首页 > 最新文献

Journal of HIV-AIDS & Social Services最新文献

英文 中文
“My child would never do that”: Caregiver-child relationships regarding openness and communication about sexuality education in KwaZulu-Natal, South Africa “我的孩子永远不会那样做”:南非夸祖鲁-纳塔尔州关于性教育的开放性和沟通性的照顾者-儿童关系
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-09-12 DOI: 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.
摘要这项研究的重点是照顾者在与孩子的性教育信息交流中不开放的个人原因。对来自南非夸祖鲁-纳塔尔四所不同社会经济地位学校的每所学校的六名看护人进行了定性的半结构化焦点小组讨论,并使用主题内容分析进行了分析。作为性教育的可靠来源,照顾者缺乏自信,他们感到无能为力,并否认自己的孩子可能性活跃;阻止他们与孩子谈论这件事。学校应将照顾者纳入性教育计划,以提高照顾者在照顾者与儿童沟通方面的知识和技能。
{"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}
引用次数: 0
Determinants of quality of life among people living with HIV in the hilly region of Myanmar 缅甸丘陵地区艾滋病毒感染者生活质量的决定因素
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-09-12 DOI: 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.
摘要本研究旨在确定缅甸丘陵地区HIV感染者的生活质量及其相关因素。在缅甸国家艾滋病规划署和艾滋病毒综合护理规划署进行了一项横断面研究。共招募了326名PLHIV患者,其中49.1%的患者生活质量较高。坚持抗逆转录病毒疗法(AOR:5.18;95%CI:2.02-13.31),高社会资本(AOR:3.16;95%CI:1.85-5.38 min(AOR:2.17;95%CI:1.15–4.08)是PLHIV患者生活质量(QOL)的重要预测因素。这项研究表明,除了卫生服务因素和临床结果外,艾滋病毒污名化和性别问题等社会因素也是生活质量的重要决定因素。
{"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}
引用次数: 6
Barriers to PrEP uptake: Perspectives of community health workers in the Mid-South region of the United States PrEP吸收的障碍:美国中南部地区社区卫生工作者的观点
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-09-02 DOI: 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.
摘要尽管暴露前预防(PrEP)有前景,但在美国,它的普及率一直很低,110万美国人中只有不到10万人被认为有感染艾滋病毒的巨大风险。社区卫生工作者在提高当地社区对PrEP的认识和获得PrEP方面发挥着关键作用。然而,目前关注提供PrEP服务的社区卫生工作者面临的障碍的文献有限。本定性研究利用社会生态模型(SEM),从美国中南部一个大城市的社区卫生工作者的角度考察PrEP吸收的障碍。研究参与者确定了SEM所有五个层面的几个障碍:个人、人际、社区、组织和政策。研究结果为旨在促进PrEP吸收的多层次干预提供了可行的切入点。
{"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}
引用次数: 4
Impact of HIV status on attitudes toward fertility among women living with HIV/AIDS in Karnataka, India 艾滋病毒状况对印度卡纳塔克邦艾滋病毒/艾滋病患者生育态度的影响
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-07-03 DOI: 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.
摘要本研究的目的是研究在印度一个艾滋病毒高发区,艾滋病毒/艾滋病对感染艾滋病毒/艾滋病的妇女生育态度的影响。我们使用了一项横断面调查的数据,该调查对15-29岁的已婚HIV阳性女性进行了随机选择 年龄。高达68%的感染艾滋病毒/艾滋病的妇女不想再生一个孩子。令人惊讶的是,约17%的女性从未生过孩子,其中43%的女性不想生孩子。无论年龄、教育程度、职业、居住地和种姓如何,上述模式都保持不变。主要原因是受访者害怕在分娩时将艾滋病毒传染给婴儿。因此,决策者应制定战略,提高有关服务提供者的能力,并使艾滋病毒/艾滋病感染妇女更容易获得和利用这些服务。
{"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}
引用次数: 1
Evaluation of SISTA and Safety Counts in “real-world” settings with African American women in Chicago 对芝加哥非裔美国妇女在“真实世界”环境中的SISTA和安全计数的评估
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-07-03 DOI: 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.
摘要这项评估审查了(a)在“现实世界”环境中招募500名非裔美国妇女并实施姐妹会关于艾滋病主题和安全重要性的新整合的可行性;以及(b)参与者在艾滋病毒知识、性风险行为、药物使用和虐待暴露方面的改善。参与者来自机构服务、社区组织和街头外展。共有522名妇女完成了该方案,357名妇女完成所有三波政府绩效和成果法调查。进行了描述性和双变量分析。参与者在艾滋病毒知识、受保护的阴道性行为、快克或可卡因的使用以及遭受情感或身体虐待方面有所改善;然而,据报道,未经保护的阴道、肛门和口交发生率仍然很高。仍然需要制定和评估减少艾滋病毒风险的干预措施和参与战略,以有效地接触到经历多种风险因素的妇女。
{"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}
引用次数: 1
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 探讨长期受艾滋病影响的老年男男性行为者(MSM)的饮食、身体活动和身体形象
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-07-03 DOI: 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.
摘要在美国,越来越多的艾滋病毒/艾滋病感染者年龄在50岁及以上,更有可能是同性恋、双性恋和男男性行为者,同时患共病身体健康状况的风险也在增加。这项混合方法研究探讨了1996年之前被诊断为艾滋病毒/艾滋病的老年男男性行为者的饮食、体育活动和身体形象,许多人认为1996年是艾滋病流行的转折点。参与者报告了获得健康食品和食用水果和蔬菜的挑战。感染艾滋病毒/艾滋病也影响了他们的食物选择,这反过来又影响了身体活动和身体形象。这项研究表明,有必要采取干预措施,改善这一人群获得健康食品的机会,这是基于老龄化、艾滋病毒和老年PLWHA获得健康生活方式选择之间的复杂关联,并考虑到该流行病的流行病学景观。
{"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}
引用次数: 3
The efficacy of peer education in sexual behavioral change among school-going adolescents in Northern Malawi: A quasi experiment 同伴教育对马拉维北部在校青少年性行为改变的影响:一项准实验
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-06-09 DOI: 10.1080/15381501.2019.1620664
M. Mwale, A. Muula
Abstract We conducted a quasi-experiment to investigate whether a peer education intervention could result in positive sexual behavioral change outcomes in selected schools in Northern Malawi. The experimental participants (n = 158) were exposed to an HIV risk reduction intervention. The control participants (n = 147) were exposed to a Health Promotion Package. At 8 months, there were significant improvements in the intervention arm on several outcomes. The experimental group was 96% less likely to have sex than the control (OR = 0.04, CI = 0.01–0.20). Intervention participants were also 3.49 times likely to report condom use when they had sex (OR = 3.49, 95% CI = 0.96 to 12.65) and had lower odds of having multiple sexual partners. There were no significant differences on abstinence and the desire to have medical male circumcision (MMC). We suggest the intervention has potential efficacy to improve HIV risk reduction among adolescents in Malawi and perhaps in other similar settings. Trial registration: Pan African Clinical Trial Registry identifier: PACTR201612001889209.
摘要我们进行了一项准实验,调查同伴教育干预是否能在马拉维北部选定的学校中产生积极的性行为改变结果。实验参与者(n = 158)暴露于HIV风险降低干预。对照组参与者(n = 147)暴露于健康促进包。8点 几个月来,干预组在几个结果上都有显著改善。实验组发生性行为的可能性比对照组低96%(OR = 0.04,CI = 0.01–0.20)。干预参与者在发生性行为时报告使用避孕套的可能性也是3.49倍(OR = 3.49,95%CI = 0.96至12.65),并且具有多个性伴侣的几率较低。在禁欲和进行医学男性包皮环切术(MMC)的愿望方面没有显著差异。我们认为,这种干预措施有可能提高马拉维青少年以及其他类似环境中艾滋病毒风险的降低。试验注册:泛非临床试验注册标识符:PACTR201612001889209。
{"title":"The efficacy of peer education in sexual behavioral change among school-going adolescents in Northern Malawi: A quasi experiment","authors":"M. Mwale, A. Muula","doi":"10.1080/15381501.2019.1620664","DOIUrl":"https://doi.org/10.1080/15381501.2019.1620664","url":null,"abstract":"Abstract We conducted a quasi-experiment to investigate whether a peer education intervention could result in positive sexual behavioral change outcomes in selected schools in Northern Malawi. The experimental participants (n = 158) were exposed to an HIV risk reduction intervention. The control participants (n = 147) were exposed to a Health Promotion Package. At 8 months, there were significant improvements in the intervention arm on several outcomes. The experimental group was 96% less likely to have sex than the control (OR = 0.04, CI = 0.01–0.20). Intervention participants were also 3.49 times likely to report condom use when they had sex (OR = 3.49, 95% CI = 0.96 to 12.65) and had lower odds of having multiple sexual partners. There were no significant differences on abstinence and the desire to have medical male circumcision (MMC). We suggest the intervention has potential efficacy to improve HIV risk reduction among adolescents in Malawi and perhaps in other similar settings. Trial registration: Pan African Clinical Trial Registry identifier: PACTR201612001889209.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"18 1","pages":"229 - 247"},"PeriodicalIF":0.7,"publicationDate":"2019-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1620664","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42298237","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
The Attitudes toward Pre-Exposure Prophylaxis (PrEP) Scale: Development and validation 对暴露前预防(PrEP)量表的态度:开发与验证
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-04-03 DOI: 10.1080/15381501.2019.1596861
R. Jaspal, B. Lopes, I. Maatouk
Abstract Pre-exposure prophylaxis (PrEP) is a novel, clinically effective biomedical HIV prevention tool but it has not met with widespread public acceptance. In this article, the results of a study designed to develop a scale for measuring attitudes toward PrEP is presented. The psychometric properties of the scale are described for use in both the general population and in-patient samples. Two hundred twenty-two university students completed the Attitudes toward PrEP Scale (APS) and additional measures of attitudes toward gay men, Black Africans, and condom use. The APS comprised three factors (Attitudes toward the Science of PrEP, Perception of Sexual Health Risks of PrEP, and Perception of Dangerous Effects of PrEP), which explained 49.31% of the variance. The 14-item APS had a good internal consistency, α = .72, and satisfactory concurrent validity with measures of condom use, and attitudes toward social groups associated with PrEP. Additional studies in other nonstudent samples are required to assess the external validity of the scale.
暴露前预防(PrEP)是一种新型的临床有效的生物医学HIV预防工具,但尚未得到广泛的公众接受。在这篇文章中,一项研究的结果,旨在制定一个衡量对PrEP态度的量表。量表的心理测量特性被描述为在一般人群和住院患者样本中使用。222名大学生完成了对PrEP量表(APS)的态度以及对男同性恋者、非洲黑人和避孕套使用态度的附加测量。APS包括三个因素(对PrEP科学的态度、对PrEP性健康风险的认识和对PrEP危险影响的认识),解释了49.31%的方差。14项APS量表具有良好的内部一致性,α = 0.72,并且与安全套使用和与PrEP相关的社会群体态度的测量具有令人满意的同步效度。需要在其他非学生样本中进行额外的研究来评估量表的外部效度。
{"title":"The Attitudes toward Pre-Exposure Prophylaxis (PrEP) Scale: Development and validation","authors":"R. Jaspal, B. Lopes, I. Maatouk","doi":"10.1080/15381501.2019.1596861","DOIUrl":"https://doi.org/10.1080/15381501.2019.1596861","url":null,"abstract":"Abstract Pre-exposure prophylaxis (PrEP) is a novel, clinically effective biomedical HIV prevention tool but it has not met with widespread public acceptance. In this article, the results of a study designed to develop a scale for measuring attitudes toward PrEP is presented. The psychometric properties of the scale are described for use in both the general population and in-patient samples. Two hundred twenty-two university students completed the Attitudes toward PrEP Scale (APS) and additional measures of attitudes toward gay men, Black Africans, and condom use. The APS comprised three factors (Attitudes toward the Science of PrEP, Perception of Sexual Health Risks of PrEP, and Perception of Dangerous Effects of PrEP), which explained 49.31% of the variance. The 14-item APS had a good internal consistency, α = .72, and satisfactory concurrent validity with measures of condom use, and attitudes toward social groups associated with PrEP. Additional studies in other nonstudent samples are required to assess the external validity of the scale.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"18 1","pages":"197 - 205"},"PeriodicalIF":0.7,"publicationDate":"2019-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1596861","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44291237","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
Barriers and facilitators to initiating PrEP conversations: Perspectives and experiences of health care providers 启动PrEP对话的障碍和促进因素:卫生保健提供者的观点和经验
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-04-03 DOI: 10.1080/15381501.2019.1616027
Noelle M. St.Vil, S. Przybyla, S. LaValley
Abstract Using qualitative interviews, this study explored the barriers and facilitators of health care providers (HCPs) in initiating PrEP conversation with patients. Twenty-eight HCPs in two counties listed in the New York State Department of Health PrEP/PEP Voluntary Provider Directory were asked to participate in the study. Five themes evolved from the interview, each theme acting as both barriers and facilitators to initiating PrEP conversations: (a) providers comfort levels, (b) taking sexual histories, (c) time, (c) patients comfort levels discussing sexual health, and (c) HCPs’ perceptions of patients’ risk of sexually transmitted infection (STI) acquisition. These findings demonstrate the need for evidence-based interventions for initiation of PrEP conversations in health care settings.
摘要采用定性访谈,本研究探讨了卫生保健提供者(HCPs)在与患者启动PrEP对话时的障碍和促进因素。在纽约州卫生部PrEP/PEP自愿提供者目录中列出的两个县的28名HCPs被要求参加这项研究。访谈产生了五个主题,每个主题都是启动PrEP对话的障碍和促进因素:(a)提供者的舒适度,(b)记录性史,(c)时间,(c)讨论性健康的患者舒适度,以及(c)医务人员对患者获得性传播感染(STI)风险的看法。这些发现表明,有必要采取循证干预措施,在卫生保健环境中开展预防措施对话。
{"title":"Barriers and facilitators to initiating PrEP conversations: Perspectives and experiences of health care providers","authors":"Noelle M. St.Vil, S. Przybyla, S. LaValley","doi":"10.1080/15381501.2019.1616027","DOIUrl":"https://doi.org/10.1080/15381501.2019.1616027","url":null,"abstract":"Abstract Using qualitative interviews, this study explored the barriers and facilitators of health care providers (HCPs) in initiating PrEP conversation with patients. Twenty-eight HCPs in two counties listed in the New York State Department of Health PrEP/PEP Voluntary Provider Directory were asked to participate in the study. Five themes evolved from the interview, each theme acting as both barriers and facilitators to initiating PrEP conversations: (a) providers comfort levels, (b) taking sexual histories, (c) time, (c) patients comfort levels discussing sexual health, and (c) HCPs’ perceptions of patients’ risk of sexually transmitted infection (STI) acquisition. These findings demonstrate the need for evidence-based interventions for initiation of PrEP conversations in health care settings.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"18 1","pages":"166 - 179"},"PeriodicalIF":0.7,"publicationDate":"2019-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1616027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43419557","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: 17
Defining the linkage specialist role in the HIV care cascade 确定联系专家在艾滋病毒护理级联中的作用
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-04-03 DOI: 10.1080/15381501.2019.1599749
Katherine Pincura, C. Okafor
Abstract As stakeholders embrace the efficiency of early disease detection and linkage to care services, corresponding demand for linkage specialists necessitates a clearer understanding of what defines and differentiates this role from the similar work of social workers and epidemiologists. The purpose of the present literature review was to identify the most frequently cited duties, knowledge, skills and abilities required of linkage specialists in employment advertisements and described in peer-reviewed literature. We conducted searches using Google, MEDLINE with Full Text, Academic Search Complete, Health Source: Nursing/Academic Edition, SocINDEX with Full Text, Social Sciences Full Text, and PubMed with MEDLINE. Two reviewers applied exclusion criteria and assessed search returns. Employment ads for linkage specialists and disease intervention specialists most often described linkage to care, client education, and maintenance of client data. The linkage specialist role can be cultivated through its roots in disease detection and programmatic development.
摘要随着利益相关者接受早期疾病检测的效率以及与护理服务的联系,对联系专家的相应需求需要更清楚地了解是什么定义了这一角色,并将其与社会工作者和流行病学家的类似工作区分开来。本文献综述的目的是确定招聘广告中联系专家所需的最常被引用的职责、知识、技能和能力,并在同行评审文献中进行描述。我们使用谷歌、MEDLINE全文、学术搜索完整、健康来源:护理/学术版、SocINDEX全文、社会科学全文和PubMed MEDLINE进行搜索。两名评审员应用了排除标准并评估了搜索结果。联系专家和疾病干预专家的招聘广告通常描述与护理、客户教育和客户数据维护的联系。联系专家的作用可以通过其在疾病检测和方案开发中的根源来培养。
{"title":"Defining the linkage specialist role in the HIV care cascade","authors":"Katherine Pincura, C. Okafor","doi":"10.1080/15381501.2019.1599749","DOIUrl":"https://doi.org/10.1080/15381501.2019.1599749","url":null,"abstract":"Abstract As stakeholders embrace the efficiency of early disease detection and linkage to care services, corresponding demand for linkage specialists necessitates a clearer understanding of what defines and differentiates this role from the similar work of social workers and epidemiologists. The purpose of the present literature review was to identify the most frequently cited duties, knowledge, skills and abilities required of linkage specialists in employment advertisements and described in peer-reviewed literature. We conducted searches using Google, MEDLINE with Full Text, Academic Search Complete, Health Source: Nursing/Academic Edition, SocINDEX with Full Text, Social Sciences Full Text, and PubMed with MEDLINE. Two reviewers applied exclusion criteria and assessed search returns. Employment ads for linkage specialists and disease intervention specialists most often described linkage to care, client education, and maintenance of client data. The linkage specialist role can be cultivated through its roots in disease detection and programmatic development.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"18 1","pages":"146 - 165"},"PeriodicalIF":0.7,"publicationDate":"2019-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2019.1599749","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42299088","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: 0
期刊
Journal of HIV-AIDS & Social Services
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1