Dean A Murphy, Steven P Philpot, Bella Bushby, Vincent J Cornelisse, Andrew E Grulich, Edwina J Wright, Benjamin R Bavinton
{"title":"Barriers and Facilitators Related to Providing Long-Acting Injectable HIV Preexposure Prophylaxis in Australian Settings: A Qualitative Study of Clinical and Policy Stakeholders.","authors":"Dean A Murphy, Steven P Philpot, Bella Bushby, Vincent J Cornelisse, Andrew E Grulich, Edwina J Wright, Benjamin R Bavinton","doi":"10.1097/JNC.0000000000000642","DOIUrl":"10.1097/JNC.0000000000000642","url":null,"abstract":"<p><strong>Abstract: </strong>Given injectable HIV preexposure prophylaxis (PrEP) has unique service-delivery requirements, there is a need to investigate the feasibility of its implementation and equitable access for people at risk of HIV. Data were collected from 45 informants (nurses, physicians, general practitioners, policy makers, and community representatives) to identify barriers to and facilitators of implementing long-acting injectable cabotegravir (CAB-LA) in Australian settings. Findings were mapped onto the domains of the updated Consolidated Framework for Implementation Research. Informants welcomed new PrEP options as a way of addressing issues of access equity. However, they questioned the benefits of CAB-LA over oral PrEP, given its dose-scheduling requirements and long pharmacokinetic tail, as well as its cost, complexity, and potential to \"remedicalize\" PrEP, reversing current trends in PrEP prescribing and consumption. Other concerns included increased resource and capacity implications for clinics resulting from initial assessments and the increased number (and complexity) of subsequent visits.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":"37 3","pages":"308-320"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147795881","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}
Donna Sombrea, Thomas Norman, Jennifer Power, Dean Murphy, Joel Anderson, John Rule, Jimmy Yu-Hsiang Chen, Adam Bourne
{"title":"Optimizing Service Provision for Asian-Born Migrants Living With HIV in Australia: A Qualitative Study.","authors":"Donna Sombrea, Thomas Norman, Jennifer Power, Dean Murphy, Joel Anderson, John Rule, Jimmy Yu-Hsiang Chen, Adam Bourne","doi":"10.1097/JNC.0000000000000629","DOIUrl":"10.1097/JNC.0000000000000629","url":null,"abstract":"<p><strong>Abstract: </strong>Disparities in HIV-related care and outcomes between people living with HIV (PLWH) who have migrated to Australia and nonmigrants raise concerns regarding equitable access and psychosocial support. Our study explored ways of optimizing HIV services for Asian-born PLWH in Australia, drawing on semistructured in-depth interviews with 18 participants: nine Asian-born PLWH and nine individuals working in the HIV sector. Using reflexive thematic analysis, findings revealed a push and pull between marginalization and empowerment in participants' experiences of HIV care in Australia. Bureaucracy, language, racism, and stigma, as structural and identity barriers, hinder access to support. However, peer-led initiatives, holistic care models, and transnational networks offer hope for sustained service engagement. Community-driven approaches and leadership opportunities were seen as transformative to service provision and policy change. Addressing barriers and promoting culturally affirming care may improve health and well-being outcomes for migrants with HIV. Further research should explore long-term support strategies.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":"294-307"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147346241","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}
Jennifer Sobolik, Nathaniel Albright, Jessica Buckley, Justin Alves
{"title":"Our AIDS Walks Are Only Beginning: A Commentary and Call to Increase HIV Advocacy Efforts in the Rural Upper Midwestern United States From Nurses With Lived Experience.","authors":"Jennifer Sobolik, Nathaniel Albright, Jessica Buckley, Justin Alves","doi":"10.1097/JNC.0000000000000605","DOIUrl":"10.1097/JNC.0000000000000605","url":null,"abstract":"<p><strong>Abstract: </strong>In the rural Upper Midwest, persistent HIV-related stigma and limited services continue to impede care for people living with HIV, despite advances in treatment that have reduced morbidity and mortality. Community-based advocacy initiatives, such as the Black Hills AIDS Walk, can decrease stigma, increase HIV education, and expand access to comprehensive care. Targeted strategies, such as contact-based stigma reduction, provider and public education, and expansion of local and telehealth services, address barriers unique to rural settings. Nurses are well positioned to lead these efforts through community outreach, care coordination, and policy advocacy. By centering local engagement and evidence-based stigma-reduction practices, rural HIV advocacy can improve visibility, acceptance, and treatment access for people living with HIV and help reduce regional disparities in HIV outcomes. Further evaluation of programs like the Black Hills AIDS Walk is needed to quantify impacts and guide scalable interventions.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":"358-365"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145717172","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":"Our Common Humanity.","authors":"Bill Bowtell","doi":"10.1097/JNC.0000000000000646","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000646","url":null,"abstract":"","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":"37 3","pages":"356-357"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147795825","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":"Advancing Nursing Practice and Health Equity for Marginalized People Living With HIV in Canada: An Intersectionality-Informed Policy Commentary.","authors":"Allison Belzner","doi":"10.1097/JNC.0000000000000615","DOIUrl":"10.1097/JNC.0000000000000615","url":null,"abstract":"<p><strong>Abstract: </strong>Despite substantial advances in HIV treatment, persistent structural barriers and inequitable policy frameworks continue to disproportionately affect marginalized populations, perpetuating poor health outcomes. This article critically examines how public health policies and institutional practices fail to account for intersecting social identities, exacerbating compounded disadvantage among groups such as men who have sex with men, transgender individuals, sex workers, people who inject drugs, and racialized populations. Using Hankivsky Intersectionality-Based Policy Analysis framework, the analysis highlights how policy priorities shape access to care, distribution of resources, and systemic inequities. Recommendations include community-led approaches, rights-based policy reform, and capacity-building for culturally competent health care, emphasizing structural change over individual behavior modification. Grounded in intersectionality, this approach offers actionable strategies to advance equitable HIV care and address the systemic roots of marginalization.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":"385-390"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992954","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}
Lara Haidar, Robin M Nance, Stephanie A Ruderman, Andrew Hahn, Jeanne Keruly, Kristina Crothers, Mari M Kitahata, Sonia Napravnik, Richard D Moore, Geetanjali Chander, Edward Cachay, Laura Bamford, Jimmy Ma, Rob Fredericksen, Michael S Saag, Greer Burkholder, Sonya Heath, Bridget M Whitney, Lydia N Drumright, Engi F Attia, L Sarah Mixson, Peter Hunt, Joseph A C Delaney, Heidi M Crane, Sherif Eltonsy
{"title":"Cannabis Use and the Risk of Incident Venous Thromboembolism Among People With HIV: A Longitudinal Cohort Study in the United States.","authors":"Lara Haidar, Robin M Nance, Stephanie A Ruderman, Andrew Hahn, Jeanne Keruly, Kristina Crothers, Mari M Kitahata, Sonia Napravnik, Richard D Moore, Geetanjali Chander, Edward Cachay, Laura Bamford, Jimmy Ma, Rob Fredericksen, Michael S Saag, Greer Burkholder, Sonya Heath, Bridget M Whitney, Lydia N Drumright, Engi F Attia, L Sarah Mixson, Peter Hunt, Joseph A C Delaney, Heidi M Crane, Sherif Eltonsy","doi":"10.1097/JNC.0000000000000641","DOIUrl":"10.1097/JNC.0000000000000641","url":null,"abstract":"<p><strong>Abstract: </strong>People with HIV (PWH) are at an increased risk of venous thromboembolism (VTE), and cannabis use is common in this population. However, evidence of cannabis impact on VTE risk has been conflicting and not well evaluated in PWH. Using data from five Centers for AIDS Research Network of Integrated Clinical Systems sites (2009-2020), we assessed the association between cannabis use and VTE risk. Among 13,646 PWH, 30% reported current cannabis use. In adjusted Cox models, neither former (adjusted hazard ratio [aHR] 0.78, 95% confidence interval (CI) 0.57-1.07) nor current (aHR 0.74, 95% CI 0.51-1.06) cannabis use showed a significant increase in VTE incidence compared with never use. Additionally, no dose-dependent relationship was observed between cannabis use frequency and VTE. Among PWH, cannabis use does not appear to be associated with an elevated risk of VTE. Further research is needed to elucidate the relationship between cannabis and VTE risk in this population.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13221268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147795845","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}
{"title":"A Systematic Review of Patient Satisfaction Among Adults Living With HIV Receiving Telemedicine in the Setting of Post COVID-19 Primary Care in the United States.","authors":"Prisha Batra, Anika Parvataneni, Judy Greengold","doi":"10.1097/JNC.0000000000000637","DOIUrl":"10.1097/JNC.0000000000000637","url":null,"abstract":"<p><strong>Abstract: </strong>Telemedicine expanded rapidly during the COVID-19 pandemic, yet its true impact remains poorly defined, particularly for people living with HIV (PLWH). Our systematic review synthesizes evidence on satisfaction with telemedicine among PLWH in the United States. A Patient, Intervention, Comparison, Outcome-informed search from five databases identified 236 articles from 2020 to 2025, of which seven met inclusion criteria. PLWH largely reported high satisfaction, citing convenience and flexibility, especially when using telehealth for medication management and result reviews. Telemedicine was received well, notably among patients living in rural settings where access barriers are often greatest. Concerns included technical challenges, privacy issues, lower sense of familiarity, and unequal broadband access. Although telemedicine shows promise in enhancing care equity and satisfaction among PLWH, future research must clarify telemedicine's impact on adherence, barriers, and outcomes. Advancing telemedicine for PLWH requires comprehensive access and implementation strategies as well as policy and education to drive quality across all settings.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147731178","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}
Dan Zhang, Limei Feng, Jiaxin Hao, Xiaoyi Shen, Judi Chen
{"title":"The Mediating Effects of Rumination Between Perceived Social Support and Alexithymia Among People Living With HIV in China: A Cross-Sectional Study.","authors":"Dan Zhang, Limei Feng, Jiaxin Hao, Xiaoyi Shen, Judi Chen","doi":"10.1097/JNC.0000000000000635","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000635","url":null,"abstract":"<p><strong>Abstract: </strong>The current study aims to examine associations between perceived social support, rumination, and alexithymia among people living with HIV (PWH) in China, and the role of rumination in mediating the relationship between perceived social support and alexithymia. A cross-sectional study was conducted among 224 PWH recruited from Wuxi, China. We used the PROCESS macro for mediation and conditional process analysis, version 4.0, for SPSS to examine the relationship and mediating effects of rumination between perceived social support and alexithymia. Eventually, we found that intrusive rumination and purposeful rumination both played a partial mediating role between perceived social support and alexithymia, with each accounting for 37.61% (β = -0.265, p < .01) and 26.67% (β = 0.317, p < .05) of the total effect, respectively. Our findings suggest that targeting both intrusive rumination and purposeful rumination may enhance the impact of perceived social support on alexithymia among PWH.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147731219","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":"Holistic Heart Health: A Scoping Review of Nonpharmacological Cardiovascular Interventions for People Living With HIV Globally.","authors":"Joyal Miranda, Suzanne Fredericks, Rafaela Batista Dos Santos Pedrosa, Mohit Prashar","doi":"10.1097/JNC.0000000000000632","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000632","url":null,"abstract":"<p><strong>Abstract: </strong>As people living with HIV (PLWH) experience greater longevity with antiretroviral therapy, they face increasing rates of chronic comorbidities, including cardiovascular disease (CVD). Nurses are well-positioned to lead prevention efforts, yet a comprehensive mapping of nonpharmacological strategies is limited. This scoping review, guided by the PRISMA-ScR framework, mapped interventions to reduce CVD risk among PLWH. Twenty-seven studies met inclusion criteria, most focusing on physical activity, dietary change, and cardiovascular education. Interventions were delivered in-person, home-based, or digitally, with nurses frequently central to implementation. Most studies demonstrated improvements in at least one outcome, such as blood pressure, lipid profiles, or activity levels, although theoretical frameworks were inconsistently applied. Barriers included participant retention, technology access, and resource limitations, particularly in underserved populations. Findings suggest nurse-led, behaviorally focused interventions are promising. Future research should emphasize theory-informed, community-engaged, and culturally responsive strategies that address structural determinants to strengthen cardiovascular outcomes among diverse PLWH populations.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596818","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}
Eduardo Eric Valverde, Jamie Mignano, Sadie Smith, Shauni Williams, Elianna Paljug, Angelique Griffin, Michelle Van Handel
{"title":"Facilitators and Barriers to Implementing HIV and Hepatitis C Screening Programs Among Providers in Clinical Settings in the United States: A Qualitative Perspective.","authors":"Eduardo Eric Valverde, Jamie Mignano, Sadie Smith, Shauni Williams, Elianna Paljug, Angelique Griffin, Michelle Van Handel","doi":"10.1097/JNC.0000000000000633","DOIUrl":"10.1097/JNC.0000000000000633","url":null,"abstract":"<p><strong>Abstract: </strong>Screening for HIV and hepatitis C virus (HCV) are essential for identifying undiagnosed infections and linking individuals to care. We conducted a qualitative study to understand facilitators and barriers contributing to increased HIV and HCV infection screening and the linkage to care in Gilead's FOCUS HIV and HCV screening program in clinical settings. Individual in-depth interviews were conducted with nine clinical partners in FOCUS-supported sites and eight FOCUS regional leads who provided technical assistance to the sites. Content analysis was undertaken to identify key themes. Three themes emerged as facilitators: (a) \"champions\" to lead screening activities, (b) having support from clinic administrative leadership, and (c) coalescing staff support. Two themes emerged as barriers: (a) aligning institutional screening policies with local laws and (b) securing resources for screening implementation activities. Clinical settings implementing HIV or HCV infection screening programs may consider identifying a champion and consider legal and resource concerns to facilitate implementation of impactful programs.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147523849","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}