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“I’ve found my voice. I’ve found a sisterhood”: Qualitative evaluation of a web-based support group for women with HIV “我找到了自己的声音。我找到了姐妹情谊”:对一个基于网络的艾滋病妇女支持小组的定性评价
IF 0.7 Q3 Social Sciences
Journal of HIV-AIDS & Social Services
Pub Date : 2020-01-02 DOI: 10.1080/15381501.2019.1684413
M. Ghabrial, C. Classen, Julie D. Maggi
Abstract This article presents a qualitative evaluation of a professionally moderated, psychoeducational, web-based support group for women with HIV, entitled Shared Journey. Nine in-depth interviews and 107 forum posts underwent thematic analysis. We asked participants to evaluate (1) the populations they felt would benefit from Shared Journey, (2) the unique features of the intervention, and (3) the outcomes they experienced from participating. Shared Journey may serve to support and translate knowledge to this population – especially those who are newly diagnosed, newcomers, and working for AIDS Service Organizations. Future implementations may empower participants and provide a space for safe disclosure rehearsal.
摘要本文提出了一个定性评价的专业主持，心理教育，基于网络的支持小组的妇女艾滋病毒，题为共享之旅。对9个深度访谈和107个论坛帖子进行了专题分析。我们要求参与者评估(1)他们认为将从“共享之旅”中受益的人群，(2)干预的独特性，以及(3)他们从参与中体验到的结果。“共享之旅”可以为这一人群提供支持，并将知识传递给他们——尤其是那些新确诊者、新来者和艾滋病服务机构的工作人员。未来的实现可能会赋予参与者权力，并为安全的披露排练提供空间。
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引用次数: 0
An HIV health plan patient navigation program: Engaging HIV positive individuals in primary medical care 艾滋病毒健康计划患者导航方案:使艾滋病毒阳性个体参与初级医疗保健
IF 0.7 Q3 Social Sciences
Journal of HIV-AIDS & Social Services
Pub Date : 2020-01-02 DOI: 10.1080/15381501.2019.1699485
P. Messeri, M. Yomogida, Rachel Ferat, Lee Garr, D. Wirth
Abstract This paper evaluates a patient navigation component of a multi-level program that helps HIV-positive members of a New York City Medicaid health plan sustain engagement in medical care. A proportional hazard analysis of 856 participants found that assignment to a patient navigator shortened the time to a medical care visit by 40%, but was not associated with time retained in care. These results demonstrate that a health plan can expedite connection to care through patient navigation services. They further suggest that to sustain retention in care, patient navigation may need to be continued after initial connection to care.
摘要:本文评估了一个多层次项目的病人导航组件，该项目帮助纽约市医疗补助计划的hiv阳性成员持续参与医疗保健。一项针对856名参与者的比例风险分析发现，分配给患者导航员缩短了40%的医疗访问时间，但与护理时间无关。这些结果表明，健康计划可以通过患者导航服务加快与护理的联系。他们进一步建议，为了保持对护理的保留，患者导航可能需要在最初连接到护理后继续进行。
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引用次数: 6
HIV medication adherence amid multiple inequities: Detailing the lived challenges of the most at risk people with HIV 多重不平等中的艾滋病毒药物依从性:详细介绍最危险的艾滋病毒感染者的生活挑战
IF 0.7 Q3 Social Sciences
Journal of HIV-AIDS & Social Services
Pub Date : 2020-01-02 DOI: 10.1080/15381501.2019.1689215
M. Teti, E. Koegler, E. Schatz, M. Enriquez
Abstract This study aimed to identify patterns of barriers to help inform adherence interventions for the most at-risk people living with HIV. Ethnographic data from two peer-led HIV medication adherence intervention studies (N = 35) were analyzed. Trained Peer Interventionists met with intervention participants for six weeks and wrote semi-structured field notes about participants’ adherence experiences. The most common challenges were physical illness (HIV and non-HIV related), mental health, isolation, poverty, homelessness, substance abuse, and hunger or poor diet. Successful interventions necessitate connections to various multileveled services that address trauma and multiple challenges and are preferably available in one location.
本研究旨在确定障碍的模式，以帮助告知最危险的HIV感染者的依从性干预措施。我们分析了两项同伴主导的HIV药物依从性干预研究(N = 35)的人种学数据。经过训练的同伴干预专家与干预参与者会面六周，并就参与者的依从性经历撰写半结构化的现场记录。最常见的挑战是身体疾病(与艾滋病毒和非艾滋病毒有关)、精神健康、孤立、贫穷、无家可归、滥用药物以及饥饿或饮食不良。成功的干预措施需要与各种多层次服务相联系，以解决创伤和多重挑战，最好在一个地方提供。
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引用次数: 3
Online sex partner seeking and HIV testing frequency among young Black sexual minority men. 年轻黑人性少数群体男性在网上寻找性伴侣和进行 HIV 检测的频率。
IF 0.7 Q3 Social Sciences
Journal of HIV-AIDS & Social Services
Pub Date : 2020-01-01 Epub Date: 2020-01-10 DOI: 10.1080/15381501.2019.1692749
A Lina Rosengren, Thibaut Davy-Mendez, Lisa B Hightow-Weidman

Dating apps are a novel means of delivering HIV prevention messages. Young black sexual minority men (YBSMM) app users are at high risk for HIV and could benefit from frequent testing. Understanding testing behaviors among YBSMM is critical to inform tailored prevention interventions. We analyzed testing behaviors of 273 YBSMM, comparing typical testing frequency between app users and non-users using odds ratios. Overall, testing rates were high. App users were more likely than non-users to test at least every 12 months. App-using YBSMM exhibit high compliance with testing guidelines, which may indicate future successful uptake of biomedical preventions, such as Pre-Exposure Prophylaxis.

约会应用程序是传递艾滋病预防信息的一种新手段。年轻的黑人性少数群体男性 (YBSMM) 应用程序用户是 HIV 的高危人群，可以从频繁的检测中获益。了解 YBSMM 的检测行为对于提供有针对性的预防干预措施至关重要。我们分析了 273 名 YBSMM 的检测行为，使用几率比对应用程序用户和非用户的典型检测频率进行了比较。总体而言，检测率很高。应用程序用户比非用户更有可能至少每 12 个月进行一次检测。使用应用程序的 YBSMM 对检测指南的依从性很高，这可能预示着未来会成功采用生物医学预防措施，如暴露前预防。
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引用次数: 0
Factors influencing pre-exposure prophylaxis uptake among current users: A qualitative study. 影响暴露前预防用药的因素:一项定性研究。
IF 0.7 Q3 Social Sciences
Journal of HIV-AIDS & Social Services
Pub Date : 2020-01-01 Epub Date: 2020-08-27 DOI: 10.1080/15381501.2020.1810838
Gloria Aidoo-Frimpong, Kennethea Wilson, Sarahmona Przybyla

Daily oral pre-exposure prophylaxis is an effective strategy for HIV prevention; yet, uptake has been lower than anticipated. This study explores the factors that influenced current users' decisions to initiate PrEP in Western New York. Qualitative data from 41 semi-structured interviews were thematically analyzed. Participants' decision to initiate PrEP was based on individual, interpersonal and structural factors. PrEP users initiated when there was an increase in knowledge, risk perception, sexual health communication, and PrEP access. Findings suggest for PrEP to maximize its HIV prevention potential, public health interventions that utilize a multi-level approach may be most impactful to increase uptake.

每日口服暴露前预防是预防艾滋病毒的有效策略;然而，吸收率低于预期。本研究探讨了影响纽约西部当前用户决定启动PrEP的因素。对41个半结构化访谈的定性数据进行主题分析。参与者决定启动PrEP是基于个人，人际和结构因素。当知识、风险认知、性健康沟通和PrEP获取有所增加时，PrEP使用者开始使用PrEP。研究结果表明，为了使PrEP最大限度地发挥其预防艾滋病毒的潜力，利用多层次方法的公共卫生干预措施可能对增加吸收最有影响。
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引用次数: 7
Prescribing HIV pre-exposure prophylaxis: A qualitative analysis of health care provider training needs. 艾滋病毒暴露前预防处方:卫生保健提供者培训需求的定性分析。
IF 0.7 Q3 Social Sciences
Journal of HIV-AIDS & Social Services
Pub Date : 2020-01-01 Epub Date: 2020-01-16 DOI: 10.1080/15381501.2020.1712291
Jacob Bleasdale, Kennethea Wilson, Gloria Aidoo-Frimpong, Sarahmona Przybyla

Increasing the number of pre-exposure prophylaxis (PrEP) prescriptions will require more health care providers to be willing and trained to prescribe the medication. The purpose of our study was to understand the training needs of clinicians who do not prescribe PrEP. From September 2017 to January 2018, qualitative interviews were conducted with providers who had no experience prescribing PrEP (N = 20). Thematic analysis revealed four themes: three emphasized the temporal nature of training requirements and one identified training preferences of providers. Study findings suggest that clinicians require specific information in order to integrate PrEP into their practices successfully.

增加暴露前预防(PrEP)处方的数量将需要更多的卫生保健提供者愿意和培训开这种药。本研究的目的是了解不开PrEP的临床医生的培训需求。2017年9月至2018年1月，我们对没有开PrEP经验的提供者(N = 20)进行了定性访谈。专题分析揭示了四个主题:三个强调培训需求的时间性质，一个确定了培训提供者的培训偏好。研究结果表明，临床医生需要特定的信息，以便成功地将PrEP纳入其实践。
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引用次数: 11
“It’s a Trade off:” Perspectives of Ryan White Social Service Providers on the Implementation of the Affordable Care Act “这是一种权衡:”瑞安·怀特对《平价医疗法案》实施的社会服务提供者的看法
IF 0.7 Q3 Social Sciences
Journal of HIV-AIDS & Social Services
Pub Date : 2019-10-02 DOI: 10.1080/15381501.2019.1676358
T. Ginossar, J. Oetzel
Abstract The Patient Protection and Affordable Care Act (ACA) was expected to reduce health disparities, including among people living with HIV. The aim of this study was to explore experiences of Ryan White HIV/AIDS Program social service providers in a Medicaid-expansion southwestern state. Thematic analysis of semi-structured focus groups revealed that participants view the ACA implementation as posing impossible bureaucratic demands and increasing role conflict. Participants described the ACA impact on clients as “a trade off,” with greater medical coverage for some clients, along with increased red tape and challenges for at-risk groups and for their therapeutic alliance with clients. These findings highlight the importance of incorporating the perspectives of providers in planning and implementing policy changes and in measuring the quality of HIV services.
患者保护和平价医疗法案(ACA)有望减少健康差距，包括艾滋病毒感染者。本研究的目的是探讨瑞安·怀特艾滋病毒/艾滋病计划社会服务提供者在医疗补助扩张的西南州的经验。对半结构化焦点小组的专题分析显示，与会者认为ACA的实施提出了不可能的官僚主义要求，并增加了角色冲突。与会者将ACA对客户的影响描述为“一种权衡”，一方面为一些客户提供更大的医疗保险，另一方面为高风险群体以及他们与客户的治疗联盟带来更多的繁文缛节和挑战。这些发现突出了在规划和实施政策变化以及衡量艾滋病毒服务质量时纳入提供者观点的重要性。
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引用次数: 2
Resilience processes among youth newly diagnosed with HIV who live in urban informal settlements in Kenya: Implications for intervention 肯尼亚城市非正规住区新确诊感染艾滋病毒的青年的复原过程：干预的影响
IF 0.7 Q3 Social Sciences
Journal of HIV-AIDS & Social Services
Pub Date : 2019-09-21 DOI: 10.1080/15381501.2019.1657546
G. Harper, D. Lemos, M. Mutumba, Manasi Kumar, A. Gikuni, Iris Mustich, K. Hooks, S. Hosek, E. Ngugi
Abstract New HIV infections in Kenya are concentrated among youth ages 15–24. This study explores the lived experiences of youth newly diagnosed with HIV living in an urban informal settlement in Kenya in order to highlight their resilience processes. Five primary thematic areas of resilience processes emerged (1) changing personal perspectives about health and life; (2) changing personal behaviors to promote health and safety; (3) reaching out to supportive health care providers and organizations; (4) reaching out to family, friends, and partners; and (5) helping other youth. Results are discussed with regard to enhancing care for youth living with HIV in Kenya.
肯尼亚新的艾滋病毒感染集中在15-24岁的青年中。本研究探讨了生活在肯尼亚城市非正式定居点的新诊断为艾滋病毒的青年的生活经历，以突出他们的复原过程。复原力进程出现了五个主要专题领域:(1)改变个人对健康和生活的看法;(2)改变个人行为，促进健康和安全;(3)接触支持性卫生保健提供者和组织;(4)向家人、朋友和伴侣伸出援手;(5)帮助其他青少年。结果讨论了关于加强照顾青年感染艾滋病毒在肯尼亚。
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引用次数: 2
A photovoice empowerment intervention for women living with HIV 为感染艾滋病毒的妇女提供照片语音赋权干预
IF 0.7 Q3 Social Sciences
Journal of HIV-AIDS & Social Services
Pub Date : 2019-09-18 DOI: 10.1080/15381501.2019.1658683
Robin Lennon-Dearing, Melissa Hirschi
Abstract Twenty-three women living with HIV participated in a photovoice-based group research study aimed at increasing their self-esteem, self-efficacy and decreasing depression. The intervention method, photovoice, was specifically chosen to put the power and authority of representing their experiences in the control of the participants. Taking action through sharing their photographs and stories with the public via community exhibits is part of the empowerment process where participants combine a sense of personal control with the ability to actively influence their environment and affect the behavior of others. There was a promising trend on the outcome measures from baseline to posttest moving in the direction expected.
23名女性HIV感染者参与了一项基于照片语音的小组研究，旨在提高她们的自尊、自我效能和减少抑郁。特意选择了“光声”的干预方式，将代表他们经历的权力和权威置于参与者的控制之下。通过社区展览与公众分享他们的照片和故事，采取行动是赋权过程的一部分，参与者将个人控制感与积极影响环境和影响他人行为的能力结合起来。从基线到测试后的结果测量有一个有希望的趋势，朝着预期的方向移动。
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引用次数: 4
Identifying the postpartum needs of women living with HIV in the Russian Federation 确定俄罗斯联邦艾滋病毒感染妇女的产后需求
IF 0.7 Q3 Social Sciences
Journal of HIV-AIDS & Social Services
Pub Date : 2019-09-12 DOI: 10.1080/15381501.2019.1656133
E. King, M. Nakonechna, Natanie J. Anilovich, I. Evdokimova, J. Godunova
Abstract In Russia, the HIV epidemic continues to grow at an alarming rate, and treatment coverage is low. While prevention of mother-to-child transmission is markedly effective in the country; little is known about the mothers’ longer-term engagement in HIV care and treatment. Through a community-based, qualitative research study, we aimed to identify and explore the needs of HIV-positive mothers in two diverse locations in Russia. Using thematic analysis, we identified the following four categories of unmet needs: comprehensive and coordinated care, psychological support, material needs, and improved access to services. Our results offer ideas for where to target program and policy interventions to improve women’s postpartum engagement in HIV care and treatment in Russia.
摘要在俄罗斯，艾滋病毒疫情继续以惊人的速度增长，治疗覆盖率很低。虽然预防母婴传播在该国非常有效；人们对这些母亲长期参与艾滋病毒护理和治疗的情况知之甚少。通过一项基于社区的定性研究，我们旨在确定和探索俄罗斯两个不同地区艾滋病毒阳性母亲的需求。通过专题分析，我们确定了以下四类未满足的需求：全面和协调的护理、心理支持、物质需求和改善获得服务的机会。我们的研究结果为改善俄罗斯妇女产后参与艾滋病毒护理和治疗的计划和政策干预提供了思路。
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引用次数: 1
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