Pub Date : 2019-10-02DOI: 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.
{"title":"“It’s a Trade off:” Perspectives of Ryan White Social Service Providers on the Implementation of the Affordable Care Act","authors":"T. Ginossar, J. Oetzel","doi":"10.1080/15381501.2019.1676358","DOIUrl":"https://doi.org/10.1080/15381501.2019.1676358","url":null,"abstract":"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.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"18 1","pages":"417 - 433"},"PeriodicalIF":0.7,"publicationDate":"2019-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1676358","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44201066","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 : 2019-09-21DOI: 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.
{"title":"Resilience processes among youth newly diagnosed with HIV who live in urban informal settlements in Kenya: Implications for intervention","authors":"G. Harper, D. Lemos, M. Mutumba, Manasi Kumar, A. Gikuni, Iris Mustich, K. Hooks, S. Hosek, E. Ngugi","doi":"10.1080/15381501.2019.1657546","DOIUrl":"https://doi.org/10.1080/15381501.2019.1657546","url":null,"abstract":"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.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"18 1","pages":"329 - 346"},"PeriodicalIF":0.7,"publicationDate":"2019-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1657546","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47029499","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 : 2019-09-18DOI: 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.
{"title":"A photovoice empowerment intervention for women living with HIV","authors":"Robin Lennon-Dearing, Melissa Hirschi","doi":"10.1080/15381501.2019.1658683","DOIUrl":"https://doi.org/10.1080/15381501.2019.1658683","url":null,"abstract":"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.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"18 1","pages":"347 - 366"},"PeriodicalIF":0.7,"publicationDate":"2019-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1658683","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48587764","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 : 2019-09-12DOI: 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.
{"title":"Identifying the postpartum needs of women living with HIV in the Russian Federation","authors":"E. King, M. Nakonechna, Natanie J. Anilovich, I. Evdokimova, J. Godunova","doi":"10.1080/15381501.2019.1656133","DOIUrl":"https://doi.org/10.1080/15381501.2019.1656133","url":null,"abstract":"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.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"18 1","pages":"313 - 328"},"PeriodicalIF":0.7,"publicationDate":"2019-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1656133","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49536939","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 : 2019-09-12DOI: 10.1080/15381501.2019.1661326
Candice Alexis Jimmyns, A. Meyer-Weitz
Abstract The study focuses on caregivers’ personal reasons for not having openness in communication regarding sexuality education messages with their children. Qualitative semi-structured focus group discussions with six caregivers per school from four different socio-economic status schools in KwaZulu-Natal, South Africa, were conducted and analyzed using Thematic Content Analysis. Caregivers’ lack of self-confidence as a credible source of sexuality education, the powerlessness they feel and denial that their children could be sexually active; prevent them from talking to their children regarding this. The school should include caregivers in the sexuality education program to increase caregivers’ knowledge and skill in caregiver-child communication.
{"title":"“My child would never do that”: Caregiver-child relationships regarding openness and communication about sexuality education in KwaZulu-Natal, South Africa","authors":"Candice Alexis Jimmyns, A. Meyer-Weitz","doi":"10.1080/15381501.2019.1661326","DOIUrl":"https://doi.org/10.1080/15381501.2019.1661326","url":null,"abstract":"Abstract The study focuses on caregivers’ personal reasons for not having openness in communication regarding sexuality education messages with their children. Qualitative semi-structured focus group discussions with six caregivers per school from four different socio-economic status schools in KwaZulu-Natal, South Africa, were conducted and analyzed using Thematic Content Analysis. Caregivers’ lack of self-confidence as a credible source of sexuality education, the powerlessness they feel and denial that their children could be sexually active; prevent them from talking to their children regarding this. The school should include caregivers in the sexuality education program to increase caregivers’ knowledge and skill in caregiver-child communication.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"18 1","pages":"382 - 398"},"PeriodicalIF":0.7,"publicationDate":"2019-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1661326","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48336541","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 : 2019-09-12DOI: 10.1080/15381501.2019.1659900
Myo Mie Mie Tun, A. Mongkolchati, M. N. Aung, Min Yu Aung, O. Laosee
Abstract The aim of this study was to determine quality of life and its associating factors among people living with HIV (PLHIV) in the hilly region of Myanmar. A cross-sectional study was conducted at the National AIDS Program and Integrated HIV Care Program in Myanmar. A total of 326 PLHIV were recruited, of whom 49.1% had high QOL. Adherence to ART (AOR: 5.18; 95% CI: 2.02–13.31), high social capital (AOR: 3.16; 95% CI: 1.85–5.38), being male (AOR: 2.21; 95% CI: 1.27–3.83), asymptomatic (AOR: 2.18; 95% CI: 1.24–3.83), low self-stigma (AOR: 2.85; 95% CI: 1.61–5.04), and time spent at the clinic less than 30 min (AOR: 2.17; 95% CI: 1.15–4.08) were significant predictors of quality of life (QOL) among PLHIV. This study revealed that social factors such as HIV stigma and gender issues are important determinants of QOL in addition to health service factors and clinical outcomes.
{"title":"Determinants of quality of life among people living with HIV in the hilly region of Myanmar","authors":"Myo Mie Mie Tun, A. Mongkolchati, M. N. Aung, Min Yu Aung, O. Laosee","doi":"10.1080/15381501.2019.1659900","DOIUrl":"https://doi.org/10.1080/15381501.2019.1659900","url":null,"abstract":"Abstract The aim of this study was to determine quality of life and its associating factors among people living with HIV (PLHIV) in the hilly region of Myanmar. A cross-sectional study was conducted at the National AIDS Program and Integrated HIV Care Program in Myanmar. A total of 326 PLHIV were recruited, of whom 49.1% had high QOL. Adherence to ART (AOR: 5.18; 95% CI: 2.02–13.31), high social capital (AOR: 3.16; 95% CI: 1.85–5.38), being male (AOR: 2.21; 95% CI: 1.27–3.83), asymptomatic (AOR: 2.18; 95% CI: 1.24–3.83), low self-stigma (AOR: 2.85; 95% CI: 1.61–5.04), and time spent at the clinic less than 30 min (AOR: 2.17; 95% CI: 1.15–4.08) were significant predictors of quality of life (QOL) among PLHIV. This study revealed that social factors such as HIV stigma and gender issues are important determinants of QOL in addition to health service factors and clinical outcomes.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"18 1","pages":"367 - 381"},"PeriodicalIF":0.7,"publicationDate":"2019-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1659900","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47546451","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 : 2019-09-02DOI: 10.1080/15381501.2019.1655512
Kendra Vaughn, P. J. Dillon, Satish K. Kedia
Abstract Despite its promise, pre-exposure prophylaxis (PrEP) uptake has been slow in the United States with fewer than 100,000 of the 1.1 million Americans considered at substantial risk for HIV currently taking it. Community health workers play a critical role in promoting PrEP awareness and access in their local communities. However, there is currently limited literature that focuses on barriers faced by community health workers providing PrEP services. The present qualitative study draws upon the social ecological model (SEM) to examine barriers to PrEP uptake from the perspective of community health workers in a large Mid-South U.S. city. Study participants identified several barriers at all five levels of the SEM: individual, interpersonal, community, organizational, and policy. The study findings provide viable entry points for multilevel interventions aimed at promoting PrEP uptake.
{"title":"Barriers to PrEP uptake: Perspectives of community health workers in the Mid-South region of the United States","authors":"Kendra Vaughn, P. J. Dillon, Satish K. Kedia","doi":"10.1080/15381501.2019.1655512","DOIUrl":"https://doi.org/10.1080/15381501.2019.1655512","url":null,"abstract":"Abstract Despite its promise, pre-exposure prophylaxis (PrEP) uptake has been slow in the United States with fewer than 100,000 of the 1.1 million Americans considered at substantial risk for HIV currently taking it. Community health workers play a critical role in promoting PrEP awareness and access in their local communities. However, there is currently limited literature that focuses on barriers faced by community health workers providing PrEP services. The present qualitative study draws upon the social ecological model (SEM) to examine barriers to PrEP uptake from the perspective of community health workers in a large Mid-South U.S. city. Study participants identified several barriers at all five levels of the SEM: individual, interpersonal, community, organizational, and policy. The study findings provide viable entry points for multilevel interventions aimed at promoting PrEP uptake.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"18 1","pages":"295 - 312"},"PeriodicalIF":0.7,"publicationDate":"2019-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1655512","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44721310","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 : 2019-07-03DOI: 10.1080/15381501.2019.1632238
Rajeshwari A. Biradar, Dharmendra P. Singh, S. Halli
Abstract The purpose is to examine HIV/AIDS impact on fertility attitudes among women living with HIV/AIDS in a high HIV prevalent district in India. We used data from a cross-sectional survey conducted among randomly selected currently married HIV positive women, 15–29 years of age. As high as 68% of the women who are living with HIV/AIDS do not want to have another child. Surprisingly, about 17% of the women have never given birth to a child, and 43% among them do not want to have any children. Irrespective of age, education, occupation, place of residence, and caste, the above pattern remained the same. The main reason is that the respondents are afraid of HIV transmission to the baby while delivering. Hence, decision makers should develop strategies to enhance the capacity of the concerned service providers and greater accessibility and utilization of the services to the women living with HIV/AIDS.
{"title":"Impact of HIV status on attitudes toward fertility among women living with HIV/AIDS in Karnataka, India","authors":"Rajeshwari A. Biradar, Dharmendra P. Singh, S. Halli","doi":"10.1080/15381501.2019.1632238","DOIUrl":"https://doi.org/10.1080/15381501.2019.1632238","url":null,"abstract":"Abstract The purpose is to examine HIV/AIDS impact on fertility attitudes among women living with HIV/AIDS in a high HIV prevalent district in India. We used data from a cross-sectional survey conducted among randomly selected currently married HIV positive women, 15–29 years of age. As high as 68% of the women who are living with HIV/AIDS do not want to have another child. Surprisingly, about 17% of the women have never given birth to a child, and 43% among them do not want to have any children. Irrespective of age, education, occupation, place of residence, and caste, the above pattern remained the same. The main reason is that the respondents are afraid of HIV transmission to the baby while delivering. Hence, decision makers should develop strategies to enhance the capacity of the concerned service providers and greater accessibility and utilization of the services to the women living with HIV/AIDS.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"18 1","pages":"265 - 275"},"PeriodicalIF":0.7,"publicationDate":"2019-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1632238","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45423754","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 : 2019-07-03DOI: 10.1080/15381501.2018.1522287
Malitta Engstrom, Shana Alford, Kischa Hampton, Monica R. Longmire, Melissa Kraus Schwarz, M. Eder
Abstract This evaluation examined (a) the feasibility of recruiting 500 African American women and implementing a novel integration of Sisters Informing Sisters about Topics on AIDS (SISTA) and Safety Counts in “real-world” settings; and (b) improvements in HIV knowledge, sexual risk behaviors, substance use, and exposure to abuse among participants. Participants were recruited from agency services, community-based organizations, and street outreach. A total of 522 women completed the program, 357 women completed all three waves of Government Performance and Results Act Surveys. Descriptive and bivariate analyses were conducted. Participants experienced improvements related to HIV knowledge, protected vaginal sex, use of crack or cocaine, and exposure to emotional or physical abuse; however, reported rates of unprotected vaginal, anal, and oral sex remained high. There is a continued need for development and evaluation of HIV risk reduction interventions and engagement strategies to effectively reach women experiencing multiple risk factors.
{"title":"Evaluation of SISTA and Safety Counts in “real-world” settings with African American women in Chicago","authors":"Malitta Engstrom, Shana Alford, Kischa Hampton, Monica R. Longmire, Melissa Kraus Schwarz, M. Eder","doi":"10.1080/15381501.2018.1522287","DOIUrl":"https://doi.org/10.1080/15381501.2018.1522287","url":null,"abstract":"Abstract This evaluation examined (a) the feasibility of recruiting 500 African American women and implementing a novel integration of Sisters Informing Sisters about Topics on AIDS (SISTA) and Safety Counts in “real-world” settings; and (b) improvements in HIV knowledge, sexual risk behaviors, substance use, and exposure to abuse among participants. Participants were recruited from agency services, community-based organizations, and street outreach. A total of 522 women completed the program, 357 women completed all three waves of Government Performance and Results Act Surveys. Descriptive and bivariate analyses were conducted. Participants experienced improvements related to HIV knowledge, protected vaginal sex, use of crack or cocaine, and exposure to emotional or physical abuse; however, reported rates of unprotected vaginal, anal, and oral sex remained high. There is a continued need for development and evaluation of HIV risk reduction interventions and engagement strategies to effectively reach women experiencing multiple risk factors.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"18 1","pages":"213 - 228"},"PeriodicalIF":0.7,"publicationDate":"2019-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2018.1522287","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44113664","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 : 2019-07-03DOI: 10.1080/15381501.2019.1638334
J. Sackey, Pamela Valera, P. Halkitis, Kristen D. Krause
Abstract An increasing proportion of people living with HIV/AIDS (PLWHA) in the United States are at least 50 years of age and older, more likely to be gay, bisexual, and men who have sex with men (MSM) and are also at an increased risk of comorbid physical health conditions. This mixed methods study explored diet, physical activity, and body image among aging MSM who were diagnosed with HIV/AIDS prior to 1996, the year considered by many as the turning point in the epidemic. Participants reported challenges accessing healthy food and eating fruits and vegetables. Living with HIV/AIDS also influenced their food options, which in turn affected physical activity and body image. This study demonstrated a need for interventions improving access to healthy food within this population predicated on the complex associations between aging, HIV, and access to healthy lifestyle choices for older PLWHA and considering the epidemiological landscape of the epidemic.
{"title":"Exploring diet, physical activity, and body image among older men who have sex with men (MSM) who have experienced the long-term impact of HIV/AIDS","authors":"J. Sackey, Pamela Valera, P. Halkitis, Kristen D. Krause","doi":"10.1080/15381501.2019.1638334","DOIUrl":"https://doi.org/10.1080/15381501.2019.1638334","url":null,"abstract":"Abstract An increasing proportion of people living with HIV/AIDS (PLWHA) in the United States are at least 50 years of age and older, more likely to be gay, bisexual, and men who have sex with men (MSM) and are also at an increased risk of comorbid physical health conditions. This mixed methods study explored diet, physical activity, and body image among aging MSM who were diagnosed with HIV/AIDS prior to 1996, the year considered by many as the turning point in the epidemic. Participants reported challenges accessing healthy food and eating fruits and vegetables. Living with HIV/AIDS also influenced their food options, which in turn affected physical activity and body image. This study demonstrated a need for interventions improving access to healthy food within this population predicated on the complex associations between aging, HIV, and access to healthy lifestyle choices for older PLWHA and considering the epidemiological landscape of the epidemic.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"18 1","pages":"276 - 293"},"PeriodicalIF":0.7,"publicationDate":"2019-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1638334","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48244859","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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