{"title":"Unlocking HIV Prevention in Primary Care: Implementation of the Denver HIV Risk Score Tool in an Urban Michigan Primary Care Setting","authors":"Jay Julienne Knight","doi":"10.1097/jnc.0000000000000466","DOIUrl":"https://doi.org/10.1097/jnc.0000000000000466","url":null,"abstract":"\u0000 The Unlocking HIV Prevention Project was designed and implemented to address missed opportunities to address HIV risks. The project's site noted a gap in the use of an HIV risk assessment tool during primary care visits. The purpose of this quality-improvement project was to determine whether the translation of the Denver HIV Risk Score tool into primary care visits would affect the number of individuals identified as at risk for HIV and increase preexposure prophylaxis (PrEP) prescription rates among adults seeking care at an urban Michigan primary care clinic. Data on PrEP prescriptions were collected from the electronic health record before and after implementation of the HIV risk assessment tool. Before implementing this screening tool, no patients were identified as at risk and no prescriptions for PrEP were written. After implementation, 16 patients were identified as at risk with seven prescriptions written. These data suggest that this tool has the potential to improve the identification of patients at risk for HIV who are candidates for PrEP prescribing in primary care.","PeriodicalId":518032,"journal":{"name":"Journal of the Association of Nurses in AIDS Care","volume":"6 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141267840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jodene Jensen, J. Waldrop, Anne Derouin, Amber Siegel
{"title":"A System Intervention to Increase Pneumococcal Vaccination Rates in Adults Living With Human Immunodeficiency Virus Who Present for Scheduled Medical Care","authors":"Jodene Jensen, J. Waldrop, Anne Derouin, Amber Siegel","doi":"10.1097/jnc.0000000000000462","DOIUrl":"https://doi.org/10.1097/jnc.0000000000000462","url":null,"abstract":"\u0000 Pneumococcal vaccinations are recommended for adults living with HIV; however, eligibility criteria are complex. At a clinic specializing in the care of lesbian, gay, bisexual, transgender, or queer/questioning persons, only 36% of patients who were vaccine-eligible received the vaccination. A set of decision trees was developed to guide clinic personnel in determining whether a vaccine is recommended. The provider then determined whether the vaccine was appropriate based on each patient's complete clinical presentation. When appropriate, patients were offered the vaccine at the same appointment. This practice change led to a 22% increased vaccination rate.","PeriodicalId":518032,"journal":{"name":"Journal of the Association of Nurses in AIDS Care","volume":"10 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141266977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rachel Jared Mtei, M. Kilonzo, Wei Pan, Diana H. Kisamo, Godfrey Kisigo, Laura Nyblade, Lusajo J. Kajula, Michael V. Relf
{"title":"Understanding the Social Dimensions and Context in HIV Research: Instrument Adaptation is More Than Just Translation","authors":"Rachel Jared Mtei, M. Kilonzo, Wei Pan, Diana H. Kisamo, Godfrey Kisigo, Laura Nyblade, Lusajo J. Kajula, Michael V. Relf","doi":"10.1097/jnc.0000000000000465","DOIUrl":"https://doi.org/10.1097/jnc.0000000000000465","url":null,"abstract":"\u0000 There is a shortage of health-related questionnaires developed specifically for African countries' cultural contexts and local languages. Researchers have translated some tools to the target local languages. However, poor-quality or even high-quality translation can lead to an instrument that is not comparable with the original language if linguistic nuances, and cultural differences are not considered. This can affect the validity and reliability of the research data. The objective of this commentary was to highlight limitations of the commonly accepted forward–backward translation approach and the importance of more rigorous cultural and linguistic adaptation processes in social and behavioral research related to HIV.","PeriodicalId":518032,"journal":{"name":"Journal of the Association of Nurses in AIDS Care","volume":"7 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141266062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shuyu Han, Xiaomeng Wang, Yan Hu, M. Relf, Dalmacio Dennis Flores, Yukun Zhang, Zhongfang Yang, Zhiwen Wang
{"title":"Defining HIV-Related Social Support: What Types of Social Support Do People With HIV Need?","authors":"Shuyu Han, Xiaomeng Wang, Yan Hu, M. Relf, Dalmacio Dennis Flores, Yukun Zhang, Zhongfang Yang, Zhiwen Wang","doi":"10.1097/jnc.0000000000000474","DOIUrl":"https://doi.org/10.1097/jnc.0000000000000474","url":null,"abstract":"","PeriodicalId":518032,"journal":{"name":"Journal of the Association of Nurses in AIDS Care","volume":"7 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141117167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rasheeta D. Chandler, Sheena Warner, Gloria Aidoo-Frimpong, Jessica Wells
{"title":"“What Did You Say, ChatGPT?” The Use of AI in Black Women's HIV Self-Education: An Inductive Qualitative Data Analysis","authors":"Rasheeta D. Chandler, Sheena Warner, Gloria Aidoo-Frimpong, Jessica Wells","doi":"10.1097/jnc.0000000000000468","DOIUrl":"https://doi.org/10.1097/jnc.0000000000000468","url":null,"abstract":"\u0000 The emergence of widely accessible artificial intelligence (AI) chatbots such as ChatGPT presents unique opportunities and challenges in public health self-education. This study examined simulations with ChatGPT for its use in public education of sexual health of Black women, specifically in HIV prevention and/or HIV PrEP use. The research questions guiding the study are as follows: (a) does the information ChatGPT offers about HIV prevention and HIV PrEP differ based on stated race? and (b) how could this relatively new platform inform public health education of Black women educating themselves about sexual health behaviors, diagnoses, and treatments? In addressing these questions, this study also uncovered notable differences in ChatGPT's tone when responding to users based on race. This study described valuable insights that can inform health care professionals, educators, and policymakers, ultimately advancing the cause of sexual health equity for Black women and underscoring the paradigm-shifting potential of AI in the field of public health education.","PeriodicalId":518032,"journal":{"name":"Journal of the Association of Nurses in AIDS Care","volume":"78 s2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141038491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Support Conference Scholarships to ANAC2024","authors":"","doi":"10.1097/jnc.0000000000000477","DOIUrl":"https://doi.org/10.1097/jnc.0000000000000477","url":null,"abstract":"","PeriodicalId":518032,"journal":{"name":"Journal of the Association of Nurses in AIDS Care","volume":"29 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141058210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marissa Robinson, Gloria Aidoo-Frimpong, LaRon E Nelson, Michelle Sandoval-Rosario, Brittany M. Williams, Rasheeta D. Chandler
{"title":"Navigating Pre-exposure Prophylaxis Access: Qualitative Insights From Black Women at a Northeastern Historically Black College and University","authors":"Marissa Robinson, Gloria Aidoo-Frimpong, LaRon E Nelson, Michelle Sandoval-Rosario, Brittany M. Williams, Rasheeta D. Chandler","doi":"10.1097/jnc.0000000000000470","DOIUrl":"https://doi.org/10.1097/jnc.0000000000000470","url":null,"abstract":"\u0000 Black women are essential to ending the HIV epidemic in the United States; yet prevention, access, testing, and structural racism affect how HIV disproportionately affects them. Limited public health research focuses on Black women attending Historically Black Colleges and Universities (HBCUs) and the ability to address HIV prevention, such as pre-exposure prophylaxis (PrEP) uptake. PrEP is a once-daily oral pill used to prevent HIV transmission and has suboptimal uptake within the Black community. This generic qualitative descriptive analysis identifies the barriers and facilitators of PrEP uptake among Black women attending an HBCU using the health belief model. Overall, 22 Black college women participated in a 60-minute focus group. Emergent categories were as follows: (a) Barriers—stigma, cost, and side effects; (b) Facilitators—PrEP's effectiveness, exposure to HIV, and unprotected sex. Our findings can inform future efforts to increase PrEP uptake among Black women attending an HBCU.","PeriodicalId":518032,"journal":{"name":"Journal of the Association of Nurses in AIDS Care","volume":"13 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141032707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carole Treston, Sheila Tumilty, Rasheeta D. Chandler
{"title":"ANAC Program Report: A Southern Strategy for HIV Prevention and Care","authors":"Carole Treston, Sheila Tumilty, Rasheeta D. Chandler","doi":"10.1097/jnc.0000000000000471","DOIUrl":"https://doi.org/10.1097/jnc.0000000000000471","url":null,"abstract":"","PeriodicalId":518032,"journal":{"name":"Journal of the Association of Nurses in AIDS Care","volume":"15 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141051772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Keosha Bond, Wei-Ti Chen, Michele Crespo-Fierro, Schenita Randolph, S. R. Ramos
{"title":"Ending the HIV Epidemic: Disrupting Inequities Through HIV Research Centered on Women and Girls","authors":"Keosha Bond, Wei-Ti Chen, Michele Crespo-Fierro, Schenita Randolph, S. R. Ramos","doi":"10.1097/jnc.0000000000000475","DOIUrl":"https://doi.org/10.1097/jnc.0000000000000475","url":null,"abstract":"","PeriodicalId":518032,"journal":{"name":"Journal of the Association of Nurses in AIDS Care","volume":"86 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141034948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"HIV Diagnosis in the Context of Stable Relationships: A Qualitative Study With Women Living in Portugal","authors":"M. Gonçalves, Lais Moraes, Ângela Costa Maia","doi":"10.1097/jnc.0000000000000472","DOIUrl":"https://doi.org/10.1097/jnc.0000000000000472","url":null,"abstract":"\u0000 The purpose of this phenomenological study is to explore the acceptance of HIV diagnosis of women in stable relationships. Based on eight semistructured interviews with cisgender Portuguese women, thematic analysis identified four interrelated themes that illustrated the emotional and psychosocial dynamics involved in this journey. Following an HIV diagnosis, participants grappled with complex emotions, societal perceptions, and the internalization of stigma. Marital relationships underwent profound changes, with trust breakdown and emotional distancing. Coping mechanisms ranged from seeking support to living in secrecy, which impacted psychological well-being. Acceptance of HIV diagnosis is influenced by self-stigmatization, societal perceptions of HIV, and gender dynamics. The findings contribute to the development of tailored interventions, emphasizing the interconnected nature of physical and psychological well-being in the diagnosis acceptance process.","PeriodicalId":518032,"journal":{"name":"Journal of the Association of Nurses in AIDS Care","volume":"226 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141050263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}