Janac-Journal of the Association of Nurses in Aids Care最新文献_第7页

Amplified HIV Transmission Risk Among People Living With HIV in Southeast Brazil. 巴西东南部艾滋病毒感染者的艾滋病毒传播风险增加。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2023-09-01 Epub Date: 2023-08-11 DOI: 10.1097/JNC.0000000000000421

Renata Karina Reis, Marcela Antonini, Laelson Rochelle Milanês Sousa, Karyanna Alves de Alencar Rocha, Glenda Roberta Oliveira Naiff Ferreira, Mario Vianna Vettore, Elucir Gir

{"title":"Amplified HIV Transmission Risk Among People Living With HIV in Southeast Brazil.","authors":"Renata Karina Reis, Marcela Antonini, Laelson Rochelle Milanês Sousa, Karyanna Alves de Alencar Rocha, Glenda Roberta Oliveira Naiff Ferreira, Mario Vianna Vettore, Elucir Gir","doi":"10.1097/JNC.0000000000000421","DOIUrl":"10.1097/JNC.0000000000000421","url":null,"abstract":"Abstract: This study investigated the factors associated with amplified HIV transmission risk among people living with HIV from a city in southeast Brazil. A cross-sectional study was conducted with 397 people living with HIV recruited in infectious diseases clinics. Data on risk of HIV transmission, sociodemographic characteristics, sexual behaviors, professional counseling, serological HIV status, HIV-related clinical data, and beliefs about risk of HIV transmission were collected through interviews and medical records. Hierarchical ordered multinomial regression analyses were performed. Amplified HIV risk transmission was associated with lower age, alcohol consumption before having sex, illicit drug use before sexual intercourse, and not receiving professional counseling about HIV transmission. The belief that HIV can be transmitted to a partner not living with HIV was associated with lower likelihood of amplified risk for HIV transmission. Our findings suggest the importance of minimizing substance use before having sex, professional counseling, and beliefs about HIV transmission on amplified HIV risk transmission.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/01/ba/jnc-34-469.PMC10470434.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10522470","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

UPDOs Protective Styles, a Multilevel Intervention to Improve Pre-exposure Prophylaxis Uptake Among Black Cisgender Women: Pretest-Posttest Evaluation. UPDO保护性风格，一种提高黑人顺性别女性暴露前预防摄入的多水平干预：测试前-测试后评估。

IF 2 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2023-09-01 DOI: 10.1097/JNC.0000000000000424

Schenita D Randolph, Ragan Johnson, Elizabeth Jeter, Kara McGee, Allison Johnson

{"title":"UPDOs Protective Styles, a Multilevel Intervention to Improve Pre-exposure Prophylaxis Uptake Among Black Cisgender Women: Pretest-Posttest Evaluation.","authors":"Schenita D Randolph, Ragan Johnson, Elizabeth Jeter, Kara McGee, Allison Johnson","doi":"10.1097/JNC.0000000000000424","DOIUrl":"10.1097/JNC.0000000000000424","url":null,"abstract":"Abstract: In the United States, Black cisgender women account for one in five new HIV infections with Black Americans, accounting for 57% of new diagnoses in the South. Pre-exposure prophylaxis (PrEP) is 99% effective at preventing HIV. Still, Black women's uptake remains at 2% due to multiple documented barriers, including lack of awareness and knowledge, mistrust, stigma, and low perceived risk. Culturally relevant interventions leveraging trusted venues, such as beauty salons, can overcome these barriers. This article reports preliminary results of an intervention to improve PrEP knowledge and awareness, PrEP stigma, PrEP trust, and uptake among Black cisgender women. This multilevel, mixed-methods study used a community-engagement approach to develop and pilot a salon-based intervention, Using PrEP and Doing it for Ourselves (UPDOs) Protective Styles. The intervention improved knowledge, awareness, and trust around PrEP among Black cisgender women. PrEP use stigma within interpersonal relationships decreased, but low perceived risk and social stigma remained constant. Culturally and socially acceptable interventions like UPDOs Protective Styles can model health care delivery to improve trust, thus improving uptake over time for this population.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10153641","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

How is Aging Perceived to Affect Well-being in Women Older than 50 Years Living With HIV? A Qualitative Systematic Review. 年龄增长如何影响50岁以上艾滋病患者的幸福感？定性系统评价。

IF 2 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2023-09-01 Epub Date: 2023-08-03 DOI: 10.1097/JNC.0000000000000419

Rebecca Conway, Michael Evangeli

引用次数: 0

HIV Syndemic Factor Associations Among Adolescent Gay and Bisexual Men in the Youth Risk Behavior Survey 2015-2019: A Secondary Data Analysis. 2015-2019年青少年风险行为调查中青少年男同性恋和双性恋者的HIV综合征因素相关性：二次数据分析。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2023-09-01 Epub Date: 2023-08-17 DOI: 10.1097/JNC.0000000000000423

David R Garcia, Jason Fletcher, Lloyd Goldsamt, David L Bell, Yaguang Zheng, Ann-Margaret Dunn Navarra

{"title":"HIV Syndemic Factor Associations Among Adolescent Gay and Bisexual Men in the Youth Risk Behavior Survey 2015-2019: A Secondary Data Analysis.","authors":"David R Garcia, Jason Fletcher, Lloyd Goldsamt, David L Bell, Yaguang Zheng, Ann-Margaret Dunn Navarra","doi":"10.1097/JNC.0000000000000423","DOIUrl":"10.1097/JNC.0000000000000423","url":null,"abstract":"Abstract: This analysis of the Youth Risk Behavior Survey examined HIV syndemic factor associations (substance use, violence, mental health, and HIV risk behaviors) among adolescent gay, bisexual, and other men who have sex with men-a population with the highest prevalence of undiagnosed HIV infections. The representative sample ( n = 644) exhibited low condom use (52%) and HIV testing (21%). Adjusted multivariate logistic regression models showed that Blacks were less likely to report HIV testing (adjusted odds ratio [aOR] = 0.06, 95% confidence interval [CI] [0.01-0.44], p < .01), whereas Hispanics were more likely to report four or more lifetime sexual partners (aOR = 3.75, 95% CI [1.49-9.44], p < .01), compared with Whites. A syndemic of substance use and intimate partner violence (sexual, sexual dating, and/or physical dating violence) was associated with early intercourse, multiple sexual partners, and drugs/alcohol before intercourse. Multiple syndemic factor exposures were associated with additive risk, suggesting multilevel approaches for HIV prevention.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10528913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10206067","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

Problems Paying Medical Bills Among Adults With Diagnosed HIV in the United States. 美国确诊感染艾滋病毒的成年人的医疗费用支付问题。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2023-09-01 Epub Date: 2023-07-21 DOI: 10.1097/JNC.0000000000000420

Ruth E Luna-Gierke, Yunfeng Tie, Xin Yuan, Qingwei Luo, Linda Beer, Sharoda Dasgupta

{"title":"Problems Paying Medical Bills Among Adults With Diagnosed HIV in the United States.","authors":"Ruth E Luna-Gierke, Yunfeng Tie, Xin Yuan, Qingwei Luo, Linda Beer, Sharoda Dasgupta","doi":"10.1097/JNC.0000000000000420","DOIUrl":"10.1097/JNC.0000000000000420","url":null,"abstract":"Abstract: Problems paying medical bills may affect HIV outcomes among people with HIV (PWH), thus limiting progress toward achieving national HIV prevention goals. We analyzed nationally representative data from CDC's Medical Monitoring Project collected during 6/2018-5/2020. Among 8,108 PWH, we reported weighted percentages of characteristics and examined associations between problems paying medical bills and clinical outcomes using prevalence ratios with predicted marginal means, adjusting for potential confounding. Nineteen percent of PWH reported problems paying medical bills. Problems paying medical bills were more prevalent among persons who experienced homelessness (26.9% vs. 18.3%). People with problems paying medical bills were more likely to have adverse HIV outcomes and were more likely to have ≥1 emergency room visit (prevalence ratio [PR]: 1.59; 95% CI [1.51-1.68]) or hospitalization (PR: 1.72; 95% CI [1.55-1.91]) in the past year. Identifying PWH experiencing financial barriers and expanding access to safety net programs could improve access to care and outcomes.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10527849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10205524","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

Enough is Enough! What About Human Rights? 适可而止人权怎么办？

IF 2 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2023-09-01 Epub Date: 2023-08-17 DOI: 10.1097/JNC.0000000000000425

Michael V Relf

引用次数: 0

Development and Implementation of an Academic and Professional Nursing Organization Partnership to Enhance Leadership Skills and Knowledge About HIV-Related Nursing Care Among Diverse, Prelicensure, Clinical Nurse Leader Scholars. 发展和实施一个学术和专业护理组织的伙伴关系，以提高领导技能和知识的艾滋病相关护理在不同的，执照前，临床护士领导学者。

IF 2 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2023-07-01 DOI: 10.1097/JNC.0000000000000414

Vanessa P Fahie, Lynn Chen, Gail Schoen Lemaire, Hina S Ahmed

{"title":"Development and Implementation of an Academic and Professional Nursing Organization Partnership to Enhance Leadership Skills and Knowledge About HIV-Related Nursing Care Among Diverse, Prelicensure, Clinical Nurse Leader Scholars.","authors":"Vanessa P Fahie, Lynn Chen, Gail Schoen Lemaire, Hina S Ahmed","doi":"10.1097/JNC.0000000000000414","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000414","url":null,"abstract":"Abstract: Historically, racial discrimination, few role models, and a general lack of support both in academic and professional contexts has hindered the education and career advancement of minority nursing students. The American Association of Colleges of Nursing (AACN), in its G uiding Principles for Academic-Practice Partnerships , describes the creation of an academic-professional nursing organization partnership to address barriers to the success of nursing students from underrepresented groups. In keeping with the AACN's guiding principles, the University of Maryland School of Nursing and the Association of Nurses in AIDS Care (ANAC) developed a partnership to deliver a multifaceted program for prelicensure, second-degree, Master of Science in Nursing, Clinical Nurse Leader Scholars which prepares them to address the health care needs of people living with HIV/AIDS and bolsters student leadership knowledge and skills. The objective of this article is to describe the program components, outcomes, and lessons learned from this academic-professional nursing organization partnership. The approach described may be useful for future partnerships designed to enhance leadership experiences and skills for minority nursing students and will hopefully be used to advocate for their success.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10392962","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

Associations Between Clinic-Based HIV Testing Guidelines and Population-Level HIV Testing Rates in the United States. 在美国，基于临床的HIV检测指南和人群水平的HIV检测率之间的关联。

IF 2 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2023-07-01 DOI: 10.1097/JNC.0000000000000412

Khairul A Siddiqi, Melanie Gwynn, Bankole Olatosi, Jan Ostermann

{"title":"Associations Between Clinic-Based HIV Testing Guidelines and Population-Level HIV Testing Rates in the United States.","authors":"Khairul A Siddiqi, Melanie Gwynn, Bankole Olatosi, Jan Ostermann","doi":"10.1097/JNC.0000000000000412","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000412","url":null,"abstract":"Abstract: Between 2005 and 2006, the United States Preventive Services Task Force and the Centers for Disease Control and Prevention revised their risk-based HIV testing guidelines to include universal HIV testing in routine health care. We examined trends in HIV testing and associations with changing policy recommendations using the 2000-2017 National Health Interview Surveys. Multivariable logistic regression and difference-in-difference approach were used to assess rates and correlates of HIV testing before and after the policy changes. Changes in recommendations had minimal effects on overall HIV testing rates but had significant effects on selected subpopulations. The odds of HIV testing increased disproportionately among African Americans, Hispanics, individuals with some college education, low perceived HIV risks, and those who were never married but decreased among those with no regular source of care. A strategy combining risk-based and routine opt-out testing holds promise to rapidly link recently infected individuals to care while reaching individuals who have never been tested.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10371382","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

Prevalence and Correlates of Cardiovascular, Pulmonary, Cancer, and Mental Health Comorbidities Among Adults With HIV Who Smoke. 吸烟的 HIV 感染者中心血管、肺部、癌症和精神健康合并症的患病率及相关因素。

IF 2 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2023-07-01 DOI: 10.1097/JNC.0000000000000416

Jessica L Elf, Kimberly Horn, Lorien Abroms, Cassandra A Stanton, Amy M Cohn, Freya Spielberg, Tiffany Gray, Emily Harvey, Charles Debnam, Lexi Kierstead, Matthew E Levy, Amanda Castel, Anne Monroe, Raymond Niaura

{"title":"Prevalence and Correlates of Cardiovascular, Pulmonary, Cancer, and Mental Health Comorbidities Among Adults With HIV Who Smoke.","authors":"Jessica L Elf, Kimberly Horn, Lorien Abroms, Cassandra A Stanton, Amy M Cohn, Freya Spielberg, Tiffany Gray, Emily Harvey, Charles Debnam, Lexi Kierstead, Matthew E Levy, Amanda Castel, Anne Monroe, Raymond Niaura","doi":"10.1097/JNC.0000000000000416","DOIUrl":"10.1097/JNC.0000000000000416","url":null,"abstract":"Abstract: Using data from the D.C. Cohort Longitudinal HIV Study, we examined (a) diagnosed mental health and (b) cardiovascular, pulmonary, or cancer (CPC) comorbidity among adults with HIV who smoked. Among 8,581 adults, 4,273 (50%) smoked; 49% of smokers had mental health, and 13% of smokers had a CPC comorbidity. Among smokers, non-Hispanic Black participants had a lower risk for mental health (prevalence ratio [PR]: 0.69; 95% confidence interval [CI] [0.62-0.76]) but a higher risk for CPC (PR: 1.17; 95% CI [0.84-1.62]) comorbidity. Male participants had a lower risk for mental health (PR: 0.88; 95% CI [0.81-0.94]) and CPC (PR: 0.68; 95% CI [0.57-0.81]) comorbidity. All metrics of socioeconomic status were associated with a mental health comorbidity, but only housing status was associated with a CPC comorbidity. We did not find any association with substance use. Gender, socioeconomic factors, and race/ethnicity should inform clinical care and the development of smoking cessation strategies for this population.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10803179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10540698","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

Apathy Among Persons Living With HIV Is Associated With Lower Self-efficacy for Health Care Provider Interactions. 艾滋病毒感染者的冷漠与卫生保健提供者互动的低自我效能有关。

IF 2 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2023-07-01 DOI: 10.1097/JNC.0000000000000413

Michelle A Babicz, Anastasia Matchanova, Steven Paul Woods

引用次数: 0