{"title":"Health-Related Social Needs, Quality of Life, and Perceived Health Status Among People With HIV in a Large Midwest US Health System: A Cross-Sectional Study.","authors":"Elizabeth Lockhart, McKenzie Berezin, Geoffrey Kahn, Rachel Kingsley, Erin Tobin, DeAnne Turner","doi":"10.1097/JNC.0000000000000664","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000664","url":null,"abstract":"<p><strong>Abstract: </strong>Health-related social needs (HRSN) are the individual-level social and economic factors impact health outcomes. We surveyed people with HIV (PWH; n = 154) in a large Midwest health system to understand rates of adverse HRSN, and associations between adverse HRSN and health-related quality of life (HRQoL) and self-reported health status. Most HRSN domains had at least 15 participants (10%) endorse that they were currently experiencing an HRSN. Of the 14 HRSN assessed, participants experienced, on average, 2.57 adverse HRSN, whereas 72% of participants experienced at least one adverse HRSN. Five adverse HRSN were associated with lower HRQoL, one adverse HRSN was associated with poorer self-reported health status, and five adverse HRSN were associated with lower HRQoL and poorer self-reported health status. Addressing adverse HRSN may require a multisectoral approach to impact HRQoL and health status among PWH.</p>","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":"148221665","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}
Francisco Wellington Dourado Júnior, Maiara Bezerra Dantas, Francisca Elisângela Teixeira Lima, Paula Renata Amorim Lessa, Cristiana Brasil de Almeida Rebouças, Samila Gomes Ribeiro, Manuela de Mendonça Figueirêdo Coelho, Nirla Gomes Guedes, Gilmara Holanda da Cunha
{"title":"Telenursing for Health Self-management in People Living With HIV in the World: A Systematic Review and Meta-analysis.","authors":"Francisco Wellington Dourado Júnior, Maiara Bezerra Dantas, Francisca Elisângela Teixeira Lima, Paula Renata Amorim Lessa, Cristiana Brasil de Almeida Rebouças, Samila Gomes Ribeiro, Manuela de Mendonça Figueirêdo Coelho, Nirla Gomes Guedes, Gilmara Holanda da Cunha","doi":"10.1097/JNC.0000000000000652","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000652","url":null,"abstract":"<p><strong>Abstract: </strong>Self-management is essential for people living with HIV. Telenursing has emerged as a strategy to expand access to care, but its effectiveness for HIV self-management remains unclear. This systematic review and meta-analysis, conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses and Joanna Briggs Institute guidelines, synthesized evidence from randomized controlled trials (RCTs) evaluating nurse-led telenursing interventions delivered by mobile applications, web platforms, or telephone. Searches of seven databases and gray literature up to July 2025 identified nine RCTs (n = 1,437). Meta-analyses showed no significant effect of telenursing on antiretroviral therapy adherence (mean difference [MD] = 0.00; 95% confidence interval, -0.69 to 0.69; I2 = 0%) or self-efficacy (MD = 1.13; 95% confidence interval, -0.26 to 2.52; I2 = 17.4%). Despite null pooled effects, some studies reported improvements in patient activation, fatigue management, and confidence. Overall certainty of evidence ranged from low to moderate. Nurse-led telenursing may support short-term empowerment and symptom management but requires stronger multicenter trials.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148202006","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":"Sex Education for HIV Prevention Among Adolescents and Young Adults (15-24 Years) Across Diverse Settings: An Integrative Review.","authors":"Samar Mohsen Ashmawi, Ann-Margaret Navarra, Yzette Lanier, Lauren Gerchow, Allison Squires","doi":"10.1097/JNC.0000000000000654","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000654","url":null,"abstract":"<p><strong>Abstract: </strong>The global HIV pandemic disproportionately affects adolescents and young adults (aged 15-24 years), making comprehensive sex education a crucial preventive strategy. This integrative review synthesized 19 studies from 2014 to 2024 to evaluate the effectiveness and comprehensiveness of structured sex education programs against international guidelines. A systematic database search and critical appraisal were conducted on studies featuring multi-session programs targeting adolescents. Short-term outcomes consistently showed significant increases in HIV knowledge and self-efficacy. However, long-term effectiveness was mixed, constrained by methodological weaknesses (e.g., participant dropout) and a thematic overreliance on individual behavioral theories. Content analysis revealed critical gaps in addressing gender and power dynamics (covered by 32% of programs) and modern biomedical prevention (pre-exposure prophylaxis). Although immediately effective, the sustainable public health impact of these programs is limited by structural deficiencies. Future research must shift toward a socio-ecological framework, prioritize longitudinal studies, and integrate programs directly with sexual and reproductive health services.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148153173","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":"Comment on \"Assessing Variability in ChatGPT Responses: A Case Study on Simulating Online User Inputs\".","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1097/JNC.0000000000000659","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000659","url":null,"abstract":"","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148153150","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":"Frailty in an Aging Population Living With and Without HIV: A Comparative Cross-sectional Analysis Using the Fatigue, Resistance, Ambulation, Illnesses, and Loss of Weight Scale in a Houston Urban Cohort.","authors":"Robin Beach, Tess Syndergaard, Philip C Johnson","doi":"10.1097/JNC.0000000000000656","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000656","url":null,"abstract":"<p><strong>Abstract: </strong>Advances in antiretroviral therapy have transformed HIV, leading to a rapidly aging population of people living with HIV. With aging comes an increased risk of frailty, a multidimensional syndrome signifying diminished physiological reserve and vulnerability to stressors. A cross-sectional analysis compared Fatigue, Resistance, Ambulation, Illnesses, and Loss of weight scale scores between adults living with and without HIV. Descriptive statistics, chi-square tests, and logistic regression models assessed differences in frailty prevalence and associated correlates. Frailty was observed in 16.7% of participants with HIV versus 6.3% of adults without HIV (χ2(1) = 6.28, p = .012). Frailty is more prevalent among adults living with HIV compared with adults without HIV. Integrating routine frailty screening into HIV care using the FRAIL Scale can guide interventions and comprehensive, person-centered management strategies.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059506","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}
Meghan C Jones, Jun Y Byun, Ikenna Obasi Odii, Rebecca Billings, Aadia I Rana, Frank Puga, Christina Psaros, Liang Shan, Zenoria Causey Pruitt, Allison Shorten, Mirjam-Colette Kempf
{"title":"Anxiety Among Perinatal Women Living With HIV: A Global Scoping Review.","authors":"Meghan C Jones, Jun Y Byun, Ikenna Obasi Odii, Rebecca Billings, Aadia I Rana, Frank Puga, Christina Psaros, Liang Shan, Zenoria Causey Pruitt, Allison Shorten, Mirjam-Colette Kempf","doi":"10.1097/JNC.0000000000000649","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000649","url":null,"abstract":"<p><strong>Abstract: </strong>Anxiety symptoms and disorders among perinatal women living with HIV (WLHIV) represent an important area for research and clinical intervention. Guided by the Arksey and O'Malley methodological framework, this scoping review highlights the scarcity of studies addressing anxiety among perinatal WLHIV. Results indicate that anxiety as a distinct concept is not well-defined. Inconsistencies in defining anxiety during the perinatal period contribute to variances in the measures used across studies, estimates of anxiety prevalence, and implications for treatment and intervention. Longitudinal research examining the relationship between anxiety and associated contextual factors over time and during different stages and transitions is needed to improve anxiety symptom and disorder identification, treatment, and intervention for perinatal WLHIV.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148039191","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":"Factors Promoting and Threatening Hope Among Adolescents and Young People Living With HIV in Brazil: A Qualitative Study.","authors":"Camila Moraes Garollo Piran, Carlos Laranjeira, Mariana Martire Mori, Alana Vitoria Escritori Cargnin, Camila Harmuch, Zaida Borges Charepe, Marcela Demitto Furtado","doi":"10.1097/JNC.0000000000000650","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000650","url":null,"abstract":"<p><strong>Abstract: </strong>The objective of our study was to explore the factors that promote and threaten hope among adolescents and young adults (AYA) living with HIV from northwestern Paraná, Brazil. A qualitative study was conducted with 22 AYA living with HIV receiving care at the Specialized Care Service located in the Paraná region (Brazil). Data were collected between September and November 2024 through semi-structured interviews based on an adaptation of the Mutual Aid Intervention Model for Promoting Hope. Two categories emerged from the data analysis: (a) \"I have a strong will to live, I have a lot to live for\": factors that promote hope; (b) \"Society's prejudice and my own\": factors that threaten hope. Factors that promote hope generate motivation, self-confidence, trust, strength, tranquility, and optimism. Those that threaten hope generate insecurity, anxiety, sadness, shame, guilt, and fear. Therefore, health care professionals should look for strategies to promote hope and thereby increase mental health for AYA living with HIV.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148039229","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}
Patcharin Krongtham, Ratsiri Thato, Edmond Pui Hang Choi, Russunan Jantarapakdee, Trieu Van Nhat
{"title":"Artificial Intelligence-Based Digital Interventions for HIV Prevention in Sexual and Gender Minority Populations Globally: A Systematic Review.","authors":"Patcharin Krongtham, Ratsiri Thato, Edmond Pui Hang Choi, Russunan Jantarapakdee, Trieu Van Nhat","doi":"10.1097/JNC.0000000000000651","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000651","url":null,"abstract":"<p><strong>Abstract: </strong>Sexual and gender minority populations experience high HIV incidence, and digital interventions offer prevention opportunities. Artificial intelligence (AI) enables adaptive, personalized support, yet quantitative evidence in sexual and gender minority communities remains limited. This systematic review examined the effectiveness and implementation of AI-powered digital HIV prevention interventions. Five databases were searched from inception to June 2025 for randomized trials, quasi-experimental studies, and feasibility studies using adaptive AI features. Risk of bias was assessed with RoB 2, ROBINS-I, and NIH tools. Findings were synthesized narratively. From 380 records, seven studies (n = 1,729) met the inclusion criteria. Interventions included AI-driven chatbots, adherence monitoring systems, and a simulation game targeting preexposure prophylaxis adherence, HIV testing, and sexual risk reduction. Chatbots showed the consistent behavioral effects, particularly in increasing HIV self-testing and preexposure prophylaxis uptake. Across studies, feasibility, engagement, and usability were high. AI-based digital interventions show promise, but rigorous trials are needed to strengthen the evidence.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147990806","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":"Development of I-HASMEA: A Participatory Action Research Study of a Mobile HIV Self-Management Application for Men Who Have Sex With Men Living With HIV in Thailand.","authors":"Natawan Khumsaen, Samrej Tienthong, Anongluk Vongtree, Kedsaraporn Kenbubpha, Wimonpan Sungsakul, Teeravee Morakotkheaw, Buppha Jaimun, Oradee Choksawat","doi":"10.1097/JNC.0000000000000643","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000643","url":null,"abstract":"<p><strong>Abstract: </strong>Thai men who have sex with men (MSM) living with HIV face stigma and fragmented care that undermine effective self-management. Although mobile health (mHealth) interventions show promise, culturally grounded nurse-led digital solutions remain limited in low- and middle-income settings. This formative study developed the Interactive HIV/AIDS Self-Management Education Application using a nurse-led participatory action research approach. Three iterative cycles-exploration, co-design, and evaluation-engaged MSM living with HIV, nurses, clinicians, and information technology specialists to ensure contextual relevance, privacy, sensitivity, and usability. The finalized prototype integrates tailored self-management education, symptom and mood tracking, and medication reminders. Usability testing with nine participants demonstrated excellent perceived usability (median system usability scale score = 87.5, interquartile range = 82.5-90.0; observed range = 78.8-92.5). The M (SD) system usability scale score was 86.4 (5.8) on a possible range of 0-100. Findings support feasibility and usability and inform future effectiveness and implementation research.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147849360","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}
J Craig Phillips, Christine Horvat Davey, Yvette P Cuca, Tania de Jesús-Espinosa, Deepesh Duwadi, Lufuno Makhado, Rebecca Schnall, Diane Santa Maria, Darcel Reyes, Emiko Kamitani, Wei-Ti Chen, Motshedisi Sabone, Rasheeta D Chandler, Mitchell J Wharton, Carol Dawson-Rose
{"title":"Sociostructural Determinants of Health for People Living With HIV During the COVID-19 Pandemic: A Policy Brief for Future Global Health Crises.","authors":"J Craig Phillips, Christine Horvat Davey, Yvette P Cuca, Tania de Jesús-Espinosa, Deepesh Duwadi, Lufuno Makhado, Rebecca Schnall, Diane Santa Maria, Darcel Reyes, Emiko Kamitani, Wei-Ti Chen, Motshedisi Sabone, Rasheeta D Chandler, Mitchell J Wharton, Carol Dawson-Rose","doi":"10.1097/JNC.0000000000000613","DOIUrl":"10.1097/JNC.0000000000000613","url":null,"abstract":"<p><strong>Abstract: </strong>The dual pandemics of COVID-19 and HIV have underscored critical gaps in global health policy, particularly regarding disproportionate impacts on people living with HIV, often failing to address sociostructural determinants of health (sSDoH) that fuel inequities. Nurses and other health care practitioners, possessing unique knowledge and technical capacity, are vital in advocating for policy innovations that address the civil and human rights of vulnerable populations. This policy brief, informed by historical health frameworks like the Alma-Ata Declaration and contemporary understandings of sSDoH, proposes three key policy actions to foster health equity. These include integrating HIV and other disease-specific care into Universal Health Coverage frameworks, implementing a sSDoH-oriented emergency preparedness strategy, and fostering partnerships with civil society organizations for community-led policy mechanisms. Adopting these comprehensive, equity-focused approaches, grounded in intersectoral collaboration and community engagement, can improve global health outcomes and civil and human rights, particularly during overlapping pandemics.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":"404-417"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145812725","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}