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Socioeconomic disparities associated with awareness, access, and usage of Pre-Exposure Prophylaxis among Latino MSM ages 21–30 in San Antonio, TX 德克萨斯州圣安东尼奥市21-30岁拉丁裔男男性行为者在暴露前预防意识、获取和使用方面的社会经济差异
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-04-03 DOI: 10.1080/15381501.2019.1607795
Moctezuma García, G. Saw
Abstract HIV continues to disproportionately affect Latino men who have sex with men (MSM) and disparities are even greater in the South. This study examines the implications of socioeconomic status (SES) associated with awareness, access, and usage of PrEP. Latino MSM (N = 154) from San Antonio, TX, completed a self-administered survey. Results revealed that PrEP uptake was significantly lower for low SES Latino MSM. PrEP related barriers included lack of awareness, stigmas, and side effects. Findings underscore the importance for a multisystemic approach to enhance awareness and access of PrEP for Latino MSM with varying levels of SES in the South.
摘要艾滋病毒继续不成比例地影响与男性发生性关系的拉丁裔男性(MSM),在南方,这种差异甚至更大。本研究考察了社会经济地位(SES)与PrEP的意识、获取和使用相关的影响 = 154)完成了一项自我管理的调查。结果显示,低社会经济地位的拉丁美洲男男性行为者的PrEP摄取量显著降低。PrEP相关障碍包括缺乏意识、污名和副作用。研究结果强调了多系统方法的重要性,以提高南方社会经济地位不同的拉丁裔男男性行为者对PrEP的认识和获得PrEP的机会。
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引用次数: 10
HIV prevalence variations in mining communities in Ghana 加纳采矿社区艾滋病毒流行率的变化
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-04-03 DOI: 10.1080/15381501.2019.1599748
R. Osei-Yeboah, Miranda Adedze, R. Bannor, Edwina Takyibea Opoku, P. Akweongo
Abstract This paper aimed at providing evidence on the variations in HIV prevalence in mining communities in Ghana. Purposive sampling was used for collection of data. Five years records (2011–2015) were reviewed and data on age, sex, date of HIV screening, results and location were extracted from hospital registers and entered electronically for analysis. Findings emerging from this study suggest high HIV prevalence in mining communities in Ghana. This study also identified a decline in routine HIV testing. The study suggests means to tailor public health efforts to improve HIV testing in mining communities. Transactional sexual activities among women and the younger generations may account for the high HIV prevalence according to findings from this study.
摘要:本文旨在为加纳矿业社区艾滋病毒流行率的变化提供证据。数据收集采用有目的抽样。审查了五年记录(2011-2015年),并从医院登记册中提取了有关年龄、性别、艾滋病毒筛查日期、结果和地点的数据,并以电子方式输入以供分析。这项研究的结果表明,加纳采矿社区的艾滋病毒感染率很高。这项研究还发现了常规艾滋病毒检测的下降。该研究提出了调整公共卫生工作的方法,以改善采矿社区的艾滋病毒检测。根据这项研究的结果,女性和年轻一代之间的交易性活动可能是艾滋病毒高感染率的原因。
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引用次数: 0
The hidden burden of HIV in the undocumented immigrant population of the United States 美国无证移民中隐藏的艾滋病毒负担
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-01-02 DOI: 10.1080/15381501.2018.1553748
Shafaq Jawed, Uzair Yaqoob
Abstract In the United States, approximately 1.1 million people have HIV, and 15% of them are unaware of their disease. The United States has one of the larger populations of undocumented residents in the world. These undocumented residents pose an equal risk of HIV infection and transmission as U.S. citizens. Migration status, strict policies, fear of deportation, and low-income status prevents these individuals from seeking HIV screening and treatment options.For the United States to achieve robust HIV prevention and treatment, more organizations and services are needed to address HIV infections and transmissions among undocumented residents.
摘要在美国,大约有110万人感染了艾滋病毒,其中15%的人不知道自己的疾病。美国是世界上非法居留人口最多的国家之一。这些无证居民与美国公民一样面临感染和传播艾滋病毒的风险。移民身份、严格的政策、对被驱逐出境的恐惧以及低收入身份使这些人无法寻求艾滋病毒筛查和治疗选择。为了使美国实现强有力的艾滋病毒预防和治疗,需要更多的组织和服务来解决无证居民中的艾滋病毒感染和传播问题。
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引用次数: 1
Professionally Moderated, Psychoeducational, Web-Based Support for Women Living with HIV: An Exploratory Study 专业调节、心理教育、基于网络的艾滋病妇女支持:一项探索性研究
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-01-02 DOI: 10.1080/15381501.2018.1530628
M. Ghabrial, C. Classen, Julie D. Maggi
Abstract Women living with HIV (WLWH) face stress and stigma due to their HIV status, and web-based support groups may provide a beneficial means for connection and education. This paper presents an exploratory study examining the feasibility and potential benefits of a professionally moderated, psychoeducational, web-based support group for WLWH. Ten women participated and the average number of weekly posts was 13.38. Active participants were more likely to be White and have a history of suicidality/self-harm. Findings suggest that future implementations may lead to improvements in depression, anxiety, and post-traumatic growth. Results substantiate prior research and provide a foundation for future interventions.
感染艾滋病毒的妇女(WLWH)因其艾滋病毒状况而面临压力和耻辱,基于网络的支持团体可能提供有益的联系和教育手段。本文提出了一项探索性研究,探讨了一个专业主持的、心理教育的、基于网络的WLWH支持小组的可行性和潜在效益。有10名女性参与,每周平均发帖数为13.38次。积极的参与者更有可能是白人,并且有自杀/自残的历史。研究结果表明,未来的实施可能会改善抑郁、焦虑和创伤后成长。结果证实了先前的研究,并为未来的干预提供了基础。
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引用次数: 1
Childbearing dilemma among married HIV-infected women in Iran; qualitative study 伊朗已婚艾滋病毒感染妇女的生育困境定性研究
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-01-02 DOI: 10.1080/15381501.2019.1584139
Nooshin Zarei, H. Joulaei, M. Ghoreishi
Abstract Despite the possibility of having HIV-infected children and the vulnerability of families, women living with HIV/AIDS still tend to have children. The aim of this study was to explore the childbearing experiences among women living with HIV in Fars, Iran. This is a qualitative content analysis. Twenty-two participants were selected from the married HIV-infected women who referred to the Voluntary Counseling and Testing (VCT) center in Fars province. The concept of “childbearing dilemma” consist of “childbearing stimulants” and “childbearing deterrents,” which emerged from women’s descriptions of the childbearing decision. Different motives and obstacles affected their decision. Interestingly, financial problems were not mentioned as a significant issue and the decision to have a child was an emotional factor rather than financial. Hence, understanding the motives and obstacles is important, and the decision to have a child is anyone’s right, which should not be deprived of.
摘要尽管有可能有感染艾滋病毒的儿童和家庭的脆弱性,但感染艾滋病毒/艾滋病的妇女仍然倾向于有孩子。本研究的目的是探讨伊朗法尔斯地区艾滋病毒感染妇女的生育经历。这是一个定性的内容分析。22名参与者是从法尔斯省自愿咨询和检测中心的已婚艾滋病毒感染妇女中挑选出来的。“生育困境”的概念由“生育兴奋剂”和“生育威慑物”组成,这两个概念源于女性对生育决定的描述。不同的动机和障碍影响了他们的决定。有趣的是,经济问题并没有被认为是一个重大问题,生孩子的决定是一个情感因素,而不是经济因素。因此,了解动机和障碍很重要,生孩子的决定是任何人的权利,不应被剥夺。
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引用次数: 0
Religious beliefs and HIV-related stigma: Considerations for healthcare providers 宗教信仰和与艾滋病毒相关的污名:医疗保健提供者的考虑因素
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-01-02 DOI: 10.1080/15381501.2019.1588823
Nooshin Zarei, H. Joulaei, M. Ghoreishi, M. Dianatinasab
Abstract Globally, the stigmatic behavior toward people living with HIV(PLHIV) has marginalized them. The aim of this study was to determine the effects of religious beliefs and demographic variables on healthcare providers’ stigmatic perspectives towards PLHIV. A total of 575 healthcare providers in Shiraz completed a structured questionnaire. Data were analyzed using the STATA package. The findings indicated a significant association between the stigmatic perspective of healthcare providers and their religious beliefs (p < 0.05). The multiple regression analysis showed that, after controlling effects of other variables, only religious beliefs was significantly linked with the stigmatic view (p = 0.001). In addition, social class and marital status were predictors, but they had a significant association with stigmatic view (p > 0.05). To reduce stigma and discrimination, training healthcare providers is inevitable. Thus, a program with a focus on the rights of PLHIV should be implemented to help healthcare providers deal with PLHIV without any stigma or discrimination.
摘要在全球范围内,对艾滋病毒感染者的污名化行为已经使他们边缘化。本研究的目的是确定宗教信仰和人口统计变量对医疗保健提供者对PLHIV的污名化观点的影响。设拉子共有575名医疗保健提供者完成了一份结构化问卷。使用STATA软件包对数据进行分析。研究结果表明,医疗保健提供者的污名化观点与其宗教信仰之间存在显著关联(p  0.05)。为了减少耻辱和歧视,培训医疗保健提供者是不可避免的。因此,应该实施一项以PLHIV权利为重点的计划,帮助医疗保健提供者在没有任何污名或歧视的情况下处理PLHIV。
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引用次数: 3
Factors associated with adherence to antiretroviral therapy among HIV + Patients in Guangxi, China 中国广西HIV阳性患者坚持抗逆转录病毒治疗的相关因素
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-01-02 DOI: 10.1080/15381501.2019.1584138
Zhiwen Xiao, Xiaoming Li, S. Qiao, Yuejiao Zhou, Zhiyong Shen
Abstract This study employed logistic regression to examine the factors that predict medication adherence among a total of 2,146 HIV-infected individuals who were receiving antiretroviral therapy (ART) in Guangxi, China. Of these participants, 1,388 patients (64.7%) did not miss any medication dose. Medication-specific social support (OR = 1.50, 95% CI: 1.05–2.13), no/less experience of influential side effects (OR = 1.38, 95% CI: 1.05–1.81), and direct coping (OR = 1.11, 95% CI: 1.01–1.22) are significant predictors of never missing doses. However, longer duration of receiving ART (OR = 1.60, 95% CI: 1.00–2.57), ever use of synthetic drugs (OR = 2.70, 95% CI: 1.58–4.61), and actively social support seeking (OR = .95, 95% CI: .90–.99) are significant predictors of ever missing adherence. HIV treatment and care in Guangxi should address potential treatment fatigue, offer medication-specific social support, and help patients to prevent, reduce, or manage side effects of treatment. Continuing research is greatly needed on the influence of coping strategies on medication adherence.
摘要本研究采用logistic回归方法,对中国广西2146名接受抗逆转录病毒疗法(ART)的HIV感染者进行了药物依从性预测因素的检验。在这些参与者中,1388名患者(64.7%)没有错过任何药物剂量。药物特异性社会支持(OR=1.50,95%CI:1.05-2.13)、无/无影响副作用经历(OR=1.38,95%CI:1.05–1.81)和直接应对(OR=1.11,95%CI:1.01–1.22)是从不错过剂量的重要预测因素。然而,接受ART的持续时间较长(OR=1.60,95%CI:1.00-2.57),曾使用过合成药物(OR=2.70,95%CI:1.58-4.61),并积极寻求社会支持(OR = .95,95%可信区间:.90–.99)是持续性依从性缺失的重要预测因素。广西的HIV治疗和护理应解决潜在的治疗疲劳问题,提供针对药物的社会支持,并帮助患者预防、减少或管理治疗的副作用。非常需要继续研究应对策略对药物依从性的影响。
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引用次数: 0
Rural Men Who Have Sex with Men’s (MSM) Experiences and Preferences for Outreach Health Programming 农村男性行为者(MSM)的经历和外展健康计划的偏好
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-01-02 DOI: 10.1080/15381501.2019.1584141
Zachary Giano, R. Hubach, Hunter J. Meyers, Kyle Deboy, Joseph M. Currin, Denna L. Wheeler, Julie M. Croff
Abstract Rural men who have sex with men (MSM) are particularly vulnerable to HIV/STI infections, though most outreach efforts to reach MSM have been focused on urban populations. More attention is needed to study effective ways of reaching/recruiting rural MSM, yet little is known about their preferences; particularly as studies show significant differences in the behaviors and perceptions of rural versus urban MSM. Our study uses a qualitative instrument to gauge what outreach methods are most effective from the perspective of 40, rural MSM. Outreach facilitators included online marketing, emphasizing rural areas, while outreach barriers included traditional forms of print media/advertising, or anything that may jeopardize anonymity. Implications for future outreach in rural areas and limitations are also discussed.
农村男男性行为者(MSM)特别容易感染艾滋病毒/性传播感染,尽管大多数针对男男性行为者的推广工作都集中在城市人口中。需要更多地关注研究接触/招募农村男男性行为者的有效方法,但对他们的偏好知之甚少;特别是研究显示农村和城市男同性恋者的行为和观念存在显著差异。我们的研究使用了一种定性工具来衡量从40000名农村男男性行为者的角度来看,什么样的外展方法是最有效的。推广促进者包括强调农村地区的在线营销,而推广障碍包括传统形式的印刷媒体/广告,或任何可能危及匿名性的东西。对今后在农村地区推广的影响和限制也进行了讨论。
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引用次数: 7
Holding On: African American Women Surviving HIV/AIDS 坚持:非洲裔美国妇女在艾滋病毒/艾滋病中幸存
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-01-02 DOI: 10.1080/15381501.2018.1553747
Jallicia Jolly
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引用次数: 4
Evaluating the Impact of a Targeted Brief HIV Intervention on Multiple Inter-Related HIV Risk Factors of Knowledge and Attitudes among Incarcerated Drug Users. 评估有针对性的短期艾滋病毒干预对监禁吸毒者的知识和态度的多重相互关联的艾滋病毒危险因素的影响。
IF 0.7 Q4 SOCIAL WORK Pub Date : 2019-01-01 Epub Date: 2019-04-14 DOI: 10.1080/15381501.2019.1584140
George W Joe, Wayne E K Lehman, Grace A Rowan, Kevin Knight, Patrick M Flynn

Increases in HIV prevalence indicate ongoing need for HIV interventions. A brief manualized intervention called TCU WaySafe, which addresses multiple HIV risks, was further evaluated to determine how it addressed individual's knowledge deficiencies in the assessed risks. The sample of 1256 offenders in 8 correctional substance abuse treatment programs participated either in treatment as usual (TAU) or TCU WaySafe. From multivariate multi-level analysis, WaySafe was more effective in improving the greatest need area, whether knowledge, motivation, or confidence regarding HIV risky behaviors. Findings underscored the importance of addressing HIV risk areas with greatest need for change and strengthens previous findings of the intervention's potential for individuals with varying HIV risks.

艾滋病毒流行率的上升表明仍然需要采取艾滋病毒干预措施。进一步评估了一种名为TCU WaySafe的简短人工干预措施,以确定它如何解决个人在评估风险中的知识缺陷。在8个惩教药物滥用治疗项目中,1256名罪犯参加了常规治疗(TAU)或TCU WaySafe。从多变量多层次分析来看,WaySafe在改善最大需求领域(无论是对艾滋病毒危险行为的知识、动机还是信心)方面更有效。研究结果强调了解决最需要改变的艾滋病毒风险领域的重要性,并加强了先前关于干预措施对不同艾滋病毒风险个体的潜力的研究结果。
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引用次数: 2
期刊
Journal of HIV-AIDS & Social Services
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