Ajar-African Journal of Aids Research最新文献

{"title":"Influence of self-compassion on HIV-related stigma, health-related quality of life, and depression among HIV/AIDS patients.","authors":"Chinenye Joseph Aliche, Erhabor Sunday Idemudia, Michael O Ezenwa","doi":"10.2989/16085906.2025.2523296","DOIUrl":"10.2989/16085906.2025.2523296","url":null,"abstract":"<p><p><i>Background</i>: People living with HIV/AIDS (PLWHA) may experience HIV-related stigma, which could negatively impact health-related quality of life (HRQoL) and increase symptoms of depression. Self-compassion is a positive personality attribute that may protect PLWHA against stigmatisation. Previous studies have not examined the influence of self-compassion on the association between HIV-related stigma, HRQoL, and depression.<i>Aim</i>: The present study aimed to examine whether self-companion can moderate the relationship between (i) HIV-related stigma and HRQoL, and (ii) HIV-related stigma and depression among PLWHA.<i>Methodology</i>: Participants included 371 PLWHA (mean age = 31.44 years; SD = 9.75 years) recruited from a healthcare institution in Nigeria. Participants completed relevant self-report measures.<i>Results</i>: Regression analysis results showed that self-compassion positively and significantly moderated the relationship between HIV-related stigma and all the HRQoL domains (physical health symptoms, <i>β</i> = 0.01, <i>p</i> < 0. 05; relationship to others, <i>β</i> = 0.02, <i>p</i> < 0. 05; cognitive symptoms, <i>β</i> = 0.02, <i>p</i> < 0. 05; and treatment impacts, <i>β</i> = 0.02, <i>p</i> < 0. 05). Also, the positive relationship between HIV-related stigma and depression was significantly moderated by self-compassion (<i>β</i> = - 0.02, <i>p</i> < 0. 05).<i>Conclusion</i>: We concluded that clinical efforts geared towards improving the well-being of PLWHA should consider integrating self-compassion-based therapy since it has the potential to decrease the detrimental effects of stigma on the patients' health and recovery.</p>","PeriodicalId":50833,"journal":{"name":"Ajar-African Journal of Aids Research","volume":" ","pages":"67-75"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977372","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":"Health promotion messaging reduces HIV risk behaviours and improves repeat testing among adolescent girls and young women in Kenya.","authors":"Marylyn Ochillo, Risper Bosire, Nicky Okeyo, Jacob Onyango, Kawango Agot, Nok Chhun, Samwel Rao, Ann Kurth, Irene Inwani","doi":"10.2989/16085906.2025.2474751","DOIUrl":"10.2989/16085906.2025.2474751","url":null,"abstract":"<p><p>Adolescents and young people in sub-Saharan Africa account for about a third of persons newly diagnosed with HIV. Health communication, through mobile health (mHealth) can improve access to sexual and reproductive health information, health services and reduce risky sexual behaviours among adolescents and young people. We assessed the impact of a health promotion messaging intervention on the reduction of risky sexual behaviours among HIV-negative high risk adolescent girls and young women (AGYW). Newly diagnosed and sexually active AGYW of 15-24 years old were enrolled between May 2017 and April 2018 in the HIV positive and negative cohorts of the study. We utilised SMS (short message service) and unstructured supplementary service data (USSD) technology to deliver health promotion messages quarterly to the HIV-positive cohort and six-monthly to the HIV-negative cohort over 12 months. Both cohorts completed a SMS survey at the end of their scheduled study follow-up period. We enrolled 184 AGYW in the HIV-negative cohort with a mean age of 20.8 years, 28.6% began sexual activity before 15 years old, and 8.5% tested HIV-positive. Over 12 months, reported multiple sexual partnership reduced from 33% to 12% (<i>p</i> < 0.001) among AGYW who had multiple partners. HIV re-testing increased from 74.2% to 81.6% (<i>p</i> = 0.099). Those who knew their partner's HIV status increased from 70.9% to 85.7% (<i>p</i> <0.001). Our findings demonstrate that mobile phone text messaging is an effective and feasible method for sexual health promotion among young people. Specifically, SMS, which is simple, cost-effective and widely accepted, could be adopted by health intervention programmes as a strategy to effectively promote safer sex behaviours and retesting among high-risk HIV-negative AGYW.</p>","PeriodicalId":50833,"journal":{"name":"Ajar-African Journal of Aids Research","volume":" ","pages":"81-86"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023965","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":"<i>Saving for a rainy day</i>: piloting a savings intervention to reduce HIV risk among young female sex workers in Kenya.","authors":"Linet Achieng' Ochieng', Jacob Onyango, Gerald Ochieng' Owuor, Ivy Obare, Marylyn Ochillo, Tobias Odwar, Elizabeth Bukusi, Kawango Agot","doi":"10.2989/16085906.2025.2465535","DOIUrl":"10.2989/16085906.2025.2465535","url":null,"abstract":"<p><p>Financial insecurity pushes female sex workers into risky sexual transactions. We piloted an economic empowerment intervention among female sex workers in Kenya to test if they could save part of their income from which to make withdrawals to avoid risky sexual encounters. We enrolled female sex workers and randomised half to the intervention arm, who were given instructions on how to save and withdraw money through a mobile platform, and half to the control arm (usual saving). Chi-square test was used to establish the association between condom use, saving and making withdrawals. We enrolled 207 female sex workers (101 in the intervention arm) aged between 18 and 24 years. Of these sex workers, 157 (75.8%) had children and 83 (40.1%) were the primary breadwinners. Of those in the intervention arm, 41 (40.6%, n=101) saved and 19 (46.3%, n=41) withdrew their savings. Withdrawing savings was significantly associated with higher condom use (<i>X</i>²=7.52; p≤0.006). Female sex workers are able to save from their income, and withdraw the savings to avoid unprotected sex.</p>","PeriodicalId":50833,"journal":{"name":"Ajar-African Journal of Aids Research","volume":" ","pages":"76-80"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095782","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":"Malawi's progress towards UNAIDS 95-95-95 fast-track targets: who is lagging?","authors":"Bilaal Wilson Matola, Lovemore Mapahla, Juliet Charity Yauka Nyasulu","doi":"10.2989/16085906.2025.2477090","DOIUrl":"10.2989/16085906.2025.2477090","url":null,"abstract":"<p><p>The HIV and AIDS epidemic remains a critical global health challenge. Malawi accounts for 2.5% of global HIV cases and is a focus country in the UNAIDS 95-95-95 fast-track initiative. Despite reaching 92-95-94 in 2020, there is a need to evaluate Malawi's progress as of 2023 to identify gaps and ensure success before the target period ends. This quantitative descriptive study used secondary data from Malawi's Department of HIV and AIDS Management Information System (DHAMIS) database over a 12-year period (2012-2023) and HIV spectrum estimates. It contains aggregate data from HIV service delivery points. Data included key HIV indicators disaggregated by age and gender. Numerators for the 95-95-95 are: people living with HIV (PLHIV) who know their status, PLHIV on treatment, PLHIV on treatment and virally suppressed. Denominators are: the estimated total PLHIV, PLHIV who know their status and PLHIV on treatment. Statistical analysis was performed using Excel, SPSS and Stata to assess differences between groups. Ethical approval and data access permissions were granted by the Ministry of Health. Between 2012 and 2023, the total number of PLHIV increased from 962 043 to 991 600. The percentage of PLHIV aware of their HIV status increased from 73% to 95%, and those on treatment increased from 58% to 95%. By 2023, 87% of children (under 15 years old) knew their HIV status, compared to 96% of adults. Lower percentages of ART initiation and viral load suppression were also noted among children. While both males and females improved across all indicators, men consistently lagged women in all three indicators. The viral suppression gap narrowed after 2019. Malawi has improved in the HIV treatment cascade between 2012 and 2023. Challenges remain in children ART initiation and access to care for men, requiring targeted efforts to achieve equitable treatment for all and meet the UNAIDS 95-95-95 targets.</p>","PeriodicalId":50833,"journal":{"name":"Ajar-African Journal of Aids Research","volume":" ","pages":"30-36"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081842","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":"The added value of community-based organisations in retaining people living with HIV (PLHIV) in the continuum of care in Mali.","authors":"Marion Di Ciaccio, Mariam Yebedie, Kanuya Coulibaly, Diane Dondbzanga, Djénébou Traoré, Mamadou Cissé, Bintou Dembélé, Laura Rouane, Rosemary M Delabre, Daniel Simões, Daniela Rojas Castro, Luis Sagaon-Teyssier","doi":"10.2989/16085906.2024.2434023","DOIUrl":"10.2989/16085906.2024.2434023","url":null,"abstract":"<p><strong>Background: </strong>Retention in care of people living with HIV (PLHIV) is a crucial public health issue in Mali. Several barriers to retention have been highlighted, including socioeconomic status, gender, sexual orientation, HIV-related stigma, as well as organisational and structural barriers, such as public insecurity and sub-optimal public services. We explored the role of community health workers (CHWs) in PLHIV retention in care in Mali.</p><p><strong>Methods: </strong>As part of the <i>Cascades Communautaires</i> project, eight focus groups (FG) and 20 individual interviews were conducted in 2021 among PLHIV at ARCAD Santé PLUS, a Malian community-based organisation (CBO). Participants included PLHIV who self-identified with key populations (KP) (men who have sex with men, female sex workers, people who inject drugs, and transgender women).</p><p><strong>Results: </strong>Among the 60 PLHIV interviewed, 50% self-identified with KP. The median age and interquartile range were 35 years [28.5; 43.0] and 25% had a tertiary education. Four main themes emerged concerning CHWs' role in fostering retention in care: (i) Good patient-physician relationships in ARCAD Santé PLUS's structures; (ii) Social support between peers in the CBO; (iii) Peer educators (a sub-category of CHWs) as facilitators of continuous antiretroviral treatment distribution, and care and (iv) Free healthcare access in the CBO and financial support for transportation.</p><p><strong>Conclusion: </strong>Peer educators play an essential role in PLHIV (general public and KP) retention in care in Mali in terms of psychosocial and logistical support. The non-judgmental approach of physicians working in CBO is also a major factor in retention.</p>","PeriodicalId":50833,"journal":{"name":"Ajar-African Journal of Aids Research","volume":" ","pages":"19-29"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505859","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":"Stigma reduction Interventions for adolescents and young adults living with HIV in Sub-Saharan African countries: The state of the evidence.","authors":"Dorothy Serwaa Boakye, Samuel Adjorlolo","doi":"10.2989/16085906.2025.2528710","DOIUrl":"10.2989/16085906.2025.2528710","url":null,"abstract":"<p><p><i>Background</i>: HIV-related stigma remains a significant barrier to well-being and access to healthcare for adolescents and young adults living with HIV in Sub-Saharan Africa. Stigma reduction interventions have been developed to address this challenge, but the effectiveness of these interventions in this population is not well-documented.<i>Objectives</i>: This narrative review synthesises the available evidence on the effectiveness of stigma reduction interventions for adolescents and young adults (aged 10-24 years) living with HIV in Sub-Saharan African countries.<i>Methods</i>: A comprehensive literature search was conducted using multiple electronic databases to identify relevant studies evaluating stigma reduction interventions targeting internalised stigma, perceived stigma, HIV disclosure, mental health, antiretroviral therapy (ART) adherence, and viral suppression among the population of interest.<i>Results</i>: Studies were conducted in Uganda, Zimbabwe, Kenya, Malawi, South Africa, Ethiopia, Zambia, and Nigeria. Various types of stigma reduction interventions were identified, including education and awareness campaigns, peer support and mentoring, counselling and psychosocial support, and community-based approaches. The evidence demonstrates the effectiveness of these interventions in reducing internalised, perceived and enacted stigma, improving HIV disclosure, enhancing mental health and well-being, increasing ART adherence, and potentially contributing to viral suppression. Factors influencing intervention effectiveness, such as intervention design, participant characteristics, and the sociocultural context, are discussed.<i>Conclusion</i>: Stigma reduction interventions have shown promise in improving a range of outcomes for adolescents and young adults living with HIV in Sub-Saharan Africa. However, more research is needed to identify the most effective intervention strategies and to explore the long-term impact on health outcomes.</p>","PeriodicalId":50833,"journal":{"name":"Ajar-African Journal of Aids Research","volume":" ","pages":"1-18"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977409","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":"HIV stigma in faith communities in South Africa: A cross-sectional study.","authors":"Germari Kruger, Eduardus A J G van der Borght, Martha T Teijema, Sabine L van Elsland, Stella L E Münninghoff, Marceline Tutu van Furth","doi":"10.2989/16085906.2025.2523295","DOIUrl":"10.2989/16085906.2025.2523295","url":null,"abstract":"<p><p><i>Background</i>: The role of religion and faith in the context of HIV stigma is complex. It is important to recognise the diversity of religious beliefs and practices and to work with faith communities to promote a compassionate, non-stigmatising response to HIV. This aimed to explore HIV stigma within faith communities.<i>Methods</i>: The study used a quantitative approach with a cross-sectional design, recruiting 141 participants from faith communities in South Africa, mainly from the Western Cape province. Communities that were gathering together with a specific faith, religion, or spirituality were deemed \"faith communities\". Participants were recruited through the Desmond and Leah Tutu Legacy Foundation network and snowballing. HIV stigma awareness was measured using the People Living with HIV Stigma Index. Data were analysed using independent <i>t</i>-tests, One-Way Analysis of Variance (ANOVA), and Simple correlation analysis.<i>Results</i>: Faith leaders who were involved in HIV ministry gave participants a better understanding of HIV stigma in their communities compared with faith leaders who were not involved in HIV ministry. Younger participants (age < 30 years) thought fewer people believed HIV stigma misinformation compared to the oldest participant group (age >51 years). Participants who witnessed HIV stigma in a community were more involved in healthcare activities (<i>r</i> = 0.262) but were also more likely to believe HIV is the result of immoral behaviour (<i>r</i> = 0.323). Communities that believed HIV was the result of immoral behaviour were more likely to believe misinformation about HIV (<i>r</i> = 0.244). Lastly, when the community believed facts about HIV and medicine, they were less likely to believe that HIV was the result of immoral behaviour (<i>r</i> = -0.246).<i>Conclusion</i>: Faith communities have a role in diminishing HIV stigma. Active involvement of faith communities in HIV services and programs is more effective than solely educating faith communities about HIV. Given faith communities' notable role in shaping morality and stigma within their communities, activities showing the inclusion of people with HIV are vital.</p>","PeriodicalId":50833,"journal":{"name":"Ajar-African Journal of Aids Research","volume":" ","pages":"53-66"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977416","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":"Giving adolescent girls and young women a foothold: Economic strengthening as a key protection strategy against HIV infection in South Africa.","authors":"Andrew Hartnack, Jenny McLoughlin, Anje Pretorius, Harry Hausler","doi":"10.2989/16085906.2024.2430773","DOIUrl":"https://doi.org/10.2989/16085906.2024.2430773","url":null,"abstract":"<p><p>This paper focused on the prevention of HIV transmission for adolescent girls and young women (AGYW), through a layered approach which included economic strengthening as a core strategy, especially for the most vulnerable. Based on multi-year data in KwaZulu-Natal, South Africa, we assessed the outcomes of an economic strengthening model developed by TB HIV Care (THC) in the Determined, Resilient, Empowered, AIDS-free, Mentored and Safe (DREAMS) HIV prevention programme. The methods used are primarily qualitative. In 2021, 2022, and 2024 DREAMS implementation staff (<i>n</i> = 72) and economic strengthening beneficiaries (<i>n</i> = 73) from four districts were interviewed on the dynamics of the model and its emerging outcomes. The qualitative data were supplemented by monitoring data. The study results showed that, while longer-term outcomes for the beneficiaries were unclear, the short and medium-term benefits of economic strengthening activities for vulnerable AGYW were highly promising. Not only did beneficiaries gain valuable technical and life skills through training, but they showed increased confidence and hope for the future, and a new sense of empowerment. They also experienced social asset building and an increase in their social, economic, and emotional efficacy. Importantly, beneficiaries also showed signs of behaviour change, away from risky behaviours towards protective ones. The paper concludes that layered economic strengthening initiatives targeted towards those most at risk AGYW, is an important pillar of efforts to reduce HIV infection; however, challenges around taking such initiatives to scale and tracking long-term outcomes remain.</p>","PeriodicalId":50833,"journal":{"name":"Ajar-African Journal of Aids Research","volume":"23 3-4","pages":"115-127"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866040","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 depression, anxiety and stress in young people living with HIV in Ghana.","authors":"John-Paul Omuojine, Charles Martyn-Dickens, Sheila Agyiewaa Owusu, Allysa Warling, Ruth Charlotte Sackey, Gustav Nettey, Evans Otieku, Anthony Enimil, Leah Ratner","doi":"10.2989/16085906.2024.2370792","DOIUrl":"10.2989/16085906.2024.2370792","url":null,"abstract":"<p><p>Ghanaians with perinatally acquired human immunodeficiency virus (HIV) infection now live into adulthood. It is known that adolescents and young adults living with HIV have a high risk of mental health comorbidity. Despite increasing global attention on HIV-mental health interactions, the field remains understudied in Ghana, with an attendant lack of national integrated care solutions. This study aimed to measure the burden and explore the context of depression, anxiety and stress symptoms among young people living with HIV receiving care at a tertiary care hospital in Ghana. This was an explanatory sequential mixed-methods study. Depression, anxiety and stress symptoms were measured using the Depression, Anxiety and Stress Scale, and their associations with quality of life (QoL), socioeconomic status, internalised stigma, disease stage and HIV-related risk-taking behaviours were explored. After preliminary quantitative data analysis, semi-structured interviews were conducted for those who screened positive for depression and/or anxiety to explore their experience with this comorbidity. This study found a low prevalence of depression and anxiety symptoms, which were associated with higher stigma scores and lower QoL. We believe this low prevalence to be attributable to the effect of several psychosocial interventional programmes, which were previously piloted with the study cohort that have gradually normalised mental health discussions. Participants also showed marked resilience and knowledge about their condition. The results of this study present an opportunity to advocate and scale up effective locally adapted and strength-based solutions to address the mental illness-HIV syndemic in Ghanaian young people living with HIV.</p>","PeriodicalId":50833,"journal":{"name":"Ajar-African Journal of Aids Research","volume":" ","pages":"92-100"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479994","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":"Training Social Network-Central Fishermen in Western Kenya to Distribute HIV Self-Test Kits and Health Facility Referral Vouchers.","authors":"Joseph Onyango Okore, Carol S Camlin, Jayne Lewis-Kulzer, Sarah A Gutin, Edwin Charlebois, Benard Ayieko, Zachary Kwena, Kawango Agot","doi":"10.2989/16085906.2024.2411198","DOIUrl":"10.2989/16085906.2024.2411198","url":null,"abstract":"<p><p>Low HIV testing among men, particularly highly mobile fishermen, is a persistent challenge. The Owete study (NCT#04772469) used social network-central men (Promoters) to promote testing and linkage to HIV services among social networks of fishermen in western Kenya. The Promoters and fishermen networks were randomised to intervention or control arms. We describe Owete's interactive training approach and Promoters' training experiences for implementation insights. The 146 Promoters trained (balanced across arms) were highly engaged, eager learners, and supportive of targeted health training sessions for men. Promoters felt the knowledge gained improved their understanding of health matters and elevated their social status. Promoters felt empowered knowing how to interpret self-testing results and how to address pre-exposure prophylaxis use questions and correct misconceptions. Offering capacity building for social network-central men to spearhead campaigns on health issues affecting fishermen can leverage established relationships and trust, expand knowledge, and help increase health-seeking practices among underserved, highly mobile men.</p>","PeriodicalId":50833,"journal":{"name":"Ajar-African Journal of Aids Research","volume":" ","pages":"109-114"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774348","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}