Pub Date : 2025-12-12DOI: 10.1080/15381501.2025.2598249
Glenn J Wagner, Laura M Bogart, Joseph K B Matovu, Violet Gwokyalya, Harold D Green, Susan Ninsiima, David J Klein, Ryan K McBain, Stephen Okoboi
In a secondary analysis from a randomized controlled trial of a peer advocacy training intervention for people living with HIV (PLWH), we examined effects on advocacy targeting specific HIV protective behaviors among enrolled social network members (alters), and whether alter behaviors were predicted by advocacy receipt and tone of delivery. 210 PLWH and 599 alters enrolled and were followed over 18 months. Repeated measures logistic regressions showed that PLWH in the intervention group targeted more alters with advocacy for HIV testing, condom use, pre-exposure prophylaxis, and HIV care, compared to those in the control group. Alters targeted with HIV testing advocacy were more likely to report increased HIV testing at the subsequent assessment. Among alters with HIV-negative main partners, receipt of condom use advocacy predicted increased consistent condom use at the subsequent assessment. Advocacy training for PLWH can increase targeted HIV prevention advocacy, which then promotes HIV testing and condom use.
{"title":"HIV prevention through social networks: evidence from a randomized controlled trial of a peer advocacy intervention in Kampala, Uganda.","authors":"Glenn J Wagner, Laura M Bogart, Joseph K B Matovu, Violet Gwokyalya, Harold D Green, Susan Ninsiima, David J Klein, Ryan K McBain, Stephen Okoboi","doi":"10.1080/15381501.2025.2598249","DOIUrl":"10.1080/15381501.2025.2598249","url":null,"abstract":"<p><p>In a secondary analysis from a randomized controlled trial of a peer advocacy training intervention for people living with HIV (PLWH), we examined effects on advocacy targeting specific HIV protective behaviors among enrolled social network members (alters), and whether alter behaviors were predicted by advocacy receipt and tone of delivery. 210 PLWH and 599 alters enrolled and were followed over 18 months. Repeated measures logistic regressions showed that PLWH in the intervention group targeted more alters with advocacy for HIV testing, condom use, pre-exposure prophylaxis, and HIV care, compared to those in the control group. Alters targeted with HIV testing advocacy were more likely to report increased HIV testing at the subsequent assessment. Among alters with HIV-negative main partners, receipt of condom use advocacy predicted increased consistent condom use at the subsequent assessment. Advocacy training for PLWH can increase targeted HIV prevention advocacy, which then promotes HIV testing and condom use.</p>","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12758887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901160","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}
Pub Date : 2025-11-10DOI: 10.1080/15381501.2025.2582087
Himani Pandya, Xanthe Hunt, Peter S Nyasulu, Amy L Slogrove
This qualitative study explores concerns of mothers living with HIV about the consequences of HIV exposure for their children during pregnancy and early childhood, before and beyond a final HIV negative diagnosis. Conducted in South Africa's Western Cape between January and April 2024, the study involved semi-structured interviews with 20 mothers whose children HIV-exposed, over one year old, tested HIV-negative at 12 months. The study revealed that maternal fear of vertical HIV transmission persisted throughout pregnancy and early childhood. It was triggered by breastfeeding decisions, repeated HIV testing, sickness or growth faltering in the child, and doubts about antiretroviral effectiveness. Mothers adopted coping strategies such as strict medication adherence, routine clinic visits, and heightened hygiene practices. The study indicates that comprehensive, ongoing support for mothers living with HIV throughout the early years of motherhood, including breastfeeding guidance, clear information on HIV testing protocols, and guidance on long-term implications of HIV exposure can alleviate maternal stress.
{"title":"<i>'I was in between wars'</i> - Perspectives of mothers about consequences of HIV exposure for their uninfected children during early childhood - Qualitative insights from Worcester, South Africa.","authors":"Himani Pandya, Xanthe Hunt, Peter S Nyasulu, Amy L Slogrove","doi":"10.1080/15381501.2025.2582087","DOIUrl":"10.1080/15381501.2025.2582087","url":null,"abstract":"<p><p>This qualitative study explores concerns of mothers living with HIV about the consequences of HIV exposure for their children during pregnancy and early childhood, before and beyond a final HIV negative diagnosis. Conducted in South Africa's Western Cape between January and April 2024, the study involved semi-structured interviews with 20 mothers whose children HIV-exposed, over one year old, tested HIV-negative at 12 months. The study revealed that maternal fear of vertical HIV transmission persisted throughout pregnancy and early childhood. It was triggered by breastfeeding decisions, repeated HIV testing, sickness or growth faltering in the child, and doubts about antiretroviral effectiveness. Mothers adopted coping strategies such as strict medication adherence, routine clinic visits, and heightened hygiene practices. The study indicates that comprehensive, ongoing support for mothers living with HIV throughout the early years of motherhood, including breastfeeding guidance, clear information on HIV testing protocols, and guidance on long-term implications of HIV exposure can alleviate maternal stress.</p>","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12671454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145669986","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}
Pub Date : 2025-01-01Epub Date: 2024-12-23DOI: 10.1080/15381501.2024.2435882
Sitara M Weerakoon, Nimisha Srikanth, Christina Aivadyan, Bryce Takenaka, Raquel Rose, Jaleah D Rutledge, Gina Sissoko, Ijeoma Opara
Black adolescents in the U.S. are disproportionately impacted by HIV and sexually transmitted infections (STIs), with gender differences in testing behaviors. This study examined predictors of HIV and STI testing among sexually active Black adolescents using data from the 2021 Youth Risk Behavioral Surveillance System. Weighted regression models assessed the odds of lifetime HIV and STI testing, with predictors including substance use before sex, condom use, forced intercourse, and current use of e-cigarettes, alcohol, and cannabis, adjusting for sex and age. The sample included 394 sexually active Black adolescents; mean age 16 years, 55% male. Results showed higher testing for those with more sexual partners and current substance users, with substance type influencing testing behaviors. Males had significantly higher odds of testing than females. E-cigarette use emerged as a novel factor influencing testing indicating how nicotine consumption trends may impact preventative health measures and risk assessment among youth.
{"title":"Predictors of HIV and STI testing among sexually active Black adolescents: results from YRBSS 2019-2021.","authors":"Sitara M Weerakoon, Nimisha Srikanth, Christina Aivadyan, Bryce Takenaka, Raquel Rose, Jaleah D Rutledge, Gina Sissoko, Ijeoma Opara","doi":"10.1080/15381501.2024.2435882","DOIUrl":"10.1080/15381501.2024.2435882","url":null,"abstract":"<p><p>Black adolescents in the U.S. are disproportionately impacted by HIV and sexually transmitted infections (STIs), with gender differences in testing behaviors. This study examined predictors of HIV and STI testing among sexually active Black adolescents using data from the 2021 Youth Risk Behavioral Surveillance System. Weighted regression models assessed the odds of lifetime HIV and STI testing, with predictors including substance use before sex, condom use, forced intercourse, and current use of e-cigarettes, alcohol, and cannabis, adjusting for sex and age. The sample included 394 sexually active Black adolescents; mean age 16 years, 55% male. Results showed higher testing for those with more sexual partners and current substance users, with substance type influencing testing behaviors. Males had significantly higher odds of testing than females. E-cigarette use emerged as a novel factor influencing testing indicating how nicotine consumption trends may impact preventative health measures and risk assessment among youth.</p>","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"23 3","pages":"185-200"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12499896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245391","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}
Pub Date : 2023-09-15DOI: 10.1080/15381501.2023.2258821
Robin Lennon-Dearing, Kendall Morris, Melissa Hirschi, Serena Rajabiun
AbstractThe COVID-19 pandemic brought a fundamental shift in the delivery of services by community health workers to people living with HIV. This qualitative study sought to understand how community health workers who work with people living with HIV in one Mid-South community were impacted by the COVID-19 pandemic and ways in which these changes affected them. Virtual qualitative interviews were conducted with 23 community health workers and supervisors across five organizations from April to July 2020. Thematic analysis was used to analyze the data. The five themes discovered were (a) virtual service delivery’s impact on the community health worker-client relationship, (b) the use of technology to communicate with clients, (c) increased work responsibilities, (d) the need for support and self-care; and (e) the extra layer of trauma that the murder of George Floyd added. Recommendations for supporting and strengthening the community health workforce are offered.Keywords: Community health workersCOVID-19service providersHIVburnoutadults < age AcknowledgmentsThe authors thank the Providence/Boston Center for AIDS Research (CFAR).Disclosure statementNo potential conflict of interest was reported by the author(s).Ethical statementThis study was approved by the University of Memphis Institutional Review Board, study # PRO-FY2020-83. I confirm that all participants in this study gave informed consent.Additional informationFundingThis work was supported by the National Institutes of Health under Grant 5P30AI042853-22.
{"title":"The impact of the COVID-19 pandemic on community health workers from HIV care organizations in the mid-south","authors":"Robin Lennon-Dearing, Kendall Morris, Melissa Hirschi, Serena Rajabiun","doi":"10.1080/15381501.2023.2258821","DOIUrl":"https://doi.org/10.1080/15381501.2023.2258821","url":null,"abstract":"AbstractThe COVID-19 pandemic brought a fundamental shift in the delivery of services by community health workers to people living with HIV. This qualitative study sought to understand how community health workers who work with people living with HIV in one Mid-South community were impacted by the COVID-19 pandemic and ways in which these changes affected them. Virtual qualitative interviews were conducted with 23 community health workers and supervisors across five organizations from April to July 2020. Thematic analysis was used to analyze the data. The five themes discovered were (a) virtual service delivery’s impact on the community health worker-client relationship, (b) the use of technology to communicate with clients, (c) increased work responsibilities, (d) the need for support and self-care; and (e) the extra layer of trauma that the murder of George Floyd added. Recommendations for supporting and strengthening the community health workforce are offered.Keywords: Community health workersCOVID-19service providersHIVburnoutadults < age AcknowledgmentsThe authors thank the Providence/Boston Center for AIDS Research (CFAR).Disclosure statementNo potential conflict of interest was reported by the author(s).Ethical statementThis study was approved by the University of Memphis Institutional Review Board, study # PRO-FY2020-83. I confirm that all participants in this study gave informed consent.Additional informationFundingThis work was supported by the National Institutes of Health under Grant 5P30AI042853-22.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135394516","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}
Pub Date : 2022-10-02DOI: 10.1080/15381501.2023.2168324
Cassandra D. Chaney, Kayla Allison, Crystal M. Tillis
Abstract HIV/AIDS has been a public health crisis since the 1980s yet people of African descent that live in the southern region of the United States are more likely to not receive treatment for this disease. This work has four goals. The first goal is to discuss the social determinants that contribute to the HIV/AIDS epidemic in the Deep South. The second goal is to discuss the Afrocentric paradigm that promotes cultural pride and Black empowerment. The third goal is to provide a paradigm that details how racial inequalities perpetuate. The final goal is to provide recommendations regarding how the Afrocentric paradigm can help eradicate health disparities for people of African ancestry that reside in the Southern region of the United States.
{"title":"Eradicating HIV/AIDS, racism and inequality in the Deep South: An Afrocentric conceptual framework of equality","authors":"Cassandra D. Chaney, Kayla Allison, Crystal M. Tillis","doi":"10.1080/15381501.2023.2168324","DOIUrl":"https://doi.org/10.1080/15381501.2023.2168324","url":null,"abstract":"Abstract HIV/AIDS has been a public health crisis since the 1980s yet people of African descent that live in the southern region of the United States are more likely to not receive treatment for this disease. This work has four goals. The first goal is to discuss the social determinants that contribute to the HIV/AIDS epidemic in the Deep South. The second goal is to discuss the Afrocentric paradigm that promotes cultural pride and Black empowerment. The third goal is to provide a paradigm that details how racial inequalities perpetuate. The final goal is to provide recommendations regarding how the Afrocentric paradigm can help eradicate health disparities for people of African ancestry that reside in the Southern region of the United States.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"21 1","pages":"194 - 215"},"PeriodicalIF":0.7,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49160423","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}
Pub Date : 2022-10-02DOI: 10.1080/15381501.2023.2189198
Katie A McCormick, M. Stanton, Samira Ali, S. Chávez
Abstract The U.S. South is disproportionately burdened by the HIV and opioid epidemics, hastening the need for effective multi-level, person-centered approaches, such as harm reduction. LEARN HR is a shared learning intervention that aims to build the harm reduction capacity of HIV service providers and their organizations. This study used a sequential explanatory mixed methods design to examine program evaluation data of two LEARN HR pilot cohorts to (1) assess the preliminary effectiveness of LEARN HR, (2) examine the impact on HIV service providers and their organizations, and (3) examine challenges to adopting harm reduction approaches. Quantitative findings revealed statistically significant increases in HR-related knowledge, attitudes, and skills. Qualitative findings revealed meaningful individual- and organizational-level changes. Findings indicate that LEARN HR was successful in facilitating provider-level changes in knowledge, attitudes, and skills which facilitated sustainable organizational changes.
{"title":"Outcomes of a harm reduction shared learning intervention Pilot in the U.S. South","authors":"Katie A McCormick, M. Stanton, Samira Ali, S. Chávez","doi":"10.1080/15381501.2023.2189198","DOIUrl":"https://doi.org/10.1080/15381501.2023.2189198","url":null,"abstract":"Abstract The U.S. South is disproportionately burdened by the HIV and opioid epidemics, hastening the need for effective multi-level, person-centered approaches, such as harm reduction. LEARN HR is a shared learning intervention that aims to build the harm reduction capacity of HIV service providers and their organizations. This study used a sequential explanatory mixed methods design to examine program evaluation data of two LEARN HR pilot cohorts to (1) assess the preliminary effectiveness of LEARN HR, (2) examine the impact on HIV service providers and their organizations, and (3) examine challenges to adopting harm reduction approaches. Quantitative findings revealed statistically significant increases in HR-related knowledge, attitudes, and skills. Qualitative findings revealed meaningful individual- and organizational-level changes. Findings indicate that LEARN HR was successful in facilitating provider-level changes in knowledge, attitudes, and skills which facilitated sustainable organizational changes.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"21 1","pages":"216 - 230"},"PeriodicalIF":0.7,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44017108","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}
Pub Date : 2022-04-18DOI: 10.1080/15381501.2022.2060399
Md. Ismail Hossain, I. Ahmad, N. Mehedi, Rumina Akter, T. Cane
Abstract Despite the low incidence of HIV in Bangladesh, an HIV diagnosis results in stigma and discrimination. Therefore, the study looked at the causes and patterns of social exclusion, as well as strategies for reducing the exclusion of HIV/AIDS positive people. It also emphasized the importance of reconsidering social work education and the role of non-governmental organizations in curbing the stigma that these people confront. In this qualitative study, a convenience sampling approach was utilized to select the participants from the NGO, Ashar Alo Society (AAS). The findings are grouped into four themes: social stigma towards HIV/AIDS positive people, social exclusion from family and community, healthcare, education, and employment, the role of the non-governmental organizations in reducing their exclusion and vulnerabilities and reconsideration of social work knowledge. Recommendations include the provision of remote healthcare and support services to combat stigma, as well as the adoption of social work knowledge in the new NGO efforts to assist PLWHIV in accessing care.
{"title":"Social stigma and vulnerabilities of HIV/AIDS-positive people: Reconsidering social work education and NGOs’ role in Bangladesh","authors":"Md. Ismail Hossain, I. Ahmad, N. Mehedi, Rumina Akter, T. Cane","doi":"10.1080/15381501.2022.2060399","DOIUrl":"https://doi.org/10.1080/15381501.2022.2060399","url":null,"abstract":"Abstract Despite the low incidence of HIV in Bangladesh, an HIV diagnosis results in stigma and discrimination. Therefore, the study looked at the causes and patterns of social exclusion, as well as strategies for reducing the exclusion of HIV/AIDS positive people. It also emphasized the importance of reconsidering social work education and the role of non-governmental organizations in curbing the stigma that these people confront. In this qualitative study, a convenience sampling approach was utilized to select the participants from the NGO, Ashar Alo Society (AAS). The findings are grouped into four themes: social stigma towards HIV/AIDS positive people, social exclusion from family and community, healthcare, education, and employment, the role of the non-governmental organizations in reducing their exclusion and vulnerabilities and reconsideration of social work knowledge. Recommendations include the provision of remote healthcare and support services to combat stigma, as well as the adoption of social work knowledge in the new NGO efforts to assist PLWHIV in accessing care.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"21 1","pages":"167 - 193"},"PeriodicalIF":0.7,"publicationDate":"2022-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42348910","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}
Pub Date : 2022-04-03DOI: 10.1080/15381501.2022.2047865
Shorena Sadzaglishvili, T. Gotsiridze, K. Lekishvili, Anthony P. Verdino, Rey Flores, A. Bouris
Abstract Street-connected young people (SCYP) in the Republic of Georgia are vulnerable to HIV/AIDS. We conducted a mixed-methods study utilizing a triangulation design with N = 20 SCYP aged 11–18 (50% female; M = 13.95 years; SD = 2.11) recruited from two cities in Georgia. SCYP completed a close-ended survey and an in-depth interview on their perceptions of romantic and exchange sex relationships. Quantitative analyses examined gender differences in perceptions of romantic and exchange sex partners, and qualitative data was analyzed using a thematic analysis approach. Quantitative findings indicated that a higher proportion of female than male SCYP endorsed engaging in HIV-related transmission behaviors with exchange sex partners. Thematic analysis contextualized survey findings by elucidating the ways in which females negotiated a highly gendered risk environment that elevated their vulnerability to HIV. Study results highlight the need for gender-responsive programming to address the HIV prevention needs of both male and female SCYP in the Republic of Georgia.
{"title":"“Girls have commercial sex, boys don’t:” Mixed-methods evidence for a gendered risk environment for street-connected young people in the Republic of Georgia","authors":"Shorena Sadzaglishvili, T. Gotsiridze, K. Lekishvili, Anthony P. Verdino, Rey Flores, A. Bouris","doi":"10.1080/15381501.2022.2047865","DOIUrl":"https://doi.org/10.1080/15381501.2022.2047865","url":null,"abstract":"Abstract Street-connected young people (SCYP) in the Republic of Georgia are vulnerable to HIV/AIDS. We conducted a mixed-methods study utilizing a triangulation design with N = 20 SCYP aged 11–18 (50% female; M = 13.95 years; SD = 2.11) recruited from two cities in Georgia. SCYP completed a close-ended survey and an in-depth interview on their perceptions of romantic and exchange sex relationships. Quantitative analyses examined gender differences in perceptions of romantic and exchange sex partners, and qualitative data was analyzed using a thematic analysis approach. Quantitative findings indicated that a higher proportion of female than male SCYP endorsed engaging in HIV-related transmission behaviors with exchange sex partners. Thematic analysis contextualized survey findings by elucidating the ways in which females negotiated a highly gendered risk environment that elevated their vulnerability to HIV. Study results highlight the need for gender-responsive programming to address the HIV prevention needs of both male and female SCYP in the Republic of Georgia.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"21 1","pages":"106 - 127"},"PeriodicalIF":0.7,"publicationDate":"2022-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45592073","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}
Pub Date : 2022-02-16DOI: 10.1080/15381501.2022.2038759
O. Awopeju, O. Oninla, S. olowookere, Morenikeji Ogunnaike-quaye, G. Erhabor
Abstract Background Sleep has been linked to multiple health outcomes. We aim to determine the relationship between sleep quality, purpose in life, and HRQoL among PLHIV. Methods We conducted a cross-sectional study among 401 PLHIV in the HIV clinic using a structured questionnaire that included their demographics, Pittsburgh Sleep Quality Index (PSQI), Ryff's Scales of Psychological Well-Being, and Veterans RAND 12-item Health Survey (VR-12). Results Ninety-two [22.9%] were classified as having poor sleep quality. Poor sleepers had significantly lower scores in the physical component [48.0 (9.5) vs. 51.2 (7.1), p = .014] and mental component 44.7 (10.5) vs. 52.1 (9.8), p < .001 in HRQoL as compared to good sleepers. Purpose in life moderates the effect of sleep quality on the physical component of HRQoL, p interaction = .003. Conclusion Assessing sleep quality and purpose in life routinely among HIV-infected patients may impact the overall wellbeing of PLHIV.
{"title":"Sleep quality, purpose in life, and health related quality of life among people living with HIV in Nigeria","authors":"O. Awopeju, O. Oninla, S. olowookere, Morenikeji Ogunnaike-quaye, G. Erhabor","doi":"10.1080/15381501.2022.2038759","DOIUrl":"https://doi.org/10.1080/15381501.2022.2038759","url":null,"abstract":"Abstract Background Sleep has been linked to multiple health outcomes. We aim to determine the relationship between sleep quality, purpose in life, and HRQoL among PLHIV. Methods We conducted a cross-sectional study among 401 PLHIV in the HIV clinic using a structured questionnaire that included their demographics, Pittsburgh Sleep Quality Index (PSQI), Ryff's Scales of Psychological Well-Being, and Veterans RAND 12-item Health Survey (VR-12). Results Ninety-two [22.9%] were classified as having poor sleep quality. Poor sleepers had significantly lower scores in the physical component [48.0 (9.5) vs. 51.2 (7.1), p = .014] and mental component 44.7 (10.5) vs. 52.1 (9.8), p < .001 in HRQoL as compared to good sleepers. Purpose in life moderates the effect of sleep quality on the physical component of HRQoL, p interaction = .003. Conclusion Assessing sleep quality and purpose in life routinely among HIV-infected patients may impact the overall wellbeing of PLHIV.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"21 1","pages":"128 - 144"},"PeriodicalIF":0.7,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42594046","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}
Pub Date : 2022-02-04DOI: 10.1080/15381501.2022.2029660
Gesiane Cavalcante Nascimento, Maria José Labis da Costa, Thannuse Silva Athie, Juliana de Sales Silva, E. Reis, C. Almeida-Brasil, B. Godman, I. Godói
Abstract The Human Immunodeficiency Virus (HIV) is considered one of the greatest public health challenges given its impact on morbidity and mortality, and there is currently no vaccine available. The costs for any vaccine have to be weighed against current preventative measures as well as its impact in reducing future infections. This was the rationale behind conducting a willingness to pay (WTP) study to guide future funding decisions. A cross-sectional study was conducted involving residents of Northern Brazil regarding their WTP for a hypothetical vaccine against HIV with 70% effectiveness. 634 individuals were interviewed and 94% accepted to use this hypothetical vaccine. The WTP was US$47.54 (200.00BRL). We believe these findings can contribute to decision-making about pricing once a HIV vaccine becomes available in Brazil and in discussions with its acceptability.
{"title":"Acceptability and Consumer Willingness to pay for a hypothetical HIV vaccine in Northern Brazil: A cross-sectional study and the implications","authors":"Gesiane Cavalcante Nascimento, Maria José Labis da Costa, Thannuse Silva Athie, Juliana de Sales Silva, E. Reis, C. Almeida-Brasil, B. Godman, I. Godói","doi":"10.1080/15381501.2022.2029660","DOIUrl":"https://doi.org/10.1080/15381501.2022.2029660","url":null,"abstract":"Abstract The Human Immunodeficiency Virus (HIV) is considered one of the greatest public health challenges given its impact on morbidity and mortality, and there is currently no vaccine available. The costs for any vaccine have to be weighed against current preventative measures as well as its impact in reducing future infections. This was the rationale behind conducting a willingness to pay (WTP) study to guide future funding decisions. A cross-sectional study was conducted involving residents of Northern Brazil regarding their WTP for a hypothetical vaccine against HIV with 70% effectiveness. 634 individuals were interviewed and 94% accepted to use this hypothetical vaccine. The WTP was US$47.54 (200.00BRL). We believe these findings can contribute to decision-making about pricing once a HIV vaccine becomes available in Brazil and in discussions with its acceptability.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"21 1","pages":"145 - 166"},"PeriodicalIF":0.7,"publicationDate":"2022-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47905827","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}
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