The Journal of the Association of Nurses in AIDS Care : JANAC最新文献_第4页

Cancer Prevalence and Associated Health Outcomes Among Adults With HIV in the United States: Medical Monitoring Project Data, 2019-2022 Cycle Years. 美国成年艾滋病毒感染者的癌症患病率和相关健康结果：医疗监测项目数据，2019-2022周期年

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-08-19 DOI: 10.1097/JNC.0000000000000686

Eve E Koehler, Yunfeng Tie, Yishiow Christina Kuo, Jun Li, Linda Beer

{"title":"Cancer Prevalence and Associated Health Outcomes Among Adults With HIV in the United States: Medical Monitoring Project Data, 2019-2022 Cycle Years.","authors":"Eve E Koehler, Yunfeng Tie, Yishiow Christina Kuo, Jun Li, Linda Beer","doi":"10.1097/JNC.0000000000000686","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000686","url":null,"abstract":"Abstract: We present nationally representative estimates of cancer diagnoses among US persons with HIV (PWH) using data from the Medical Monitoring Project, a complex sample survey of US adults with diagnosed HIV. Data were collected June 2019-May 2023 from a probability sample of 14,798 PWH. Weighted frequencies and percentages of cancer diagnoses during the past 24 months were calculated, and differences between the groups were quantified using prevalence ratios. An estimated 66,641 PWH (6.7%) had a cancer diagnosis and 54,863 (5.5%) had a non-AIDS-defining cancer diagnosis. PWH with a cancer diagnosis had higher prevalence of formerly smoking cigarettes, being unable to work or retired, poor self-rated health, advanced HIV disease, retention in HIV care, and viral suppression compared with those without a cancer diagnosis. Providing recommended cancer screenings and cancer prevention and treatment strategies-in addition to HIV standard of care-may support overall well-being among PWH.","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148805455","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}

引用次数: 0

Primary Care-Integrated mHealth Intervention for HIV Self-management Among Thai Men Who Have Sex With Men Living With HIV: A Mixed-Methods Feasibility Study. 初级保健-综合移动健康干预对泰国男性艾滋病毒感染者的艾滋病毒自我管理：一项混合方法可行性研究。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-08-07 DOI: 10.1097/JNC.0000000000000681

Natawan Khumsaen, Buppha Jaimun, Wimonpan Sungsakul

{"title":"Primary Care-Integrated mHealth Intervention for HIV Self-management Among Thai Men Who Have Sex With Men Living With HIV: A Mixed-Methods Feasibility Study.","authors":"Natawan Khumsaen, Buppha Jaimun, Wimonpan Sungsakul","doi":"10.1097/JNC.0000000000000681","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000681","url":null,"abstract":"Abstract: Thai men who have sex with men living with HIV face persistent self-management challenges. This Phase 2 mixed-methods quasi-experimental study evaluated the feasibility, acceptability, and preliminary efficacy of the Interactive HIV/AIDS Self-Management Education Application, a theory-informed mHealth intervention integrated within primary care. Sixty-three participants (n = 32 intervention; n = 31 comparison) were assessed at baseline, 6 weeks, and 12 weeks, with propensity score weighting used to reduce bias. Feasibility was high (79.4% retention; 72.0% adequate engagement), and acceptability was strong, with high ratings on the Acceptability of Intervention Measure (median = 4.5/5). Qualitative findings supported acceptability by highlighting sustained engagement and perceived usefulness. The intervention demonstrated promising preliminary efficacy signals for improving antiretroviral therapy adherence, HIV self-management, and quality of life, supporting further evaluation in a fully powered randomized controlled trial and suggesting potential benefits of mHealth-supported self-management within primary care settings for long-term patient-centered HIV care delivery.","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148687522","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}

引用次数: 0

From Stigma to Frailty-Psychosocial Pathways Among People Aging With HIV in China: A Cross-Sectional Study. 从耻辱到脆弱——中国老年艾滋病毒感染者的社会心理途径：一项横断面研究。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-08-07 DOI: 10.1097/JNC.0000000000000680

Wenxiu Sun, Yanyun Pan, Jiajie Tang, Meiyan Sun, Rachel H A Arbing, Wei-Ti Chen, Lin Zhang

引用次数: 0

Effective Handling of Health Care Transition for Young People Living With HIV: A Consensus of Experts in Thailand Using Modified Delphi Method. 有效处理青少年艾滋病毒感染者的医疗保健过渡：泰国专家使用改进的德尔菲法达成共识。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-08-04 DOI: 10.1097/JNC.0000000000000676

Linda Aurpibul, Pope Kosalaraksa, Pradthana Ounchanum, Kulkanya Chokephaibulkit, Wipaporn Natalie Songtaweesin, Ratchaneekorn Khampan, Nichkamol Lertamornkitti, Thanyawee Puthanakit

{"title":"Effective Handling of Health Care Transition for Young People Living With HIV: A Consensus of Experts in Thailand Using Modified Delphi Method.","authors":"Linda Aurpibul, Pope Kosalaraksa, Pradthana Ounchanum, Kulkanya Chokephaibulkit, Wipaporn Natalie Songtaweesin, Ratchaneekorn Khampan, Nichkamol Lertamornkitti, Thanyawee Puthanakit","doi":"10.1097/JNC.0000000000000676","DOIUrl":"10.1097/JNC.0000000000000676","url":null,"abstract":"Abstract: The aim of our study was to develop consensus from experts and advocates on the health care transition for young people living with HIV from pediatrics to adult care in Thailand using a modified Delphi method. Participants included physicians (58%), nurses (20%), clinic coordinators (11%), and outreach workers (11%). Survey items were distributed to gather responses. Consensus was achieved after two rounds of surveys (response rates: 86% and 94.5%, respectively). Key priorities identified included (1) pediatric clinics: early transition planning, individualized readiness assessment, and focusing on youth with an increased risk of poor treatment outcomes; (2) transition process: strong pediatric-adult clinic collaboration; (3) health care coverage scheme and system: making sure that youth are familiar with their resources and options; (4) adult clinics: providing communication skills training for providers aimed at offering youth-friendly, nonstigmatizing services; and (5) post-transition follow-up: communication to ensure a warm handoff. Effective transition care for young people living with HIV requires early preparation, sustained interclinic communication, and continuity-supportive care models.","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13440017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148672041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-07-31 DOI: 10.1097/JNC.0000000000000678

Motshedisi Sabone, Lefitile Lekone, Kathleen Nokes, Yvette P Cuca, Wei-Ti Chen, Sheila Shaibu, Tongyao Wang, Emilia Iwu, Rebecca Schnall, Panta Apiruknapanond, Carol Dawson-Rose, Alvaro Josè Sierra-Perez, Christine Horvat Davey, Tania de Jesús-Espinosa, Lufuno Makhado, J Craig Phillips, Kathleen V Fitch, Diane Santa Maria, Kazeem Olalekan Ayodeji

{"title":"HIV-Related Stigma and Its Associated Factors Among Adults With HIV in Botswana, China, Colombia, Kenya, Nigeria, South Africa, Thailand, and the United States: A Cross-Sectional Quantitative Study.","authors":"Motshedisi Sabone, Lefitile Lekone, Kathleen Nokes, Yvette P Cuca, Wei-Ti Chen, Sheila Shaibu, Tongyao Wang, Emilia Iwu, Rebecca Schnall, Panta Apiruknapanond, Carol Dawson-Rose, Alvaro Josè Sierra-Perez, Christine Horvat Davey, Tania de Jesús-Espinosa, Lufuno Makhado, J Craig Phillips, Kathleen V Fitch, Diane Santa Maria, Kazeem Olalekan Ayodeji","doi":"10.1097/JNC.0000000000000678","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000678","url":null,"abstract":"Abstract: HIV-related stigma diminishes efforts to contain the HIV epidemic, as it compromises testing and access to quality services. Various HIV prevention and control measures have been put in place, including antiretroviral medications. However, HIV-related stigma still compromises human rights for people with HIV. We used the social ecological model to examine HIV-related stigma in a cross-sectional and multinational sample of 1,598 people with HIV. We found moderate HIV-related stigma, mainly related to concerns about HIV status disclosure and negative attitudes of the public. Overall HIV-related stigma and its dimensions were associated with factors at the individual, community, and structural levels of the social ecological model, with patterns of association depending on a given dimension of HIV stigma and contextual factors. The findings suggest that efforts to address HIV-related stigma need a comprehensive approach that considers not only people with HIV but also their immediate and distal social ecological environment.","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148633465","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}

引用次数: 0

From Noncompliance to Structural Competency in Pre-exposure Prophylaxis Access for a Migrant Man Who Has Sex With Men in Spain: A Case Study. 从不服从到结构性能力在暴露前预防获得对西班牙男男性行为移民男性：一个案例研究。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-07-23 DOI: 10.1097/JNC.0000000000000679

Juan M Leyva, Agustin Marcos, Rosa Badia, Juan M Castro, Emma Fernández, Julio Morais, Jordi Puig, Margarita Ramírez, Mireia Santacreu, Roser Font

{"title":"From Noncompliance to Structural Competency in Pre-exposure Prophylaxis Access for a Migrant Man Who Has Sex With Men in Spain: A Case Study.","authors":"Juan M Leyva, Agustin Marcos, Rosa Badia, Juan M Castro, Emma Fernández, Julio Morais, Jordi Puig, Margarita Ramírez, Mireia Santacreu, Roser Font","doi":"10.1097/JNC.0000000000000679","DOIUrl":"10.1097/JNC.0000000000000679","url":null,"abstract":"Abstract: This case study examines Spain's HIV prevention gap. Although pre-exposure prophylaxis (PrEP) is subsidized, decentralized health care creates a \"postcode lottery\" for key populations. We present the 5-year trajectory of a 28-year-old Senegalese man who has sex with men who immigrated to Spain. His temporary administrative status, precarious night shifts, and language barriers complicated medical interactions. Using the modified social-ecological model, which operationalizes how macro-level determinants like policy rigidities construct vulnerability, we illustrate how what is frequently mislabeled as patient noncompliance actually stems from institutional barriers. Despite theoretical health care availability, he faced a cascade of missed opportunities. Initial primary care visits yielded only behavioral advice; subsequent PrEP-access attempts were blocked by structural violence, compounded by residential mobility, linguistic isolation, and intersectional stigma. Successful PrEP access was achieved through a nurse-led navigation intervention addressing social determinants. Without structural competency and flexible nurse-led models, universal health rights remain theoretical for marginalized populations.","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148582099","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}

引用次数: 0

Generative AI Chatbots for Global HIV Treatment and Care: A Commentary. 生成式AI聊天机器人用于全球艾滋病治疗和护理：评论。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-07-17 DOI: 10.1097/JNC.0000000000000675

Michael Evangeli, Janan Janine Dietrich, Ina Kaleva

{"title":"Generative AI Chatbots for Global HIV Treatment and Care: A Commentary.","authors":"Michael Evangeli, Janan Janine Dietrich, Ina Kaleva","doi":"10.1097/JNC.0000000000000675","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000675","url":null,"abstract":"Abstract: Addressing stigma, mental health, and health care access challenges for people living with HIV requires a multifaceted approach. Generative artificial intelligence (GenAI) chatbots may be one component of this approach. GenAI chatbots can reduce travel costs and save time. They provide opportunities to offer users a discreet alternative to human interaction, helping reduce stigma and improve comfort. They are easy to use, have multilingual capabilities and high levels of user satisfaction. Emerging evidence on GenAI chatbots suggests promising potential for enhancing HIV prevention, such as supporting HIV self-testing and providing information on PrEP, counseling, providing access to information, and role-playing HIV status disclosure. Successful implementation of GenAI for HIV care, however, requires careful consideration of ethical and practical issues to ensure safe and responsible use. Building user AI knowledge, trust, and ensuring ethical integrity will require meaningful collaboration between technologists, clinicians, researchers, and those most affected by HIV.","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148475740","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}

引用次数: 0

HIV and Human Papilloma Virus Community Service Integration Among Women: A Systematic Review and Narrative Synthesis. HIV和人乳头瘤病毒在妇女中的社区服务整合：系统回顾和叙述综合。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-07-16 DOI: 10.1097/JNC.0000000000000661

Alanna J Bergman, Silas Daniels-Donkor, Sujeong Go, Amanda R Datesman, Josh M Colston, Emma M Mitchell

{"title":"HIV and Human Papilloma Virus Community Service Integration Among Women: A Systematic Review and Narrative Synthesis.","authors":"Alanna J Bergman, Silas Daniels-Donkor, Sujeong Go, Amanda R Datesman, Josh M Colston, Emma M Mitchell","doi":"10.1097/JNC.0000000000000661","DOIUrl":"10.1097/JNC.0000000000000661","url":null,"abstract":"Abstract: Cervical cancer (CC) is a leading cause of death, with women with HIV at an increased risk. Geographic disparities in CC and HIV reflect inequities in care access. The purpose of this systematic review was to evaluate integrated models for HIV and CC screening. This review was conducted following PRISMA guidelines. Full-text screening and data extraction were conducted independently. Eligible studies described integrated HIV and CC services. Of 4,280 records, 24 met inclusion criteria. Most studies ( n = 21) were conducted in sub-Saharan Africa; the remaining studies were conducted in high-income settings. Most studies integrated CC screening into HIV care ( n = 19); however, three integrated HIV screening into CC screening/treatment. Two studies implemented fully integrated HIV and CC screening in community settings. Integrated services were considered highly acceptable and feasible. Models introducing CC screening into HIV care will advance global CC elimination goals, but equitable access and HIV metrics will require creative integrative solutions.","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148475737","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}

引用次数: 0

Latent Profile Analysis of Symptom Clusters Among Older People Living With HIV in China: A Cross-sectional Study. 中国老年HIV感染者症状群的潜在特征分析：一项横断面研究。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-07-15 DOI: 10.1097/JNC.0000000000000671

Yao Le, Liu Jinfeng, Gao Huiying, Jia Jingyue, Qian Xiangyun, Zou Meiyin

{"title":"Latent Profile Analysis of Symptom Clusters Among Older People Living With HIV in China: A Cross-sectional Study.","authors":"Yao Le, Liu Jinfeng, Gao Huiying, Jia Jingyue, Qian Xiangyun, Zou Meiyin","doi":"10.1097/JNC.0000000000000671","DOIUrl":"10.1097/JNC.0000000000000671","url":null,"abstract":"Abstract: Our study aimed to identify latent profiles of symptom clusters among 312 older people living with HIV (PLWH) and examine their associated factors. Using latent profile analysis, four distinct patterns were identified: low symptom burden, pain-depression, gastrointestinal-nutritional, and anxiety-insomnia classes. Hierarchical clustering further revealed three primary symptom clusters: nutritional-gastrointestinal-cognitive, depression-pain-fatigue, and sleep-anxiety. Significant differences across profiles were found regarding duration of HIV infection, CD4 + T-cell count, antiretroviral therapy (ART) adherence, and comorbidities ( p < .05). Those in the anxiety-insomnia class reported the lowest ART adherence, whereas the pain-depression class showed the highest comorbidity burden. These findings highlight the significant heterogeneity of symptom experiences in older PLWH, suggesting that tailored supportive care strategies are essential to address specific symptom configurations and improve clinical outcomes in this aging population.","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148458298","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}

引用次数: 0

Musculoskeletal Pain in People Aging With HIV: A Global Narrative Review. 老年艾滋病毒感染者的肌肉骨骼疼痛：全球叙事回顾。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-07-15 DOI: 10.1097/JNC.0000000000000673

Stacey M Cahoon, Julie Bobitt, Kathleen M Weber, Audrey L French, Ryan D Ross

引用次数: 0