Ajar-African Journal of Aids Research最新文献

Saving for a rainy day: piloting a savings intervention to reduce HIV risk among young female sex workers in Kenya. 未雨绸缪：在肯尼亚试行储蓄干预措施，以降低年轻女性性工作者的艾滋病毒风险。

IF 1.1 4区医学

Ajar-African Journal of Aids Research Pub Date : 2025-05-19 DOI: 10.2989/16085906.2025.2465535

Linet Achieng' Ochieng', Jacob Onyango, Gerald Ochieng' Owuor, Ivy Obare, Marylyn Ochillo, Tobias Odwar, Elizabeth Bukusi, Kawango Agot

{"title":"Saving for a rainy day: 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":"https://doi.org/10.2989/16085906.2025.2465535","url":null,"abstract":"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 (X2=7.52; p≤0.006). Female sex workers are able to save from their income, and withdraw the savings to avoid unprotected sex.","PeriodicalId":50833,"journal":{"name":"Ajar-African Journal of Aids Research","volume":" ","pages":"1-5"},"PeriodicalIF":1.1,"publicationDate":"2025-05-19","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}

引用次数: 0

Malawi's progress towards UNAIDS 95-95-95 fast-track targets: who is lagging? 马拉维在实现联合国艾滋病规划署95-95快速通道目标方面的进展：谁落后了？

IF 1.1 4区医学

Ajar-African Journal of Aids Research Pub Date : 2025-05-14 DOI: 10.2989/16085906.2025.2477090

Bilaal Wilson Matola, Lovemore Mapahla, Juliet Charity Yauka Nyasulu

{"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":"https://doi.org/10.2989/16085906.2025.2477090","url":null,"abstract":"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.","PeriodicalId":50833,"journal":{"name":"Ajar-African Journal of Aids Research","volume":" ","pages":"1-7"},"PeriodicalIF":1.1,"publicationDate":"2025-05-14","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}

引用次数: 0

Health promotion messaging reduces HIV risk behaviours and improves repeat testing among adolescent girls and young women in Kenya. 健康促进信息传递减少了肯尼亚少女和年轻妇女的艾滋病毒风险行为，并改善了重复检测。

IF 1.1 4区医学

Ajar-African Journal of Aids Research Pub Date : 2025-04-21 DOI: 10.2989/16085906.2025.2474751

Marylyn Ochillo, Risper Bosire, Nicky Okeyo, Jacob Onyango, Kawango Agot, Nok Chhun, Samwel Rao, Ann Kurth, Irene Inwani

{"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":"https://doi.org/10.2989/16085906.2025.2474751","url":null,"abstract":"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% (p < 0.001) among AGYW who had multiple partners. HIV re-testing increased from 74.2% to 81.6% (p = 0.099). Those who knew their partner's HIV status increased from 70.9% to 85.7% (p <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.","PeriodicalId":50833,"journal":{"name":"Ajar-African Journal of Aids Research","volume":" ","pages":"1-6"},"PeriodicalIF":1.1,"publicationDate":"2025-04-21","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}

引用次数: 0

The added value of community-based organisations in retaining people living with HIV (PLHIV) in the continuum of care in Mali. 社区组织在马里保留艾滋病毒感染者（PLHIV）持续护理方面的附加价值。

IF 1.1 4区医学

Ajar-African Journal of Aids Research Pub Date : 2025-02-26 DOI: 10.2989/16085906.2024.2434023

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

{"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":"Background: 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.Methods: As part of the Cascades Communautaires 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).Results: 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.Conclusion: 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.","PeriodicalId":50833,"journal":{"name":"Ajar-African Journal of Aids Research","volume":" ","pages":"1-11"},"PeriodicalIF":1.1,"publicationDate":"2025-02-26","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}

引用次数: 0

Giving adolescent girls and young women a foothold: Economic strengthening as a key protection strategy against HIV infection in South Africa. 给少女和年轻妇女一个立足点：加强经济是南非防止艾滋病毒感染的一项关键保护战略。

IF 1.1 4区医学

Ajar-African Journal of Aids Research Pub Date : 2024-12-01 Epub Date: 2024-12-19 DOI: 10.2989/16085906.2024.2430773

Andrew Hartnack, Jenny McLoughlin, Anje Pretorius, Harry Hausler

{"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":"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 (n = 72) and economic strengthening beneficiaries (n = 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.","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}

引用次数: 0

Understanding depression, anxiety and stress in young people living with HIV in Ghana. 了解加纳感染艾滋病毒的年轻人的抑郁、焦虑和压力。

IF 1.1 4区医学

Ajar-African Journal of Aids Research Pub Date : 2024-12-01 Epub Date: 2024-10-21 DOI: 10.2989/16085906.2024.2370792

John-Paul Omuojine, Charles Martyn-Dickens, Sheila Agyiewaa Owusu, Allysa Warling, Ruth Charlotte Sackey, Gustav Nettey, Evans Otieku, Anthony Enimil, Leah Ratner

{"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":"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.","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}

引用次数: 0

Factors associated with uptake of HIV testing among clients diagnosed with sexually transmitted infections in Chegutu District, Zimbabwe, 2021. 2021 年，津巴布韦切古图区被诊断患有性传播感染的患者接受 HIV 检测的相关因素。

IF 1.1 4区医学

Ajar-African Journal of Aids Research Pub Date : 2024-12-01 Epub Date: 2024-11-27 DOI: 10.2989/16085906.2024.2396284

Memory Chimsimbe, Pride Mucheto, Tsitsi P Juru, Addmore Chadambuka, Notion T Gombe, Gerald Shambira, Mufuta Tshimanga

{"title":"Factors associated with uptake of HIV testing among clients diagnosed with sexually transmitted infections in Chegutu District, Zimbabwe, 2021.","authors":"Memory Chimsimbe, Pride Mucheto, Tsitsi P Juru, Addmore Chadambuka, Notion T Gombe, Gerald Shambira, Mufuta Tshimanga","doi":"10.2989/16085906.2024.2396284","DOIUrl":"10.2989/16085906.2024.2396284","url":null,"abstract":"HIV testing services (HTS) enable early linkage to HIV prevention, treatment and care. A review of Chegutu District Health Information System 2 sexually transmitted infection (STI)/HIV data revealed HIV testing rates among those infected with STIs were 41%, 48%, 50%, 51% and 68%, respectively, for the period 2016-2020 against a target of 100%. We investigated factors associated with the uptake of HTS among STI clients.Methods: We conducted a 1:1 unmatched case-control study. We randomly selected cases from STI registers and controls from HTS registers. We defined a case as an individual 18-49 years old diagnosed with STI, unknown HIV status and no documented HIV test result from 01 August 2020 through 31 August 2021. We recruited 115 cases and 115 controls. We used questionnaires to collect data from cases and controls after obtaining written consent. Epi Info7 generated frequencies, proportions, odds ratios and confidence intervals (CIs) at a 0.05 significance level. We applied forward stepwise logistic regression to determine independent factors for HIV testing uptake.Results: Independent factors for uptake of HIV testing among STI clients were: being employed [aOR 0.23; 95% CI(0.09-0.50)], having no stigma towards people living with HIV [aOR 0.19;95% CI(0.06-0.61)], preferring health facility for HIV testing [aOR 0.30;95% CI(0.13-0.65)], male head of family [aOR 2.95. 95% CI(1.25-6.95)], and confidence in clinic staff's commitment to confidentiality [aOR 0.19; 95% CI(0.06-0.63)].Conclusion: Male decision-makers may deter partner involvement in HTS. We recommended strengthening male involvement in HIV programming through community dialogues that address gender inequalities.","PeriodicalId":50833,"journal":{"name":"Ajar-African Journal of Aids Research","volume":" ","pages":"101-108"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142734141","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

Framing HIV and AIDS in competitive authoritarian democracies. Case study of the print press in Mozambique, 1986-2020. 在竞争激烈的专制民主国家中塑造艾滋病毒和艾滋病的形象。莫桑比克印刷媒体案例研究，1986-2020 年。

IF 1.1 4区医学

Ajar-African Journal of Aids Research Pub Date : 2024-12-01 Epub Date: 2024-10-30 DOI: 10.2989/16085906.2024.2361003

Araújo Domingos, Nina Wormbs, Urban Lundberg

{"title":"Framing HIV and AIDS in competitive authoritarian democracies. Case study of the print press in Mozambique, 1986-2020.","authors":"Araújo Domingos, Nina Wormbs, Urban Lundberg","doi":"10.2989/16085906.2024.2361003","DOIUrl":"10.2989/16085906.2024.2361003","url":null,"abstract":"Mozambique has the sixth highest prevalence of HIV in the world and ranks fourth in new infections. The government-owned print press Notícias has played an important role in the social construction of HIV and AIDS in the country as it was entrusted with the role of disseminating HIV and AIDS information to the public since the outbreak of the pandemic in the country in 1986. Using Notícias' articles and frame analysis perspective, the article analyses the way Notícias has framed HIV and AIDS in the country since the late 1980s. The choice of media results from the fact that the way a phenomenon is constructed influences the way it is understood, as well as the way people may behave before it. The study found that Notícias' frames on HIV and AIDS have suffered from a threefold tension: the need to maintain the Frelimo government's former centralised and grassroots-orientated socialist ideology of health services in the context of the liberal market; the need to balance the influence of the global multilateral and bilateral actors and the Frelimo government's political interest of translating HIV and AIDS response to the Mozambican context; and the need to portray a nationalist and positive image of the government's performance in HIV and AIDS response before Mozambique's non-fully plausible societal practices for an effective HIV and AIDS response. In a top-down approach, Notícias' frames reflect not only the African post-independence ancillary and nationalist role of government-owned print press but also the power of global actors. Less is done from the societal bottom-up perspective.","PeriodicalId":50833,"journal":{"name":"Ajar-African Journal of Aids Research","volume":" ","pages":"73-83"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548779","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

Training Social Network-Central Fishermen in Western Kenya to Distribute HIV Self-Test Kits and Health Facility Referral Vouchers. 培训肯尼亚西部的社会网络中心渔民分发艾滋病毒自检包和卫生设施转诊凭证。

IF 1.1 4区医学

Ajar-African Journal of Aids Research Pub Date : 2024-12-01 DOI: 10.2989/16085906.2024.2411198

Joseph Onyango Okore, Carol S Camlin, Jayne Lewis-Kulzer, Sarah A Gutin, Edwin Charlebois, Benard Ayieko, Zachary Kwena, Kawango Agot

{"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":"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.","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}

引用次数: 0

The factor structure of the Centre for Epidemiological Studies Depression Scale (CESD-R-20) among South African antiretroviral therapy users. 南非抗逆转录病毒疗法使用者流行病学研究中心抑郁量表（CESD-R-20）的因子结构。

IF 1.1 4区医学

Ajar-African Journal of Aids Research Pub Date : 2024-12-01 Epub Date: 2024-10-30 DOI: 10.2989/16085906.2024.2370791

Mohamed Rawoot, Ashraf Kagee

{"title":"The factor structure of the Centre for Epidemiological Studies Depression Scale (CESD-R-20) among South African antiretroviral therapy users.","authors":"Mohamed Rawoot, Ashraf Kagee","doi":"10.2989/16085906.2024.2370791","DOIUrl":"10.2989/16085906.2024.2370791","url":null,"abstract":"Depression is a significant concern for people living with HIV and AIDS as it is associated with negative health outcomes and suboptimal adherence to antiretroviral therapy (ART). To this extent, screening for depression is essential for early detection. The CESD-R-20 is a revised four-factor questionnaire developed to assess depressive symptoms in adults. This study explored the factor structure and psychometric properties of the CESD-R-20 among 685 individuals receiving ART. Data were collected at the Infectious Diseases Clinic of a large public hospital outside Cape Town from participants who had been receiving ART for at least six months. Exploratory factor analysis (EFA) of the CESD-R-20 was performed to identify its underlying factor structure. The EFA revealed a one-factor solution termed \"depressive affect,\" comprising 19 items that encompassed the original factors. This finding suggests that depression is a cohesive construct rather than a collection of interconnected dimensions. The scale exhibited high internal consistency (Cronbach's alpha = 0.95) among the sample of persons living with HIV and AIDS. Our findings indicate that the CESD-R-20 can effectively measure depressive affect as a one-factor scale in South Africans receiving ART. The scale demonstrated strong internal consistency and is suitable for screening for depressive symptoms among persons living with HIV and AIDS.","PeriodicalId":50833,"journal":{"name":"Ajar-African Journal of Aids Research","volume":" ","pages":"84-91"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548780","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