AIDS patient care and STDs最新文献_第9页

Specialty Care Referral for Underrepresented Minorities Living with HIV in the United States: Experiences, Barriers, and Facilitators. 美国代表性不足的少数民族艾滋病毒感染者的专科转诊：经验、障碍和促进因素。

IF 3.4 2区医学

AIDS patient care and STDs Pub Date : 2024-06-01 Epub Date: 2024-06-13 DOI: 10.1089/apc.2024.0066

Charles Muiruri, Carrie Dombeck, Teresa Swezey, Sarah Gonzales, Morgan Lima, Shamea Gray, Joseph Vicini, April C Pettit, Chris T Longenecker, Eric G Meissner, Nwora Lance Okeke, Gerald S Bloomfield, Amy Corneli

{"title":"Specialty Care Referral for Underrepresented Minorities Living with HIV in the United States: Experiences, Barriers, and Facilitators.","authors":"Charles Muiruri, Carrie Dombeck, Teresa Swezey, Sarah Gonzales, Morgan Lima, Shamea Gray, Joseph Vicini, April C Pettit, Chris T Longenecker, Eric G Meissner, Nwora Lance Okeke, Gerald S Bloomfield, Amy Corneli","doi":"10.1089/apc.2024.0066","DOIUrl":"10.1089/apc.2024.0066","url":null,"abstract":"The increased incidence of chronic diseases among people with HIV (PWH) is poised to increase the need for specialty care outside of HIV treatment settings. To reduce outcome disparities for HIV-associated comorbidities in the United States, it is critical to optimize access to and the quality of specialty care for underrepresented racial and ethnic minority (URM) individuals with HIV. We explored the experiences of URM individuals with HIV and other comorbidities in the specialty care setting during their initial and follow-up appointments. We conducted qualitative interviews with participants at three large academic medical centers in the United States with comprehensive health care delivery systems between November 2019 and March 2020. The data were analyzed using applied thematic analysis. A total of 27 URM individuals with HIV were interviewed. The majority were Black or African American and were referred to cardiology specialty care. Most of the participants had positive experiences in the specialty care setting. Facilitators of the referral process included their motivation to stay healthy, referral assistance from HIV providers, access to reliable transportation, and proximity to the specialty care health center. Few participants faced individual, interpersonal, and structural barriers, including the perception of individual and facility stigma toward PWH, a lack of transportation, and a lack of rapport with providers. Future case studies are needed for those URM individuals with HIV who face barriers and negative experiences. Interventions that involve PWH and health care providers in specialty care settings with a focus on individual- and structural-level stigma can support the optimal use of specialty care.","PeriodicalId":7476,"journal":{"name":"AIDS patient care and STDs","volume":" ","pages":"259-266"},"PeriodicalIF":3.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11301706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141309420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perspectives Among Health Care Providers and People with HIV on the Implementation of Long-Acting Injectable Cabotegravir/Rilpivirine for Antiretroviral Therapy in Florida. 医疗服务提供者和艾滋病病毒感染者对佛罗里达州实施长效注射卡博特拉韦/利匹韦林抗逆转录病毒疗法的看法。

IF 3.4 2区医学

AIDS patient care and STDs Pub Date : 2024-06-01 Epub Date: 2024-04-30 DOI: 10.1089/apc.2024.0067

Rebecca J Fisk-Hoffman, Sashaun S Ranger, Abigail Gracy, Hannah Gracy, Preeti Manavalan, Maya Widmeyer, Robert F Leeman, Robert L Cook, Shantrel Canidate

{"title":"Perspectives Among Health Care Providers and People with HIV on the Implementation of Long-Acting Injectable Cabotegravir/Rilpivirine for Antiretroviral Therapy in Florida.","authors":"Rebecca J Fisk-Hoffman, Sashaun S Ranger, Abigail Gracy, Hannah Gracy, Preeti Manavalan, Maya Widmeyer, Robert F Leeman, Robert L Cook, Shantrel Canidate","doi":"10.1089/apc.2024.0067","DOIUrl":"10.1089/apc.2024.0067","url":null,"abstract":"Long-acting injectable (LAI) cabotegravir/rilpivirine (CAB/RPV) for antiretroviral therapy (ART) could benefit many people with HIV (PWH). However, its impact will largely be determined by providers' willingness to prescribe it and PWH's willingness to take it. This study explores the perceived barriers and facilitators of LAI CAB/RPV implementation among PWH and HIV care providers in Florida, a high prevalence setting. Semi-structured qualitative interviews were conducted in English with 16 PWH (50% non-Hispanic White, 50% cis men, and 94% on oral ART) and 11 providers (27% non-Hispanic Black, 27% Hispanic, 73% cis women, and 64% prescribed LAI CAB/RPV) throughout the state. Recruitment occurred between October 2022 and October 2023 from HIV clinics. Interviews were recorded, professionally transcribed, and then double coded using thematic analysis. The Consolidated Framework for Implementation Research guided the interview guide and coding. While PWH viewed LAI CAB/RPV as effective, predominant barriers included administration via injection, challenges of attending more clinic visits, and a feeling that this made HIV the center of one's life. Providers additionally expressed concerns about the development of integrase resistance. Barriers noted by PWH and providers outside of the clinic included transportation, stigma, access inequities, and payor issues. Within clinics, providers identified the need for extra staffing and the increased burden on existing staff as barriers. These barriers decreased the perceived need for LAI CAB/RPV among PWH and providers, especially with the high effectiveness of oral ART. Many of the identified barriers occur outside of the clinic and will likely apply to other novel long-acting ART options.","PeriodicalId":7476,"journal":{"name":"AIDS patient care and STDs","volume":" ","pages":"275-285"},"PeriodicalIF":3.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11301705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140847061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Facilitators, Barriers, and Opportunities to Implementing Sexual History Screening and Human Immunodeficiency Virus Pre-Exposure Prophylaxis at a Federally Qualified Health Center. 在联邦合格卫生中心实施性史筛查和人类免疫缺陷病毒暴露前预防的促进因素、障碍和机遇。

IF 3.4 2区医学

AIDS patient care and STDs Pub Date : 2024-05-01 Epub Date: 2024-04-26 DOI: 10.1089/apc.2024.0026

Kelly W Gagnon, Robert W S Coulter, James E Egan, Ken Ho, Mary Hawk

{"title":"Facilitators, Barriers, and Opportunities to Implementing Sexual History Screening and Human Immunodeficiency Virus Pre-Exposure Prophylaxis at a Federally Qualified Health Center.","authors":"Kelly W Gagnon, Robert W S Coulter, James E Egan, Ken Ho, Mary Hawk","doi":"10.1089/apc.2024.0026","DOIUrl":"10.1089/apc.2024.0026","url":null,"abstract":"Sexual history screening (SHS) is recommended to determine risk for acquisition of human immunodeficiency virus (HIV) and eligibility for pre-exposure prophylaxis (PrEP). SHS and PrEP are underutilized, sequential screening, and prevention practices. This study aimed to understand factors impacting the implementation of SHS and PrEP at a multi-site federally qualified health center (FQHC) in Connecticut. Guided by the Consolidated Framework for Implementation Research, semistructured interviews were conducted on Zoom with primary care providers (PCPs), medical assistants, clinical leadership, and PrEP navigators. Convenience and purposive sampling took place via email until thematic saturation was achieved. Thematic analysis was conducted. Twenty-two participants were interviewed for this study. PCPs lacked knowledge and reported limited or no use of SHS to determine patients' level of HIV risk, which may explain why most PCPs relied on patients to request PrEP. While PCPs perceived organizational support to prescribe PrEP, clinical staff were unaware of structural resources. Lastly, participants described a vertical trajectory of influence from external sources (policies and insurance) to time allocated to appointments that limits their ability to implement SHS and PrEP, further complicated by the electronic health record and disparities in structural resources across clinical sites. This study provides foundational evidence for future research on implementation strategies to improve HIV prevention through universal, comprehensive SHS to identify patients for PrEP. Overcoming barriers to SHS and PrEP, particularly in clinical settings such as FQHCs that care for vulnerable populations, may improve identification, prevention, and treatment of HIV and aid in ending the HIV epidemic.","PeriodicalId":7476,"journal":{"name":"AIDS patient care and STDs","volume":" ","pages":"230-237"},"PeriodicalIF":3.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11386997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140849936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Identifying Implementation Strategies to Enhance HIV Pre-Exposure Prophylaxis Uptake Among Black Cisgender Women in New Orleans, Louisiana. 确定实施策略，提高路易斯安那州新奥尔良市黑人同性性行为妇女对 HIV 暴露前预防措施的接受程度。

IF 3.4 2区医学

AIDS patient care and STDs Pub Date : 2024-03-01 DOI: 10.1089/apc.2023.0300

Meredith E Clement, Brian Perry, Kevin McKenna, Jeremy Beckford, Tamachia Davenport, Erica Murray, Veronica Magee, Jacquelyn N Bickham, Julia Siren, Amy Smith, Rebecca Lillis, Amy Corneli

{"title":"Identifying Implementation Strategies to Enhance HIV Pre-Exposure Prophylaxis Uptake Among Black Cisgender Women in New Orleans, Louisiana.","authors":"Meredith E Clement, Brian Perry, Kevin McKenna, Jeremy Beckford, Tamachia Davenport, Erica Murray, Veronica Magee, Jacquelyn N Bickham, Julia Siren, Amy Smith, Rebecca Lillis, Amy Corneli","doi":"10.1089/apc.2023.0300","DOIUrl":"10.1089/apc.2023.0300","url":null,"abstract":"There is an unmet need for HIV prevention among Black cisgender women. From January to November 2020, we conducted formative research to develop locally informed implementation strategies to enhance pre-exposure prophylaxis (PrEP) uptake among Black cisgender women in New Orleans, Louisiana. Following an iterative process, we conducted in-depth interviews (IDIs) with Black women who were not taking PrEP and used those findings to inform IDIs with Black women taking PrEP. We asked about PrEP awareness, social support, PrEP-related norms, medical mistrust, motivation to take PrEP, and potential implementation strategies. Data were analyzed using applied thematic analysis. We established the Black Women and PrEP (BWAP) Task Force-a diverse group of 25 Black female community representatives who reviewed the IDI findings and identified strategies to address these determinants of PrEP uptake. We interviewed 12 Black women who were not taking PrEP and 13 Black women who were taking PrEP. Two main PrEP uptake barriers were identified from the IDI findings and Task Force discussions. First, Black women do not know of other Black women taking PrEP. Women perceived PrEP as a drug for gay men. Most said that testimonials from Black women taking PrEP would make its use more relatable. Second, Black women are not frequently offered PrEP by their providers. Many preferred accessing PrEP through women's health providers. The Task Force identified two strategies to address these barriers: a social media campaign for women and an educational initiative to train providers to discuss and prescribe PrEP. These implementation strategies require further study.","PeriodicalId":7476,"journal":{"name":"AIDS patient care and STDs","volume":"38 3","pages":"144-150"},"PeriodicalIF":3.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10956506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140108783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Community Health Care Providers' Perspectives on Human Immunodeficiency Virus Pre-Exposure Prophylaxis Use Among Black Women in Eastern Virginia. 社区医疗服务提供者对弗吉尼亚州东部黑人妇女使用人类免疫缺陷病毒暴露前预防措施的看法。

IF 3.4 2区医学

AIDS patient care and STDs Pub Date : 2024-03-01 DOI: 10.1089/apc.2023.0199

Kayla Pitchford, Sylvia Shangani, Charlotte Dawson, Rainier Masa, Kristin Heron

{"title":"Community Health Care Providers' Perspectives on Human Immunodeficiency Virus Pre-Exposure Prophylaxis Use Among Black Women in Eastern Virginia.","authors":"Kayla Pitchford, Sylvia Shangani, Charlotte Dawson, Rainier Masa, Kristin Heron","doi":"10.1089/apc.2023.0199","DOIUrl":"10.1089/apc.2023.0199","url":null,"abstract":"The most at-risk population among women for human immunodeficiency virus (HIV) diagnosis in the United States are Black women, accounting for 61% of all new HIV cases. Pre-exposure prophylaxis (PrEP) is a safe and effective HIV prevention method for people at risk of HIV acquisition. Although disproportionately affected by HIV, Black women's knowledge, perceived benefits, and uptake of PrEP remain low. The socioecological model (SEM) may be useful for understanding why there is a low uptake of PrEP among Black women. The current study used the SEM to explore provider perspectives on the barriers and facilitators of PrEP uptake among Black women in Eastern Virginia. Semistructured interviews were conducted with a total sample of 15 community health care providers. Barriers of PrEP uptake at the societal (e.g., PrEP advertisements focus on gay men), community/organizational (e.g., time constraints in the workplace), interpersonal (e.g., perceived monogamy), and individual (e.g., unmet basic needs) levels were identified. Providers also identified facilitators of PrEP uptake at the societal (e.g., PrEP advertisements that target women), community/organizational (e.g., PrEP education), interpersonal (e.g., HIV-positive partner), and individual (e.g., PrEP awareness and perceived susceptibility to HIV) levels. These findings highlight unique barriers to accessing and taking PrEP for Black women in the United States, and potential factors that could facilitate PrEP use. Both barriers and facilitators may be important targets for interventions to improve PrEP uptake. Future research focused on improving PrEP uptake among Black women in the United States should consider multi-level interventions that target barriers and facilitators to reduce rates of HIV infections.","PeriodicalId":7476,"journal":{"name":"AIDS patient care and STDs","volume":"38 3","pages":"123-133"},"PeriodicalIF":3.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140108759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PROGRESO-II: Developing Culturally Tailored Materials for a Social Network-Based Intervention to Promote HIV Pre-Exposure Prophylaxis Initiation Among Latina Seasonal Farmworkers. PROGRESO-II：为基于社交网络的干预措施开发符合文化特点的材料，以促进拉丁裔季节性农民工开始进行艾滋病暴露前预防。

IF 3.4 2区医学

AIDS patient care and STDs Pub Date : 2024-03-01 DOI: 10.1089/apc.2023.0228

Edda Rodriguez, Devina J Boga, Cho Hee Shrader, Juan Arroyo-Flores, Yesenia Rosas, Mariano Kanamori

{"title":"PROGRESO-II: Developing Culturally Tailored Materials for a Social Network-Based Intervention to Promote HIV Pre-Exposure Prophylaxis Initiation Among Latina Seasonal Farmworkers.","authors":"Edda Rodriguez, Devina J Boga, Cho Hee Shrader, Juan Arroyo-Flores, Yesenia Rosas, Mariano Kanamori","doi":"10.1089/apc.2023.0228","DOIUrl":"10.1089/apc.2023.0228","url":null,"abstract":"Latina Seasonal Farmworkers (LSFW) in South Florida are a community affected by human immunodeficiency virus (HIV) due to cultural barriers, stigma, and lack of awareness of pre-exposure prophylaxis (PrEP). Building on the PROGRESO study, this study sought to: (1) develop and pre-test scientifically supported and culturally tailored PrEP materials for PROGRESO and (2) assess the acceptability of these PrEP materials by LSFW who use alcohol and/or drugs. PrEP messages were selected based on a literature review, feedback from experts working on PrEP programs, and recommendations from a four-member scientific expert panel through a two-level Delphi method. A culturally tailored PrEP presentation was developed and presented to sixteen LSFW, who engaged in four focus groups. Materials were modified based on participants' suggestions. Thematic analysis was used to assess the acceptability and usability of these materials in the LSFW community. Participants responded positively to the PrEP messages and understood their importance for Latinx communities. Participants felt empowered and comfortable enough with the information to distribute the messages to partners, children, and friends with the aid of a physical pamphlet or flyer. A strong cultural context of familialismo and confianza was present in comments made by our participants. This study has the potential to increase LSFW's PrEP awareness and initiation. Future studies may implement a hybrid-interview approach, allowing individuals to self-select into a virtual or in-person focus group. Such flexibility may increase participation and discussion by allowing participants to attend in a format they are most comfortable with, as noted by participants in this study.","PeriodicalId":7476,"journal":{"name":"AIDS patient care and STDs","volume":"38 3","pages":"134-143"},"PeriodicalIF":3.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10951438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140108757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Addressing Mental Health Barriers in HIV Care Coordination Is Crucial to Providing Optimal HIV/AIDS Care. 解决 HIV 护理协调中的心理健康障碍是提供最佳 HIV/AIDS 护理的关键。

IF 3.4 2区医学

AIDS patient care and STDs Pub Date : 2024-03-01 DOI: 10.1089/apc.2023.0240

Miguel Hernandez, Honoria Guarino, Sarah Kozlowski, Avantika Srivastava, Rachel Schenkel, Thamara Tapia, Tyeirra B Seabrook, Denis Nash, Mary K Irvine

{"title":"Addressing Mental Health Barriers in HIV Care Coordination Is Crucial to Providing Optimal HIV/AIDS Care.","authors":"Miguel Hernandez, Honoria Guarino, Sarah Kozlowski, Avantika Srivastava, Rachel Schenkel, Thamara Tapia, Tyeirra B Seabrook, Denis Nash, Mary K Irvine","doi":"10.1089/apc.2023.0240","DOIUrl":"10.1089/apc.2023.0240","url":null,"abstract":"For people with HIV (PWH) who have psychological comorbidities, effective management of mental health issues is crucial to achieving and maintaining viral suppression. Care coordination programs (CCPs) have been shown to improve outcomes across the HIV care continuum, but little research has focused on the role of care coordination in supporting the mental health of PWH. This study reports qualitative findings from the Program Refinements to Optimize Model Impact and Scalability based on Evidence (PROMISE) study, which evaluated a revised version of an HIV CCP for Ryan White Part A clients in New York City. Semistructured interviews were conducted with 30 providers and 27 clients from 6 CCP-implementing agencies to elucidate barriers and facilitators of program engagement. Transcripts were analyzed for key themes related to clients' mental health needs and providers' successes and challenges in meeting these needs. Providers and clients agreed that insufficiently managed mental health issues are a common barrier to achieving and maintaining viral suppression. Although the CCP model calls for providers to address clients' unmet mental health needs primarily through screening and referrals to psychiatric and/or psychological care, both clients and providers reported that the routine provision of emotional support is a major part of providers' role that is highly valued by clients. Some concerns raised by providers included insufficient training to address clients' mental health needs and an inability to document the provision of emotional support as a delivered service. These findings suggest the potential value of formally integrating mental health services into HIV care coordination provision. ClinicalTrials.gov protocol number: NCT03628287.","PeriodicalId":7476,"journal":{"name":"AIDS patient care and STDs","volume":"38 3","pages":"107-114"},"PeriodicalIF":3.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11301708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140108758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementation of a Pharmacist-Led, Long-Acting, Injectable Cabotegravir/Rilpivirine Program for HIV-1 at Health System-Based Clinics in the New York Metropolitan Area. 在纽约大都会地区基于卫生系统的诊所实施药剂师主导的长效注射卡博替拉韦林/利匹韦林治疗 HIV-1 计划。

IF 3.4 2区医学

AIDS patient care and STDs Pub Date : 2024-03-01 DOI: 10.1089/apc.2023.0250

Ngan M Nguyen, Rebecca Kavanagh, Martin Gozar, Danielle Cabral, Holly Goetz, Agnes Cha, Joseph P McGowan, Megan L Pao

{"title":"Implementation of a Pharmacist-Led, Long-Acting, Injectable Cabotegravir/Rilpivirine Program for HIV-1 at Health System-Based Clinics in the New York Metropolitan Area.","authors":"Ngan M Nguyen, Rebecca Kavanagh, Martin Gozar, Danielle Cabral, Holly Goetz, Agnes Cha, Joseph P McGowan, Megan L Pao","doi":"10.1089/apc.2023.0250","DOIUrl":"10.1089/apc.2023.0250","url":null,"abstract":"Long-acting cabotegravir/rilpivirine (LA-CAB/RPV) is the first complete injectable antiretroviral for patients living with HIV. To facilitate patient access to long-acting injectable treatment, a system-wide, pharmacist-led, LA-CAB/RPV transition program was developed at four health system-based New York clinics. Provider referrals were received across four clinics between January 22nd, 2021, and December 31st, 2022. All referrals were evaluated by a pharmacist for clinical eligibility and medication access. The primary outcome was the treatment retention rate defined as the percentage of patients who remained on LA-CAB/RPV at 3 months post-transition. A total of 171 referrals were received, with 73 patients (43%) initiating LA-CAB/RPV. Baseline demographics included a median age of 38 years, 81% patients were male, 41% were African American, and 49% had commercial insurance coverage. The treatment retention rate was 90% at 3 months post-transition. By the end of the study period, 84% of patients who transitioned remained on LA-CAB/RPV. Treatment was discontinued due to reasons such as viral breakthrough (4%), emergence of mutations (4%), and intolerable side effects (4%). Injection site reactions were commonly reported (51%), but only resulting in treatment discontinuation for one patient. A pharmacist-led program can transition a diverse population of patients living with HIV to LA-CAB/RPV. Results from this study further add to clinical experiences with LA-CAB/RPV, demonstrating real-world treatment retention despite more frequent clinic visits for patients.","PeriodicalId":7476,"journal":{"name":"AIDS patient care and STDs","volume":"38 3","pages":"115-122"},"PeriodicalIF":3.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140108784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Electronic Partner Notification for Sexually Transmitted Infections: A Qualitative Assessment of Patient, Clinical Staff, and State Field Epidemiologist Perspectives. 性传播感染的电子伴侣通知：对患者、临床工作人员和州现场流行病学家观点的定性评估。

IF 3.4 2区医学

AIDS patient care and STDs Pub Date : 2024-02-01 DOI: 10.1089/apc.2023.0184

Surabhi Iyer, Dani L Zionts, Christina Psaros, Anisha Tyagi, Jana Jarolimova, Laura Platt, Andrew H Kalweit, Kevin L Ard, Ingrid V Bassett

{"title":"Electronic Partner Notification for Sexually Transmitted Infections: A Qualitative Assessment of Patient, Clinical Staff, and State Field Epidemiologist Perspectives.","authors":"Surabhi Iyer, Dani L Zionts, Christina Psaros, Anisha Tyagi, Jana Jarolimova, Laura Platt, Andrew H Kalweit, Kevin L Ard, Ingrid V Bassett","doi":"10.1089/apc.2023.0184","DOIUrl":"10.1089/apc.2023.0184","url":null,"abstract":"In Massachusetts (MA), partner notification is routinely offered for new HIV and infectious syphilis cases, but there are no formal partner notification services for gonorrhea and chlamydia. Electronic partner notification (ePN), which allows patients to anonymously notify their partners of sexually transmitted infection exposure, could fill this gap. We evaluated the acceptability of and ideal characteristics for a statewide ePN service in MA. We performed semistructured interviews with patients at a Boston area sexual health clinic and conducted focus groups with clinicians and Massachusetts Department of Public Health Field Epidemiologists (FEs). We developed a codebook and thematically analyzed interview and focus group data; 25% of interviews were double coded. We identified six main themes from our data: (1) partner notification is a relational process and (2) partner notification is situation dependent. There are three pairs of challenges and core values for an effective ePN system: (3) stigmatization versus inclusivity, (4) trust versus mistrust, and (5) privacy versus helpful information sharing. Therefore, (6) a statewide ePN platform must be customizable at each possible step. Although ePN was acceptable across all three groups, the likelihood of individual use was grounded in a patient's sociocultural context, interpersonal relationships, trust in the platform and health authorities, desire to avoid stigmatization, and privacy needs. These factors are best accommodated by a platform that adapts to users' preferences and needs. ePN presents an opportunity to link partners at risk for gonorrhea or chlamydia to clinical care that is complementary to the more labor-intensive FE role.","PeriodicalId":7476,"journal":{"name":"AIDS patient care and STDs","volume":"38 2","pages":"82-92"},"PeriodicalIF":3.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10890957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139929497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long-Acting Injectable Antiretrovirals for HIV Treatment: A Multi-Site Qualitative Study of Clinic-Level Barriers to Implementation in the United States. 用于 HIV 治疗的长效注射抗逆转录病毒药物：美国诊所层面实施障碍的多点定性研究》（A Multi-Site Qualitative Study of Clinic-Level Barriers to Implementation in the United States）。

IF 3.4 2区医学

AIDS patient care and STDs Pub Date : 2024-02-01 DOI: 10.1089/apc.2023.0248

Tara McCrimmon, Lauren F Collins, Amaya Perez-Brumer, Angela R Bazzi, Victoria A Shaffer, Deanna Kerrigan, Maria L Alcaide, Morgan M Philbin

{"title":"Long-Acting Injectable Antiretrovirals for HIV Treatment: A Multi-Site Qualitative Study of Clinic-Level Barriers to Implementation in the United States.","authors":"Tara McCrimmon, Lauren F Collins, Amaya Perez-Brumer, Angela R Bazzi, Victoria A Shaffer, Deanna Kerrigan, Maria L Alcaide, Morgan M Philbin","doi":"10.1089/apc.2023.0248","DOIUrl":"10.1089/apc.2023.0248","url":null,"abstract":"Long-acting injectable antiretroviral therapy (LAI ART) has the potential to address adherence obstacles associated with daily oral ART, leading to enhanced treatment uptake, adherence, and viral suppression among people living with HIV (PLWH). Yet, its potential may be limited due to ongoing disparities in availability and accessibility. We need a better understanding of the organizational context surrounding the implementation of LAI ART, and to inform its widespread rollout, we conducted 38 in-depth interviews with medical and social service providers who offer HIV care at private and hospital-based clinics across six US cities. Our findings highlight real-world implementation barriers outside of clinical trial settings. Providers described ongoing and anticipated barriers across three stages of LAI ART implementation: (1) Patient enrollment (challenges registering patients and limited insurance coverage), (2) medication delivery (insufficient personnel and resources), and (3) leadership and management (lack of interprofessional coordination and a lack of programming guidelines). Providers described how these barriers would have a disproportionate impact on under-resourced clinics, potentially exacerbating existing disparities in LAI ART access and adherence. Our findings suggest strategies that clinic leadership, policymakers, and other stakeholders can pursue to promote rapid and equitable LAI ART implementation in clinics across the United States. Resource and staffing investments could support clinics to begin, sustain, and scale up LAI ART delivery; additionally, the establishment of guidelines and tools could facilitate wider adoption of LAI ART across clinical settings. These efforts are crucial to promote resourced, standardized, and equitable implementation of LAI ART and maximize its potential to help end the HIV epidemic.","PeriodicalId":7476,"journal":{"name":"AIDS patient care and STDs","volume":"38 2","pages":"61-69"},"PeriodicalIF":3.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11250840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139929501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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