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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 Q3 Social Sciences 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 Q3 Social Sciences 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 Q3 Social Sciences 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 Q3 Social Sciences 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 Q3 Social Sciences 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 Q3 Social Sciences 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
PrEP, TasP and the casual sex scripts among serodiscordant gay men PrEP、TasP和血清不和谐男同性恋者的随意性行为脚本
IF 0.7 Q3 Social Sciences Pub Date : 2020-04-02 DOI: 10.1080/15381501.2020.1753620
G. Tester, Jill C. Hoxmeier
Abstract HIV-prevention strategies have produced a divide between serodiscordant gay men. Using Sexual Scripts Theory and interviews, we explore how pre-exposure prophylaxis (PrEP) is shaping gay men’s casual sex relationships among serodiscordant partners. Together with Treatment-as-Prevention, PrEP appears to be improving these relationships. Participants’ stories reveal that they are engaged in the fluctuating sexual landscapes formed by new prevention approaches, maintaining shared safe-sex scripts that foster risk-reduction, but modifying them to include reexamined fears and resulting barriers to sexual communication, opportunities and satisfaction and reevaluated ideas about appropriate partners. We discuss the health and service implications of these transforming scripts.
摘要艾滋病毒预防策略在血清不一致的男同性恋之间产生了分歧。利用性脚本理论和访谈,我们探讨了暴露前预防(PrEP)如何塑造男同性恋者在血清不和谐伴侣之间的随意性关系。PrEP与预防即治疗一起,似乎正在改善这些关系。参与者的故事表明,他们参与了由新的预防方法形成的波动性环境,保持了共同的安全性行为脚本,以促进风险降低,但对其进行了修改,包括重新审视恐惧和由此产生的性沟通、机会和满足障碍,以及重新评估对合适伴侣的想法。我们将讨论这些转换脚本对健康和服务的影响。
{"title":"PrEP, TasP and the casual sex scripts among serodiscordant gay men","authors":"G. Tester, Jill C. Hoxmeier","doi":"10.1080/15381501.2020.1753620","DOIUrl":"https://doi.org/10.1080/15381501.2020.1753620","url":null,"abstract":"Abstract HIV-prevention strategies have produced a divide between serodiscordant gay men. Using Sexual Scripts Theory and interviews, we explore how pre-exposure prophylaxis (PrEP) is shaping gay men’s casual sex relationships among serodiscordant partners. Together with Treatment-as-Prevention, PrEP appears to be improving these relationships. Participants’ stories reveal that they are engaged in the fluctuating sexual landscapes formed by new prevention approaches, maintaining shared safe-sex scripts that foster risk-reduction, but modifying them to include reexamined fears and resulting barriers to sexual communication, opportunities and satisfaction and reevaluated ideas about appropriate partners. We discuss the health and service implications of these transforming scripts.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2020.1753620","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42929928","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}
引用次数: 5
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 Q3 Social Sciences 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
Predictors of HIV sex risk behavior among women in US drug treatment programs: NIDA CTN trial results 美国药物治疗项目中女性HIV性风险行为的预测因素:NIDA CTN试验结果
IF 0.7 Q3 Social Sciences Pub Date : 2020-01-02 DOI: 10.1080/15381501.2020.1712290
A. Spector, M. Pavlicova, M. Hu, E. Nunes, A. Campbell, S. Tross
Abstract HIV prevention for women with substance use disorders is a public health priority. To identify characteristics associated with sexual risk among women in outpatient substance abuse treatment we categorized 809 screened women into three groups: (1) sexually inactive, (2) sexually active with consistent condom use, and (3) sexually active with inconsistent condom use. Multinomial logistic regression analyses were used to examine demographics, substance use and treatment characteristics, and regional HIV seroprevalence as predictors of sexual risk behavior. Younger age and attending psychosocial (PS) treatment were significantly associated with being at higher HIV risk. HIV prevention should be tailored to address HIV risk in younger women in PS treatment.
摘要为患有药物使用障碍的妇女预防艾滋病毒是公共卫生的优先事项。为了确定门诊药物滥用治疗中女性性风险的相关特征,我们将809名接受筛查的女性分为三组:(1)性不活跃,(2)持续使用避孕套的性活跃,以及(3)持续使用安全套的性活跃。多元逻辑回归分析用于检验人口统计学、药物使用和治疗特征以及作为性风险行为预测因素的地区HIV血清流行率。年龄较小和接受心理社会(PS)治疗与艾滋病毒风险较高显著相关。艾滋病毒预防应针对PS治疗中年轻女性的艾滋病毒风险进行调整。
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引用次数: 0
Psychological and social correlates of HIV stigma among people living with HIV 艾滋病毒感染者中艾滋病毒耻辱的心理和社会相关因素
IF 0.7 Q3 Social Sciences Pub Date : 2020-01-02 DOI: 10.1080/15381501.2019.1699486
Tenesha Littleton, J. Choi, S. McGarity
Abstract HIV/AIDS remains a highly stigmatized condition jeopardizing both prevention and treatment efforts. Prior research on the psychological and social correlates of HIV stigma has produced mixed results. This study examined whether demographic factors, mental health status, perceived health, mode of HIV transmission, social support, and risky sexual behavior were associated with perceived HIV stigma. Cross-sectional data collected from the intake questionnaires of clients receiving HIV-related social services at an urban clinic in the Southeastern U.S. were analyzed using multiple linear regression analysis. Results showed that younger age, heterosexuality, psychological distress, contracting HIV from sources other than injection drug use or homosexual contact between men, and not knowing your last sexual partner’s HIV status were positively associated with perceived HIV stigma. Implications of study findings for the design of HIV stigma reduction interventions are discussed.
艾滋病毒/艾滋病仍然是一种高度污名化的疾病,危及预防和治疗工作。先前对艾滋病毒耻辱的心理和社会相关性的研究产生了不同的结果。本研究考察了人口统计学因素、心理健康状况、感知健康、艾滋病毒传播方式、社会支持和危险的性行为是否与感知艾滋病毒耻辱相关。采用多元线性回归分析方法,对美国东南部一家城市诊所接受hiv相关社会服务的患者进行问卷调查。结果显示,年龄较小、异性恋、心理困扰、非注射吸毒或男性同性性接触途径感染艾滋病毒、不知道上一个性伴侣的艾滋病毒状况与艾滋病毒耻辱感呈正相关。研究结果对设计艾滋病毒污名减少干预措施的影响进行了讨论。
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引用次数: 1
期刊
Journal of HIV-AIDS & Social Services
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