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Misconceptions about HIV infection and testing services: A qualitative pilot survey in Lagos 对艾滋病毒感染和检测服务的误解:拉各斯的一项定性试点调查
IF 0.7 Q4 SOCIAL WORK Pub Date : 2020-10-01 DOI: 10.1080/15381501.2020.1836543
K. Wright, M. Dairo, Babatunde A. Odugbemi, F. Adepoju, Bisola I Adebayo, Temitope O. Durojaiye, Y. Shogbamimu, O. Odusanya, O. Idris
Abstract Aim The aim of this study was to assess the perception and utilization of HIV services in Lagos Nigeria. Methods One focus group discussion (FGD) and three key informant interviews (KIIs) were conducted in each of the three LGAs in the state. Results A high level of awareness of HIV was observed among the participants. However, risk perception was varied with some members of the community refusing to believe that HIV is real and some misconceptions about risk factors. The availability of testing and treatment centers was not well known to a number of the respondents. Stigmatization of those infected is still high due to the perceived high transmissibility of the disease. Conclusion There is need for the Lagos State government to leverage on all existing health facilities in the state for the provision of HIV testing services and focus efforts on removing misconceptions and stigmatization of those infected with HIV.
摘要目的本研究的目的是评估尼日利亚拉各斯艾滋病服务的认知和利用。方法采用1次焦点小组讨论(FGD)和3次关键线人访谈(KIIs)。结果参试人群对艾滋病的认知水平较高。然而,对风险的认识各不相同,一些社区成员拒绝相信艾滋病毒是真实存在的,对风险因素存在一些误解。一些答复者并不十分了解检测和治疗中心的可用性。由于这种疾病的高传播性,对感染者的污名化程度仍然很高。拉各斯州政府有必要利用该州所有现有的卫生设施提供艾滋病毒检测服务,并集中精力消除对艾滋病毒感染者的误解和污名化。
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引用次数: 0
Perceptions of black men who have sex with men about accessing and taking PrEP: A qualitative study 与男性发生性关系的黑人男性对获得和服用PrEP的看法:一项定性研究
IF 0.7 Q4 SOCIAL WORK Pub Date : 2020-10-01 DOI: 10.1080/15381501.2020.1824843
L. Remy, W. Majee, M. Teti, M. Enriquez
Abstract Black men who have sex with men (MSM) have a 1 in 2 lifetime risk of acquiring HIV infection; yet are underrepresented in biomedical HIV prevention behaviors. In-depth interviews were conducted with Midwestern Black MSM (n = 12) taking PrEP for more than one year. A strength of this study was that it utilized qualitative methodology, which allows the revelation of perceptions that researchers cannot predict a priori. Black MSM in this study were educated and privately insured; even so, an overarching theme that emerged was that obtaining PrEP was a “long, hard road.” Facilitators to PrEP access included having an important person, insight into stigma, wariness of sexual partners, and desire to be a part of something greater than oneself. Findings have important implications for research and clinical practice. Strategies that decrease healthcare system barriers and simplify PrEP access are urgently needed for MSM at risk for HIV acquisition.
黑人男男性行为者(MSM)终生感染HIV的风险为1 / 2;但在艾滋病毒生物医学预防行为方面的代表性不足。对服用PrEP一年以上的中西部黑人男男性接触者(n = 12)进行深度访谈。这项研究的优势在于它采用了定性方法,这使得研究人员无法先验地预测感知。本研究中的黑人男男性接触者受过良好教育并有私人保险;即便如此,出现的一个主要主题是获得PrEP是一条“漫长而艰难的道路”。促进PrEP获得的因素包括有一个重要的人,对耻辱的洞察力,对性伴侣的警惕,以及成为比自己更重要的事情的一部分的愿望。研究结果对研究和临床实践具有重要意义。对于有感染艾滋病毒风险的男男性行为者来说,迫切需要减少卫生保健系统障碍和简化PrEP获取的战略。
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引用次数: 1
Students’ behaviors in the context of the risk of HIV infection 学生在HIV感染风险背景下的行为
IF 0.7 Q4 SOCIAL WORK Pub Date : 2020-07-02 DOI: 10.1080/15381501.2020.1806165
Maria Łukaszek
Abstract The HIV infection rate in Poland is 3.3 per 100,000 and concerns mostly young adults. 2,764 students from 12 universities in the Podkarpackie region were examined. A high percentage of students had experiences of sexual contacts without condoms: vaginal contacts—40%, oral—22%, anal—14%, with strangers (8.3%) or little-known persons (9.6%), while alcohol-intoxicated (both partners—20.3%, one partner—14.8%) or drug-intoxicated (both partners—4%, one—4.2%). 3.8% admitted to having injected drugs, 1.2%—tattooed, and 4.9%—pierced in non-sterile conditions. Students who were not tested also displayed risky behaviors.
波兰的艾滋病毒感染率为每10万人3.3人,主要是年轻人。来自Podkarpackie地区12所大学的2764名学生接受了调查。很高比例的学生有过不使用避孕套的性接触经历:与陌生人(8.3%)或不知名的人(9.6%)发生阴道接触(40%,口服- 22%,肛门- 14%),而醉酒(双方- 20.3%,一方- 14.8%)或吸毒(双方- 4%,一方- 4.2%)。3.8%的人承认自己注射过毒品,1.2%的人纹身,4.9%的人在非无菌条件下穿孔。未接受测试的学生也表现出危险行为。
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引用次数: 1
Human immunodeficiency virus (HIV) stigma among general population in Isfahan metropolis in Central Iran 伊朗中部伊斯法罕大都市普通人群对人类免疫缺陷病毒(HIV)的耻辱感
IF 0.7 Q4 SOCIAL WORK Pub Date : 2020-07-02 DOI: 10.1080/15381501.2020.1785365
F. Ebrahimi, Setayesh Sindarreh, M. Nasirian
Abstract Background This study was aimed to evaluate stigma-related to HIV infection among the general population in Isfahan as a representative of Iran. Methods In order to conduct the cross-sectional study, 800 people with an age range of 18–73 years from 14 municipal regions of Isfahan were selected based on a multistage sampling. A standard questionnaire was used to evaluate HIV stigma in the general population in December 2017. Results The mean score (SD) of stigma toward PLHIV was 45.49 (9.17) out of 90. The prevalence of stigmatized attitudes was 18.97% among participants. Stigma’s score was correlated with the score of HIV knowledge, gender, and age. Conclusion The level of stigmatized attitude toward PLHIV was low among the general population in Isfahan. Given that there is still a stigma toward PLHIV in Isfahan as the representative of Iranian population, it is recommended to implement the population-based educational programs for decreasing HIV stigma.
摘要背景本研究旨在评估作为伊朗代表的伊斯法罕普通人群中与艾滋病毒感染相关的污名。方法为了进行横断面研究,800名年龄在18-73岁之间的人 来自伊斯法罕14个城市地区的年份是基于多阶段抽样选择的。2017年12月,使用标准问卷对普通人群中的艾滋病毒污名进行了评估。结果PLHIV污名的平均得分(SD)为45.49(9.17)(满分90分)。受试者中污名化态度的发生率为18.97%。Stigma的得分与艾滋病知识、性别和年龄的得分相关。结论伊斯法罕市普通人群对PLHIV的污名化程度较低。鉴于作为伊朗人口的代表,伊斯法罕仍然存在对PLHIV的污名,建议实施基于人口的教育计划,以减少对艾滋病毒的污名。
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引用次数: 2
Integrating community health workers into HIV care teams: Impact on HIV care outcomes 将社区卫生工作者纳入艾滋病毒护理小组:对艾滋病毒护理结果的影响
IF 0.7 Q4 SOCIAL WORK Pub Date : 2020-06-30 DOI: 10.1080/15381501.2020.1785364
M. Drainoni, Allyson L. Baughman, S. Bachman, Rachel Bowers-Sword, Melissa Davoust, Karen Fortu, P. Ni, S. Rajabiun, Maria Campos Rojo, Hill L. Wolfe, Linda S. Sprague Martinez
Abstract Objectives To assess the impact of a Community Health Worker (CHW) intervention within HIV primary care on patient outcomes. Methods We evaluated a 10-site initiative integrating CHWs into HIV care, examining changes in three outcomes: viral load suppression, a prescription for ART, and appointment attendance. We also assessed the relationship between the three outcomes and the number of CHW encounters. Results Of 397 participants, most were male and African-American. The mean days of encounters over the first 6 months was 11 per participant. All outcomes improved in the first 6 months: percent with a primary care visit from 49.9 to 84.7% (p < .000); percent with an active ART prescription from 66.9 to 91.3% (p < .000); percent virally suppressed from 22.4 to 43.7% (p < .000). No statistically significant relationship between number of encounters and improvement in outcomes was found. Conclusions CHW interventions in HIV primary care can lead to improvements in HIV outcomes.
摘要目的评估社区卫生工作者(CHW)在HIV初级保健中的干预对患者结果的影响。方法我们评估了一项将CHW纳入HIV护理的10个站点的倡议,检查了三个结果的变化:病毒载量抑制、ART处方和预约。我们还评估了这三种结果与CHW遭遇次数之间的关系。结果在397名参与者中,大多数是男性和非裔美国人。前6个月的平均接触天数为每位参与者11天。所有结果在前6个月都有所改善:初级保健就诊的百分比从49.9%提高到84.7%(p < .000);使用活性ART处方的百分比为66.9%至91.3%(p < .000);病毒抑制率从22.4%降至43.7%(p < .000)。在遭遇次数和结果改善之间没有发现统计学上的显著关系。结论CHW在HIV初级保健中的干预可以改善HIV的结果。
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引用次数: 11
“Where people are safe in their own homes:” The interplay of community factors and health among people living with HIV in the Deep South "人们在自己的家中是安全的:"社区因素与南方腹地艾滋病毒感染者健康之间的相互作用
IF 0.7 Q4 SOCIAL WORK Pub Date : 2020-04-02 DOI: 10.1080/15381501.2020.1765225
E. Kay, Yookyong Lee, K. Hauenstein, L. Jackson, E. Jackson, M. Fordham, Neil Rafferty, Ruth DeRamus, Rick Walton, M. Mugavero, D. Batey
Abstract Our aim was to explore the role of community factors in HIV health within the Deep South. We utilized community-based participatory research to qualitatively explore experiences and perceptions of 40 persons living with HIV (age ≥18) regarding their communities and HIV health. Participants identified community factors that were important for their health (e.g. social involvement) and those that were detrimental to their health (e.g. crime). It is important for HIV providers to be aware of the factors that may affect patients’ ability to remain engaged in care. Policymakers should consider the impact that community-level factors have on population health.
我们的目的是探讨社区因素在深南方地区艾滋病毒健康中的作用。我们利用基于社区的参与性研究定性地探讨了40名艾滋病毒感染者(年龄≥18岁)对其社区和艾滋病毒健康的体验和看法。参与者确定了对其健康重要的社区因素(如社会参与)和对其健康有害的社区因素(如犯罪)。对于艾滋病毒提供者来说,重要的是要意识到可能影响患者继续从事护理能力的因素。决策者应考虑社区层面因素对人口健康的影响。
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引用次数: 0
“Worn out”: Coping strategies for managing antiretroviral treatment fatigue among urban people of color living with HIV who were recently disengaged from outpatient HIV care “疲惫不堪”:应对最近脱离门诊艾滋病毒护理的城市有色人种艾滋病毒感染者抗逆转录病毒治疗疲劳的策略
IF 0.7 Q4 SOCIAL WORK Pub Date : 2020-04-02 DOI: 10.1080/15381501.2020.1767749
J. Jaiswal, M. Francis, S. N. Singer, K. Dunlap, A. Cox, R. Greene
Abstract Antiretroviral-related treatment fatigue is inconsistently defined in the literature on barriers to ART adherence. Research suggests that treatment fatigue is a salient challenge for people struggling with antiretroviral therapy adherence, but little is known about how people living with HIV attempt to manage this fatigue. Twenty-seven semi-structured interviews were conducted with low-income people of color living with HIV in NYC that were currently, or recently, disengaged from HIV care. The findings from this exploratory study suggest that treatment fatigue was common and that participants devised personal strategies to overcome it. These strategies included using reminder programs, requesting weekly rather than monthly pill quantities, and taking “pill holidays”. The varied nature- and varying levels of effectiveness- of these strategies highlight the need for specific programing to provide tailored support. Future research should examine treatment fatigue as a specific subtype of adherence challenge, and aim to define pill fatigue clearly.
摘要抗逆转录病毒相关的治疗疲劳在抗逆转录病毒疗法依从性障碍的文献中定义不一致。研究表明,治疗疲劳对坚持抗逆转录病毒治疗的人来说是一个显著的挑战,但人们对艾滋病毒感染者如何试图控制这种疲劳知之甚少。对纽约市目前或最近脱离艾滋病毒护理的低收入有色人种艾滋病毒感染者进行了27次半结构化访谈。这项探索性研究的结果表明,治疗疲劳很常见,参与者制定了个人策略来克服这种疲劳。这些策略包括使用提醒程序,要求每周而不是每月服用药丸,以及休“药丸假”。这些战略的不同性质和不同程度的有效性突出了提供量身定制的支持的具体计划的必要性。未来的研究应将治疗疲劳视为依从性挑战的一种特定亚型,并旨在明确定义药丸疲劳。
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引用次数: 2
Holistically speaking: A content analysis of spiritual interventions to inform the development of culturally relevant interventions for African American women living with HIV 整体而言:精神干预的内容分析,为非洲裔美国妇女感染艾滋病毒的文化相关干预的发展提供信息
IF 0.7 Q4 SOCIAL WORK Pub Date : 2020-04-02 DOI: 10.1080/15381501.2020.1757555
Ratonia C. Runnels
Abstract Psychosocial interventions are a key component to improved quality of life for women living with HIV. Spirit-level interventions are shown to buffer psychosocial distress experienced by HIV positive persons. This article will review published spiritually-oriented interventions and compare, contrast, and critique the various components, sample, and intervention methods. Using a summative approach to content analysis, this article will offer the applicability and replicability of these interventions as a basis for increasing treatment options for co-morbid African American women.
摘要心理社会干预措施是提高艾滋病毒感染妇女生活质量的关键组成部分。精神层面的干预措施被证明可以缓解艾滋病毒阳性者所经历的心理痛苦。本文将回顾已发表的以精神为导向的干预措施,并对各种组成部分、样本和干预方法进行比较、对比和批判。采用总结性方法进行内容分析,本文将提供这些干预措施的适用性和可复制性,作为增加共病非裔美国妇女治疗选择的基础。
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引用次数: 0
Code blue! Implementing a COVID-19 emergency response, supported by an HIV community program: Communities without borders, a Spanish-Speaking intervention in Toronto, Canada 蓝色代码!在艾滋病毒社区计划的支持下实施新冠肺炎应急响应:无国界社区,加拿大多伦多西班牙高峰干预
IF 0.7 Q4 SOCIAL WORK Pub Date : 2020-04-02 DOI: 10.1080/15381501.2020.1768194
G. Betancourt
Abstract COVID-19 a new infections agent took the world by surprise. Governments, medical systems, communities, and individuals soon would become familiar with many new terms and many new prevention measurements to avoid infection. To this day, it is unknown what would be the final consequences and impact in populations in the world, how those came to be a “new normal” in our daily lives. Also, it is unknown the number of victims, and economical after-effects result from the new pandemic. This article aims to establish a para parallel in relation to the early days of HIV/AIDS in the world. Keeping in mind the slow governmental, and even irresponsible response in different countries, both cases (HIV/AIDS-COVID-19), present a dimension that shows intermediately from HIV/AIDS organizations response to help communities. The article argues that is precise because we have learned as marginalized communities that reacted at the beginning of the AIDS early days, that HIV/AIDS educators adapted very fast interventions, programs, and counseling to alleviate societal effect pandemic against COVID-19 new infections.
摘要新冠肺炎是一种新的传染源,令世界震惊。政府、医疗系统、社区和个人很快就会熟悉许多新术语和许多新的预防措施,以避免感染。时至今日,人们还不知道世界人口的最终后果和影响是什么,这些后果和影响如何成为我们日常生活中的“新常态”。此外,新冠疫情造成的受害者人数和经济后果尚不清楚。本条旨在建立一个与世界上艾滋病毒/艾滋病早期有关的准平行关系。考虑到不同国家政府的反应缓慢,甚至是不负责任的反应,这两种情况(艾滋病毒/艾滋病COVID-19)都从艾滋病毒/艾滋病组织帮助社区的反应中表现出来。这篇文章认为,这是准确的,因为我们已经了解到,作为在艾滋病早期就做出反应的边缘化社区,艾滋病毒/艾滋病教育工作者适应了非常快速的干预措施、计划和咨询,以减轻针对新冠肺炎新感染的大流行的社会影响。
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引用次数: 0
Sexual health and treatment seeking behaviour among currently married women living with HIV/AIDS in Karnataka, India 印度卡纳塔克邦已婚感染艾滋病毒/艾滋病妇女的性健康和寻求治疗行为
IF 0.7 Q4 SOCIAL WORK Pub Date : 2020-04-02 DOI: 10.1080/15381501.2020.1781012
S. Halli, Rajeshwari A. Biradar
Abstract An attempt is made to understand sexual health problems and health-seeking behavior among women living with HIV/AIDS (WLHA) in Bagalkot district, Karnataka, India. The data set is from a cross-sectional survey of 633 young married WLHA. The results of the study indicate that sexually transmitted infection (STI) were the main concern as 33% of respondents experienced STI during the past three months. Among those experienced STI, only about 57% sought treatment for the STI they had in the past 3 months. While health-seeking behavior is more or less same by age group and literacy level, however, those from rural areas were more likely to seek treatment compared to their urban counterparts. As far as the place of treatment is concerned, a large majority visit government hospital for the STI treatment (84%). For the remaining women, special strategies are required so that they can access and utilize health care services.
摘要试图了解印度卡纳塔克邦Bagalkot区艾滋病妇女的性健康问题和健康寻求行为。该数据集来自对633名年轻已婚WLHA的横断面调查。研究结果表明,性传播感染是主要问题,33%的受访者在过去三个月内经历过性传播感染。在那些经历过STI的人中,只有大约57%的人寻求过去3年的STI治疗 月。然而,尽管不同年龄组和识字水平的健康寻求行为或多或少相同,但与城市同龄人相比,来自农村地区的人更有可能寻求治疗。就治疗地点而言,绝大多数人前往政府医院接受STI治疗(84%)。对于剩下的妇女,需要制定特殊战略,使她们能够获得和利用保健服务。
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引用次数: 0
期刊
Journal of HIV-AIDS & Social Services
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