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What Motivates Older Sedentary People Living With HIV in the United States to Participate in an Exercise Trial? A Qualitative Study. 在美国,是什么促使久坐不动的老年艾滋病毒感染者参加运动试验?定性研究。
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-03-01 Epub Date: 2024-12-24 DOI: 10.1097/JNC.0000000000000517
Evelyn Iriarte, Allison R Webel, Paul F Cook, Ashley Turner, Grace L Ditzenberger, Kristine M Erlandson, Catherine Jankowski

Abstract: Although exercise supports the physical function and health of older people living with HIV (PLWH), less than half of PLWH globally achieve recommended levels of activity. A qualitative descriptive design was used to determine what motivates sedentary PLWH, 50 years and older, to participate in an exercise trial. Interviews were conducted with PLWH who participated in an exercise trial ( n = 30) and PLWH who declined enrollment in the same exercise trial ( n = 4). The theory of planned behavior (TPB) guided a directed content analysis of the interviews. Data analysis identified four themes: (a) intention or motivation (perceived benefits, maintaining the exercise behavior over time), (b) attitudes (goals and preferences), (c) perceived behavioral control (barriers, facilitators, and self-efficacy), and (d) subjective norms (pressure from health care providers and social networks). Findings from our study contribute to informing the development of future exercise interventions or trials and to planning care to encourage a physically active lifestyle.

摘要:尽管运动有助于老年艾滋病毒感染者(PLWH)的身体功能和健康,但全球只有不到一半的PLWH达到了推荐的活动水平。采用定性描述设计来确定是什么促使久坐的PLWH, 50岁及以上,参加锻炼试验。对参加运动试验的PLWH (n = 30)和拒绝参加同一运动试验的PLWH (n = 4)进行了访谈。计划行为理论(TPB)指导了对访谈的定向内容分析。数据分析确定了四个主题:(a)意图或动机(感知利益,长期保持锻炼行为),(b)态度(目标和偏好),(c)感知行为控制(障碍,促进因素和自我效能),以及(d)主观规范(来自卫生保健提供者和社会网络的压力)。我们的研究结果有助于为未来运动干预或试验的发展提供信息,并规划护理以鼓励积极的生活方式。
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引用次数: 0
The Intersection of HIV and Aging.
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-03-01 Epub Date: 2025-02-05 DOI: 10.1097/JNC.0000000000000527
Christine Horvat Davey
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引用次数: 0
Low Bone Mineral Density and Associated Factors Among People Living With HIV in Kerman, Iran: A Cross-Sectional Study in 2021-2022. 伊朗Kerman地区HIV感染者骨密度低及相关因素:一项2021-2022年的横断面研究
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-03-01 Epub Date: 2025-01-14 DOI: 10.1097/JNC.0000000000000521
Hamidreza Rashidi, Soheil Mehmandoost, Noushin Fahimfar, Hamid Reza Aghaei Meybodi, Seyed Mohammad Hosseinian, Noushin Shirzad, Fatemeh Hajivalizade, Mahnaz Sanjari, Mohammad Reza Shakibi, Tarlan Hasan Aghaei, Farzaneh Yazdi Yahaabadi, Pouriya Salajegheh, Gita Shafiee, Farideh Razi, Ebrahim Ranjbar, Willi McFarland, Afshin Ostovar, Hamid Sharifi

Abstract: Chronic diseases such as osteoporosis and low bone mineral density (BMD) are significant public health concerns for people living with HIV (PLWH), especially with the increased life expectancy because of antiretroviral therapy (ART). This study evaluated the prevalence and associated factors of low BMD among 94 PLWH in Kerman, Iran, from September 2021 to February 2022. Using dual-energy X-ray absorptiometry, BMD was measured, with low BMD defined by specific T-scores and Z-scores. Predictors were assessed through interviews, medical records, and blood tests. Bivariable and multivariable logistic regression models identified associations between low BMD and various factors. The study found a 51.1% prevalence of low BMD, with significant associations with hypogonadism (adjusted odds ratio [aOR]: 3.19), longer ART duration (aOR per month: 1.02), and lower body mass index (aOR per unit: 0.83). The findings highlight the need for regular screening and timely intervention for low BMD among PLWH, particularly with prolonged ART use.

慢性疾病如骨质疏松症和低骨密度(BMD)是艾滋病病毒感染者(PLWH)的重大公共卫生问题,特别是随着抗逆转录病毒治疗(ART)的增加预期寿命。本研究评估了2021年9月至2022年2月期间伊朗克尔曼94名PLWH患者的低骨密度患病率及相关因素。采用双能x线骨密度仪测量骨密度,通过特定的t评分和z评分来定义低骨密度。通过访谈、医疗记录和血液测试来评估预测因素。双变量和多变量logistic回归模型确定了低骨密度与各种因素之间的关联。该研究发现51.1%的低骨密度患病率,与性腺功能减退(调整优势比[aOR]: 3.19)、更长的抗逆转录病毒治疗持续时间(每月aOR: 1.02)和更低的体重指数(单位aOR: 0.83)有显著关联。研究结果强调了定期筛查和及时干预低骨密度的必要性,特别是长期使用抗逆转录病毒治疗的患者。
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引用次数: 0
Primary Care Screening for Nonalcoholic Fatty Liver Disease Among People With HIV in the United States: A Real-World Provider Survey. 美国HIV感染者非酒精性脂肪性肝病的初级保健筛查:一项真实世界的提供者调查
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-03-01 Epub Date: 2024-12-24 DOI: 10.1097/JNC.0000000000000505
Jennifer C Price, Kyoko Hirose, Naga Chalasani, Holly Crandall, Sonya Heath, Rohit Loomba, Susanna Naggie, Richard K Sterling, Mark Sulkowski, Laura Wilson, Jordan E Lake

Abstract: Nonalcoholic fatty liver disease (NAFLD) is highly prevalent in people with HIV (PWH) and increases the risk of hepatic fibrosis and hepatocellular carcinoma. We sent an online survey to providers of the American Academy of HIV Medicine. Of respondents ( n = 214, 8% response rate), 65% reported screening for NAFLD in PWH, with 28% routinely screening all patients. Most respondents refer patients to hepatology if workup suggests another coexisting liver disease or cirrhosis, with the primary goals of referral being additional diagnostic testing (60%) or specific treatments (75%). The most common barriers to screening were feeling unsure of what tests to order (28%) and how to conclusively diagnose NAFLD (29%). Most respondents were interested in society guidelines (73%) and NAFLD education for patients (57%) and providers (55%). Our findings support the development of NAFLD clinical practice guidelines for HIV providers and the inclusion of PWH in clinical trials of novel agents.

摘要:非酒精性脂肪性肝病(NAFLD)在HIV感染者(PWH)中高度流行,并增加肝纤维化和肝细胞癌的风险。我们向美国艾滋病医学研究院的提供者发送了一份在线调查。在应答者中(n = 214, 8%的应答率),65%的人报告在PWH中筛查NAFLD, 28%的人对所有患者进行常规筛查。如果检查显示患者同时存在其他肝病或肝硬化,大多数应答者将患者转到肝病学,转诊的主要目标是额外的诊断检测(60%)或特定治疗(75%)。筛查中最常见的障碍是不确定要进行哪些检查(28%)和如何最终诊断NAFLD(29%)。大多数受访者对社会指南(73%)和对患者(57%)和提供者(55%)的NAFLD教育感兴趣。我们的研究结果支持为HIV提供者制定NAFLD临床实践指南,并将PWH纳入新药物的临床试验。
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引用次数: 0
Call for Papers: Ethical, Social, and Political Issues in HIV Prevention, Care, and Treatment.
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-03-01 Epub Date: 2025-02-06 DOI: 10.1097/JNC.0000000000000528
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引用次数: 0
Expert Consensus on an Exercise Prescription Framework for Older People Living With HIV in a South African Setting-A Delphi Study. 专家共识的运动处方框架,为老年人艾滋病毒感染者在南非设置-德尔福研究。
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-03-01 Epub Date: 2025-01-03 DOI: 10.1097/JNC.0000000000000519
Levin Chetty, Saul Cobbing, Verusia Chetty

Abstract: Well-established, regular exercise interventions for older people living with HIV (OPLWH) are beneficial. However, the fundamental principles of exercise prescription for this population have not been sufficiently explored. An expert panel of health care professionals engaged in a modified Delphi technique to explore their perceptions of, and gain their consensus on, an exercise prescription framework for OPLWH in a resource-poor South African setting. A high level of agreement among participants was determined using a priori threshold of 80% agreement and an interquartile range of ≤ 1. Expert consensus was reached on a structured, multifaceted exercise prescription and also fundamental principles, such as multidisciplinary engagement and team collaboration, pre-exercise health screening, and exercise supervision. These were viewed as necessary components of a framework to improve the integration of exercise rehabilitation in the treatment, care, and support for OPLWH.

摘要:完善的、有规律的运动干预对老年艾滋病毒感染者(OPLWH)是有益的。然而,针对这一人群的运动处方的基本原则还没有得到充分的探索。一个由卫生保健专业人员组成的专家小组,采用改进的德尔菲技术,探讨他们对资源贫乏的南非OPLWH运动处方框架的看法,并获得他们的共识。使用80%的先验阈值和≤1的四分位数范围来确定参与者之间的高水平一致性。专家们就结构化的、多方面的运动处方和基本原则达成了共识,如多学科参与和团队协作、运动前健康筛查和运动监督。这些被视为框架的必要组成部分,以改善运动康复在OPLWH治疗、护理和支持中的整合。
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引用次数: 0
" I Look in the Mirror and Say ' You Know What, There Is Hope for You '"-An Interpretative Qualitative Study of Current and Future Well-Being in Black African Women Older Than 50 Years With HIV in the United Kingdom. “我对着镜子说‘你知道吗,你还有希望’”——一项对英国50岁以上感染艾滋病毒的非洲黑人妇女当前和未来福祉的解释性定性研究。
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-03-01 Epub Date: 2025-01-21 DOI: 10.1097/JNC.0000000000000522
Rebecca Conway, Michael Evangeli, Angelina Namiba, Rachael Jones

Abstract: Effective antiretroviral treatment means that people with HIV are living for longer. This includes Black African women, who represent a large proportion of people aging with HIV in the United Kingdom. Despite this, the impact of living and aging with HIV on the well-being of Black African women aging with HIV has not been investigated. Interpretative phenomenological analysis of interviews with eight Black African women ages 50 years and older living with HIV developed six superordinate themes. Findings demonstrated how experiences of HIV-related stigma negatively affected social, occupational, and psychological well-being. Perspectives on living and aging with HIV into the future included experiences of acceptance, uncertainty, anxiety, and hope. Recommendations are made, including developing clinical practice to consider needs relating to social and psychological well-being, as well as physical well-being, for women aging with HIV.

摘要:有效的抗逆转录病毒治疗意味着艾滋病毒感染者的寿命延长。这包括非洲黑人妇女,她们在英国老年艾滋病毒感染者中占很大比例。尽管如此,艾滋病毒携带者的生活和老龄化对非洲黑人妇女艾滋病毒携带者的福祉的影响尚未得到调查。对8名50岁及以上感染艾滋病毒的非洲黑人妇女的访谈进行解释性现象学分析,得出了6个优先主题。研究结果表明,与艾滋病毒相关的耻辱经历如何对社会、职业和心理健康产生负面影响。对艾滋病毒携带者未来生活和衰老的看法包括接受、不确定、焦虑和希望的经历。提出了建议,包括发展临床实践,考虑与艾滋病毒感染的老年妇女的社会和心理健康以及身体健康有关的需求。
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引用次数: 0
HIV Symptom Clusters Among Sexual Minority Men in Ghana, West Africa: A Cross-sectional Study. 西非加纳性少数群体男性的 HIV 症状集群:横断面研究。
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-03-01 Epub Date: 2024-08-29 DOI: 10.1097/JNC.0000000000000497
Samuel Akyirem, Guangyu Tong, Gloria Aidoo-Frimpong, Diana Namumbejja Abwoye, Daniel Jacobson López, Leo Wilton, LaRon E Nelson

Abstract: The aims of this study were to determine if HIV symptoms among sexual minority men formed clusters and to examine the sociodemographic and clinical characteristics that are associated with these clusters. We analyzed cross-sectional data from Ghanaian sexual minority men ( N = 225) living with HIV. We used both principal component analysis and multivariable linear regression. Our findings indicate that sadness (64.0%) and headache (62.7%) were the most prevalent symptoms among our sample. Seven symptom clusters were identified: neurological symptoms, psychological symptoms, gastrointestinal symptoms, dermatological symptoms, self-concept/self-esteem, weight/diet-related symptoms, and sleep quality and potential disturbances. Late HIV diagnosis was significantly associated with higher distress scores for all symptom clusters except for the self-concept/self-esteem and gastrointestinal symptoms clusters. The findings emphasize the importance of early HIV symptom identification.

摘要:本研究的目的是确定性少数群体男性的艾滋病症状是否形成群集,并研究与这些群集相关的社会人口学和临床特征。我们分析了加纳性少数群体男性艾滋病感染者(N = 225)的横断面数据。我们使用了主成分分析和多变量线性回归。我们的研究结果表明,悲伤(64.0%)和头痛(62.7%)是样本中最普遍的症状。我们确定了七个症状群:神经系统症状、心理症状、胃肠道症状、皮肤病症状、自我概念/自尊、体重/饮食相关症状以及睡眠质量和潜在障碍。除自我概念/自尊和胃肠道症状群组外,晚期艾滋病毒诊断与所有症状群组的较高痛苦评分有明显关联。研究结果强调了早期识别艾滋病症状的重要性。
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引用次数: 0
"Don't Tell Nobody Nothing": A Phenomenological Study on Fear of HIV Disclosure Among Older African Americans During Incarceration Living in Kentucky, USA. “Don’t Tell Nobody Nothing”:美国肯塔基州监禁期间非洲裔美国老年人HIV暴露恐惧的现象学研究。
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-03-01 Epub Date: 2024-12-24 DOI: 10.1097/JNC.0000000000000514
Jennifer S Tinman, Nqobile Nzama, Jenifer Patterson, Lesley M Harris, Jelani C Kerr

Abstract: The intersections of HIV with aging, incarceration, and racial disparities have been well studied, but little is known about the lived incarceration experiences of older African American persons living with HIV. This phenomenological study examined the fear of HIV disclosure among older African Americans living in Kentucky who have experienced incarceration. Based on the interviews analyzed, five main themes were identified: experiences with fear, experiences pertaining to confidentiality, experiences with disclosure, experiences with stigma, and the desire to be accepted. These themes demonstrate HIV disclosure fear within incarceration settings and the desire for support and services. Findings suggest that there should be more efforts to increase HIV knowledge and awareness within incarceration settings. Participants shared that having a support network alleviates isolation. We recommend that correctional settings implement policies to protect confidentiality violations and facilitate groups to help foster a more supportive environment for individuals living with HIV.

摘要:艾滋病毒与老龄化、监禁和种族差异之间的关系已经得到了很好的研究,但对老年非洲裔美国人感染艾滋病毒的监禁经历知之甚少。这项现象学研究调查了居住在肯塔基州经历过监禁的老年非洲裔美国人对艾滋病毒披露的恐惧。根据对访谈的分析,确定了五个主要主题:恐惧的经历,与保密有关的经历,披露的经历,耻辱的经历,以及被接受的愿望。这些主题表明了在监禁环境中艾滋病毒的披露恐惧以及对支持和服务的渴望。研究结果表明,在监禁环境中应该加大力度提高艾滋病知识和意识。与会者一致认为,拥有一个支持网络可以减轻孤独感。我们建议惩教机构实施政策,保护违反保密规定的行为,并促进团体为艾滋病毒感染者提供更支持性的环境。
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引用次数: 0
Giants. 巨人队
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-03-01 Epub Date: 2025-02-04 DOI: 10.1097/JNC.0000000000000526
Allison R Webel
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引用次数: 0
期刊
Janac-Journal of the Association of Nurses in Aids Care
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