The Journal of the Association of Nurses in AIDS Care : JANAC最新文献_第6页

Stigma, Mental Health, and HIV Adherence: A Cross-sectional Structural Equation Modeling Study Exploring Direct and Indirect Effects Among School-Engaged Ugandan Adolescents Living With HIV. 耻辱、心理健康和艾滋病毒依从性：一项探讨乌干达感染艾滋病毒的在校青少年直接和间接影响的横截面结构方程模型研究。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-07-01 Epub Date: 2026-05-04 DOI: 10.1097/JNC.0000000000000645

Massy Mutumba, Fred M Ssewamala, Proscovia Nabunya, Francis Matovu, Phionah Namatovu, Jennifer Nattabi

{"title":"Stigma, Mental Health, and HIV Adherence: A Cross-sectional Structural Equation Modeling Study Exploring Direct and Indirect Effects Among School-Engaged Ugandan Adolescents Living With HIV.","authors":"Massy Mutumba, Fred M Ssewamala, Proscovia Nabunya, Francis Matovu, Phionah Namatovu, Jennifer Nattabi","doi":"10.1097/JNC.0000000000000645","DOIUrl":"10.1097/JNC.0000000000000645","url":null,"abstract":"Abstract: Our study examined how multiple dimensions of HIV-related stigma affect mental health and antiretroviral therapy (ART) adherence among school-engaged adolescents living with HIV in Uganda. Using structural equation modeling with 833 participants recruited from 42 HIV clinics, we examined multiple dimensions of internalized and externalized HIV stigma, and their associations with adherence outcomes. We found that internalized shame and family-based stigma were significantly associated with poor mental health which, in turn, strongly predicted nonadherence to ART. Mediation analyses confirmed indirect pathways from family-based stigma and internalized shame to ART nonadherence via poor mental health. Disclosure stigma was unexpectedly associated with better ART adherence, suggesting possible benefits of selective self-disclosure. However, school-based stigma was not associated with mental health or ART adherence, possibly because of nondisclosure within school settings. Findings underscore the need for multilevel stigma reduction interventions that address internalized and family-level stigma to support ART adherence among school-engaged adolescents living with HIV.","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":"434-446"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826334","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

Bridges Over Borders: What It Means to Lead, Connect, and Care Right Now. 跨越国界的桥梁：现在领导、联系和关心意味着什么。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-07-01 Epub Date: 2026-06-04 DOI: 10.1097/JNC.0000000000000663

Shey Thorn, Kimberly June Skeete, Roque Anthony F Velasco

引用次数: 0

Development and Psychometric Testing of the HIV Care Adherence Journey Instrument for Persons With HIV in the Philippines: A Methodological Study. 菲律宾艾滋病毒感染者艾滋病毒护理坚持旅程工具的开发和心理测量学测试：一项方法学研究。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-07-01 Epub Date: 2025-06-06 DOI: 10.1097/JNC.0000000000000565

Ryan Q De Torres, Maylin Palatino, Don Operario

引用次数: 0

Serious Games for HIV Prevention Among Adolescents in a Global Context: A Scoping Review. 严肃游戏在全球范围内预防青少年艾滋病毒：范围审查。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-06-25 DOI: 10.1097/JNC.0000000000000669

Rogéria Moreira de Abrantes, Fernanda Belmiro de Andrade, Luzia Cibele de Souza Maximiano, Vanessa Carla do Nascimento Gomes Brito, Jocellem Alves de Medeiros, Raíssa Martins de Andrade, Elanna Nayele de Freitas Costa, Alexsandra Rodrigues Feijão

{"title":"Serious Games for HIV Prevention Among Adolescents in a Global Context: A Scoping Review.","authors":"Rogéria Moreira de Abrantes, Fernanda Belmiro de Andrade, Luzia Cibele de Souza Maximiano, Vanessa Carla do Nascimento Gomes Brito, Jocellem Alves de Medeiros, Raíssa Martins de Andrade, Elanna Nayele de Freitas Costa, Alexsandra Rodrigues Feijão","doi":"10.1097/JNC.0000000000000669","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000669","url":null,"abstract":"Abstract: Adolescents constitute a vulnerable group in the context of HIV because of early sexual debut and engagement in risk behaviors. Traditional health education methods face significant challenges regarding their effectiveness in altering risk perception and promoting sustainable behavioral changes among youth. In this scenario, serious games (SG)-educational technologies that integrate game mechanics for pedagogical and therapeutic purposes, moving beyond pure entertainment-emerge as an approach for HIV prevention. Our study sought to answer the following: What are the types and themes of SGs produced for the prevention of HIV transmission among adolescents? Thus, the objective of this scoping review was to map the types and themes of these games developed for this purpose in the literature. This scoping review, conducted between June and August 2024, was guided by the Joanna Briggs Institute methodology and reported in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines. Thirteen databases were searched. The 21 selected studies identified four types of SG (video games, mobile applications, card games, and board games), addressing five central themes (HIV testing, prevention, risk behaviors, affective relationships, and sexual and reproductive health). The digital format predominated (87.5%), specifically for computers (47.6%) and smartphones (38%). Serious games are effective in HIV prevention among adolescents by surpassing conventional health education methods through immersion and empowerment. They reinforce the need for combination prevention by integrating gaming into health promotion strategies to reduce vulnerability.","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148311289","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

Equity in U.S. Solid Organ Transplantation for People Living With HIV: An Integrative Review of Barriers, Policies, and Interventions. 美国艾滋病毒感染者实体器官移植的公平性：障碍、政策和干预措施的综合回顾。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-06-18 DOI: 10.1097/JNC.0000000000000648

Nicholas Velasquez, Cecília Tomori, Erin M Spaulding

{"title":"Equity in U.S. Solid Organ Transplantation for People Living With HIV: An Integrative Review of Barriers, Policies, and Interventions.","authors":"Nicholas Velasquez, Cecília Tomori, Erin M Spaulding","doi":"10.1097/JNC.0000000000000648","DOIUrl":"10.1097/JNC.0000000000000648","url":null,"abstract":"Abstract: Although survival for people living with HIV (PLWH) has improved, their need for solid organ transplantation (SOT) is disproportionate. Equitable access remains limited despite the HIV Organ Policy Equity (HOPE) Act, a U.S. federal law enacted in 2013 permitting transplantation from donors with HIV to recipients with HIV under research protocols. This integrative review (PubMed, Embase, CINAHL; 2011-2024) synthesized U.S. studies examining barriers, interventions, and policies affecting access to SOT for PLWH, organized using the Social Ecological Model. Thirty studies met inclusion criteria, with most focused on kidney and liver transplantation with limited evidence for thoracic transplantation. Barriers occurred across individual (stigma, knowledge gaps), organizational (restrictive eligibility), and structural or policy levels (insurance barriers, geographic inequities). Few studies evaluated interventions. Studies evaluating HOPE Act implementation demonstrated reduced wait times and increased transplantation, particularly among Black and publicly insured candidates. Priorities include center accountability and removing research-only barriers to thoracic D+/R+ transplantation.","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148267956","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

Biopsychosocial Determinants of Frailty in Older People Living With HIV in China: A Bayesian Network Analysis. 中国老年HIV感染者虚弱的生物心理社会决定因素：贝叶斯网络分析

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-06-17 DOI: 10.1097/JNC.0000000000000667

Xiangming Zhan, Meijia Song, Chad E Forbes, Jun Chen, Hongzhou Lu, Angel B Algarin

{"title":"Biopsychosocial Determinants of Frailty in Older People Living With HIV in China: A Bayesian Network Analysis.","authors":"Xiangming Zhan, Meijia Song, Chad E Forbes, Jun Chen, Hongzhou Lu, Angel B Algarin","doi":"10.1097/JNC.0000000000000667","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000667","url":null,"abstract":"Abstract: People living with HIV (PWH) experience accelerated aging and elevated frailty risk, representing the convergence of biological and psychosocial aging processes. We enrolled 665 PWH ages ≥50 years in a multicenter study in China. We examined the intersection of biological factors (e.g., CD4+ T-cell count, comorbidities), psychological factors (i.e., depression, anxiety), and social determinants in frailty development. A Bayesian network model was developed to characterize these complex interactions. Frailty prevalence was 17.1%. The Bayesian network identified depression as a central node connecting immune dysfunction to frailty through a CD4→anxiety→depression pathway. The model achieved robust performance (area under the curve = 0.879). Probability of frailty ranged from 1.4% in individuals aged 50-59 years without risk factors to 74.0% in those ages ≥70 years with depression and multiple comorbidities. This model offers clinicians a practical risk assessment tool for aging PWH and highlights depression as a modifiable target, supporting the integration of mental health screening in HIV geriatric care.","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148261354","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

Lessons From a Simulation Study Assessing Social Biases of Generative Artificial Intelligence. 一项评估生成式人工智能社会偏见的模拟研究的经验教训。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-06-15 DOI: 10.1097/JNC.0000000000000660

Yulin Hswen, Thu Nguyen

引用次数: 0

Scorecards to Support Cardiovascular Risk Measurement in Older Adults at an Outer Metropolitan Australian Service: A Retrospective Observational Study. 记分卡支持澳大利亚外大都市服务老年人心血管风险测量：一项回顾性观察研究。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-06-11 DOI: 10.1097/JNC.0000000000000658

Nicholas Byron Comninos, Melissa Anne Power, Yvette Victoria Katherine Ormsby, Christos Floratos, David Arthur Lewis, Rohan Indika Bopage

{"title":"Scorecards to Support Cardiovascular Risk Measurement in Older Adults at an Outer Metropolitan Australian Service: A Retrospective Observational Study.","authors":"Nicholas Byron Comninos, Melissa Anne Power, Yvette Victoria Katherine Ormsby, Christos Floratos, David Arthur Lewis, Rohan Indika Bopage","doi":"10.1097/JNC.0000000000000658","DOIUrl":"10.1097/JNC.0000000000000658","url":null,"abstract":"Abstract: Our study aimed to assess cardiovascular risk factor measurements (CVRFM) among people ages ≥40 years attending a sexual health clinic for HIV care before, during, and after scorecard implementation. Scorecards were 1-page visual summaries of risk factor measurement metrics distributed among clinic staff quarterly between November 1, 2022, and October 31, 2023. The median number of yearly risk-factor measurements increased from one in the year before scorecards to three in the year after scorecards. Measurements of systolic blood pressure, total cholesterol:high-density lipoprotein ratio, and glycated hemoglobin increased during the time period; smoking status measurements remained unchanged. Complete risk factor measurements (all four measurements in 1 year) increased from 11% before scorecards to 36% after scorecards. Weight/body mass index measurements and general practitioner linkage increased; having these were also associated with a higher number of other CVRFMs. As a quality-improvement initiative, scorecards may support clinic processes for CVRFM. Further interventions to improve measurement and reduce risk, potentially through sexual health clinic and general practitioner shared care, should be explored.","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221637","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

Factors Associated With Completing Sleep Studies Among People With HIV Receiving Care at a United States HIV Clinic: A Descriptive Study. 在美国HIV诊所接受治疗的HIV感染者中完成睡眠研究的相关因素：一项描述性研究。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-06-10 DOI: 10.1097/JNC.0000000000000665

Zainab Al Tameemi, Stephanie A Ruderman, Kristina A Crothers, Bridget M Whitney, Joseph A Delaney, Heidi M Crane, Vishesh K Kapur

{"title":"Factors Associated With Completing Sleep Studies Among People With HIV Receiving Care at a United States HIV Clinic: A Descriptive Study.","authors":"Zainab Al Tameemi, Stephanie A Ruderman, Kristina A Crothers, Bridget M Whitney, Joseph A Delaney, Heidi M Crane, Vishesh K Kapur","doi":"10.1097/JNC.0000000000000665","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000665","url":null,"abstract":"Abstract: People with HIV (PWH) have a high prevalence of obstructive sleep apnea (OSA), yet the condition receives minimal attention despite a high prevalence of OSA risk factors. PWH attending HIV care between 2008 and 2023 were eligible. Sleep studies were identified in electronic health records. We estimated associations between completion of a study and HIV factors and fatigue using adjusted relative risk regression. Among 3,977 PWH, 4% completed a sleep study. PWH who underwent sleep studies were older (50 vs. 48 years), fewer had low current CD4 cell counts (2% vs. 11% < 200 cells/mm3), and more had HIV viral suppression (97% vs. 85%) than those who did not. Bothersome fatigue was associated with 2.9 times (95% confidence interval: 1.9-4.4) greater likelihood of completing a sleep study. Sleep studies are rarely conducted among PWH. PWH who received a sleep study had better HIV control (higher CD4 count/viral suppression) and a greater burden of fatigue and OSA-related comorbidities.","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221627","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

Accelerated Pace of Biological Aging in People With HIV and Insomnia Living in Southeastern United States: A Cross-Sectional Study. 生活在美国东南部的HIV和失眠患者的生物衰老速度加快：一项横断面研究。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-06-10 DOI: 10.1097/JNC.0000000000000666

Khalid W Freij, Shannon G Wilson, Dyan M White-Gilliam, Caroline K Webb, Shameka L Cody, S Justin Thomas, Pariya L Fazeli, Robert E Sorge, Edwin N Aroke, Burel R Goodin

引用次数: 0