000000487","DOIUrl":"10.1097/JNC.0000000000000487","url":null,"abstract":"<p><strong>Abstract: </strong>The desires for marriage and fertility among people living with HIV (PLWH) are increasing worldwide because of improved treatment and prognosis; yet they remain understudied in China, which has a family-oriented culture. This study aimed to investigate these desires for marriage and fertility among Chinese PLWH and explore their correlates. A cross-sectional study was conducted among 1,504 Chinese PLWH to assess their desires for marriage, fertility, and other variables through an online questionnaire. Logistic regression models were used to analyze factors associated with desires for marriage and fertility. Among the 1,504 participants, 53.9% aspired to marry at 34.76 ± 5.26 years old, whereas 62.0% desired parenthood at 36.43 ± 5.11 years old. Factors associated with these desires included age, gender, residence, education level, HIV transmission route, CD4 + T-cell count, time since HIV diagnosis, disclosure of HIV status, social support, and mental health indicators.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":"422-436"},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977103","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
Provider Factors Likely to Impact Access and Uptake of Long-Acting Injectable Cabotegravir for Transgender Women in the United States: Results of a Qualitative Study. 可能影响变性女性获得和接受长效注射卡博特拉韦的提供者因素:定性研究结果。
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-09-01 Epub Date: 2024-08-13 DOI: 10.1097/JNC.0000000000000488
Christine Tagliaferri Rael, Doyel Das, Jonathan Porter, Javier Lopez-Ríos, Elena Abascal, Curtis Dolezal, Michael P Vaughn, Pilar Giffenig, Jasmine M Lopez, Samantha Stonbraker, Christina Sun, Roque Anthony Velasco, Leandra Bitterfeld, Walter O Bockting, Jose Bauermeister
{"title":"Provider Factors Likely to Impact Access and Uptake of Long-Acting Injectable Cabotegravir for Transgender Women in the United States: Results of a Qualitative Study.","authors":"Christine Tagliaferri Rael, Doyel Das, Jonathan Porter, Javier Lopez-Ríos, Elena Abascal, Curtis Dolezal, Michael P Vaughn, Pilar Giffenig, Jasmine M Lopez, Samantha Stonbraker, Christina Sun, Roque Anthony Velasco, Leandra Bitterfeld, Walter O Bockting, Jose Bauermeister","doi":"10.1097/JNC.0000000000000488","DOIUrl":"10.1097/JNC.0000000000000488","url":null,"abstract":"<p><strong>Abstract: </strong>Long-acting injectable cabotegravir (CAB-LA) was US Food and Drug Administration-approved in 2021. However, little is known about providers' CAB-LA knowledge, attitudes, challenges, and prescribing preferences for transgender women patients. Understanding this is critical to developing new pre-exposure prophylaxis (PrEP) interventions tailored to transgender women. We conducted 45-min, in-depth Zoom interviews (IDIs) with United States-based health care providers who prescribe PrEP to transgender women. IDIs focused on providers' CAB-LA knowledge/acceptability, willingness to prescribe CAB-LA to transgender women, potential challenges, and solutions to mitigate challenges. Providers ( N = 17) had a mean age of 43 years, and 35.4% ( n = 6) identified as people of color. Most ( n = 12) had basic knowledge of CAB-LA but wanted additional training. All participants found CAB-LA acceptable and were willing to prescribe. Most ( n = 11) anticipated minimal challenges to implementation. Others ( n = 4) reported potential issues, including logistical/scheduling concerns that impede CAB-LA integration and staffing concerns. Many providers expressed support for self-injection ( n = 13) and injections at \"drop-in\" clinics ( n = 8) to overcome challenges.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":"437-449"},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11361836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977105","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
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