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AIDS Care

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https://read.qxmd.com/read/30974958/ways-of-coping-and-hiv-disclosure-among-people-living-with-hiv-mediation-of-decision-self-efficacy-and-moderation-by-sex
#1
Monique J Brown, Julianne M Serovich, Tanja C Laschober, Judy A Kimberly, Celia M Lescano
Individuals living with HIV/AIDS face several stressors and use varying strategies to cope. Disclosure (or nondisclosure) of HIV serostatus is an important consideration among individuals living with HIV. However, studies examining the association between coping and HIV disclosure are lacking, and more research examining potential mediators and moderators is needed. The transactional model of stress and coping and the theory of planned behavior may help in understanding the mediating relationship between coping, decision self-efficacy, and HIV disclosure...
April 12, 2019: AIDS Care
https://read.qxmd.com/read/30961364/the-effect-of-increased-physical-activity-on-symptom-burden-in-older-persons-living-with-hiv
#2
Patricia A Cioe, Rebecca E F Gordon, David M Williams, Christopher W Kahler
Advancements in antiretroviral therapy have extended the longevity of people living with HIV (PLWH). However, they often experience symptoms that negatively impact their quality of life, including fatigue, weight change, depression, pain, and memory loss. Although there is a dearth of data on the effect of physical activity (PA) for HIV-associated symptom management, increased PA has generally been associated with improvements in strength and overall quality of life. In this study, we enrolled 40 participants (mean age = 51...
April 8, 2019: AIDS Care
https://read.qxmd.com/read/30957540/the-effects-of-maternal-and-child-hiv-infection-on-health-equity-in-tigray-region-ethiopia-and-the-implications-for-the-health-system-a-case-control-study
#3
Atakelti Abraha, Anna Myléus, Peter Byass, Asmelash Kahsay, John Kinsman
Services that aim to prevent mother-to-child HIV transmission (PMTCT) can simultaneously reduce the overall impact of HIV infection in a population while also improving maternal and child health outcomes. By taking a health equity perspective, this retrospective case control study aimed to compare the health status of under-5 children born to HIV-positive and HIV-negative mothers in Tigray Region, Ethiopia. Two hundred and thirteen HIV-positive women (cases), and 214 HIV-negative women (controls) participated through interviews regarding their oldest children...
April 8, 2019: AIDS Care
https://read.qxmd.com/read/30957530/anxiety-depression-and-treatment-adherence-among-hiv-infected-migrants
#4
S K Been, A Schadé, N Bassant, M Kastelijns, K Pogány, A Verbon
Diagnosing symptoms of psychological distress can be challenging in migrants living with HIV (MLWH) living in Western Europe. We evaluated the Hospital Anxiety and Depression Scale (HADS) as a screening tool for psychological distress. Additionally, the association between psychological distress and adherence to combination Antiretroviral Therapy (cART) was determined. Socio-demographic and clinical characteristics, psychosocial variables, and self-reported adherence to cART data were collected. 306/352 participants completed the HADS...
April 8, 2019: AIDS Care
https://read.qxmd.com/read/30957528/objective-memory-as-an-indicator-of-functional-impairment-in-native-spanish-speaking-patients-with-hiv-infection
#5
Amalia García Torres, Alejandro González-Andrade, Juan José Fernández Muñoz, Miguel Pérez García, Esperanza Vergara-Moragues
Objective memory is one of the most affected cognitive areas in patients with HIV and perhaps one of the best predictors of daily functioning problems. Its relationship with biological markers, mood symptoms, and cognitive complaint is unclear and has received little attention in native Spanish-speakers. The goal of this study is to explore the relationships between the above-mentioned variables and their prediction of objective memory performance in native Spanish-speakers. HIV-related biological markers, mood symptoms, cognitive complaint, and objective memory were assessed in a sample native Spanish-speaking HIV patient with possible cognitive impairment...
April 7, 2019: AIDS Care
https://read.qxmd.com/read/30957525/hiv-anxiety-reduction-management-program-hamrt-pilot-randomized-controlled-trial
#6
Charles P Brandt, Daniel J Paulus, Paula Lopez-Gamundi, Charles Green, Chad Lemaire, Michael J Zvolensky
Research has indicated that mental health disorders, particularly anxiety, predicts poorer antiretroviral medication adherence among persons living with HIV/AIDS (PLWHA). The present study tests a novel six-session Cognitive-Behavioral Therapy-based integrated treatment/management program for PLWHA with concurrent anxiety delivered in community health clinics Houston, Texas. Twenty-Seven PLWHA (Mage  = 48.5, SD = 8.9, 44.4% female) were recruited for a proof-of-concept study and randomized to either an active treatment condition, or a waitlist control condition of equal length...
April 7, 2019: AIDS Care
https://read.qxmd.com/read/30943753/perceived-discrimination-and-cognitive-function-in-middle-aged-and-older-adults-living-with-hiv-in-china
#7
Zheng Zhu, Yan Hu, Weijie Xing, Mengdi Guo, Bei Wu
Middle-aged and older adults with HIV experience double discrimination and cognitive impairment due to both their HIV status and their age. However, the relationship between perceived discrimination and self-reported cognitive ability in middle-aged and older people living with HIV (PLWH) is less clear. We measured self-reported perceived discrimination and cognitive ability using the Expanded Everyday Discrimination Scale and the subscale of the AIDS Health Assessment Questionnaire (AIDS-HAQ). The study sample included 324 middle-aged and older PLWH (over 45 years old) from five designated HIV hospitals in three regions (east coast, middle, and southwest regions) of China...
April 3, 2019: AIDS Care
https://read.qxmd.com/read/30942086/association-between-perceived-hiv-stigma-social-support-resilience-self-esteem-and-depressive-symptoms-among-hiv-positive-men-who-have-sex-with-men-msm-in-nanjing-china
#8
Hong Yan, Xiaoyan Li, Jingjing Li, Wei Wang, Yinmei Yang, Xing Yao, Ningxi Yang, Shiyue Li
Among Chinese HIV-positive men who have sex with men (MSM), high levels of depression are common. The association between HIV and depression is attributed to several factors, particularly HIV-related stigma. However, to date, how HIV-related stigma leads to depression among Chinese HIV-positive MSM is still unclear. As such, this study aims to examine the relationships between perceived HIV stigma, social support, resilience, self-esteem, and depressive symptoms among HIV-positive MSM in China. We conducted a cross-sectional survey study among 347 HIV-positive MSM from July to August 2016 in Nanjing, China...
April 3, 2019: AIDS Care
https://read.qxmd.com/read/30939901/-we-have-a-stronger-survival-mode-exploring-knowledge-gaps-and-culturally-sensitive-messaging-of-prep-among-latino-men-who-have-sex-with-men-and-latina-transgender-women-in-los-angeles-ca
#9
J L Barreras, S L Linnemayr, S MacCarthy
Latino men who have sex with men (LMSM) and Latina transgender women (LTGW) often lack access to HIV prevention information and strategies such as pre-exposure prophylaxis (PrEP). We explored knowledge gaps and culturally sensitive messaging about PrEP among HIV-negative LMSM and LTGW in Los Angeles. We recruited participants from a Latinx LGBT community-based organization. We conducted nine focus groups (n = 91 participants) with 52 LMSM and 39 LTGW. We used a rapid assessment process to create narrative reports that we analyzed using thematic analysis...
April 2, 2019: AIDS Care
https://read.qxmd.com/read/30939899/exploring-the-associations-between-physical-and-sexual-gender-based-violence-and-hiv-among-women-who-use-substances-in-south-africa-the-role-of-agency-and-alcohol
#10
Courtney Peasant Bonner, Felicia A Browne, Jacqueline W Ndirangu, Brittni Howard, William A Zule, Ilene S Speizer, Tracy Kline, Wendee M Wechsberg
OBJECTIVE: South Africa has the highest prevalence of HIV among women, the highest prevalence of gender-based violence (GBV), and the highest rates of per capita alcohol consumption in the world. The nuanced associations between GBV, alcohol misuse, and HIV must be explored and protective factors identified. This study examines the associations between physical and sexual GBV and HIV infection and explores how alcohol misuse and sexual agency may mediate the GBV-HIV association. METHOD: Participants were 361 Black African women (Mean age  =  28...
April 2, 2019: AIDS Care
https://read.qxmd.com/read/30939897/identifying-linking-and-treating-people-who-inject-drugs-and-were-recently-infected-with-hiv-in-the-context-of-a-network-based-intervention
#11
Mina Psichogiou, George Giallouros, Katerina Pantavou, Eirini Pavlitina, Martha Papadopoulou, Leslie D Williams, Andria Hadjikou, Eleni Kakalou, Athanasios Skoutelis, Konstantinos Protopapas, Anastasia Antoniadou, George Boulmetis, Dimitrios Paraskevis, Angelos Hatzakis, Samuel R Friedman, Georgios K Nikolopoulos
Identifying and linking people to care soon after HIV infection could limit viral transmission and protect their health. This work aims at describing the continuum of care among recently HIV-infected people who inject drugs (PWID) and participated in an intervention in the context of an HIV outbreak in Athens, Greece. The Transmission Reduction Intervention Project (TRIP) conducted risk network-based contact tracing and screened people for recent HIV infection. A comprehensive approach with a case management component that aimed to remove barriers to accessing care was adopted...
April 2, 2019: AIDS Care
https://read.qxmd.com/read/30935221/network-overlap-and-knowledge-of-a-partner-s-hiv-status-among-young-men-who-have-sex-with-men
#12
Mayumi Imahashi, Kayo Fujimoto, Lisa M Kuhns, Muhammad Amith, John A Schneider
For individuals living with HIV, disclosure of HIV status to their partners can be a source of psychological and emotional stress. Minimal information about serostatus disclosure is available for young men who have sex with men (YMSM). This study examined the disclosure of HIV status to social and sexual partners among YMSM using social and sexual network data. Respondent-driven sampling was used to collect data from YMSM aged 16-29 in Houston, Texas and Chicago, Illinois. Social network data from 746 respondents and 2035 social and/or sexual partners were collected from 2014 to 2016, of whom 27...
April 1, 2019: AIDS Care
https://read.qxmd.com/read/30917676/health-related-quality-of-life-of-people-living-with-hiv-infection-in-spain-a-gender-perspective
#13
Carmina R Fumaz, Maider Larrañaga-Eguilegor, Sonia Mayordomo-López, Sandra Gómez-Martínez, Marian González-García, Arelly Ornellas, Maria José Fuster Ruiz de Apodaca, Eduardo Remor, Rafael Ballester-Arnal
Studies exploring gender differences in health-related quality of life (HRQOL) of people living with HIV/AIDS (PLWHA) are scarce and contradictory. This study evaluated gender differences in HRQOL of 744 PLWHA with median (IQR) age 44 (37-48) years and HIV infection diagnosed 12 (5-20) years earlier. Results showed important differences between genders (p < .05). Better male physical health was related to being employed, not having economic worries, not receiving psychological support, not having injected drugs in past, low negative mood HIV-related, low HIV illness representation and internalized stigma, and high body image satisfaction and health behavior...
March 27, 2019: AIDS Care
https://read.qxmd.com/read/30917666/relationship-between-depression-and-risk-behaviors-in-a-us-military-population-with-hiv-infection
#14
Brandon Carney, James White, Xiaohe Xu, Thankam Sunil, Colton Daniels, Morgan Byrne, Anuradha Ganesan, Robert Deiss, Grace Macalino, Brian K Agan, Jason F Okulicz
This study evaluated the relationships between depression trajectories, depression diagnosis and sexual risk behaviors in the US Military HIV Natural History Study. Risk behavior survey data, a coded diagnosis of depression, available Center for Epidemiological Studies Depression measures, and self-reported depressive symptoms (n = 662) were utilized. Latent class analysis created 3 classes of depression trajectories, namely, low depression (LD, n = 378), recent-onset depression (ROD, n = 170), and high depression (HD, n = 114) trajectories...
March 27, 2019: AIDS Care
https://read.qxmd.com/read/30913903/increasing-sero-discordancy-among-young-hiv-infected-pregnant-women-from-india-a-likely-pointer-of-changing-transmission-dynamics
#15
Ritu Parchure, Shrinivas Darak, Vijaya Jori, Asha Hegde, Anoop Kumar Puri, Vinay Kulkarni, Raman Gangakhedkar
The flat-lining of HIV incidence in India has raised concerns about the presence of emerging risk groups. As HIV prevalence among pregnant women is reflective of the situation in general population, its closer scrutiny provides valuable insights about the evolving epidemic. The present study assesses temporal trends of sero-discordance (where woman is HIV infected and husband is uninfected), among pregnant women living with HIV (pWLHIV) from India. Data of program for prevention of parent to child transmission of HIV was analyzed...
March 27, 2019: AIDS Care
https://read.qxmd.com/read/30913899/-even-if-you-re-hiv-positive-there-s-life-after-if-you-take-your-medication-experiences-of-people-on-long-term-art-in-south-africa-a-short-report
#16
C Hendrickson, A Moolla, M Maskew, L Long, M P Fox, I Sanne, P Majuba, S Pascoe
South Africa's national antiretroviral treatment (ART) programme, initiated in 2004, is the largest HIV treatment programme in the world with an estimated 4.2 million people on ART. Today, an HIV diagnosis is no longer associated with certain death, but is rather a manageable chronic disease, with all HIV-positive patients now eligible to receive treatment. In this study, we explore patient experiences at the onset of the ART programme, including facilitators and barriers around decision-making along the HIV care cascade (HIV testing, ART initiation, retention, and adherence)...
March 27, 2019: AIDS Care
https://read.qxmd.com/read/30913897/is-symptom-prevalence-and-burden-associated-with-hiv-treatment-status-and-disease-stage-among-adult-hiv-outpatients-in-kenya-a-cross-sectional-self-report-study
#17
Kennedy Nkhoma, Aabid Ahmed, Zipporah Alli, Lorraine Sherr, Richard Harding
People with HIV experience a high prevalence and burden of physical and psychological symptoms throughout their disease trajectory. These have important public and clinical health implications. We aimed to measure: the seven-day period prevalence of symptoms, the most burdensome symptoms, and determine if self-reported symptom burden is associated with treatment status, clinical stage and physical performance. We conducted a cross-sectional study among adult (aged at least 18 years) patients with HIV, attending HIV outpatient care in Kenya...
March 27, 2019: AIDS Care
https://read.qxmd.com/read/30909724/a-scoping-review-on-the-role-of-masculine-norms-in-men-s-engagement-in-the-hiv-care-continuum-in-sub-saharan-africa
#18
Katelyn M Sileo, Rebecca Fielding-Miller, Shari L Dworkin, Paul J Fleming
Men living with HIV/AIDS in sub-Saharan Africa are less likely than women to be engaged at each stage of the HIV care continuum. We conducted a scoping review in May of 2016 to identify how masculine norms influence men's HIV care engagement in sub-Saharan Africa. Our review yielded a total of 17 qualitative studies from 8 countries. Six major themes emerged that demonstrated how norms of masculinity create both barriers and facilitators to care engagement. Barriers included the exacerbating effects of masculinity on HIV stigma, the notion that HIV threatened men's physical strength, ability to provide, self-reliance, and risk behavior, and the belief that clinics are spaces for women...
March 25, 2019: AIDS Care
https://read.qxmd.com/read/30909721/acceptability-and-challenges-of-introducing-an-educational-audio-drama-about-gender-violence-and-hiv-prevention-into-schools-in-botswana-an-implementation-review
#19
Anne Cockcroft, Nobantu Marokoane, Leagajang Kgakole, Puna Mhati, Nametsego Tswetla, Ikko Sebilo, Neil Andersson
Structural interventions for HIV prevention are typically complex and evaluation should include measurement of implementation. In a trial of a structural intervention for HIV prevention in Botswana we trained teachers to use an audio-drama about gender violence and HIV (BVV). We measured the use of BVV by the trained teachers, and the factors related. In three-day workshops we trained guidance teachers in primary and secondary schools to use the 8-episode BVV audio-drama, that covers gender, gender violence and HIV...
March 25, 2019: AIDS Care
https://read.qxmd.com/read/30909714/healthcare-facility-characteristics-associated-with-achievement-and-maintenance-of-hiv-viral-suppression-among-persons-newly-diagnosed-with-hiv-in-new-york-city
#20
Ellen W Wiewel, Luisa N Borrell, Heidi E Jones, Andrew R Maroko, Lucia V Torian
Health care facility characteristics have been shown to influence intermediary health outcomes among persons with HIV, but few longitudinal studies of suppression have included these characteristics. We studied the association of these characteristics with the achievement and maintenance of HIV viral suppression among New York City (NYC) residents aged 13 years and older newly diagnosed with HIV between 2006 and 2012. The NYC HIV surveillance registry provided individual and facility data (N = 12,547 persons)...
March 25, 2019: AIDS Care
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