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

{"title":"Development and Validation of a New Comprehensive Assessment Scale of HIV-Related Psychological Distress in China: A Methodological Study.","authors":"Haiqi Ma,&nbsp;Zhiguang Hu,&nbsp;Zhongqing Wang,&nbsp;Yue Ma,&nbsp;Huimin Zhai,&nbsp;Juan Li","doi":"10.1097/JNC.0000000000000402","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000402","url":null,"abstract":"<p><strong>Abstract: </strong>Instruments evaluating HIV-related psychological distress (HRPD) in people living with HIV may lack sensitivity to capture patients' psychological burden. We developed a comprehensive scale measuring HRPD and evaluated its psychometric properties. A mixed-method study was conducted from July 2021 to April 2022; it involved a literature review, semistructured interviews ( n = 15), three rounds of panel discussions, two rounds of Delphi studies ( n = 20), a pilot test ( n = 20) to generate new scale items, and a cross-sectional survey ( n = 659) to evaluate the psychometric properties of the HIV-related psychological distress scale. The scale contains 22 items across 4 subscales (i.e., disease-related distress, treatment adherence distress, identity distress, and disclosure distress). The confirmatory factor analysis revealed high goodness of fit (χ 2 /df = 2.412, comparative fit index = 0.916, incremental fit index = 0.917, and Tucker‒Lewis index = 0.902), showing that the HIV-related psychological distress scale is a reliable (Cronbach's α = 0.871 overall) and valid scale for evaluating HRPD in China and can be used to dynamically evaluate and monitor HRPD levels during patient follow-up.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9573062","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":"Coordinating Care for People With HIV Who Have Lower Incomes and Alternative Sources of Health Care Coverage.","authors":"Melanie Au,&nbsp;Ellie Coombs,&nbsp;Andrew Jones,&nbsp;Frances Carley,&nbsp;Maya Talwar-Hebert,&nbsp;West Addison,&nbsp;Robert J Mills,&nbsp;Stacy M Cohen,&nbsp;Pamela W Klein,&nbsp;Laura Cheever,&nbsp;Boyd Gilman","doi":"10.1097/JNC.0000000000000408","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000408","url":null,"abstract":"<p><strong>Abstract: </strong>As people with HIV increasingly access affordable health care coverage-enabling them to obtain medical care from private providers-understanding how they use the Ryan White HIV/AIDS Program (RWHAP), and their unmet health care needs, can enhance their overall care. We analyzed RWHAP client-level data and interviewed staff and clients at 29 provider organizations to identify trends in health care coverage and service use for clients who received medical care from private providers. The RWHAP helps cover the cost of premiums and copays for these clients and provides medical and support services that help them stay engaged in care and virally suppressed. The RWHAP plays an important role in HIV care and treatment for clients with health care coverage. The growing number of people who receive a combination of services from RWHAP providers and private providers offers opportunities for greater care coordination through communication and data sharing between these settings.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9573081","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":"An Assessment of Clinical Mentorship for Quality Improvement: The African Health Professions Regional Collaborative for Nurses and Midwives.","authors":"Courtney S Drayton,&nbsp;Sydney A Spangler,&nbsp;Thoko Lipato,&nbsp;Marissa Robinson,&nbsp;Muadi Mukenge,&nbsp;Agnes N Waudo,&nbsp;Jessica Gross","doi":"10.1097/JNC.0000000000000406","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000406","url":null,"abstract":"<p><strong>Abstract: </strong>The African Regional Collaborative for nurses and midwives funded quality improvement projects in five countries to enhance clinical mentorship programs supporting HIV service delivery for women, infants, and children. Each country team implemented specific interventions focused on the application of nurse-initiated and managed antiretroviral therapy guidelines and competencies. A site-level tool, the nursing practice framework, measured structural maturation in clinical mentorship programs across five stages at eight facilities. Clinical competencies that aligned with the framework were evaluated through a provider-level knowledge assessment to identify on-going needs for mentees before and after the implementation period. Key trends observed in the assessment include positive program progression for all facilities; competencies were higher for pregnant and breastfeeding women and lower for HIV-exposed infants; there was an increase in posttest participation for all facilities. The nursing practice framework provides a rapid assessment of structural changes and exploration of context to identify quality improvement needs.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ce/f2/jnc-34-316.PMC10150629.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9874557","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}

{"title":"Implementation of a Novel Clinic/Community Partnership Addressing Food Insecurity Among Adults With HIV in the Southern United States: A Program Brief.","authors":"Wesli H Turner,&nbsp;Emma Sophia Kay,&nbsp;James L Raper,&nbsp;Karen Musgrove,&nbsp;Kathy Gaddis,&nbsp;Anastasia Ferrell,&nbsp;Donna Yester,&nbsp;Joshua Glenn,&nbsp;Meredith Atwater,&nbsp;Kris Hutchins,&nbsp;Ashutosh Tamhane,&nbsp;Dustin M Long,&nbsp;Polly Kellar,&nbsp;Tom Creger,&nbsp;Ellen Eaton,&nbsp;Amanda L Willig","doi":"10.1097/JNC.0000000000000399","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000399","url":null,"abstract":"An estimated 24% to 50% of people with HIV (PWH) in theUnited States are food insecure (Willig et al., 2018). In particular, the Southern United States accounts for 52% of new HIV diagnoses (Centers for DiseaseControl and Prevention, 2019;Reif et al., 2017), and the region is disproportionately affected by the dual burdens of HIV and food insecurity (Coleman-Jenson et al., 2019). Food insecurity, defined as the inability to obtain food in personally or socially acceptable ways (Coleman-Jenson et al., 2019), may negatively affect HIV treatment outcomes and the ability to manage chronic diseases (Kalichman et al., 2014; Weiser et al., 2009). Food insecurity affects the entire HIV care continuum from acquisition to viral suppression (Singer et al., 2015;Wang et al., 2011;Weiser et al., 2011). Food insecurity among PWH is associated with lower levels of antiretroviral therapy (ART) concentrations in hair and with two times higher HIV viral load, indicators of whether a patient is adhering to the HIV medication regimen (Leddy et al., 2020; Spinelli et al., 2017). Furthermore, patients have reported skipping HIV medication doses when they do not have enough food to take the medication with a full meal as sometimes instructed (Walcott et al., 2016). Alleviating food insecurity among PWH could thus positively affect ART adherence in this population. People with HIV with food insecurity in the United States are referred to standard federal or community-led food assistance programs (McKay et al., 2017). However, a recent systematic review of diet quality among food pantry beneficiaries reported diets were low in fruits, vegetables, and dairy products and provided inadequate amounts of fiber and several micronutrients (Simmet et al., 2017). Participation in food assistance programs thus can reduce food insecurity but may inadvertently increase chronic disease risk among program clients (Byker Shanks, 2017; Simmet et al., 2017). To address the burden of food insecurity in PWH, the University of Alabama at Birmingham 1917 Clinic and BirminghamAIDSOutreach (BAO) designed a nutrientrich food program tailored to nutritional and social needs of PWH. Here, we outline the development process for a novel, comprehensive food assistance program Wesli H. Turner, MSc, is Research Coordinator, University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, USA, Emma Sophia Kay, PhD, is Director of Research and Development, Birmingham AIDS Outreach, Birmingham, Alabama, USA, James L. Raper, PhD, CRNP, JD, is Professor and Director of UAB 1917 HIV Outpatient Clinic, University of Alabama at Birmingham School ofMedicine, Birmingham,Alabama,USA,KarenMusgrove, PhD,MED, LPC, is Chief Executive Officer, BirminghamAIDSOutreach, Birmingham, Alabama, USA, KathyGaddis, LMSW, isDirector of SocialWork 1917Clinic,University of Alabamaat Birmingham School of Medicine, Birmingham, Alabama, USA, Anastasia Ferrell, BFA, is B-FED Fulfillment Coordinator, Birmingham AIDS Outrea","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9890698","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":"Condom Use Among Male Sex Workers With Their Male Clients in Mombasa, Kenya: Results of a Sub-analysis of a Pilot, Multilevel, Structural, HIV Risk-Reduction Intervention.","authors":"Christine Tagliaferri Rael, Theo G M Sandfort, Peter Gichangi, Yves Lafort, Joanne E Mantell","doi":"10.1097/JNC.0000000000000401","DOIUrl":"10.1097/JNC.0000000000000401","url":null,"abstract":"<p><strong>Abstract: </strong>Despite the advent of preexposure prophylaxis, consistent condom use continues to be recommended because preexposure prophylaxis does not prevent sexually transmitted infections. This is important for high-risk populations (e.g., male sex workers; MSW) in low-resource, high-HIV/sexually transmitted infection prevalence settings, such as the Mombasa region in Kenya. This study aimed to examine the relationship between MSW's condom use, and their knowledge, beliefs, and attitudes about condoms. MSW (N = 158) completed surveys on their sexual behaviors/practices/attitudes. We used multiple regressions to identify associations between condom use, HIV knowledge/attitudes, and self-efficacy. Three quarters of participants reported always using condoms in the past week, and 64.3% reported always using condoms in the past month with male clients. Mean scores for knowledge and attitudes/self-efficacy toward condoms/safer sex were positively associated with condom use. Interventions to build self-efficacy, such as condom negotiation, and/or bringing up condom use with clients may be useful for Kenyan MSW.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10754228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9522583","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}

{"title":"A Cross-sectional Study of Perceived Stress and Racial Discrimination Among a National Sample of Young Men Who Have Sex With Men.","authors":"Evette Cordoba, Robert Garofalo, Lisa M Kuhns, Cynthia R Pearson, D Scott Batey, Josh Bruce, Asa Radix, Uri Belkind, Marco A Hidalgo, Sabina Hirshfield, Rebecca Schnall","doi":"10.1097/JNC.0000000000000407","DOIUrl":"10.1097/JNC.0000000000000407","url":null,"abstract":"<p><strong>Abstract: </strong>Research regarding the impact of racism on stress among young men who have sex with men (YMSM) is sparse. Secondary data were assessed from a 2018-2020 national mHealth prevention trial for YMSM aged 13-18 years (N = 542). Linear regression models examined associations between perceived stress and interpersonal and vicarious racism, adjusting for covariates. Stratified models by race/ethnicity were included. A subanalysis (n = 288) examined associations between nine interpersonal racial discriminatory events and perceived stress. Over 50% of participants experienced racial discrimination. In the multivariable models, exposure to interpersonal (β = 1.43, p-value: .038) and vicarious (β = 1.77, p-value: .008) racism was associated with perceived stress because there were four interpersonal racial discriminatory events. Stratified analysis by race/ethnicity found significant associations between interpersonal and vicarious racism and perceived stress among some racial/ethnic groups. Racial discrimination was common among YMSM, making them susceptible to the possible effects of vicarious and interpersonal racism on stress.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11262710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9522584","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}

{"title":"Impact of Food Insecurity and Undernutrition on Frailty and Physical Functioning in Aging People With HIV in the United States.","authors":"Christine Horvat Davey, Brianna Navis, Allison R Webel, Catherine Jankowski, Vitor H F Oliveira, Vincent Khuu, Paul F Cook, Kristine M Erlandson","doi":"10.1097/JNC.0000000000000395","DOIUrl":"10.1097/JNC.0000000000000395","url":null,"abstract":"<p><strong>Abstract: </strong>We conducted an observational cross-sectional study to explore whether food insecurity or undernutrition was associated with frailty or low physical functioning in aging persons with HIV (PWH). Forty-eight PWH aged 50 years and older were enrolled. Independent samples t -tests and chi-square tests were used to examine the relationship of food insecurity or undernutrition to frailty or physical function. Participants were 58.6 (±6.3) years old, 83% male, 77% White, 21% Hispanic. In total, 44% experienced food insecurity and 71% experienced undernutrition, whereas 23% were frail and 69% were prefrail. Food insecurity was associated with impaired total short physical performance battery score ( p = .02), impaired balance ( p = .02), slower chair rise time ( p = .03), and weight loss within 12 months ( p = .05). Undernutrition was related to female gender ( p = .01), worse frailty ( p = .04), and weaker grip strength ( p = .03). In this sample of undernourished and frail PWH, strong relationships between undernutrition and frailty were observed.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10159892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10392447","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}

{"title":"Exploring the All of Us Database: An Invitation to Nurse Scientists and Public Health Researchers.","authors":"Carole Treston","doi":"10.1097/JNC.0000000000000405","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000405","url":null,"abstract":"","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9573542","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":"What Factors Are Associated With Willingness to Use HIV Pre-exposure Prophylaxis (PrEP) Among U.S. Men Who Have Sex With Men Not on PrEP? A Systematic Review and Meta-analysis.","authors":"Emiko Kamitani,&nbsp;Megan E Wichser,&nbsp;Yuko Mizuno,&nbsp;Julia B DeLuca,&nbsp;Darrel H Higa","doi":"10.1097/JNC.0000000000000384","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000384","url":null,"abstract":"<p><strong>Abstract: </strong>Pre-exposure prophylaxis (PrEP), an antiretroviral medication to prevent HIV, is becoming more widely available in the United States since the Federal Drug Administration approved it in 2012. However, PrEP use among men who have sex with men (MSM) is still limited and many MSM who are willing to take PrEP are not on PrEP. We performed a systematic review to identify factors associated with willingness to use PrEP among MSM who are not on PrEP. The majority of the 23 relevant studies had low risk of bias and used a cross-sectional design. Willingness was associated with being Hispanic/Latino (odds ratio [OR] = 1.68, 95% confidence interval [CI] [1.01-2.78]), Black (OR = 1.41, 95% CI [1.02-1.95]), younger (OR = 1.08, 95% CI [1.02-1.15]), having no college degree (OR = 1.37, 95% CI [1.12-1.59]), or low income (OR = 1.21, 95% CI [1.12-1.32]). A higher proportion of MSM who had recent condomless anal sex (OR = 1.85, 95% CI [1.49-2.29]) were diagnosed with sexually transmitted infection (OR = 1.60, 95% CI [1.27-2.01]), or MSM who had multiple sex partners (OR = 1.58, 95% CI [1.07-2.32]) were more willing to use PrEP compared with their respective counterparts. Findings suggest that MSM with racial/ethnic minority status, low-socioeconomic status, younger age, and engagement in HIV risk behaviors are willing to take PrEP but may lack access. Study limitations include the inability to conduct meta-analyses on certain predictor variables due to a small number of studies. This review identified MSM subpopulations who may benefit from interventions increasing PrEP access.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10184317/pdf/nihms-1892318.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10016481","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}

{"title":"Injectable Long-Acting Cabotegravir-Rilpivirine Therapy for People Living With HIV/AIDS: Addressing Implementation Barriers From the Start.","authors":"Rogério M Pinto, Evan Hall, Ryan Tomlin","doi":"10.1097/JNC.0000000000000386","DOIUrl":"10.1097/JNC.0000000000000386","url":null,"abstract":"<p><strong>Abstract: </strong>Injectable cabotegravir and rilpivirine (CAB/RPV), administered bimonthly by a medical provider, is convenient and improves privacy and medication management. One year after approval, myriad implementation barriers threaten the access and sustainability of this life-saving innovation: (1) eligibility issues (viral suppression, drug resistance, and failed oral regimens); (2) injection requires medical provider and transportation to facility; (3) strict medication adherence; (4) life challenges-mental health, homelessness, joblessness; and (5) lack of insurance and high cost. Universal implementation of CAB/RPV calls for social, human, and health organizations to partner and provide HIV continuum of care and prevention services to facilitate CAB/RPV access and maintenance and for transparent health insurance billing practices to abate uncertainty concerning CAB/RPV's classification as a pharmaceutical or medical benefit and related cost implications.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ec/e0/jnc-34-216.PMC9951790.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10017244","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}