The Journal of the Association of Nurses in AIDS Care : JANAC最新文献

{"title":"\"It's Not Just Based on Behavior\": A Qualitative Study of Stakeholder Perspectives on Women's HIV Vulnerability in the United States.","authors":"Alexandria L Hahn, Randi B Singer, Maeve Brin, Jessica Corcoran, Victoria W McDonald, Mirjam-Colette Kempf, Rebecca Schnall, Amy K Johnson","doi":"10.1097/JNC.0000000000000672","DOIUrl":"10.1097/JNC.0000000000000672","url":null,"abstract":"<p><strong>Abstract: </strong>Despite advances in HIV prevention, cisgender women account for nearly one in five new HIV diagnoses in the United States. To inform prevention strategies for women who could benefit most, our study explored key stakeholder perspectives on factors shaping women's vulnerability to HIV acquisition. Semi-structured interviews were conducted with 40 stakeholders involved in HIV prevention across the United States. Interviews were audio recorded, professionally transcribed, and analyzed using directed content analysis guided by the Ecological Model of Health Behavior. Stakeholders described factors shaping women's HIV vulnerability across intrapersonal, interpersonal, organizational, community, and policy levels, including low perceived HIV risk, intimate partner violence, limited access to community resources, and policy environments that may discourage HIV testing and pre-exposure prophylaxis uptake. Stakeholders highlighted strategies to address these factors, including trauma-informed care and peer-led, community-based approaches. These findings underscore the importance of multilevel, women-centered approaches to strengthen women's engagement in HIV prevention.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148393274","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":"Evaluating the Acceptability of HASMEP-T: A Qualitative Study Among Thai Men Who Have Sex With Men Living With HIV Using the Theoretical Framework of Acceptability.","authors":"Samrej Tienthong, Natawan Khumsaen, Prangthip Elter, Buppha Jaimun, Panarat Chenchob","doi":"10.1097/JNC.0000000000000595","DOIUrl":"10.1097/JNC.0000000000000595","url":null,"abstract":"<p><strong>Abstract: </strong>The HIV/AIDS Self-Management Education Program-Thai (HASMEP-T) was developed to enhance self-management capabilities among Thai men who have sex with men (MSM) living with HIV through a structured, group-based, educational approach. To assess the program's acceptability, a qualitative study guided by the theoretical framework of acceptability was conducted with 30 MSM who completed the 14-session intervention at a hospital-based HIV clinic. Thematic analysis revealed high acceptability across all seven theoretical framework of acceptability domains. Participants described increased self-efficacy in managing their condition, strengthened peer and provider support, and improved medication adherence. The program's cultural relevance and supportive delivery environment fostered trust and belonging. However, logistical barriers-including transportation costs, time constraints, and fear of HIV disclosure-limited consistent engagement. Addressing these barriers and incorporating digital health tools may improve accessibility and sustainability. Overall, HIV/AIDS Self-Management Education Program-Thai shows promise as a feasible, community-based model for HIV self-management tailored to the needs of Thai MSM.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":"499-514"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145288184","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":"Family Health Conversations in HIV Nursing Care: A Qualitative Case Study on Supporting a Closeted Gay Filipino Man in the Philippines.","authors":"Noriel P Calaguas","doi":"10.1097/JNC.0000000000000588","DOIUrl":"10.1097/JNC.0000000000000588","url":null,"abstract":"<p><strong>Abstract: </strong>This article examines the use of Family Health Conversations (FamHC) in the care of a closeted gay Filipino man recently diagnosed with advanced HIV. In the Philippines, stigma rooted in religious and cultural conservatism presents significant barriers to care for men who have sex with men. Cultural values such as kapwa (shared identity), hiya (shame), and utang na loob (debt of gratitude) shape disclosure decisions and caregiving dynamics. FamHC, a relational nursing intervention, supports open dialogue, emotional validation, and collaborative caregiving. In this case, FamHC facilitated HIV disclosure, improved sibling relationships, and supported treatment adherence and nutritional recovery. The client regained emotional stability, resumed social functioning, and re-established a sense of autonomy. This case highlights how culturally grounded family nursing interventions can reduce stigma, strengthen support systems, and improve clinical and psychosocial outcomes for closeted men who have sex with men living with HIV in collectivist contexts like the Philippines.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":"515-526"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202865","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":"Agreement and Fairness of Cardiovascular Risk Assessment Models Among Older People Living With HIV in China: A Multicenter Cross-sectional Study.","authors":"Junwen Yu, Zheng Zhu, Xiaoning Liu, Changrong Yuan, Hongzhou Lu","doi":"10.1097/JNC.0000000000000625","DOIUrl":"10.1097/JNC.0000000000000625","url":null,"abstract":"<p><strong>Abstract: </strong>Agreement among available cardiovascular disease (CVD) prediction models in people living with HIV (PLWH) remains unclear. This study evaluated the agreement of commonly used 10-year CVD prediction models in older Chinese PLWH and examined model fairness across socioeconomically disadvantaged populations. In this cross-sectional study, 10-year CVD risk was calculated using the Data collection on Adverse Effects of Anti-HIV Drugs Study risk equation (D:A:D; 2010), the reduced and full version of D:A:D (2016), the Framingham Risk Score (FRS), the Systematic COronary Risk Evaluation (SCORE) for the low- and high-risk region versions, the pooled cohort equations of the American Heart Society/American score (PCE), and the Predicting Risk of Cardiovascular Disease EVENTs (PREVENT). Agreement between models was assessed using weighted Kappa (κ) statistics, with subgroup fairness analyses by sex, age, and employment status. Among 473 individuals with a mean age of 62.03 ( SD = 7.64) years, the observed agreement between D:A:D (2010) and the other models ranged from 34% for SCORE (low) to 77% for PCE. The difference in 10-year CVD risk between the <60 and ≥60 years groups assessed with D:A:D (2010) was greater than the difference with other models. Agreement between D:A:D and the FRS, SCORE, PCE, and PREVENT was poor. Future HIV-specific CVD risk models should incorporate HIV-related factors and social determinants of health and be developed and validated for Chinese populations.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":"e20-e35"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146129184","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 Stigma Among Health Care Providers in Türkiye: A Cross-Sectional Analysis of Knowledge, Attitudes, and Discriminatory Behaviors.","authors":"Sinan Kınay, Mert Nedim Mercan, Sarah E Stutterheim","doi":"10.1097/JNC.0000000000000630","DOIUrl":"10.1097/JNC.0000000000000630","url":null,"abstract":"<p><strong>Abstract: </strong>HIV stigma remains a barrier to equitable health care, affecting patient well-being and service delivery. Our study examined HIV stigma among 260 health care providers in Türkiye, comparing HIV care providers with other professionals. Measures included HIV knowledge and training, fear of infection, observed stigma, stigmatizing attitudes, intention to discriminate, and facility policies. Exploratory and confirmatory factor analyses validated the Turkish stigma scale, and chi-square tests compared stigma indicators between the groups. Stigmatizing attitudes and fear of infection were prevalent across all participants. HIV care providers had higher knowledge and training but still exhibited discriminatory practices. Policies reinforcing stigma, such as testing without consent and differential treatment protocols, were commonly reported. Structural interventions, antidiscrimination policies, and targeted stigma-reduction training are needed to foster institutional change and ensure equitable care for people with HIV.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":"e5-e19"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147446815","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":"Discrimination and the Mediating Role of Self-Esteem on Psychopathology and Retention in Care: A Cross-Sectional Study With People Living With HIV in Myanmar.","authors":"Joseph Awad, Chengshi Shiu, Myo Nyein Aung, Thin Nyein Nyein Aung, Min San Tun, Sai Htun Lin, Khine Myint Oo, Rachel H A Arbing, Wei-Ti Chen","doi":"10.1097/JNC.0000000000000594","DOIUrl":"10.1097/JNC.0000000000000594","url":null,"abstract":"<p><strong>Abstract: </strong>People living with HIV (PLHIV) in Myanmar endure a great deal of discrimination. However, self-esteem may serve as the mechanism that facilitates the impact of discrimination on poor health outcomes and behaviors in PLHIV. Our study aimed to quantitatively assess the mediating role of self-esteem in the atemporal associations between discrimination and two key health outcomes, psychopathology and retention in care, among PLHIV in Myanmar. Our cross-sectional study recruited 271 PLHIV through a quasirandom sampling method. Structural equation modeling was employed in R to examine the mediating pathways related to both outcomes of interest. The results revealed that self-esteem partially mediated the relationship with psychopathology but not the relationship with retention in care. The results call for broader multilevel interventions that address health needs and welfare within the complex geopolitical situation of Myanmar. Future tailored interventions may specifically target self-esteem within this population.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":"37 4","pages":"470-476"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148298823","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":"Global Stories, Shared Purpose: Evidence-Driven Advances in Global HIV Nursing.","authors":"Emiko Kamitani, J Craig Phillips, Susan Silva, Alanna J Bergman, Allison R Webel","doi":"10.1097/JNC.0000000000000668","DOIUrl":"10.1097/JNC.0000000000000668","url":null,"abstract":"","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":"419-421"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148153145","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":"Substance Use is Linked to Less Facility-Based but Greater Self-HIV Testing Willingness Among African Refugee Male Sex Workers in Italy: A Cross-Sectional Study.","authors":"Carolina Rigo, Henry Delali Dakpui, Samira Shirzaei Nichols, Mubarik Sena Saaka, Osman Wumpini Shamrock, Kelvin Aleakwe, Bawa Sahid Majeck, Giovanni Augusto Zardini, Gamji Rabiu Abu-Ba'are","doi":"10.1097/JNC.0000000000000636","DOIUrl":"10.1097/JNC.0000000000000636","url":null,"abstract":"<p><strong>Abstract: </strong>Substance use can shape engagement with HIV prevention services among migrant sex workers, yet little is known about its influence on HIV testing behaviors in European contexts. Our study examined how alcohol and drug use relate to HIV testing frequency and HIV self-testing (HIVST) willingness among African refugee male sex workers (ARMSWs) in Italy. We conducted a cross-sectional survey among 150 ARMSWs residing in Northern Italy. Participants, recruited through peer networks and community organizations, completed structured questionnaires assessing substance use patterns, and HIV testing behaviors. Chi-square tests, and Kruskal-Wallis tests were used to explore associations between substance use and two outcomes: frequency of HIV testing and willingness to use HIVST.Participants ( N = 150) had a mean age of 30.6 years, most identified as men (96.7%) and were 25 years or older (86.0%). Alcohol use in the past 12 months was reported by 60.0%, and 69.3% used illicit drugs, predominantly noninjectable substances (78.8%). Half (50.5%) of participants tested for HIV less than once per year or never, despite 65.4% reporting awareness of testing sites. Alcohol and drug use were significantly associated with irregular HIV testing frequency. Being drunk or high while working and increased substance use after entering sex work were linked to less frequent HIV testing. Awareness of HIVST was moderate (44.7%), and willingness to use HIVST was expressed by 40.7% of participants. Increased alcohol use after entering sex work ( p = .049) and being high while working ( p = .046) were both positively associated with HIVST willingness. Substance use meaningfully shapes HIV testing engagement among ARMSWs in Italy. Substance use appears to influence HIV testing engagement among ARMSWs in Northern Italy. Although increased alcohol use and being high while working were linked to greater openness to HIVST, both were associated with less frequent facility-based testing. Integrated harm-reduction and HIV prevention strategies that address substance use while expanding access to community-led HIVST distribution may enhance testing uptake and continuity of care among this marginalized population.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":"457-469"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147795855","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":"From Risk to Readiness: A Cross-Sectional Study on Pre-Exposure Prophylaxis Willingness Among Migrant Men Who Have Sex With Men in Thailand.","authors":"Pyae Phyo Kyaw, Bang-On Thepthien","doi":"10.1097/JNC.0000000000000580","DOIUrl":"10.1097/JNC.0000000000000580","url":null,"abstract":"<p><strong>Abstract: </strong>HIV prevalence among migrants from neighboring countries in Thailand is reported to be up to four times higher than that of the general Thai population. Migrant men who have sex with men (MMSM) in Thailand face an increased risk of HIV due to limited health care access and insufficient targeted prevention programs. Our study explores the relationship between sexual risk behaviors and willingness to use preexposure prophylaxis (PrEP) among MMSM ages 18-59 years in Thailand. Using multimediation analysis with the PROCESS macro for SPSS, it examines whether PrEP-related attitudes, self-efficacy, and awareness mediate this relationship. Results indicate that attitudes and awareness significantly mediate the link between sexual risk behaviors and PrEP willingness, whereas self-efficacy does not have a notable indirect effect. The combined mediators (B = 0.106, 95% confidence interval [0.041-0.171]) explain the observed effect, highlighting the crucial role of attitudes and awareness in promoting PrEP adoption. These findings underscore the importance of developing interventions that enhance awareness and foster positive attitudes toward PrEP to optimize its implementation and uptake among sexually active MMSM.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":"447-456"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878019","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":"Masculine Identity Reconstruction and Sexual Behavior Transformation Among Men Living With HIV in Indonesia-Malaysia Border Region: A Social Ecological Phenomenological Study.","authors":"Ikbal Fradianto, I Made Moh Yanuar Saifudin, Roland Lekatompessy, Zikri Alhalawi","doi":"10.1097/JNC.0000000000000634","DOIUrl":"10.1097/JNC.0000000000000634","url":null,"abstract":"<p><strong>Abstract: </strong>This qualitative study used interpretative phenomenological analysis to explore masculine identity reconstruction and sexual behavior transformation among men living with HIV in the Indonesia-Malaysia border region. Participants included 12 men living with HIV and one health care professional. In-depth interviews were analyzed through integrated phenomenological-thematic framework including case study analysis before cross-case pattern identification. Four themes emerged: biographical disruption and meaning-making through diagnosis, reconstructing masculine identity in border contexts, navigating stigma and disclosure across borders, and managing treatment in fragmented health care systems. Three case studies illustrated diverse trajectories shaped by cross-border sex work, masculine identity disruptions, and spiritual reconstruction. Social Ecological Model application revealed how border contexts shape experiences across individual, interpersonal, community, policy, and epidemic levels. Men living with HIV in border areas experience unique vulnerabilities including masculine identity crises when medication requirements foreclose cross-border employment, transnational sexual networks, and small community stigma amplification, requiring multilevel interventions.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":"477-498"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147518169","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}