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Nutritional status and its associated factors among HIV adolescents on second line regimen at Pediatric Infectious Diseases Clinic in Uganda 乌干达儿科传染病诊所二线方案HIV青少年的营养状况及其相关因素
IF 0.7 Q4 SOCIAL WORK Pub Date : 2022-01-01 DOI: 10.1080/15381501.2021.2015503
D. Dave, Ainembabazi Provia, N. Nakiddu, Erin Sodawasser, Katrina Harper, J. Ssenkusu, S. Kitaka, M. Nicol, J. Musaazi, C. Sekaggya
Abstract We performed a cross-sectional study to describe the nutritional status among HIV positive adolescents on Atazanavir-based regimen attending Pediatric Infectious Diseases Clinic (PIDC), in which 132 adolescents were included. Undernutrition was defined as a binary composite outcome (thinness or stunting): 28% were undernourished, 7.25% were thin, and 25% were stunted. Adolescents with no parent were more likely to be undernourished (APR: 2.50, 95% CI: 1.15–5.39, p-value = .020). Adolescents who had attained at least secondary education were less likely to be undernourished (APR: 0.54, CI:0.32–0.92, p-value = .024). Prevalence of undernutrition observed among HIV positive adolescents was lower compared to other studies. However, this is still high for an urban center, and this is concerning with increasing rates of drug resistance in an era of increased ART accessibility. This calls for more support and appropriate interventions for further optimizing nutrition care among adolescents on HIV treatment to mitigate the rise of resistance to second line regimens.
摘要:我们进行了一项横断面研究,描述了在儿科传染病诊所(PIDC)接受阿扎那韦治疗的HIV阳性青少年的营养状况,其中包括132名青少年。营养不良被定义为二元复合结果(消瘦或发育不良):28%的人营养不良,7.25%的人消瘦,25%的人发育不良。没有父母的青少年更容易营养不良(APR: 2.50, 95% CI: 1.15-5.39, p值= 0.020)。至少接受过中等教育的青少年营养不良的可能性较小(APR: 0.54, CI: 0.32-0.92, p值= 0.024)。与其他研究相比,在艾滋病毒阳性青少年中观察到的营养不良患病率较低。然而,对于一个城市中心来说,这一比例仍然很高,这与在抗逆转录病毒治疗可及性提高的时代,耐药性不断上升有关。这就要求提供更多的支持和适当的干预措施,进一步优化接受艾滋病毒治疗的青少年的营养护理,以减轻对二线治疗方案的耐药性上升。
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引用次数: 0
Prevalence of and racial/ethnic differences in sexuality disclosure among men who have sex with men in 23 U.S. cities-National HIV Behavioral Surveillance, 2017. 美国23个城市男同性恋者性行为披露的流行程度和种族/民族差异——全国艾滋病病毒行为监测,2017。
IF 0.7 Q4 SOCIAL WORK Pub Date : 2022-01-01 DOI: 10.1080/15381501.2021.2015504
Jincong Q Freeman, Lindsay Trujillo, Amy R Baugher

Sexuality disclosure among men who have sex with men (MSM) is key in access to HIV prevention services. We used weighted 2017 data from National HIV Behavioral Surveillance to investigate prevalence of, and racial/ethnic differences in, sexuality disclosure among MSM. Of 10,753 MSM, 89.4% (95% CI: 88.5-90.3%) had disclosed their sexuality to any non-lesbian, gay, or bisexual (LGB) friends, 85.9% (95% CI: 84.8-87.0%) had disclosed their sexuality to any family members, and 82.8% (95% CI: 81.6-83.9%) had disclosed their sexuality to any health care providers. Although most MSM had disclosed, 23.8% (95% CI: 22.4-25.1%) had not disclosed to at least one of the three groups. Black, Hispanic/Latino, or Asian MSM were less likely than White MSM to have disclosed their sexuality to any non-LGB friends, any family members, or any health care providers, after adjusting for age and region. We found high prevalence of sexuality disclosure among MSM, but racial/ethnic differences persist. Strategies and interventions to promote sexuality disclosure among MSM are needed.

男男性行为者(MSM)的性行为披露是获得艾滋病毒预防服务的关键。我们使用2017年全国艾滋病毒行为监测的加权数据来调查MSM中性行为披露的流行程度和种族/民族差异。在10,753名男同性恋者中,89.4% (95% CI: 88.5-90.3%)向任何非女同性恋、男同性恋或双性恋(LGB)朋友透露过性取向,85.9% (95% CI: 84.8-87.0%)向任何家庭成员透露过性取向,82.8% (95% CI: 81.6-83.9%)向任何医疗保健提供者透露过性取向。虽然大多数男男性行为者已经披露,但23.8% (95% CI: 22.4-25.1%)的人没有向三组中的至少一组披露。在调整了年龄和地区后,黑人、西班牙裔/拉丁裔或亚洲男同性恋者比白人男同性恋者更不可能向任何非lgb的朋友、任何家庭成员或任何医疗保健提供者透露自己的性取向。我们发现男男性接触者的性取向公开率很高,但种族/民族差异仍然存在。需要采取策略和干预措施来促进男男性行为者的性行为披露。
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引用次数: 0
Predictors of risky sexual behavior among students aged 15 to 24 years in the Suhum municipality, Eastern region of Ghana 加纳东部苏胡姆市15至24岁学生危险性行为的预测因素
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-12-10 DOI: 10.1080/15381501.2021.2007197
Titus Bediako-Puni Anokye, Veronica O. Charles-Unadike, Judith A. Anaman-Torgbor, E. Tarkang
Abstract Background Sexual behavior among youths has been a focus of health programmes worldwide. Risky sexual behaviors among youth in sub-Saharan Africa (SSA) predispose them to HIV infection. The current study determined the predictors of risky sexual behavior among students aged 15–24 years in the Suhum Municipality, Ghana guided by the Health Belief Model (HBM). Methods The study employed a cross-sectional design, collecting data using a structured pretested questionnaire and analyzing them using SPSS version 20 software program at the level 0.05. Results The overall prevalence of risky sexual behavior was 59.1% among the participants. None of the constructs of the HBM was statistically associated with risky sexual behavior. However, participants who perceived that they were at risk of contracting HIV and who perceived HIV/AIDS to have severe consequences were more likely to practice safe sexual behavior. Conclusion Health promotion programmes should aim at increasing youths’ perception of the threat posed by HIV/AIDS.
摘要背景年轻人的性行为一直是世界各地健康计划的重点。撒哈拉以南非洲青年的危险性行为使他们容易感染艾滋病毒。目前的研究确定了15-24岁学生危险性行为的预测因素 在健康信念模型(HBM)的指导下,在加纳苏胡姆市工作了多年。方法采用横断面设计,采用结构化的预测问卷收集数据,并使用SPSS 20版软件程序进行0.05级分析。结果参与者危险性行为的总体发生率为59.1%。HBM的结构在统计学上均与危险性行为无关。然而,那些认为自己有感染艾滋病毒的风险并认为艾滋病毒/艾滋病会造成严重后果的参与者更有可能采取安全的性行为。结论健康促进方案应旨在提高青年人对艾滋病毒/艾滋病威胁的认识。
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引用次数: 0
The utilization profile of place for HIV testing in Indonesia: A nationwide study 印度尼西亚艾滋病毒检测场所的利用概况:一项全国性研究
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-10-02 DOI: 10.1080/15381501.2021.1988026
N. Olii, H. Arifin, Y. Kurniawati, Puspita Sukmawaty Rasyid, Bun Yamin M. Badjuka, Bih-O Lee
Abstract Utilization of health facilities for HIV testing is an important indicator to record and track the spread and infection of HIV in Indonesia. This study aimed to determine the description of the utilization of places for HIV test in Indonesia nationwide. An analytical descriptive study was undertaken. Data from Indonesia Demographic Health Survey was used with total of 22,193 respondents aged 15–54 years. We used Descriptive and logistic regression to analyze the data with p < .05. The most respondents were taken for HIV testing in government hospital (72.87%) and other places were very low. We found that respondents aged 50–54 years were more likely to be with a doctor as a place for HIV testing (AOR: 1.76, 95%CI:1.06–2.93). Planning for comprehensive and reaching remote areas with culture-based strategy in Indonesia needs attention and health education about the HIV testing for screening, prevention, and management needs to be optimized.
利用卫生机构进行艾滋病毒检测是记录和跟踪印度尼西亚艾滋病毒传播和感染的重要指标。本研究旨在确定印度尼西亚全国艾滋病毒检测场所利用情况的描述。进行了一项分析性描述性研究。数据来自印度尼西亚人口健康调查,共有22 193名年龄在15-54岁之间的受访者。我们采用描述性和逻辑回归对数据进行分析,p < 0.05。在公立医院接受艾滋病毒检测的人数最多(72.87%),其他地方的比例很低。我们发现50-54岁的受访者更有可能与医生一起进行艾滋病毒检测(AOR: 1.76, 95%CI: 1.06-2.93)。在印度尼西亚,以文化为基础的战略规划全面和覆盖偏远地区的工作需要得到重视,有关艾滋病毒检测的健康教育需要得到优化,以便进行筛查、预防和管理。
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引用次数: 2
“I shall conquer and prevail” – art and stories of resilience and resistance of the women, ART and criminalization of HIV (WATCH) study “我将征服并获胜”-妇女的韧性和抵抗的艺术和故事,抗逆转录病毒治疗和艾滋病毒定罪(观察)研究
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-10-02 DOI: 10.1080/15381501.2021.1994085
S. Greene, Apondi J. Odhiambo, M. Muchenje, V. Nicholson, K. Shore, Renata Hall, Sheila A. Nyman, A. Ion, Jasmine Cotnam, Peggy Frank, K. Dunn, Shelly Glum, A. Symington, Rebecca Gormley, A. Kaida
Abstract In Canada, sexual assault laws have been used to criminalize people who do not disclose their HIV status to partners prior to sex that presents a “realistic possibility of transmission.” Women, ART, and the Criminalization of HIV (WATCH) is a community arts-based study focusing on the impacts of criminalization of HIV non-disclosure, including access of familial, community, and social service support. Seven Body Mapping workshops were held with 48 women from Ontario, Manitoba, Saskatchewan, and British Columbia. Participants were guided through visual art exercises to create a Body Map, and connected images to personal stories through Sharing Circles. In feminist participatory analysis, connections between personal well-being, resilience, and resistance surfaced as dominant themes. Culturally relevant approaches to care that recognize and build on narratives of resilience and resistance in the lives of women living with HIV is of particular significance to social work and allied social service professionals.
在加拿大,性侵犯法被用来将那些在发生性行为之前没有向伴侣透露自己的艾滋病毒状况的人定为犯罪,因为这种行为存在“传播的现实可能性”。妇女、抗逆转录病毒治疗和艾滋病毒刑事定罪(WATCH)是一项以社区艺术为基础的研究,重点关注艾滋病毒保密刑事定罪的影响,包括获得家庭、社区和社会服务支持。来自安大略省、马尼托巴省、萨斯喀彻温省和不列颠哥伦比亚省的48名妇女参加了7次身体测绘讲习班。参与者通过视觉艺术练习来绘制身体地图,并通过分享圈子将图像与个人故事联系起来。在女权主义参与性分析中,个人幸福、韧性和抵抗之间的联系成为主导主题。与文化相关的护理方法对社会工作和相关社会服务专业人员具有特别重要的意义,这些方法承认并建立在艾滋病毒感染妇女生活中的复原力和抵抗力的叙述之上。
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引用次数: 3
Public contracting with civil society organizations for HIV/AIDS service provisions: A key strategy to ending AIDS in Thailand 与民间社会组织签订提供艾滋病毒/艾滋病服务的公共合同:泰国消除艾滋病的一项关键战略
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-10-02 DOI: 10.1080/15381501.2021.1986188
N. Pudpong, Shaheda Viriyathorn, Y. Wanwong, W. Witthayapipopsakul, Waritta Wangbanjongkun, W. Patcharanarumol, V. Tangcharoensathien
Abstract Civil Society organisations (CSOs) play a vital role in supporting HIV/AIDS prevention as they have an advantage over public providers in reaching out and maintaining relationships with key populations (KPs). We assessed the National Health Security Office (NHSO)’s contractual arrangement with CSOs for Reach-Recruit-Test-Treat-Retain (RRTTR) services, identifies gaps and recommends strategies for improvement. Document reviews, in-depth interviews with 31 key informants, and inductive thematic analysis were performed. Stakeholder consultation was convened to validate and improve recommendations. Effective contracting is characterized by (1) engagement with partners in identifying annual targets of KPs in regard to the CSO capacity, budget allocation, term and conditions and clear role of each stakeholder; (2) clear and transparent CSO selection process; (3) pre-award assessment of CSOs’ capacity; (4) effective and timely payments; (5) monitoring and evaluation of CSOs’ performances and support capacity building; and (6) a national project manager designated to manage contracting and performance assessment.
公民社会组织(cso)在支持艾滋病毒/艾滋病预防方面发挥着至关重要的作用,因为它们在接触和维持与关键人群(KPs)的关系方面比公共提供者具有优势。我们评估了国家卫生安全办公室(NHSO)与公民社会组织(cso)就“到达-招募-测试-治疗-保留”(RRTTR)服务的合同安排,确定了差距并建议了改进策略。进行了文献审查、对31名关键举报人的深度访谈和归纳性专题分析。召开了利益相关者磋商会,以验证和改进建议。有效合同的特点是:(1)与合作伙伴共同确定关键项目的年度目标,包括CSO能力、预算分配、条款和条件以及每个利益相关者的明确角色;(2)清晰透明的公民社会组织遴选过程;(3)对公民社会组织能力的评奖前评估;(四)付款有效、及时;(5)公民社会组织绩效监测与评价与支持能力建设;(6)指定一名全国项目经理,负责管理承包和绩效考核。
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引用次数: 1
A mathematical model of how non-adherence to HIV management guidelines for infected newborns contribute to the spread of HIV/AIDS 关于不遵守受感染新生儿艾滋病毒管理准则如何导致艾滋病毒/艾滋病传播的数学模型
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-10-02 DOI: 10.1080/15381501.2021.2000545
O. Apenteng, M. P. Kwabla, N. Ismail, K. Gold
Abstract Each year, millions of children are born with human immunodeficiency virus (HIV), a quarter of whom adhere poorly to HIV treatment guidelines. This study uses a simple mathematical model to investigate the basic dynamic processes by which infected newborns under treatment progress to AIDS and contribute to its spread. The results indicate that the disease-free steady state is unstable, raising substantial concern from the public health point of view. The results show that the fraction of newborns who fail to adhere to the HIV management guidelines (30%) significantly contributes to the spread of HIV. However, the rate of HIV-positive newborns under treatment therapy is significant. This study agrees that only a small proportion of HIV-positive newborns adhere to management guidelines. These analyses should yield significant knowledge to advance our understanding of HIV infection in the early stages of life.
每年,数以百万计的儿童出生时携带人类免疫缺陷病毒(HIV),其中四分之一的人不遵守HIV治疗指南。本研究使用一个简单的数学模型来研究接受治疗的受感染新生儿发展为艾滋病并促进其传播的基本动态过程。结果表明,无病稳定状态是不稳定的,从公共卫生的角度引起了重大关注。结果表明,不遵守艾滋病毒管理指南的新生儿比例(30%)大大促进了艾滋病毒的传播。然而,接受治疗的艾滋病毒阳性新生儿的比率很高。这项研究表明,只有一小部分艾滋病毒阳性新生儿遵守了管理指南。这些分析将产生重要的知识,以促进我们对生命早期阶段艾滋病毒感染的理解。
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引用次数: 0
Development of a survey tool for assessing life traumas and barriers to HIV care in a center of excellence for HIV/AIDS in Appalachian Tennessee 开发一种调查工具,用于评估田纳西州阿巴拉契亚艾滋病毒/艾滋病卓越中心的生活创伤和艾滋病毒护理障碍
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-10-02 DOI: 10.1080/15381501.2021.1999361
Elaine L. Rombach, Melissa White, Emmitt Turner, Morgan K. Jones, H. Mamudu, Lisa Bynum, Roxanne F Underwood, L. Dotson, James L. Adkins, Joy M. Bohannon, Stephanie M. Mathis, Kelly Foster, R. Pack, J. Moorman, Shimin Zheng, M. Quinn
Abstract Introduction A culturally competent survey currently does not exist to characterize the burden of Adverse Childhood Experiences (ACEs) among a HIV/AIDS population receiving care at a local Center of Excellence (COE). Methods A qualitative study was conducted including 11 interviews involving opinions on national surveillance questions to develop a culturally competent survey. Purposive sampling, reactive probing, and analysis of transcribed interviews were completed using structured coding to determine which questions were kept, modified, or removed in the final survey. Results The final 55-question survey contained more generalized ACE questions, topics pertaining to barriers to HIV care, and a list that patients could select from to indicate what they need to improve their HIV care. Conclusion The final survey provided the opportunity to characterize the burden of ACEs at a COE. Future directions involve piloting the survey as a quality improvement tool with the goal of increasing retention rates through more individualized HIV care.
摘要简介目前还没有一项具有文化能力的调查来描述在当地卓越中心(COE)接受护理的艾滋病毒/艾滋病人群中儿童不良经历(ACE)的负担。方法进行一项定性研究,包括11次访谈,涉及对国家监测问题的意见,以制定一项文化能力调查。使用结构化编码完成对转录访谈的目的性抽样、反应性探究和分析,以确定在最终调查中保留、修改或删除了哪些问题。结果最后55个问题的调查包含了更广泛的ACE问题、与HIV护理障碍有关的主题,以及患者可以从中选择的列表,以表明他们需要改进HIV护理。结论最终的调查为描述COE中ACE的负担提供了机会。未来的方向包括将该调查作为一种质量改进工具进行试点,目的是通过更个性化的HIV护理来提高保留率。
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引用次数: 0
Project Silk: A youth-centered structural HIV intervention model for Black men who have sex with men and transgender women 丝绸项目:一个以青年为中心的结构性艾滋病干预模式,针对黑人男男性行为者和变性女性
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-10-02 DOI: 10.1080/15381501.2021.1986189
Sarah E. Krier, B. Adams, Christian J. Chandler, Daniel Jacobson López, M. Friedman
Abstract In the United States, young Black men who have sex with men (YBMSM) and young Black transgender women (YBTW) are disproportionately impacted by HIV. However, few evidence-based models developed specifically by and for YBMSM and YBTW communities across the HIV prevention and care continuum exist. The objective of this paper is to describe a comprehensive youth-centered structural HIV intervention model that combines structural and behavioral high-impact prevention to provide a recreation-based community health space for YBMSM and YBTW. Project Silk pairs recreational activities with HIV and STI prevention, counseling, testing, and referral services on- and off-site, nested HIV care linkage/re-engagement, onsite ancillary broad-spectrum social services and mental health care, and social support and social capital initiatives intended to facilitate HIV risk reduction. By incorporating strongly targeted recruitment and engagement strategies and local tailoring, this innovative structural model can be deployed at scale for communities in where programmatic infrastructure is lacking.
在美国,年轻的黑人男男性行为者(YBMSM)和年轻的黑人跨性别女性(YBTW)受到艾滋病毒的影响不成比例。然而,在艾滋病毒预防和护理连续体中,很少有专门由YBMSM和YBTW社区开发的循证模型。本文的目的是描述一个综合的以青年为中心的结构性艾滋病干预模型,该模型结合了结构和行为的高影响预防,为YBMSM和YBTW提供了一个基于娱乐的社区卫生空间。Silk项目将娱乐活动与艾滋病毒和性传播感染预防、咨询、检测和现场内外转诊服务、嵌套艾滋病毒护理联系/再参与、现场辅助广域社会服务和精神卫生保健以及旨在促进降低艾滋病毒风险的社会支持和社会资本倡议结合起来。通过结合针对性强的招聘和参与策略以及当地定制,这种创新的结构模式可以在缺乏程序性基础设施的社区大规模部署。
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引用次数: 2
Development of a text-based chatroom HIV prevention and confidence-building intervention for same-sex attracted young males in South England 开发基于文本的聊天室艾滋病毒预防和建立信任干预同性恋吸引的年轻男性在南英格兰
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-07-03 DOI: 10.1080/15381501.2021.1962473
Daniel P. Baker, G. Ussher, K. Rimes
Abstract The aim of this study was to develop a virtual youth center, providing a safe and supportive online space for sexual minority young men to talk and learn about HIV, sexuality, relationships and sex – topics rarely addressed inclusively in mainstream education. Eleven male participants aged 15–19 years living in South England completed the full programme of three text-based chatroom sessions. Participants were guided through discussions to introduce new knowledge and build emotional resilience. Self-report measures were taken before and after the programme. Recruitment to the project was challenging owing, in large part, to appropriately rigorous safeguarding protocols. All those taking part either maintained or improved their level of HIV knowledge and felt more confident about their sexuality. Participants described the experience as “informative” and “enjoyable”. Further iterations of the model could seek to measure behavioral change and use more robust evaluation methods, such as a comparison group.
摘要本研究的目的是开发一个虚拟青年中心,为性少数群体青年男性提供一个安全和支持性的在线空间,让他们谈论和学习艾滋病毒、性行为、人际关系和性——这些话题在主流教育中很少被包容性地提及。11名15-19岁的男性参与者 在南英格兰生活的几年完成了三次基于文本的聊天室会议的完整计划。通过讨论引导参与者介绍新知识并建立情绪恢复能力。方案前后都采取了自我报告措施。该项目的招聘工作具有挑战性,这在很大程度上是由于适当严格的保障协议。所有参与者要么保持或提高了他们对艾滋病毒的了解水平,对自己的性取向更有信心。与会者称这次体验“内容丰富”且“令人愉快”。该模型的进一步迭代可以寻求测量行为变化,并使用更稳健的评估方法,如比较组。
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引用次数: 1
期刊
Journal of HIV-AIDS & Social Services
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