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Case Series of HIV-Associated Oral Lesions Across Different Clinical Stages in People Living with HIV 艾滋病毒感染者不同临床阶段的艾滋病毒相关口腔病变病例系列
Pub Date : 2024-07-01 DOI: 10.2147/hiv.s478366
Ayu Permatasanti, I. Sufiawati
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引用次数: 0
Barriers and Enablers to Retention in HIV Care and Adherence to Antiretroviral Therapy: Evidence from Dar es Salaam, Tanzania 继续接受艾滋病护理和坚持抗逆转录病毒疗法的障碍和有利因素:来自坦桑尼亚达累斯萨拉姆的证据
Pub Date : 2024-07-01 DOI: 10.2147/hiv.s458545
G. Sambayi, G. Bwire, M. Kilapilo, David T. Myemba, I. Mosha, Manase Kilonzi, Renatus Magati, Maryam Amour, Rogers Mwakalukwa, Ally Mangara, Muhammad Bakari, Christopher Sudfeld, Mecky Matee, Raphael Zozimus Sangeda, Lisa Adams, J. Killewo
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引用次数: 0
HIV-Related Stigma Among Pregnant Adolescents: A Qualitative Study of Patient Perspectives in Southwestern Uganda 怀孕少女中与艾滋病毒有关的耻辱感:乌干达西南部患者观点定性研究
Pub Date : 2024-05-01 DOI: 10.2147/hiv.s463506
Amir Kabunga, Caroline Nabasirye, Eustes Kigingo, Halimah Namata, E. Shikanga, Samson Udho, A. Auma, Jannat Nabaziwa, Raymond Tumwesigye, Marvin Musinguzi, Ponsiano Okalo, Walter Acup
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引用次数: 0
An Analysis of Post-Traumatic Stress Disorder and Quality of Life Among Adults Living with HIV in Western Uganda 对乌干达西部感染艾滋病毒的成年人中创伤后应激障碍和生活质量的分析
Pub Date : 2024-03-01 DOI: 10.2147/hiv.s449298
Amir Kabunga, Eustes Kigongo, Samson Udho, A. Auma, Raymond Tumwesigye, Marvin Musinguzi, Walter Acup, A. Akello, Ponsiano Okalo, Jannat Nabaziwa, Enos Shikanga, Namata Halima
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引用次数: 0
Virological Non-Suppression, Non-Adherence and the Associated Factors Among People Living with HIV on Dolutegravir-Based Regimens: A Retrospective Cohort Study 使用基于多鲁曲韦治疗方案的艾滋病病毒感染者的病毒学抑制、不依从性及相关因素:回顾性队列研究
Pub Date : 2024-03-01 DOI: 10.2147/hiv.s449947
Florence Kabiibi, Robert Tamukong, Winnie Muyindike, Tadele Yadesa
Background: HIV is one of the leading causes of morbidity and mortality, with 39.0 million people living with HIV worldwide, 25.6 million of whom reside in the African region. Highly active anti-retroviral therapy (HAART) has improved survival and quality of life, yet some patients develop viral non-suppression. Dolutegravir (DTG) has been recommended since 2018 as a first-line treatment option in low-and middle-income countries owing to its effectiveness, low cost, and tolerability, but some studies have reported virological non-suppression with its use. This study aims to explore the prevalence and factors associated with virological non-suppression in adults taking DTG-based regimens in Mbarara Regional Referral Hospital. Methods: A retrospective cohort study was carried out among people living with HIV (PLWHIV) taking DTG-based HAART regimens by way of record review. SPSS was used for analysis, and both binary and multivariate logistic regression analyses were performed to test associated factors. Results: Among the 422 participants’ records reviewed, 62.8% were female (median age 40 years, IQR=13). The prevalence of virological non-suppression was 4.2%. Poor adherence to HAART was significantly associated with virological non-suppression, with 100.3 increased adjusted odds (95% CI: 28.90–348.12, p <0.001) compared to those with a record of good adherence. The reasons for poor adherence included alcohol use, stigma, forgetting to take medication, transport problems, and irregular timing of swallowing. Conclusion: This study found poor adherence to be associated with a 4.2% prevalence of virological non-suppression among PLWHIV in a large public HIV care clinic. Despite the high suppression rates on DTG-based regimens, adherence counseling and viral load monitoring need to be emphasized at all HIV care centers to mark the trends of virological non-suppression.
背景:艾滋病毒是发病和死亡的主要原因之一,全球有 3,900 万艾滋病毒感染者,其中 2,560 万人居住在非洲地区。高活性抗逆转录病毒疗法(HAART)提高了患者的生存率和生活质量,但仍有一些患者出现病毒抑制。多罗替拉韦(DTG)由于疗效好、成本低、耐受性强,自2018年起被推荐作为中低收入国家的一线治疗方案,但一些研究报告称使用该药物后出现病毒学抑制。本研究旨在探讨姆巴拉拉地区转诊医院中服用基于 DTG 方案的成人病毒学抑制的发生率和相关因素。研究方法通过查阅记录,对服用基于 DTG 的 HAART 方案的艾滋病病毒感染者(PLWHIV)进行了一项回顾性队列研究。使用 SPSS 进行分析,并通过二元和多变量逻辑回归分析来检验相关因素。结果在查阅的 422 名参与者的记录中,62.8% 为女性(中位年龄为 40 岁,IQR=13)。病毒学抑制的发生率为 4.2%。对 HAART 的依从性差与病毒学抑制明显相关,与依从性好的患者相比,调整后的几率增加了 100.3(95% CI:28.90-348.12,p <0.001)。依从性差的原因包括酗酒、耻辱感、忘记服药、交通问题和吞咽时间不规律。结论这项研究发现,在一家大型公立艾滋病护理诊所中,依从性差与艾滋病毒感染者中 4.2% 的病毒学抑制率有关。尽管以 DTG 为基础的治疗方案的病毒抑制率很高,但所有艾滋病护理中心都需要重视依从性咨询和病毒载量监测,以确定病毒学抑制的趋势。
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引用次数: 0
An Assessment of Trends in HIV-1 Prevalence and Incidence and Spatio-Temporal Analyses of HIV-1 Recent Infection Among MSM During the Surveillance Period Between 2018 and 2022 in Sichuan, China 2018年至2022年监测期间中国四川男男性行为者HIV-1流行和发病趋势评估及HIV-1近期感染时空分析
Pub Date : 2024-03-01 DOI: 10.2147/hiv.s448096
Hong Yang, Maogang Chen, Ying Hu, Mengjiao Xu, Yiping Li, Lunhao Liu, D. Yuan, Feng-shun Yuan, Ling Li, L. Ye, Changhong Zhou, Yan Zhang, S. Liang, Ling Su
Background: Men who have sex with men (MSM) is one main type of high-risk activities facilitating HIV-1 transmission in Sichuan province. Previous works on HIV-1 incidence and prevalence among MSM only concentrated before 2018, the situation after that is unknown. In addition, the distribution of hot-spots related to current HIV-1 epidemic is also rarely known among MSM in Sichuan. Objective: To update trends of HIV-1 prevalence and incidence and to visualize hot-spots of ongoing transmission in Sichuan province during surveillance period among MSM between 2018 and 2022. Methods: Limiting Antigen Avidity assay was performed to detect recent infection within new HIV-1 diagnoses founded during surveillance period among MSM. The HIV-1 prevalence and incidence were calculated according to an extrapolation method proposed by publications and guidelines. Trend tests were performed using χ 2 tests with linear-by-linear association. The spatial analysis was conducted with ArcGIS 10.7 to figure hot-spots of HIV-1 recent infections among MSM. Results: Between 2018 and 2022, 16,697 individuals participated in HIV-1 MSM sentinel surveillance program, of which 449 samples (98.25%) were tested with LAg-Avidity EIA, and 230 samples were classified as recent infection. Respectively, the overall prevalence and incidence were 2.74% and 3.69% (95% CI: 3.21, 4.16) and both had significant declining trends (p < 0.001). Luzhou city had a highest HIV-1 incidence (10.74%, 95% CI: 8.39, 13.10) over the study period and was recognized as a hot-spot for recent HIV-1 infection among MSM. Conclusion: During the surveillance period, both HIV-1 prevalence and incidence were declining. However, Luzhou city had an unusually high HIV-1 incidence and became an emerging hot-spot of recent HIV-1 infection among MSM. This finding suggested focused attention, cross-regional intervention strategies, and prevention programs are urgently required to curb the spread of ongoing transmission.
背景:男男性行为者(MSM)是四川省助长HIV-1传播的一种主要高危活动。以往关于 MSM 中 HIV-1 发病率和流行率的研究仅集中在 2018 年之前,之后的情况尚不清楚。此外,四川省 MSM 中与当前 HIV-1 流行相关的热点地区分布也鲜为人知。目的:更新 2018 年至 2022 年监测期间四川省 MSM 中 HIV-1 感染率和发病率的变化趋势,并直观地显示正在传播的热点地区。方法在监测期间,对男男性行为者中新确诊的 HIV-1 感染者进行极限抗原阳性检测,以检测近期感染情况。根据出版物和指南中提出的推断方法计算 HIV-1 感染率和发病率。趋势检验采用χ 2 线性相关检验。使用 ArcGIS 10.7 进行空间分析,绘制出男男性行为者中最近感染 HIV-1 的热点地区。结果显示2018年至2022年间,16697人参与了HIV-1 MSM哨点监测项目,其中449份样本(98.25%)接受了LAg-Avidity EIA检测,230份样本被归类为近期感染。总体流行率和发病率分别为 2.74% 和 3.69% (95% CI: 3.21, 4.16),均呈显著下降趋势(P < 0.001)。在研究期间,泸州市的 HIV-1 感染率最高(10.74%,95% CI:8.39, 13.10),被认为是男男性行为者近期感染 HIV-1 的热点地区。结论在监测期间,HIV-1 感染率和发病率均呈下降趋势。然而,泸州市的 HIV-1 感染率却异常高,并成为男男性行为者中新近感染 HIV-1 的热点地区。这一发现表明,要遏制艾滋病的持续传播,亟需重点关注、跨区域干预策略和预防计划。
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引用次数: 0
Prevalence of Hypertension and Its Associated Factors Among Adults Living with HIV on Antiretroviral Treatment in Selected Public Hospitals in Addis Ababa, Ethiopia 埃塞俄比亚亚的斯亚贝巴部分公立医院接受抗逆转录病毒治疗的艾滋病毒感染者中的高血压患病率及其相关因素
Pub Date : 2024-03-01 DOI: 10.2147/hiv.s447396
Meskelu Haile, Tamiru Degelo, T. Adilo, F. Adem, Bedasa Gidisa
HIV-positive
艾滋病毒阳性
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引用次数: 0
The Unheard Stories: Experiences of Young People Living with Human Immunodeficiency Virus in Dealing with Discrimination in the Philippines 听不到的故事:菲律宾感染人类免疫缺陷病毒的年轻人应对歧视的经历
Pub Date : 2024-02-01 DOI: 10.2147/hiv.s438280
Donna Sombrea, Sofia Liane Santarin, Trixie Gayle Verde, Andrea Tidalgo, Coleen Tolosa
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引用次数: 0
The Unheard Stories: Experiences of Young People Living with Human Immunodeficiency Virus in Dealing with Discrimination in the Philippines 听不到的故事:菲律宾感染人类免疫缺陷病毒的年轻人应对歧视的经历
Pub Date : 2024-02-01 DOI: 10.2147/hiv.s438280
Donna Sombrea, Sofia Liane Santarin, Trixie Gayle Verde, Andrea Tidalgo, Coleen Tolosa
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引用次数: 0
Risk Factors Associated with Unsuppressed Viral Load in People Living with HIV Receiving Antiretroviral Treatment in Jawa Barat, Indonesia 印度尼西亚爪哇巴拉特省接受抗逆转录病毒治疗的艾滋病毒感染者病毒载量未受抑制的相关风险因素
Pub Date : 2024-01-01 DOI: 10.2147/hiv.s407681
Rudi Wisaksana, Y. Hartantri, Elisabeth Hutajulu
{"title":"Risk Factors Associated with Unsuppressed Viral Load in People Living with HIV Receiving Antiretroviral Treatment in Jawa Barat, Indonesia","authors":"Rudi Wisaksana, Y. Hartantri, Elisabeth Hutajulu","doi":"10.2147/hiv.s407681","DOIUrl":"https://doi.org/10.2147/hiv.s407681","url":null,"abstract":"","PeriodicalId":504538,"journal":{"name":"HIV/AIDS - Research and Palliative Care","volume":"56 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139637021","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
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HIV/AIDS - Research and Palliative Care
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