Pub Date : 2018-10-02DOI: 10.1080/15381501.2019.1580236
S. Grigsby
Abstract HIV/AIDS continues to impact communities of color at disproportionate rates. The Black church remains the most influential institution in the African-American community. This single institution has the power to influence stigma and beliefs needed to change perceptions about persons and families directly impacted by this disease. This research brief utilizes the Theory of Innovation as a framework to describe a training designed to prepare clergy to be the catalyst to influence their congregation and surrounding community about the importance of developing a response to HIV/AIDS. The training described prepared congregational faith leaders with suggestions for developing sermons as well as practical suggestions to help contextualize the reasons that the church is critical in the development of a response to the elimination of HIV in the African-American community.
{"title":"HIV in Faith Communities: Utilizing Clergy as opinion leaders to reduce HIV/AIDS stigma","authors":"S. Grigsby","doi":"10.1080/15381501.2019.1580236","DOIUrl":"https://doi.org/10.1080/15381501.2019.1580236","url":null,"abstract":"Abstract HIV/AIDS continues to impact communities of color at disproportionate rates. The Black church remains the most influential institution in the African-American community. This single institution has the power to influence stigma and beliefs needed to change perceptions about persons and families directly impacted by this disease. This research brief utilizes the Theory of Innovation as a framework to describe a training designed to prepare clergy to be the catalyst to influence their congregation and surrounding community about the importance of developing a response to HIV/AIDS. The training described prepared congregational faith leaders with suggestions for developing sermons as well as practical suggestions to help contextualize the reasons that the church is critical in the development of a response to the elimination of HIV in the African-American community.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2018-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1580236","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47222861","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 : 2018-08-03DOI: 10.1080/15381501.2018.1463119
T. Hussain, K. Kulshreshtha, V. Yadav
Abstract Men who have sex with men (MSMs) are a group of high-risk individuals in India, who have remained neglected for a long time. Stigma, discrimination and laws criminalizing sex between men undermine access to HIV/AIDS and other health care services. In this study, we determined the seroprevalence and risk factors for HIV and syphilis infections among a group of MSMs attending an Integrated Counseling & Testing Centre (ICTC) at Agra during 2009–11. The results have been compared with those in other regions of the country. There were 277 MSMs registered with a nongovernmental organization (NGO), Khushi, involved in a Targeted Intervention (TI) project, who were tested for HIV and venereal disease research laboratory (VDRL) infections. Sociodemographic profile, risk factors, sexual identity, general health care access, and previous HIV and/or sexually transmitted infection (STI) testing, etc., were documented. The prevalence of HIV and syphilis infections among the MSMs are 11.9% (33/277) and 11.1% (31/277), respectively. There were 74% of them in the age group of 15–35 years, illiterate, and having no specific job. Alcohol, drug abuse, and high-risk behavior were common as they preferred to be in groups. There were 70% of HIV-positive MSMs, and 87% of those having sexually transmitted diseases (STDs) were unmarried and had multiple partners. Some of the MSMs were married and in bisexual relationships, and they might serve as an important bridge population between men and women. High prevalence of HIV and STDs in this group emphasizes the need for public health interventions aimed at reduction of risky behavior, education and counseling to urge them to seek health care advice when needed.
{"title":"Prevalence of HIV and syphilis infections among men who have sex with men attending an integrated counseling and testing centre at Agra: Comparison with studies in other regions of India","authors":"T. Hussain, K. Kulshreshtha, V. Yadav","doi":"10.1080/15381501.2018.1463119","DOIUrl":"https://doi.org/10.1080/15381501.2018.1463119","url":null,"abstract":"Abstract Men who have sex with men (MSMs) are a group of high-risk individuals in India, who have remained neglected for a long time. Stigma, discrimination and laws criminalizing sex between men undermine access to HIV/AIDS and other health care services. In this study, we determined the seroprevalence and risk factors for HIV and syphilis infections among a group of MSMs attending an Integrated Counseling & Testing Centre (ICTC) at Agra during 2009–11. The results have been compared with those in other regions of the country. There were 277 MSMs registered with a nongovernmental organization (NGO), Khushi, involved in a Targeted Intervention (TI) project, who were tested for HIV and venereal disease research laboratory (VDRL) infections. Sociodemographic profile, risk factors, sexual identity, general health care access, and previous HIV and/or sexually transmitted infection (STI) testing, etc., were documented. The prevalence of HIV and syphilis infections among the MSMs are 11.9% (33/277) and 11.1% (31/277), respectively. There were 74% of them in the age group of 15–35 years, illiterate, and having no specific job. Alcohol, drug abuse, and high-risk behavior were common as they preferred to be in groups. There were 70% of HIV-positive MSMs, and 87% of those having sexually transmitted diseases (STDs) were unmarried and had multiple partners. Some of the MSMs were married and in bisexual relationships, and they might serve as an important bridge population between men and women. High prevalence of HIV and STDs in this group emphasizes the need for public health interventions aimed at reduction of risky behavior, education and counseling to urge them to seek health care advice when needed.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2018-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2018.1463119","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47220810","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 : 2018-06-01DOI: 10.1080/15381501.2018.1454866
Deng-Min Chuang, P. Newman, A. Li
Abstract We tested the applicability of syndemic theory to men who have sex with men (MSM) in Taiwan. Of 200 MSM (mean age = 27.1 years) surveyed, the majority (54%) experienced at least one syndemic burden due to problem drug use, intimate partner violence, or HIV stigma. In multivariable analysis, MSM with one or more syndemic burdens had greater than threefold higher odds of being HIV-positive. The impact of co-occurring psychosocial health conditions on HIV infection among MSM in Taiwan indicates the importance of identifying and engaging HIV-positive MSM in effective treatment, and implementing interventions more broadly to decrease syndemic burden.
{"title":"Syndemic factors and HIV infection among men who have sex with men in Taiwan","authors":"Deng-Min Chuang, P. Newman, A. Li","doi":"10.1080/15381501.2018.1454866","DOIUrl":"https://doi.org/10.1080/15381501.2018.1454866","url":null,"abstract":"Abstract We tested the applicability of syndemic theory to men who have sex with men (MSM) in Taiwan. Of 200 MSM (mean age = 27.1 years) surveyed, the majority (54%) experienced at least one syndemic burden due to problem drug use, intimate partner violence, or HIV stigma. In multivariable analysis, MSM with one or more syndemic burdens had greater than threefold higher odds of being HIV-positive. The impact of co-occurring psychosocial health conditions on HIV infection among MSM in Taiwan indicates the importance of identifying and engaging HIV-positive MSM in effective treatment, and implementing interventions more broadly to decrease syndemic burden.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2018.1454866","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48794863","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 : 2018-03-12DOI: 10.1080/15381501.2018.1428841
M. Feldman, Stephen J. Hile, Mary K. Irvine, Guadalupe Dominguez-Plummer, Darryl Fields, Trang T. Tran, L. Arakaki
ABSTRACT Few studies have examined the relationship between mental health service utilization and health/mental health outcomes among people living with HIV (PLWH). Such studies are needed to inform the delivery of mental health services for this population, particularly in identifying treatment dosages that will result in clinically significant improvements. We examined the association between mental health service utilization and mental health functioning among 429 PLWH in New York City. Of these, 40% (n = 170) demonstrated an improvement in mental health functioning (≥3.5 point increase on the Mental Component Summary score on the SF-12) from program intake to the follow-up assessment. In a multivariable analysis, higher proportions of individuals with medium (38%) and high (37%) mental health service utilization levels experienced an improvement in mental health functioning, compared to those with low utilization levels (25%). Future analyses should include additional follow-up periods to assess service utilization patterns over time and their association with mental health functioning.
{"title":"Utilization of Ryan White-funded mental health services and mental health functioning among people living with HIV in New York City","authors":"M. Feldman, Stephen J. Hile, Mary K. Irvine, Guadalupe Dominguez-Plummer, Darryl Fields, Trang T. Tran, L. Arakaki","doi":"10.1080/15381501.2018.1428841","DOIUrl":"https://doi.org/10.1080/15381501.2018.1428841","url":null,"abstract":"ABSTRACT Few studies have examined the relationship between mental health service utilization and health/mental health outcomes among people living with HIV (PLWH). Such studies are needed to inform the delivery of mental health services for this population, particularly in identifying treatment dosages that will result in clinically significant improvements. We examined the association between mental health service utilization and mental health functioning among 429 PLWH in New York City. Of these, 40% (n = 170) demonstrated an improvement in mental health functioning (≥3.5 point increase on the Mental Component Summary score on the SF-12) from program intake to the follow-up assessment. In a multivariable analysis, higher proportions of individuals with medium (38%) and high (37%) mental health service utilization levels experienced an improvement in mental health functioning, compared to those with low utilization levels (25%). Future analyses should include additional follow-up periods to assess service utilization patterns over time and their association with mental health functioning.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2018-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2018.1428841","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45545893","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 : 2018-03-12DOI: 10.1080/15381501.2018.1437585
C. Lynn, Kathy L. Bradley-Klug, T. Chenneville, A. Walsh, R. Dedrick, C. Rodriguez
ABSTRACT Rates of depression, anxiety, and posttraumatic stress disorder (PTSD) are greater in youth living with HIV (YLWH) than in the general population. Currently, depression screening guidelines exist for YLWH but not anxiety and PTSD. This study examined data from comprehensive mental health screenings conducted with YLWH, which included measures of depression, anxiety, and PTSD. Percentages of positive screeners were 35%, 25.7%, and 20.6% for depression, anxiety, and PTSD, respectively. Older participants reported more depression and anxiety symptoms. Participants with less education reported more PTSD symptoms. These findings support the need for universal and comprehensive mental health screenings for YLWH.
{"title":"Mental health screening in integrated care settings: Identifying rates of depression, anxiety, and posttraumatic stress among youth with HIV","authors":"C. Lynn, Kathy L. Bradley-Klug, T. Chenneville, A. Walsh, R. Dedrick, C. Rodriguez","doi":"10.1080/15381501.2018.1437585","DOIUrl":"https://doi.org/10.1080/15381501.2018.1437585","url":null,"abstract":"ABSTRACT Rates of depression, anxiety, and posttraumatic stress disorder (PTSD) are greater in youth living with HIV (YLWH) than in the general population. Currently, depression screening guidelines exist for YLWH but not anxiety and PTSD. This study examined data from comprehensive mental health screenings conducted with YLWH, which included measures of depression, anxiety, and PTSD. Percentages of positive screeners were 35%, 25.7%, and 20.6% for depression, anxiety, and PTSD, respectively. Older participants reported more depression and anxiety symptoms. Participants with less education reported more PTSD symptoms. These findings support the need for universal and comprehensive mental health screenings for YLWH.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2018-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2018.1437585","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47965086","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 : 2018-03-12DOI: 10.1080/15381501.2018.1437584
Diana María Castro-Arroyave, Juan F. Gamella Mora, Carlos Alberto Rojas Arbeláez, J. Mignone
ABSTRACT Understanding how Indigenous populations perceive HIV/AIDS is of high relevance for the implementation of culturally appropriate interventions. The study analyzed the ways in which Indigenous Wayuu communities of Colombia socially perceive and respond to HIV/AIDS from their sociocultural realities and their knowledge of the illness. It analyzed qualitative data from 9 focus groups and 29 semi-structured interviews. The Wayuu think of HIV/AIDS as “the illness”, that it is incurable, fatal, transmitted from alijunas (non Wayuu), and beyond their understanding. They seem to perceive HIV/AIDS similarly to the ways Western societies perceived unknown or misunderstood epidemics in the past.
{"title":"Social Perceptions of HIV/AIDS among the Wayuu of Colombia","authors":"Diana María Castro-Arroyave, Juan F. Gamella Mora, Carlos Alberto Rojas Arbeláez, J. Mignone","doi":"10.1080/15381501.2018.1437584","DOIUrl":"https://doi.org/10.1080/15381501.2018.1437584","url":null,"abstract":"ABSTRACT Understanding how Indigenous populations perceive HIV/AIDS is of high relevance for the implementation of culturally appropriate interventions. The study analyzed the ways in which Indigenous Wayuu communities of Colombia socially perceive and respond to HIV/AIDS from their sociocultural realities and their knowledge of the illness. It analyzed qualitative data from 9 focus groups and 29 semi-structured interviews. The Wayuu think of HIV/AIDS as “the illness”, that it is incurable, fatal, transmitted from alijunas (non Wayuu), and beyond their understanding. They seem to perceive HIV/AIDS similarly to the ways Western societies perceived unknown or misunderstood epidemics in the past.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2018-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2018.1437584","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47182461","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 : 2018-02-23DOI: 10.1080/15381501.2018.1431168
R. Liboro, F. Ibáñez-Carrasco, S. Rourke, A. Eaton, C. Medina, D. Pugh, Al Rae, L. Ross, P. Shuper
ABSTRACT HIV-Associated Neurocognitive Disorder (HAND) is an emergent public health issue in developed countries. Consequently, people living with HIV who experience HAND will increasingly require support from community-based HIV service providers. The objective of our qualitative study was to identify barriers service providers face in addressing HAND among people living with HIV. Thirty-three providers from 22 AIDS service organizations across Ontario, Canada, were interviewed. Using thematic analysis, three types of barriers were identified: (a) personal/professional, (b) service access, and (c) systemic. This paper draws attention to HAND-related obstacles that service providers encounter in their work and presents options to overcome them.
{"title":"Barriers to addressing HIV-Associated neurocognitive disorder (HAND): Community-based service provider perspectives","authors":"R. Liboro, F. Ibáñez-Carrasco, S. Rourke, A. Eaton, C. Medina, D. Pugh, Al Rae, L. Ross, P. Shuper","doi":"10.1080/15381501.2018.1431168","DOIUrl":"https://doi.org/10.1080/15381501.2018.1431168","url":null,"abstract":"ABSTRACT HIV-Associated Neurocognitive Disorder (HAND) is an emergent public health issue in developed countries. Consequently, people living with HIV who experience HAND will increasingly require support from community-based HIV service providers. The objective of our qualitative study was to identify barriers service providers face in addressing HAND among people living with HIV. Thirty-three providers from 22 AIDS service organizations across Ontario, Canada, were interviewed. Using thematic analysis, three types of barriers were identified: (a) personal/professional, (b) service access, and (c) systemic. This paper draws attention to HAND-related obstacles that service providers encounter in their work and presents options to overcome them.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2018-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2018.1431168","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45328947","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 : 2018-02-02DOI: 10.1080/15381501.2017.1407727
S. Nikolova, E. Small
ABSTRACT This review investigates gender-informed intervention studies conducted in sub-Saharan Africa that measure an outcome related to HIV. The review included 20,340 abstracts published between January 1990 and July 2015, 84 of which met our inclusion criteria for full review, resulting in 17 articles that are the current analysis. The findings demonstrate a wide variation in the types of interventions, from low-intensity educational content to multicomponent interventions. The review groups study outcomes into biological, HIV risk interventions, behavioral, violence, and risk reduction. Most interventions showed positive effects, and although research methodologies varied considerably, longer interventions appeared to be more effective. Cultural and behavioral practices require a multidimensional interventional approach to prevent the spread of HIV in sub-Saharan Africa. Studies of sexual violence, oppressive cultural norms, and cultural acceptance of men having multiple partners may contribute to disproportionate HIV rates in the region.
{"title":"Review of the evidence of gender-focused interventions including men to reduce HIV risk and violence against women in sub-Saharan Africa","authors":"S. Nikolova, E. Small","doi":"10.1080/15381501.2017.1407727","DOIUrl":"https://doi.org/10.1080/15381501.2017.1407727","url":null,"abstract":"ABSTRACT This review investigates gender-informed intervention studies conducted in sub-Saharan Africa that measure an outcome related to HIV. The review included 20,340 abstracts published between January 1990 and July 2015, 84 of which met our inclusion criteria for full review, resulting in 17 articles that are the current analysis. The findings demonstrate a wide variation in the types of interventions, from low-intensity educational content to multicomponent interventions. The review groups study outcomes into biological, HIV risk interventions, behavioral, violence, and risk reduction. Most interventions showed positive effects, and although research methodologies varied considerably, longer interventions appeared to be more effective. Cultural and behavioral practices require a multidimensional interventional approach to prevent the spread of HIV in sub-Saharan Africa. Studies of sexual violence, oppressive cultural norms, and cultural acceptance of men having multiple partners may contribute to disproportionate HIV rates in the region.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2018-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2017.1407727","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45559916","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 : 2018-01-24DOI: 10.1080/15381501.2017.1409149
Sirry M. Alang, S. Bornstein
ABSTRACT One in five new HIV diagnoses in the United States is among persons younger than 25 years old. Routine testing is a crucial prevention strategy. We assessed the relationships between sex, race, sexual orientation, and HIV testing among young adults. Odds of affirmative testing history were higher among women than men, and among Latino gay/bisexual men than their White counterparts. Among straight men, odds of having tested were greatest among Blacks. Mechanisms through which race/ethnicity affect HIV vulnerability among young gay/bisexual men of color need to be explored, especially as these populations are more likely to have affirmative testing histories, yet are disproportionately impacted.
{"title":"HIV testing history among young adults: The roles of sex, race, and sexual orientation","authors":"Sirry M. Alang, S. Bornstein","doi":"10.1080/15381501.2017.1409149","DOIUrl":"https://doi.org/10.1080/15381501.2017.1409149","url":null,"abstract":"ABSTRACT One in five new HIV diagnoses in the United States is among persons younger than 25 years old. Routine testing is a crucial prevention strategy. We assessed the relationships between sex, race, sexual orientation, and HIV testing among young adults. Odds of affirmative testing history were higher among women than men, and among Latino gay/bisexual men than their White counterparts. Among straight men, odds of having tested were greatest among Blacks. Mechanisms through which race/ethnicity affect HIV vulnerability among young gay/bisexual men of color need to be explored, especially as these populations are more likely to have affirmative testing histories, yet are disproportionately impacted.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2018-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2017.1409149","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42014659","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 : 2018-01-24DOI: 10.1080/15381501.2017.1407731
Maleeha Sami, Sithokozile Maposa, Heather Exner-Pirot, J. Anonson
ABSTRACT This qualitative study examined front-line health care providers’ understandings of the Saskatchewan Ministry of Health’s 2010–2014 HIV strategy, their capacity building needs, and perspectives on how well they were implementing HIV services. Providers’ experiences of engaging people living with HIV, community leaders, and communities affected by the epidemic reveal a need to strengthen interprofessional networks. Our findings also indicate the need for HIV services to respond to coexisting challenges, including substance use, violence, and mental health care for people living with HIV. Programs in rural northern Saskatchewan should also address homelessness, disparities in access to care, and HIV stigma issues.
{"title":"Front-line service providers’ appraisal of Saskatchewan’s HIV services and strategy: A qualitative study","authors":"Maleeha Sami, Sithokozile Maposa, Heather Exner-Pirot, J. Anonson","doi":"10.1080/15381501.2017.1407731","DOIUrl":"https://doi.org/10.1080/15381501.2017.1407731","url":null,"abstract":"ABSTRACT This qualitative study examined front-line health care providers’ understandings of the Saskatchewan Ministry of Health’s 2010–2014 HIV strategy, their capacity building needs, and perspectives on how well they were implementing HIV services. Providers’ experiences of engaging people living with HIV, community leaders, and communities affected by the epidemic reveal a need to strengthen interprofessional networks. Our findings also indicate the need for HIV services to respond to coexisting challenges, including substance use, violence, and mental health care for people living with HIV. Programs in rural northern Saskatchewan should also address homelessness, disparities in access to care, and HIV stigma issues.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2018-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2017.1407731","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44121745","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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