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Journal of the International Association of Providers of AIDS Care

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https://read.qxmd.com/read/30760091/patient-and-provider-perspectives-on-30-day-readmissions-preventability-and-strategies-for-improving-transitions-of-care-for-patients-with-hiv-at-a-safety-net-hospital
#1
Ank E Nijhawan, Robin T Higashi, Emily G Marks, Yordanos M Tiruneh, Simon Craddock Lee
Thirty-day hospital readmissions, a key quality metric, are common among people living with HIV. We assessed perceived causes of 30-day readmissions, factors associated with preventability, and strategies to reduce preventable readmissions and improve continuity of care for HIV-positive individuals. Patient, provider, and staff perspectives toward 30-day readmissions were evaluated in semistructured interviews (n = 86) conducted in triads (HIV-positive patient, medical provider, and case manager) recruited from an inpatient safety net hospital...
January 2019: Journal of the International Association of Providers of AIDS Care
https://read.qxmd.com/read/30672381/feasibility-and-acceptability-of-the-modified-antiretroviral-treatment-access-study-martas-intervention-based-on-a-pilot-study-in-ukraine
#2
Oleksandr Neduzhko, Oleksandr Postnov, Trista Bingham, Janet J Myers, Timothy Flanigan, Tetiana Kiriazova
We conducted a pilot of the Modified Antiretroviral Treatment Access Study (MARTAS), a linkage to HIV treatment intervention, prior to implementing a multisite randomized controlled trial (RCT) in Ukraine. The objectives of the pilot were to assess the feasibility and acceptability of the MARTAS intervention among a small sample of adults recently diagnosed with HIV at specialty clinics in the Mykolaiv region of Ukraine in 2015. The adapted intervention consisted of up to 6 individual-level sessions with a linkage coordinator (nurse) over a 90-day period...
January 2019: Journal of the International Association of Providers of AIDS Care
https://read.qxmd.com/read/30672364/desimplification-of-single-tablet-antiretroviral-art-regimens-a-practical-cost-savings-strategy
#3
Hartmut Krentz, Shayna Campbell, John Gill
INTRODUCTION: The use of lifelong antiretroviral therapy (ART) results in increased costs of care; the ability to finance and control sustained costs of ART needs to be discussed. APPROACH: The Southern Alberta Clinic initiated a practical cost savings approach that switched select patients from a branded ART to a less expensive generic variation. Our approach surveyed physicians and patients on their acceptance of switching and then launched a program asking patients if they would switch to generic variations for cost control purposes...
January 2019: Journal of the International Association of Providers of AIDS Care
https://read.qxmd.com/read/30672363/long-term-exposure-to-tenofovir-disoproxil-fumarate-containing-antiretroviral-therapy-is-associated-with-renal-impairment-in-an-african-cohort-of-hiv-infected-adults
#4
Oche O Agbaji, Isaac O Abah, Augustine O Ebonyi, Zumnan M Gimba, Esla E Abene, Simji S Gomerep, Kakjing D Falang, Joseph Anejo-Okopi, Patricia A Agaba, Placid O Ugoagwu, Emmanuel I Agaba, Godwin E Imade, Atiene S Sagay, Prosper Okonkwo, John A Idoko, Phyllis J Kanki
OBJECTIVES AND METHOD: There are growing concerns of tenofovir disoproxil fumarate (TDF)-associated renal toxicity. We evaluated the effect of long-term TDF exposure on renal function in a cohort of HIV-1-infected Nigerians between 2006 and 2015. Multivariate logistic regression was used to identify predictors of renal impairment at different time over 144 weeks of antiretroviral therapy (ART). RESULTS: Data of 4897 patients, median age 42 years (interquartile range: 36-49), and 61% females were analyzed...
January 2019: Journal of the International Association of Providers of AIDS Care
https://read.qxmd.com/read/30672357/strategies-employed-by-community-based-service-providers-to-address-hiv-associated-neurocognitive-challenges-a-qualitative-study
#5
Renato M Liboro, Sean B Rourke, Francisco Ibañez-Carrasco, Andrew Eaton, Daniel Pugh, Claudia Medina, Allan Rae, Paul A Shuper, Lori E Ross
BACKGROUND: HIV-associated neurocognitive disorders and other causes of neurocognitive challenges experienced by people living with HIV (PLWH) persist as public health concerns in developed countries. Consequently, PLWH who experience neurocognitive challenges increasingly require social support and mental health services from community-based providers in the HIV sector. METHODS: Thirty-three providers from 22 AIDS service organizations across Ontario, Canada, were interviewed to determine the strategies they used to support PLWH experiencing neurocognitive difficulties...
January 2019: Journal of the International Association of Providers of AIDS Care
https://read.qxmd.com/read/30444156/community-organization-membership-financial-security-and-social-protection-among-female-sex-workers-in-india
#6
Sangram Kishor Patel, Anrudh Jain, Madhusudana Battala, Bidhubhusan Mahapatra, Niranjan Saggurti
The purpose of this study is to examine the female sex workers' (FSWs) community organization (CO) membership, their financial and social protection security, and the relationship between these factors among FSWs in India. Data from 4098 FSWs collected under the Avahan-III baseline evaluation survey-2015 in 5 high HIV prevalence states (Maharashtra, Tamil Nadu, Karnataka, Telangana, and Andhra Pradesh) in India were used here. More than three-fifths (77%) were registered CO members, of whom 79% had been CO members for more than 1 year...
January 2018: Journal of the International Association of Providers of AIDS Care
https://read.qxmd.com/read/30360678/unaids-90-90-90-opportunity-in-every-difficulty
#7
José M Zuniga
No abstract text is available yet for this article.
January 2018: Journal of the International Association of Providers of AIDS Care
https://read.qxmd.com/read/30226090/response-rates-of-medical-providers-to-internet-surveys-regarding-their-adoption-of-preexposure-prophylaxis-for-hiv-methodological-implications
#8
Thomas B Silverman, Eric W Schrimshaw, Julie Franks, Yael Hirsch-Moverman, Hugo Ortega, Wafaa M El-Sadr, Paul W Colson
In 2016 to 2017, we surveyed primary care providers (PCPs) in upper Manhattan and the South Bronx, New York, on their knowledge, attitudes, and practices surrounding preexposure prophylaxis (PrEP) for HIV. Despite efforts to promote survey response, we were only able to obtain a meager response rate, limiting our ability to interpret results. In this short communication, we examine our survey's methodology, as well as the methods used by other similar studies, in order to suggest how certain strategies appear to influence PCP response to PrEP surveys...
January 2018: Journal of the International Association of Providers of AIDS Care
https://read.qxmd.com/read/30226085/hiv-related-knowledge-in-plhiv-issues-to-consider-in-the-indian-context-a-reply-to-banagi-yathiraj-et-al
#9
Saurav Basu
No abstract text is available yet for this article.
January 2018: Journal of the International Association of Providers of AIDS Care
https://read.qxmd.com/read/30187814/trends-in-clinical-characteristics-and-short-term-outcome-of-hiv-infected-patients-at-a-tertiary-care-hospital-in-south-india
#10
Suryanarayana Bettadpura Shamanna, Kiran Kumar Matta, Abdoul Hamide
BACKGROUND: Limited information is available on changing trends in HIV positive patients treated with first-line antiretroviral therapy from India. METHODS: The clinical characteristics and short-term outcome were compared between a retrospective group enrolled between January 2006 and March 2007 (06-07 group-100 patients) and a prospective group enrolled between February 2011 and March 2012 (10-12 group-85 patients). RESULTS: Median age was 36 and 38 years in 06-07 and 10-12 groups, respectively...
January 2018: Journal of the International Association of Providers of AIDS Care
https://read.qxmd.com/read/29983088/thank-you-reviewers
#11
(no author information available yet)
No abstract text is available yet for this article.
January 2018: Journal of the International Association of Providers of AIDS Care
https://read.qxmd.com/read/29781378/art-attrition-across-health-facilities-implementing-option-b-in-haiti
#12
Martine Pamphile Myrtil, Nancy Puttkammer, Stephen Gloyd, Julia Robinson, Krista Yuhas, Jean Wysler Domercant, Jean Guy Honoré, Kesner Francois
BACKGROUND: Describing factors related to high attrition is important in order to improve the implementation of the Option B+ strategy in Haiti. METHODS: We conducted a retrospective cohort study to describe the variability of antiretroviral therapy (ART) retention across health facilities among pregnant and lactating women and assess for differences in ART retention between Option B+ clients and other ART patients. RESULTS: There were 1989 Option B+ clients who initiated ART in 45 health facilities...
January 2018: Journal of the International Association of Providers of AIDS Care
https://read.qxmd.com/read/29770721/drivers-of-patient-costs-in-accessing-hiv-aids-services-in-tanzania
#13
Thomas Mnzava, Eunice Mmari, Andres Berruti
BACKGROUND: Patient costs pose a challenge in accessing antiretroviral therapy for people living with HIV in sub-Saharan Africa. The study aimed at identifying drivers for out-of-pocket (OOP) costs in Tanzania. METHODS: In 2009, 500 adult patients who attended 10 HIV clinics across 7 regions of Tanzania were asked about time and resources consumed to access HIV services. Bivariate and multivariate median regression models were used to determine the main drivers for OOP costs...
January 2018: Journal of the International Association of Providers of AIDS Care
https://read.qxmd.com/read/29756551/religion-and-hiv-related-stigma-among-nurses-who-work-with-people-living-with-hiv-aids-in-puerto-rico
#14
Marcos Reyes-Estrada, Nelson Varas-Díaz, Richard Parker, Mark Padilla, Sheilla Rodríguez-Madera
HIV-related stigma among nurses can impact health care services for people with HIV/AIDS (PWHA). health care professionals' religious views can potentially foster stigmatizing attitudes. There is scarce scientific literature exploring the role of religion on HIV/AIDS stigma among nurses. This study aimed to explore the role of religion in the stigmatization of PWHA by nurses in Puerto Rico. We conducted an exploratory study using qualitative techniques. We conducted 40 in-depth interviews with nurses who provided services to PWHA...
January 2018: Journal of the International Association of Providers of AIDS Care
https://read.qxmd.com/read/29756550/chronic-disease-self-management-challenges-among-rural-women-living-with-hiv-aids-in-prakasam-andhra-pradesh-india-a-qualitative-study
#15
Benissa E Salem, Yvita Bustos, Chidyaonga Shalita, Jordan Kwon, Padma Ramakrishnan, Kartik Yadav, Maria L Ekstrand, Sanjeev Sinha, Adeline M Nyamathi
Rural women living with HIV/AIDS (WLHA) in India experience challenges self-managing HIV/AIDS in their rural communities. The purpose of this qualitative study was to explore factors influencing their care and antiretroviral treatment (ART) adherence. Themes that emerged from the qualitative focus groups among WLHA (N = 24) in rural Prakasam, Andhra Pradesh, India, included: (1) coming to know about HIV and other health conditions, (2) experiences being on ART, (3) challenges maintaining a nutritious diet, (4) factors affecting health care access and quality, and (5) seeking support for a better future...
January 2018: Journal of the International Association of Providers of AIDS Care
https://read.qxmd.com/read/29756549/family-functioning-in-adolescents-with-perinatal-hiv-infection
#16
Orawan Louthrenoo, Linda Aurpibul, Peninnah Oberdorfer, Virat Sirisanthana
This study aimed to assess family functioning in adolescents with perinatal HIV infection receiving antiretroviral therapy compared with healthy controls. Correlations between self-reported and caregiver-reported family functions were also evaluated. A sample of 195 participants including 65 perinatally HIV-infected adolescents and 130 healthy controls were enrolled. The total family functioning score in HIV-infected adolescents was significantly lower than that in healthy controls by self-report (105.86 vs 115...
January 2018: Journal of the International Association of Providers of AIDS Care
https://read.qxmd.com/read/29745312/comparing-patient-demographics-and-tumor-characteristics-of-hiv-positive-and-hiv-negative-patients-with-cancer-in-south-carolina
#17
Benjamin D Hallowell, Kristina W Kintziger, Wayne A Duffus, John E Vena, Sara W Robb
We compared the demographic and disease characteristics of HIV-positive (HIV+) and HIV-negative (HIV-) individuals with a diagnosis of cancer in South Carolina. HIV-positive patients with cancer were reflective of the HIV+ caseload in South Carolina, with HIV+ patients with cancer more likely to be male (odds ratio [OR]: 2.78: 95% confidence interval [CI]: 2.33-3.32), black (OR: 7.68; 95% CI: 6.52-9.06), and younger at cancer diagnosis (OR: 0.92; 95% CI: 0.91-0.92). Controlling for year of birth, HIV+ patients with cancer did not receive cancer diagnoses at a younger age than HIV- controls...
January 2018: Journal of the International Association of Providers of AIDS Care
https://read.qxmd.com/read/29745311/systemic-delays-in-the-initiation-of-antiretroviral-therapy-for-clinically-eligible-hiv-infected-patients-in-houston-texas-the-providers-report-card
#18
Osaro Mgbere, Maria Rodriguez-Barradas, Karen Joan Vigil, Melanie McNeese, Fazal Tabassam, Nadia Barahmani, Jason Wang, Raouf Arafat, Ekere James Essien
BACKGROUND: The current US HIV treatment guidelines support initiation of antiretroviral therapy (ART) for persons with HIV for personal health benefits and prevention of HIV transmission. However, high levels of adherence to ART are critical to maximize individual and public health benefits. We examined the nonclinical barriers to ART initiation for clinically eligible individuals and the provider- and patient-related factors associated with these barriers among HIV-infected patients in Houston/Harris County, Texas...
January 2018: Journal of the International Association of Providers of AIDS Care
https://read.qxmd.com/read/29745310/use-of-living-strategies-among-adults-aging-with-hiv-in-canada-comparison-by-age-group-using-data-from-the-hiv-health-and-rehabilitation-survey
#19
Kelly Kathleen O'Brien, Matthieu Dagenais, Patricia Solomon, Catherine Worthington, Soo Chan Carusone, Francisco Ibáñez-Carrasco, Steven Hanna, Jacqueline Gahagan, Larry Baxter, Gregory Robinson, Patriic Gayle, Dawn James, Tammy Yates
OBJECTIVE: To examine the type and frequency of living strategies used by adults living with HIV. METHODS: We conducted a cross-sectional web-based survey that included 51 living strategies: maintaining sense of control, attitudes and beliefs, blocking HIV out of the mind, and social interaction. We examined the frequency of use and compared the proportion of respondents who engaged in strategies across 3 age-groups (<40 years, 40-49 years, and ≥50 years). RESULTS: Of the 935 participants, the majority were men (79%) and most (≥60%) engaged "most" or "all of the time" in healthy lifestyle strategies and maintained a positive outlook living with HIV...
January 2018: Journal of the International Association of Providers of AIDS Care
https://read.qxmd.com/read/29667531/is-tobacco-use-associated-with-neurocognitive-dysfunction-in-individuals-with-hiv
#20
Billy Tsima, Sarah Jane Ratcliffe, Robert Schnoll, Ian Frank, Dennis Larry Kolson, Robert Gross
INTRODUCTION: The prevalence of HIV-associated neurocognitive disorders continues to rise despite the widespread use of antiretroviral therapy. We aimed to define the risk of neurocognitive dysfunction among smokers relative to nonsmokers. METHODS: We conducted a retrospective cohort study including HIV-infected adults ages 21 to 65 years. The Mental Alternation Test (MAT) was the primary outcome. The odds of cognitive impairment were compared using random-effects logistic regression to adjust for potential confounders...
January 2018: Journal of the International Association of Providers of AIDS Care
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