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András Lénárt, Kim Engler, David Lessard, Isabelle Toupin, Charo Rodríguez, Bertrand Lebouché
Given recent emphasis on patient engagement in the choice and development of health measures to ensure their relevance, we examined the involvement of people living with HIV (PLHIV) in the creation of health measurement instruments that are HIV-specific or inclusive. A mixed studies review was conducted describing: 1) the sampling, recruitment and characteristics of involved PLHIV; 2) the methods and extent of their involvement; and 3) study author characterizations of this involvement. Five databases were searched in November 2015...
August 16, 2019: AIDS Care
C den Daas, M B R Geerken, M Bal, J de Wit, R Spijker, E L M Op de Coul
Improving testing uptake among men who have sex with men with a non-western migration background (MSM-NW) is a public health priority, as people who are unaware of their HIV infection are at higher risk of transmitting HIV and are unable to benefit from HIV treatment. Formative semi-structured interviews with 13 MSM-NW assessed key factors for the successful implementation of social network testing with HIV self-tests (SNT-HIVST). Interviews were thematically analysed. Participants mentioned that SNT-HIVST might overcome barriers to regular HIV testing including; being seen while testing, disclosure of sexual identity, and stigma related to HIV and sexual practices...
August 15, 2019: AIDS Care
Long Vo Hoang, Hao Nguyen Si Anh, Hien Tran Minh, Phong Tran Nhu, Huyen-Trang Nguyen, Wahyu Sulistya Affarah, Huy Nguyen Van
This study aims to characterize trends and changes in the prevalence of knowledge of mother-to-child transmission (MTCT) means of HIV as well as to identify its associated socioeconomic factors among Vietnamese women. This is a repeated cross-sectional study using data from the Vietnam Multiple Indicator Cluster Surveys 2000, 2006, 2011 and 2014. We found that a slow increase was found in the trend of adequate knowledge of HIV transmission means from mother to child among women between 2000 and 2014 (41.81% in 2000, 45...
August 15, 2019: AIDS Care
Jill Hanass-Hancock, Virginia Bond, Patricia Solomon, Cathy Cameron, Margaret Maimbolwa, Anitha Menon, Stephanie Nixon
Anti-retroviral treatment (ART) has improved the survival of people living with HIV in Africa. Living with chronic HIV comes with new health and functional challenges and the need to manage ART adherence. The Sepo Study applied disability frameworks to better understand living with chronic HIV while using ART. The study followed 35 people (18 women, 17 men) living with HIV and on ART 6 months or longer in private and public health facilities in Lusaka, Zambia over 18-months (2012-2015). A total of 99 in-depth interviews were conducted...
August 15, 2019: AIDS Care
Nasreen Toorabally, Catherine H Mercer, Kirstin R Mitchell, Mwenza Blell, Fiona Burns, Richard Gilson, Janine McGregor-Read, Sris Allan, Annemiek De Ruiter, Rageshri Dhairyawan, Julie Fox, Yvonne Gilleece, Rachael Jones, Nicola Mackie, Sharmin Obeyesekera, Frank Post, Iain Reeves, Melanie Rosenvinge, Jonathan Ross, Liat Sarner, Ann Sullivan, Anjum Tariq, Andrew Ustianowski, Caroline A Sabin, Shema Tariq
Increasing numbers of women living with HIV are reaching their midlife. We explore the association of HIV status with sexual function (SF) in women aged 45-60 using two national cross-sectional surveys: the third British National Survey of Sexual Attitudes and Lifestyles ("Natsal-3") and "PRIME", a survey of women living with HIV attending HIV clinics across England. Both studies asked the same questions about SF that take account not only sexual difficulties but also the relationship context and overall level of satisfaction, which collectively allowed an overall SF score to be derived...
August 14, 2019: AIDS Care
Emma G Hainsworth, Maryam Shahmanesh, Fiona Stevenson
As growing numbers of people living with HIV also develop cancer, a holistic understanding of their experiences is essential to the provision of patient centred care. Both conditions are linked to powerful beliefs in our society that may affect experiences. This study explored how HIV and cancer were represented in UK newspapers to gain insight into the social context of living with a dual diagnosis. We performed an initial content analysis of HIV articles and of cancer articles published in the free London newspapers, The Metro and The Evening Standard between 2012 and 2017, followed by qualitative thematic analysis and in-depth analysis of selected articles of exemplar cases...
August 12, 2019: AIDS Care
Rebecca A Poku, Adobea Yaa Owusu, Patricia Dolan Mullen, Christine Markham, Sheryl A McCurdy
This study examines the role of poverty in the acquisition of and the adherence to antiretroviral therapy (ART) and prescribed clinical follow-up regimens among HIV-positive women. We conducted in-depth interviews with 40 women living with HIV (WLHIV) in Ghana and 15 stakeholders with a history of work in HIV-focused programs. Our findings indicate that financial difficulty contributed to limited ability to maintain treatment, the recommended nutrient-rich diet, and clinical follow-up schedules. However, enacted stigma and concurrent illness of family members also influenced the ability of the WLHIV to generate income; therefore, HIV infection itself contributed to poverty...
August 12, 2019: AIDS Care
Cathy J Reback, Dennis Rünger
Little is known about how young adult transgender women living with HIV use digital technologies to facilitate their health care. This study examined the use of digital technologies to search for health information and support HIV care among young adult transgender women living with HIV ( N  = 130) in Los Angeles County, California. About half used the Internet "all the time" to search for transgender-specific resources (TSR; 53.8%) and for sexual health information (SHI; 51.5%). Less than half (39...
August 12, 2019: AIDS Care
Tiarney D Ritchwood, Aissatou Ba, LaDrea Ingram, Millicent Atujuna, Rebecca Marcus, Noluthando Ntlapo, Asantewa Oduro, Linda-Gail Bekker
Despite having the largest antiretroviral treatment (ART) program in the world, only 14% of South African adolescents living with HIV (ALWH) are on ART. The purpose of this study was to identify aspects of the clinic environment that either improve or inhibit ALWH's ability to engage in HIV care. We conducted fifty-nine semi-structured, in-depth interviews with ALWH ( n  = 20; 13-19 years of age), their caregivers ( n  = 19), and local stakeholders ( n  = 20) in Cape Town, South Africa. Data were coded and analyzed using inductive and deductive approaches to content analyses...
August 11, 2019: AIDS Care
Ben Huntingdon, Danielle Marie Muscat, John de Wit, Martin Duracinsky, Ilona Juraskova
Erectile dysfunction (ED) is more prevalent among men with HIV than HIV negative men. This study systematically reviewed quantitative studies published since 1997 which sampled men with HIV to examine factors associated with ED. Searches on PsycINFO, Medline, Scopus, Embase and Cinahl databases produced 5552 records, and 14 studies met inclusion criteria. Two researchers independently extracted data and assessed the quality studies using standardized criteria. Age and depression were found to be significantly associated with ED...
August 8, 2019: AIDS Care
Ameeta S Kalokhe, Clara Riddick, Kaitlin Piper, Julia Schiff, Betelihem Getachew, Carlos Del Rio, Jessica M Sales
Trauma is prevalent among HIV-infected populations and associated with negative HIV care outcomes. While several agencies have called for integrating trauma-informed care into HIV services, uptake has been limited and effective methods have not been delineated. To develop comprehensive trauma screening strategies tailored to a large, urban HIV care center, we aimed to first understand provider and staff perceptions of the center's current level of trauma screening and barriers and facilitators to universal screening uptake...
July 30, 2019: AIDS Care
A Piekarska, E Jabłonowska, A Garlicki, M Sitko, W Mazur, J Jaroszewicz, A Czauz-Andrzejuk, I Buczyńska, K Simon, B Lorenc, D Dybowska, W Halota, M Pawłowska, B Dobracka, H Berak, A Horban, M Tudrujek-Zdunek, K Tomasiewicz, E Janczewska, Ł Socha, Ł Laurans, M Parczewski, D Zarębska-Michaluk, P Pabjan, T Belica-Wdowik, B Baka-Ćwierz, Z Deroń, R Krygier, J Klapaczyński, J Citko, A Berkan-Kawińska, R Flisiak
The aim of this study was to evaluate the baseline demographics and real-life efficacy of direct acting antivirals (DAAs) in HIV-HCV-positive patients as compared to patients with HCV monoinfection. The analysis included 5690 subjects who were treated with DAAs: 5533 were HCV-positive and 157 were HIV-HCV-positive. Patients with HCV-monoinfection were older ( p  < .0001) and in HIV-HCV group there were more men ( p  < .0001). Prevalence of genotype 1a ( p  = .002), as well as of genotypes 3 and 4 ( p  < ...
July 25, 2019: AIDS Care
Symone May, Ashley Murray, Madeline Y Sutton
Although HIV diagnoses among women have declined in recent years in the United States (U.S.), women accounted for 19% of new HIV diagnoses in 2016. In addition, women comprise 24% of the 973,846 persons living with HIV infection in the U.S. However, HIV prevention interventions targeting women are limited. We performed a review on HIV infection in women to increase awareness, improve overall care, and inform intervention development. A systematic literature review was conducted using literature published in PubMed, PsychINFO (EBSCO), and Scopus from July 2000 and June 2017...
July 17, 2019: AIDS Care
Catherine Maulsby, Lauren J Parker, Jordan J White, Carl A Latkin, Michael J Mugavero, Colin P Flynn, Danielle German
Employment status is a key social determinant of health, and many populations in the United States that are impacted by HIV have unequal access to education and employment opportunities which contributes to HIV-related disparities. Black men who have sex with men (BMSM) are one of the groups most heavily burdened by HIV. With improved health outcomes associated with advancements in HIV treatment, research suggests that more people living with HIV want to work. This study describes employment among BMSM living in Baltimore, assesses differences in employment by HIV status and assesses predictors of full-time employment among BMSM...
July 16, 2019: AIDS Care
Lisa DiAndreth, Nandita Krishnan, Jessica L Elf, Sarah Cox, Carla Tilchin, Munei Nthulana, Brooke Jarrett, Nadya Kronis, Elisa Dupuis, Katlego Motlhaoleng, Sandy Chon, Neil Martinson, Jonathan E Golub
In South Africa, high attrition rates throughout the care continuum present major barriers to controlling the HIV epidemic. Mobile health (mHealth) interventions may provide innovative opportunities for efficient healthcare delivery and improving retention in care. In this formative research, we interviewed 11 patients and 28 healthcare providers in North West Province, South Africa, to identify perceived benefits, concerns and suggestions for a future mHealth program to deliver HIV Viral Load and CD4 Count test results directly to patients via mobile phone...
July 12, 2019: AIDS Care
Lung Vu, Waimar Tun, Louis Apicella, Caterina Casalini, Neema Makyao, Samantha Tsang, Denna Michael, Todd Koppenhaver, Erick Mlanga
To increase linkage to and retention in antiretroviral therapy (ART) care, we piloted a community-based, ART service delivery intervention for female sex workers (FSWs). At baseline, we recruited and collected data from 617 FSWs (intervention: 309; comparison: 308) who were HIV positive and not on ART. This paper presents (1) the description of the intervention model, and (2) key descriptive and bivariate-level findings of the baseline FSW cohort. The data showed more than half of FSWs had a non-paying sex partner, and less than one-third used a condom at last sex with paying and non-paying clients, which suggest potentially high levels of HIV transmission...
July 12, 2019: AIDS Care
Poloko Kebaabetswe, Kutlo Manyake, Etienne Kadima, Chloe Auletta-Young, Unoda Chakalisa, Tumalano Sekoto, Oarabile Makgabana Dintwa, Mompati Mmalane, Joseph Makhema, Refeletswe Lebelonyane, Pamela Bachanas, Rebeca Plank, Tendani Gaolathe, Shahin Lockman, Molly Pretorius Holme
We conducted a qualitative study using focus groups and in-depth interviews to explore barriers to and facilitators of linkage-to-care and antiretroviral treatment (ART) initiation in Botswana. Participants were selected from communities receiving interventions through the Ya Tsie Study. Fifteen healthcare providers and 49 HIV-positive individuals participated. HIV-positive participants identified barriers including stigma, discrimination and overcrowded clinics, and negative staff attitudes; personal factors, such as a lack of acceptance of one's HIV status, non-disclosure, and gender differences; along with lack of social/family support, and certain religious beliefs...
July 12, 2019: AIDS Care
Ying Wang, Huijun Liu, Min Zhao, Marcus W Feldman, Ann B Williams
In the context of gender imbalance and marriage squeeze in China, this study identifies socio-demographic characteristics of bachelors who reported having sex with partners whom they met online and examines associations between having sex with such partners and other risky sexual behaviors. Data are from a cross-sectional survey conducted in 2017. 735 men who have rural household registration ( hukou , in Chinese), and who were at least 28 years old and unmarried were interviewed. 16.5% of the sample had experienced sexual intercourse with a partner met online...
July 11, 2019: AIDS Care
Ming-Chi Li, Nai-Ying Ko, Liang-Yi Wang
The moderator effect of retention in care on late presenters in HIV patients has not been well evaluated. A nationwide cohort study focusing on HIV-infected patients with new engagement in care was conducted by using the Taiwan National Health Insurance Research Database. Retention in care was defined based on the healthcare utilization in the first year after engaging in HIV care. Then, the impact of late presentation, retention in care, and their interaction on the risk of subsequent hospitalizations due to opportunistic infections (OIs-hospitalizations) in the second year were examined...
July 10, 2019: AIDS Care
Soledad Colombe, Richard Machemba, Baltazar Mtenga, Peter Lutonja, Wende Safari, James Beard, Jennifer A Downs, Mark Urassa, Jim Todd, John Changalucha
We examined the HIV care cascade in a community-based cohort study in Kisesa, Magu, Tanzania. We analyzed the proportion achieving each stage of the cascade - Seroconversion, Awareness of HIV status, Enrollment in Care and Antiretroviral therapy (ART) initiation - and estimated the median and interquartile range for the time for progression to the next stage. Modified Poisson regression was used to estimate prevalence risk ratios for enrollment in care and initiation of ART. From 2006 to 2017, 175 HIV-seroconverters were identified...
July 10, 2019: AIDS Care
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