Pub Date : 2022-01-02DOI: 10.1080/15381501.2021.2016538
Jessica E. Mandell, Kathryn H. Howell, Lauren M. Schaefer, Robin N. Hardin, I. Thurston
Abstract Mothers Living with HIV (MLH) are vulnerable to stressors associated with motherhood and chronic illness. Strong familial support is related to decreased risk for developing mental and physical health problems. While support systems of MLH are disproportionately comprised of their children, research on social support of MLH has primarily focused on HIV status disclosure to supportive networks, with limited work exploring other aspects of family social support. The current pilot study explored associations between familial social support and personal (spirituality, depressive symptoms), relational (parenting practices), and environmental (friend support, community cohesion) factors among 55 MLH. A three-step hierarchical regression model was examined and showed that greater positive parenting, less negative parenting, and greater community cohesion were significantly associated with higher familial social support. Findings highlight the importance of relational and environmental determinants of social support and suggest potential avenues for prevention and intervention among MLH.
{"title":"Social support for mothers living with HIV: A pilot investigation of the beneficial roles of positive parenting and community cohesion","authors":"Jessica E. Mandell, Kathryn H. Howell, Lauren M. Schaefer, Robin N. Hardin, I. Thurston","doi":"10.1080/15381501.2021.2016538","DOIUrl":"https://doi.org/10.1080/15381501.2021.2016538","url":null,"abstract":"Abstract Mothers Living with HIV (MLH) are vulnerable to stressors associated with motherhood and chronic illness. Strong familial support is related to decreased risk for developing mental and physical health problems. While support systems of MLH are disproportionately comprised of their children, research on social support of MLH has primarily focused on HIV status disclosure to supportive networks, with limited work exploring other aspects of family social support. The current pilot study explored associations between familial social support and personal (spirituality, depressive symptoms), relational (parenting practices), and environmental (friend support, community cohesion) factors among 55 MLH. A three-step hierarchical regression model was examined and showed that greater positive parenting, less negative parenting, and greater community cohesion were significantly associated with higher familial social support. Findings highlight the importance of relational and environmental determinants of social support and suggest potential avenues for prevention and intervention among MLH.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42963595","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 : 2022-01-01DOI: 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.
{"title":"Nutritional status and its associated factors among HIV adolescents on second line regimen at Pediatric Infectious Diseases Clinic in Uganda","authors":"D. Dave, Ainembabazi Provia, N. Nakiddu, Erin Sodawasser, Katrina Harper, J. Ssenkusu, S. Kitaka, M. Nicol, J. Musaazi, C. Sekaggya","doi":"10.1080/15381501.2021.2015503","DOIUrl":"https://doi.org/10.1080/15381501.2021.2015503","url":null,"abstract":"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.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45318181","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 : 2022-01-01DOI: 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.
{"title":"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.","authors":"Jincong Q Freeman, Lindsay Trujillo, Amy R Baugher","doi":"10.1080/15381501.2021.2015504","DOIUrl":"https://doi.org/10.1080/15381501.2021.2015504","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10425776/pdf/nihms-1921924.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10022055","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 : 2021-12-10DOI: 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.
{"title":"Predictors of risky sexual behavior among students aged 15 to 24 years in the Suhum municipality, Eastern region of Ghana","authors":"Titus Bediako-Puni Anokye, Veronica O. Charles-Unadike, Judith A. Anaman-Torgbor, E. Tarkang","doi":"10.1080/15381501.2021.2007197","DOIUrl":"https://doi.org/10.1080/15381501.2021.2007197","url":null,"abstract":"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.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41744715","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 : 2021-10-02DOI: 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.
{"title":"“I shall conquer and prevail” – art and stories of resilience and resistance of the women, ART and criminalization of HIV (WATCH) study","authors":"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","doi":"10.1080/15381501.2021.1994085","DOIUrl":"https://doi.org/10.1080/15381501.2021.1994085","url":null,"abstract":"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.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46343240","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 : 2021-10-02DOI: 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.
{"title":"The utilization profile of place for HIV testing in Indonesia: A nationwide study","authors":"N. Olii, H. Arifin, Y. Kurniawati, Puspita Sukmawaty Rasyid, Bun Yamin M. Badjuka, Bih-O Lee","doi":"10.1080/15381501.2021.1988026","DOIUrl":"https://doi.org/10.1080/15381501.2021.1988026","url":null,"abstract":"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.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48084589","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 : 2021-10-02DOI: 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.
{"title":"Public contracting with civil society organizations for HIV/AIDS service provisions: A key strategy to ending AIDS in Thailand","authors":"N. Pudpong, Shaheda Viriyathorn, Y. Wanwong, W. Witthayapipopsakul, Waritta Wangbanjongkun, W. Patcharanarumol, V. Tangcharoensathien","doi":"10.1080/15381501.2021.1986188","DOIUrl":"https://doi.org/10.1080/15381501.2021.1986188","url":null,"abstract":"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.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45046995","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 : 2021-10-02DOI: 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.
{"title":"A mathematical model of how non-adherence to HIV management guidelines for infected newborns contribute to the spread of HIV/AIDS","authors":"O. Apenteng, M. P. Kwabla, N. Ismail, K. Gold","doi":"10.1080/15381501.2021.2000545","DOIUrl":"https://doi.org/10.1080/15381501.2021.2000545","url":null,"abstract":"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.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42014417","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 : 2021-10-02DOI: 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.
{"title":"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","authors":"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","doi":"10.1080/15381501.2021.1999361","DOIUrl":"https://doi.org/10.1080/15381501.2021.1999361","url":null,"abstract":"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.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41961165","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 : 2021-10-02DOI: 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.
{"title":"Project Silk: A youth-centered structural HIV intervention model for Black men who have sex with men and transgender women","authors":"Sarah E. Krier, B. Adams, Christian J. Chandler, Daniel Jacobson López, M. Friedman","doi":"10.1080/15381501.2021.1986189","DOIUrl":"https://doi.org/10.1080/15381501.2021.1986189","url":null,"abstract":"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.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42068873","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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