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Image-Sharing Via Social Media: Reflections from an Ethnically- and Age-Diverse Sample of People Living with HIV in the Midwest 通过社交媒体分享图像:来自中西部不同种族和年龄的艾滋病毒感染者样本的反思
IF 0.7 Q4 SOCIAL WORK Pub Date : 2018-10-02 DOI: 10.1080/15381501.2018.1519479
E. Koegler, T. Thomson, A. G. Speno, M. Teti
Abstract Social media is increasingly being used to support people living with HIV (PLWH). Existing research has not examined the use of images on social media. This study explored the benefits and challenges of using visual social media to support health among ethnically/racially diverse middle-aged adults with HIV in a major midwestern city. This qualitative study utilized posters created from a parent photovoice project to explore participants’ (N = 15) use of social media, interest in viewing posters via social media, and interest in creating their own photo stories for social media. Benefits for social media use included connecting with other PLWH, education, and sharing empowering messages. Challenges were limited technical ability, dislike of/inappropriate use of social media, and concerns for anonymity. Our findings suggest that PLWH want to see photo stories of others living with HIV and that the benefit of viewers creating and sharing their own stories on social media is worth exploring.
社交媒体越来越多地用于支持艾滋病毒感染者(PLWH)。现有的研究并没有调查社交媒体上图片的使用情况。本研究探讨了在中西部一个主要城市使用视觉社交媒体来支持不同种族/种族的中年艾滋病毒感染者的健康的好处和挑战。本定性研究利用父母photovoice项目制作的海报来探索参与者(N = 15)对社交媒体的使用,通过社交媒体观看海报的兴趣,以及为社交媒体创作自己的照片故事的兴趣。使用社交媒体的好处包括与其他PLWH联系,教育和分享授权信息。挑战是有限的技术能力,不喜欢/不恰当地使用社交媒体,以及对匿名的担忧。我们的研究结果表明,PLWH希望看到其他艾滋病毒感染者的照片故事,观众在社交媒体上创作和分享自己的故事的好处值得探索。
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引用次数: 2
Barriers to safe-sex behavior change in Zambia: Perspectives from HIV/AIDS psychosocial counselors 赞比亚改变安全性行为的障碍:来自艾滋病毒/艾滋病心理咨询师的观点
IF 0.7 Q4 SOCIAL WORK Pub Date : 2018-10-02 DOI: 10.1080/15381501.2018.1519478
Sherinah K Saasa, Y. Choi, L. Nackerud
Abstract Despite being one of the Sub-Saharan African countries most affected by HIV/AIDS, few studies address the mismatch between continued practices of high-risk sexual behaviors considering increased HIV/AIDS knowledge in Zambia. This article reports findings from an exploratory qualitative study that addressed the research question, “What are the attitudinal, cultural, interpersonal, and contextual barriers to safer sexual behavior change among the Zambian population?” The study involved semistructured interviews with eight psychosocial counselors from two Zambian cities who provide HIV testing and counseling services. Data were analyzed using the constant comparative method. Findings indicated individual level barriers including gendered differences, adolescent specific barriers, and issues related to illiteracy. Lack of communication and perceived meaning of condom use emerged as factors influencing unsafe sex at partner levels. Community level factors included high rates of poverty, substance abuse, availability of antiretroviral therapy, inconsistent condom supplies, cultural beliefs, unemployment, and limited recreational activities.
尽管赞比亚是受艾滋病毒/艾滋病影响最严重的撒哈拉以南非洲国家之一,但考虑到艾滋病毒/艾滋病知识的增加,很少有研究解决高风险性行为的持续做法之间的不匹配。本文报告了一项探索性定性研究的结果,该研究解决了研究问题,“赞比亚人口中改变安全性行为的态度、文化、人际关系和背景障碍是什么?”这项研究包括对来自赞比亚两个城市的8名提供艾滋病毒检测和咨询服务的心理咨询师进行半结构化访谈。数据分析采用恒定比较法。研究结果表明,个体层面的障碍包括性别差异、青少年特有的障碍以及与文盲有关的问题。在伴侣层面上,缺乏沟通和对使用避孕套意义的理解是影响不安全性行为的因素。社区层面的因素包括贫困率高、药物滥用、抗逆转录病毒治疗的可获得性、避孕套供应不一致、文化信仰、失业和娱乐活动有限。
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引用次数: 2
Correlates and Predictors of Medication Adherence in Outpatients Living with HIV/AIDS 门诊HIV/AIDS患者药物依从性的相关因素和预测因素
IF 0.7 Q4 SOCIAL WORK Pub Date : 2018-10-02 DOI: 10.1080/15381501.2018.1502709
S. Dalmida, Katryna McCoy, H. Koenig, A. Miller, M. McDonnell Holstad, T. Thomas, Dora Clayton-Jones, Mary Grant, Terri Fleming, Menka Munira Wirani, C. Mugoya
Abstract Antiretroviral therapy (ART) is important in HIV outcomes and HIV prevention. However, ART adherence remains suboptimal in people living with HIV/AIDS (PLWH). This study examined associations among ART adherence and demographic, psychosocial, and religious factors in a sample of 292 PLWH. Average age of participants was 45.1 ± 7.8 years and they had been living with HIV for 10.8 ± 7.0 years, on average. Mean ART adherence scores differed significantly between participants based on age (F = 5.861, p = .016), depressive symptom status (F = 17.61, p < .0001), religious attendance (F = 5.901, p = .016), and prayer (F = 5.791, p = .017). Only age, social support, prayer, and negative religious coping were significant predictors of ART adherence, in a multivariate regression model. Higher ART adherence scores were significantly associated with being older than 50 years (β = .17, p = .014), greater social support satisfaction (β = .15, p = .031), praying daily or more (β = .17, p = .021) and lower negative religious coping scores (β = −.18, p = .014). Clinicians should assess/address these factors during ART treatment counseling.
摘要抗逆转录病毒疗法(ART)在HIV治疗和预防中具有重要意义。然而,在艾滋病毒/艾滋病患者中,抗逆转录病毒疗法的依从性仍然不理想。本研究调查了292名PLWH样本中抗逆转录病毒疗法依从性与人口统计学、心理社会和宗教因素之间的关系。参与者的平均年龄为45.1岁 ± 7.8年,他们感染艾滋病毒10.8年 ± 平均7.0年。受试者的平均抗逆转录病毒治疗依从性评分因年龄而有显著差异(F = 5.861,p = .016),抑郁症状状态(F = 17.61,p < .0001),宗教出席(F = 5.901,p = .016)和祈祷(F = 5.791,p = .017)。在多元回归模型中,只有年龄、社会支持、祈祷和消极的宗教应对是ART依从性的重要预测因素。ART依从性评分越高与年龄大于50岁显著相关(β = .17,p = .014),更高的社会支持满意度(β = .15,p = .031),每天或更多地祈祷(β = .17,p = .021)和较低的消极宗教应对得分(β = −.18,p = .014)。临床医生应在ART治疗咨询期间评估/解决这些因素。
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引用次数: 2
The Frightening Rise of HIV in Pakistan and the Need for Immediate Remediation 艾滋病毒在巴基斯坦的可怕上升和立即补救的必要性
IF 0.7 Q4 SOCIAL WORK Pub Date : 2018-10-02 DOI: 10.1080/15381501.2018.1514345
G. Nabi, R. McLaughlin, M. Waqar, Suliman Khan, S. Ullah
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引用次数: 3
HIV in Faith Communities: Utilizing Clergy as opinion leaders to reduce HIV/AIDS stigma 信仰团体中的HIV:利用神职人员作为意见领袖来减少HIV/AIDS的污名
IF 0.7 Q4 SOCIAL WORK Pub Date : 2018-10-02 DOI: 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.
摘要艾滋病毒/艾滋病继续以不成比例的比率影响有色人种社区。黑人教会仍然是非裔美国人社区中最具影响力的机构。这一单一机构有能力影响污名和信念,以改变人们对直接受这种疾病影响的人和家庭的看法。本研究简报以创新理论为框架,描述了一项培训,旨在让神职人员成为影响其会众和周围社区的催化剂,了解制定应对艾滋病毒/艾滋病措施的重要性。培训描述了准备好的会众信仰领袖,他们提出了发展布道的建议,并提出了切实可行的建议,以帮助了解教会在制定应对非裔美国人社区消除艾滋病毒的措施方面至关重要的原因。
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引用次数: 0
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 在阿格拉综合咨询和检测中心与男性发生性关系的男性中艾滋病毒和梅毒感染的流行率:与印度其他地区的研究比较
IF 0.7 Q4 SOCIAL WORK Pub Date : 2018-08-03 DOI: 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.
摘要在印度,男男性行为者是一组长期被忽视的高危人群。污名化、歧视和将男性之间的性行为定为犯罪的法律破坏了获得艾滋病毒/艾滋病和其他医疗服务的机会。在这项研究中,我们确定了2009-2011年期间在阿格拉综合咨询与检测中心(ICTC)就诊的一组MSM中HIV和梅毒感染的血清流行率和风险因素。结果已与该国其他地区的结果进行了比较。在非政府组织Khushi注册的277名MSM参与了一个靶向干预(TI)项目,他们接受了艾滋病毒和性病研究实验室(VDRL)感染检测。记录了社会地理概况、风险因素、性身份、获得一般医疗保健的机会以及以前的艾滋病毒和/或性传播感染(STI)检测等。MSM中HIV和梅毒感染率分别为11.9%(33/277)和11.1%(31/277)。其中74%的人年龄在15-35岁之间 年,文盲,没有特定的工作。酒精、药物滥用和高风险行为很常见,因为他们更喜欢分组。70%的艾滋病毒阳性MSM,87%的性传播疾病患者未婚且有多个伴侣。一些MSM已婚并处于双性恋关系中,他们可能是男女之间的重要桥梁。这一群体中艾滋病毒和性传播疾病的高流行率强调了公共卫生干预措施的必要性,这些干预措施旨在减少危险行为、教育和咨询,以敦促他们在需要时寻求医疗保健建议。
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引用次数: 2
Syndemic factors and HIV infection among men who have sex with men in Taiwan 台湾男性性行为人群的综合征因素与HIV感染
IF 0.7 Q4 SOCIAL WORK Pub Date : 2018-06-01 DOI: 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.
摘要我们检验了综合征理论在台湾男男性行为者(MSM)中的适用性。200名男男性行为者(平均年龄 = 27.1年),大多数人(54%)至少经历过一次由于问题药物使用、亲密伴侣暴力或艾滋病毒污名化而造成的综合征负担。在多变量分析中,有一种或多种综合征负担的男男性行为者HIV阳性的几率高出三倍以上。台湾男男性行为者同时发生的心理社会健康状况对艾滋病毒感染的影响表明,识别和参与艾滋病毒阳性男男性行为者进行有效治疗,并更广泛地实施干预措施以减少综合征负担的重要性。
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引用次数: 4
Utilization of Ryan White-funded mental health services and mental health functioning among people living with HIV in New York City Ryan White资助的纽约市艾滋病毒感染者心理健康服务和心理健康功能的利用情况
IF 0.7 Q4 SOCIAL WORK Pub Date : 2018-03-12 DOI: 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.
很少有研究调查了艾滋病毒感染者(PLWH)心理健康服务利用与健康/心理健康结果之间的关系。需要进行这样的研究,以便为这一人群提供心理健康服务,特别是在确定将导致临床显著改善的治疗剂量方面。我们调查了纽约市429名PLWH的心理健康服务利用与心理健康功能之间的关系。其中,40% (n = 170)表现出心理健康功能的改善(SF-12的心理成分总结得分增加≥3.5分)。在一项多变量分析中,与低利用水平(25%)的个体相比,中等(38%)和高(37%)心理健康服务利用水平的个体在心理健康功能方面的改善比例更高。未来的分析应包括额外的随访期,以评估一段时间内服务利用模式及其与心理健康功能的关系。
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引用次数: 1
Mental health screening in integrated care settings: Identifying rates of depression, anxiety, and posttraumatic stress among youth with HIV 综合护理环境中的心理健康筛查:确定艾滋病毒感染青年的抑郁、焦虑和创伤后压力发生率
IF 0.7 Q4 SOCIAL WORK Pub Date : 2018-03-12 DOI: 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.
摘要艾滋病毒感染青年(YLWH)的抑郁、焦虑和创伤后应激障碍(PTSD)发生率高于普通人群。目前,有针对YLWH的抑郁症筛查指南,但没有针对焦虑和创伤后应激障碍的指南。这项研究检查了YLWH进行的全面心理健康筛查的数据,其中包括抑郁、焦虑和创伤后应激障碍的测量。抑郁症、焦虑症和创伤后应激障碍的阳性筛查者比例分别为35%、25.7%和20.6%。年龄较大的参与者报告了更多的抑郁和焦虑症状。受教育程度较低的参与者报告了更多的创伤后应激障碍症状。这些发现支持了对YLWH进行普遍和全面的心理健康筛查的必要性。
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引用次数: 9
Social Perceptions of HIV/AIDS among the Wayuu of Colombia 哥伦比亚Wayuu人对艾滋病毒/艾滋病的社会认知
IF 0.7 Q4 SOCIAL WORK Pub Date : 2018-03-12 DOI: 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.
了解土著居民如何看待艾滋病毒/艾滋病与实施文化上适当的干预措施高度相关。该研究分析了哥伦比亚土著瓦尤社区从其社会文化现实和对这种疾病的认识出发,在社会上看待和应对艾滋病毒/艾滋病的方式。它分析了来自9个焦点小组和29个半结构化访谈的定性数据。瓦尤人认为艾滋病毒/艾滋病是一种“疾病”,它是无法治愈的,致命的,是由非瓦尤人传播的,超出了他们的理解范围。他们对艾滋病毒/艾滋病的看法似乎与西方社会过去对未知或被误解的流行病的看法相似。
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引用次数: 1
期刊
Journal of HIV-AIDS & Social Services
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