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Intimate partner violence among HIV-positive service users of a tertiary care and treatment facility in Enugu State, Nigeria 尼日利亚埃努古州三级保健和治疗机构中艾滋病毒阳性服务使用者的亲密伴侣暴力
IF 0.2 Q4 INFECTIOUS DISEASES Pub Date : 2021-01-01 DOI: 10.5114/hivar.2021.111896
Ifeoma M. Obionu, Chinwendu O. Echefu, Vina U. Chinweokwu, Winifred O. Chineme, Azodo U. Gabriel, Emmanuel N. Aguwa
Introduction: There have been growing concerns of intimate partner violence (IPV) in people living with HIV (PLHIV). The objective of this study was to determine the prevalence and predictors of IPV in PLHIV. Material and methods: This was an analytical cross-sectional study carried out in Enugu State, Southeast Nigeria, among 360 PLHIV receiving care in a tertiary hospital. A systematic sampling method was used to select participants during clinic visits, and data was collected using a pretested questionnaire adapted from Nigerian demographic and health survey. Responses were based on incidents, which had occurred within a period of twelve months prior to the day of interview. P -values of < 0.05 were considered statistically significant. Results: The mean age of respondents was 35 ± 5 years. One hundred and eighty-nine (52.5%) respondents had experienced a form of IPV in the last 12 months preceding the study. Being female and having a partner who uses illicit drugs or alcohol were found to be predictors of IPV (AOR = 2.251, 95% CI: 1.438-3.522) and (AOR = 1.467, 95% CI: 0.301-0.725), respectively. Conclusions: Prevalence of IPV was high in respondents in this study and in light of these findings, there is need to facilitate IPV screening, counseling, and improve patient awareness of IPV in routine management of PLHIV in care and treatment facilities in Nigeria.
导言:人们越来越关注艾滋病毒感染者的亲密伴侣暴力(IPV)。本研究的目的是确定IPV在PLHIV中的患病率和预测因素。材料和方法:这是一项在尼日利亚东南部埃努古州进行的分析性横断面研究,研究对象是在一家三级医院接受治疗的360名艾滋病毒感染者。采用系统抽样方法在门诊就诊期间选择参与者,并使用改编自尼日利亚人口与健康调查的预测试问卷收集数据。答复是根据在面谈前12个月内发生的事件作出的。P值< 0.05认为有统计学意义。结果:被调查者的平均年龄为35±5岁。189名(52.5%)受访者在研究前的12个月内经历过某种形式的IPV。女性和伴侣使用非法药物或酒精被发现是IPV的预测因子(AOR = 2.251, 95% CI: 1.438-3.522)和(AOR = 1.467, 95% CI: 0.301-0.725)。结论:在这项研究中,IPV的患病率在受访者中很高,根据这些发现,有必要促进IPV筛查、咨询,并在尼日利亚的护理和治疗机构的PLHIV常规管理中提高患者对IPV的认识。
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引用次数: 0
Treatment of mucocele of the lower lip using diode laser in a pediatric patient: interdisciplinary case report 应用二极管激光治疗小儿下唇黏液囊肿:跨学科病例报告
IF 0.2 Q4 INFECTIOUS DISEASES Pub Date : 2021-01-01 DOI: 10.5114/hivar.2021.111903
Akanksha Raj, Damodar Hegde, Devesh Gupta, Sangeeta U. Nayak
Mucocele or mucus extravasation cyst is a common oral cavity lesion, involving minor salivary glands, and results from duct rupture or obliteration, causing glandular contents (mucinous) to be released subepithelially. The incidence is high, with 2.5 lesions per 1,000 individuals. Indeed, mucoceles are the most common minor salivary gland disorder, and represent the second most frequent benign soft tissue tumors of the oral cavity, following irritative fibromas. Trauma, parafunctional behavior, lip chewing, and other etiological factors may contribute to a permanent bump in the region of incidence if left untreated. These are non-neoplastic cystic lesions of the major and minor salivary glands caused by mucus accumulation. Children are the most often affected by these lesions. Various treatment modalities for mucocele have been advocated, with lasers being the most recent and innovative. In the current case report, a diode laser was used to remove a mucocele on the lower lip, with benefits of less pain, bleeding, recurrence, and greater patient compliance. While these lesions are usually treat-ed with local surgical excision, in our case, to prevent intra-operative surgical complications, such as bleeding and edema, and to facilitate faster healing, excision was performed using a diode laser with a wavelength of 940 nm. After achieving hemostasis, the excised tissue was sent for histopathological examination, which confirmed our diagnosis of that lesion as mucus extravasation cyst or mucocele.
黏液囊肿或黏液外渗囊肿是一种常见的口腔病变,累及小唾液腺,由导管破裂或堵塞引起腺体内容物(粘液)在上皮下释放。发病率很高,每1000人中有2.5个病变。事实上,粘液囊肿是最常见的轻微唾液腺疾病,是口腔中第二常见的良性软组织肿瘤,仅次于刺激性纤维瘤。如果不及时治疗,创伤、功能异常行为、咬唇和其他病因因素可能导致发病区域出现永久性肿块。这是由粘液积聚引起的大、小唾液腺的非肿瘤性囊性病变。儿童最常受到这些病变的影响。粘液囊肿的各种治疗方式已被提倡,激光是最新的和创新的。在目前的病例报告中,二极管激光被用于去除下唇的粘液囊肿,其好处是疼痛,出血,复发,患者依从性更强。虽然这些病变通常通过局部手术切除来治疗,但在我们的病例中,为了防止术中手术并发症,如出血和水肿,并促进更快的愈合,我们使用波长为940 nm的二极管激光进行切除。止血后,将切除组织送组织病理学检查,证实我们的诊断为粘液外渗囊肿或粘液囊肿。
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引用次数: 1
Vigilance for HIV/AIDS: a cross-sectional study of 2 million adults in the United States 警惕艾滋病毒/艾滋病:美国200万成年人的横断面研究
IF 0.2 Q4 INFECTIOUS DISEASES Pub Date : 2021-01-01 DOI: 10.5114/HIVAR.2021.107235
Irene Rethemiotaki
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引用次数: 1
Cardiovascular disease and HIV infection 心血管疾病和艾滋病毒感染
IF 0.2 Q4 INFECTIOUS DISEASES Pub Date : 2021-01-01 DOI: 10.5114/HIVAR.2021.107234
Magdalena Jachymek, M. Braksator, M. Parczewski, M. Peregud-Pogorzelska, J. Kaźmierczak
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引用次数: 2
Non-AIDS defining malignancies among HIV-infected patients 艾滋病毒感染患者中非艾滋病定义的恶性肿瘤
IF 0.2 Q4 INFECTIOUS DISEASES Pub Date : 2021-01-01 DOI: 10.5114/hivar.2021.109648
J. Anejo-Okopi, H. Onywera, S. Omale, O. Audu
Malignancies are a major cause of morbidity and mortality in human immunodeficiency virus (HIV)infected patients. With the introduction of an effective combination of antiretroviral therapy, HIV infection has been changed from being a death sentence to a chronic condition. There is renewed clinical interest in the associated morbidities of non-communicable diseases, and most importantly cancers, such as Kaposi’s sarcoma and non-Hodgkin’s lymphoma, due to prolonged survival on antiretrovirals. Available evidence suggests that there is an increasing frequency of cancers associated with bacterial and viral infections among the HIV-infected population. There is also a concern about the etiology of emergence of cancers, risk factors, and viral infections in HIV-infected individuals. The challenge is for the caregivers to develop and implement effective means to screen, treat, and prevent non-AIDS defining cancers (NADCs) in the HIV-infected patients. There is a need for provision of hepatitis B virus and human papillomavirus vaccines for those who are uninfected and the eligible population. Emphasis should be on these non-AIDS defining cancers during health education, in order to create awareness of the morbidity that may encourage screening uptake, thus resulting in healthy living and reduced mortality rates. This brief review aimed to bring to fore the account of NADCs, risk factors, the role of the microbiota, diagnostic methods, and the need for urgent screening and prevention among people living with HIV/AIDS. HIV AIDS Rev 2021; 20, 3: 151-157 DOI: https://doi.org/10.5114/hivar.2021.109648
恶性肿瘤是人类免疫缺陷病毒(HIV)感染患者发病和死亡的主要原因。由于采用了有效的抗逆转录病毒联合疗法,艾滋病毒感染已从被判死刑变成一种慢性病。非传染性疾病的相关发病率,尤其是卡波西氏肉瘤和非霍奇金淋巴瘤等癌症,由于抗逆转录病毒药物延长了生存期,重新引起了临床关注。现有证据表明,在艾滋病毒感染人群中,与细菌和病毒感染相关的癌症发病率越来越高。人们还关注艾滋病毒感染者出现癌症的病因、危险因素和病毒感染。护理人员面临的挑战是制定和实施有效的手段来筛查、治疗和预防艾滋病毒感染患者的非艾滋病决定性癌症(NADCs)。有必要为未感染者和符合条件的人群提供乙型肝炎病毒和人乳头瘤病毒疫苗。在健康教育中应强调这些非艾滋病界定的癌症,以便提高对发病率的认识,从而鼓励接受筛查,从而实现健康的生活和降低死亡率。这篇简短的综述旨在介绍NADCs、危险因素、微生物群的作用、诊断方法以及在艾滋病毒/艾滋病感染者中进行紧急筛查和预防的必要性。HIV / AIDS Rev 2021;20, 3: 151-157 DOI: https://doi.org/10.5114/hivar.2021.109648
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引用次数: 0
Effect of educational program based on planned behavior theory on preventive behaviors of sexually transmitted diseases of married women 计划行为理论教育对已婚妇女性病预防行为的影响
IF 0.2 Q4 INFECTIOUS DISEASES Pub Date : 2021-01-01 DOI: 10.5114/hivar.2021.111544
Fatemeh Shamsolahi, S. Mirmolaei, A. Kasaeian, H. Ranjbar, M. Modarres
Introduction: Sexually transmitted diseases (STDs) are among the most common infectious diseases in women. The aim of the present study was to determine the effect of teaching based on theory of planned behavior on preventive behaviors of STDs of married women. Material and methods: Study subjects consisted of 114 women who attended a university-affiliated hospital in Tehran, Iran. They were randomly assigned into intervention group (n = 58) and control group (n = 56). Women in intervention group participated in a four-session educational program based on a theory of planned behavior. Women in control group received a routine education. Data-gathering tool was a researcher-made questionnaire, including demographic characteristics, knowledge on sexually transmitted diseases, attitude, subjective norms, perceived behavioral control, and intention for healthy behavior along with self-reported sexual behaviors. Data was analyzed using repeated measure ANOVA. Results: All constructs of the theory of planned behavior along with the knowledge and reported sexual behaviors improved significantly in intervention group in comparison to controls. The theory of planned behavior was effective in the increase of knowledge and improvement of attitude, subjective norms, perceived behavioral control, and intention for healthy behaviors in married women. It was also effective in improving healthier sexual behaviors. Conclusions: Education program based on the theory of planned behavior was effective on preventive behaviors of STDs of married women. We recommend using this theory in prevention programs for sexually transmitted diseases in married women. HIV AIDS Rev 2021; 20, 4: 294-301 DOI: https://doi.org/10.5114/hivar.2021.111544
导言:性传播疾病是妇女最常见的传染病之一。本研究旨在探讨计划行为理论教学对已婚妇女性病预防行为的影响。材料和方法:研究对象包括114名在伊朗德黑兰一所大学附属医院就诊的女性。随机分为干预组(n = 58)和对照组(n = 56)。干预组的妇女参加了一个以计划行为理论为基础的四期教育项目。对照组妇女接受常规教育。数据收集工具是一份调查问卷,包括人口统计特征、性传播疾病知识、态度、主观规范、感知行为控制、健康行为意愿以及自我报告的性行为。数据分析采用重复测量方差分析。结果:干预组计划行为理论的各项构念、性行为知识和性行为报告均较对照组有显著提高。计划行为理论对提高已婚妇女对健康行为的认识和态度、主观规范、感知行为控制、意愿等方面的改善有较好的效果。它在改善健康的性行为方面也很有效。结论:以计划行为理论为基础的教育对已婚妇女性病预防行为有较好的效果。我们建议在已婚妇女的性传播疾病预防项目中使用这一理论。HIV / AIDS Rev 2021;DOI: https://doi.org/10.5114/hivar.2021.111544
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引用次数: 1
COVID-19 among HIV-infected population 艾滋病毒感染人群中的COVID-19
IF 0.2 Q4 INFECTIOUS DISEASES Pub Date : 2021-01-01 DOI: 10.5114/hivar.2021.111534
D. Daniella, Alfred Setyono, Marianto Marianto
Novel coronavirus disease 2019, COVID-19, has been declared as a pandemic on March 11th, 2020. The devastating impact of COVID-19 has affected every sectors and individuals worldwide. No definite and specific treatment has been discovered up till now, apart from symptomatic or experimental treatments. Individuals with chronic disease comorbidity are identified to have worse outcomes and greater risk of mortality. Moreover, certain chronic infectious disease, such as human immunodeficiency virus (HIV), is also included as affected individuals by COVID-19 with unknown extent. Various recent studies suggested that there is no higher risk of COVID-19 among HIV-infected population, but subjects are limited. Additionally, controversies still exist regarding the outcome of COVID-19 in HIVinfected population as well as the role of antiretroviral therapy (ART) in COVID-19. Another problems regarding COVID-19 pandemic in this context impede medical access and disturb adherence to ART in HIV patients, further increasing risk of lethal morbidity and mortality of COVID-19. Because of the urgency of COVID-19 pandemic as well as chronicity, mortality, and great number of HIV infections, clinicians should be aware of the relationship between HIV infection and COVID-19. This review article summarized the association between HIV infection and COVID-19 during the pandemic, including the current evidence of ART in COVID-19.
2019年新型冠状病毒病COVID-19已于2020年3月11日宣布为大流行。2019冠状病毒病的破坏性影响波及全球各行各业和个人。迄今为止,除了对症治疗或实验性治疗外,尚未发现明确和特异性的治疗方法。患有慢性疾病合并症的个体被认为具有更差的结果和更大的死亡风险。此外,某些慢性传染病,如人类免疫缺陷病毒(HIV),也被纳入COVID-19的影响个体,但影响程度未知。最近的各种研究表明,艾滋病毒感染者中没有更高的COVID-19风险,但受试者有限。此外,关于COVID-19在艾滋病毒感染人群中的结果以及抗逆转录病毒治疗(ART)在COVID-19中的作用仍然存在争议。在此背景下,与COVID-19大流行有关的另一个问题阻碍了艾滋病毒患者获得医疗服务并扰乱了抗逆转录病毒治疗的依从性,进一步增加了COVID-19致命发病率和死亡率的风险。由于COVID-19大流行的紧迫性,以及HIV的慢性、死亡率和大量感染,临床医生应该意识到HIV感染与COVID-19的关系。这篇综述文章总结了大流行期间艾滋病毒感染与COVID-19之间的关系,包括目前抗逆转录病毒治疗COVID-19的证据。
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引用次数: 0
Impact of stigma on HIV treatment seeking behavior among the youth living with HIV and AIDS in sub-Saharan Africa: critical review of literature 耻辱感对撒哈拉以南非洲青年艾滋病毒感染者和艾滋病患者寻求治疗行为的影响:文献综述
IF 0.2 Q4 INFECTIOUS DISEASES Pub Date : 2021-01-01 DOI: 10.5114/HIVAR.2021.107219
A. Kiwanuka, E. Walakira, L. Andersson, D. Mafigiri
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引用次数: 0
Association of HIV/AIDS and COVID-19 variables: an ecological study HIV/AIDS与COVID-19变量的关联:一项生态学研究
IF 0.2 Q4 INFECTIOUS DISEASES Pub Date : 2021-01-01 DOI: 10.5114/hivar.2021.107233
M. Sarmadi, Abbas Ghodrati-Torbati, A. Gazerani, H. Yaghoobi, Hossein Bakhtiari-Dovvombaygi
Introduction: The coronavirus disease 2019 (COVID-19) has become the greatest critical healthcare concern in 2020. The present study investigated the correlation between COVID-19 distribution and the prevalence of human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) among countries. Material and methods: Data were obtained from publicly available data on COVID-19 and HIV/AIDS, such as the World Health Organization (WHO) and Global Burden of Disease (GBD). Bivariate correlation analyses were used to investigate the correlation between the variables. Results: COVID-19 cases and death ratio negatively correlated with the prevalence of HIV/AIDS (r = -0.40 and r = -0.38, p < 0.05, respectively). Conclusions: The findings indicated that in countries with high prevalence of HIV/AIDS, COVID-19 cases and death ratio were low, which could be due to the type of therapy or screening system. Nevertheless, further studies are required in this field.
2019冠状病毒病(COVID-19)已成为2020年最大的关键医疗问题。本研究调查了COVID-19分布与各国人类免疫缺陷病毒/获得性免疫缺陷综合征(HIV/AIDS)流行之间的相关性。材料和方法:数据来自世界卫生组织(WHO)和全球疾病负担(GBD)等有关COVID-19和艾滋病毒/艾滋病的公开数据。采用双变量相关分析考察各变量之间的相关性。结果:COVID-19病例数和死亡率与HIV/AIDS患病率呈负相关(r = -0.40、r = -0.38, p < 0.05)。结论:研究结果表明,在艾滋病毒/艾滋病高流行国家,COVID-19病例和死亡率较低,这可能与治疗类型或筛查系统有关。然而,这一领域仍需进一步研究。
{"title":"Association of HIV/AIDS and COVID-19 variables: an ecological study","authors":"M. Sarmadi, Abbas Ghodrati-Torbati, A. Gazerani, H. Yaghoobi, Hossein Bakhtiari-Dovvombaygi","doi":"10.5114/hivar.2021.107233","DOIUrl":"https://doi.org/10.5114/hivar.2021.107233","url":null,"abstract":"Introduction: The coronavirus disease 2019 (COVID-19) has become the greatest critical healthcare concern in 2020. The present study investigated the correlation between COVID-19 distribution and the prevalence of human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) among countries. Material and methods: Data were obtained from publicly available data on COVID-19 and HIV/AIDS, such as the World Health Organization (WHO) and Global Burden of Disease (GBD). Bivariate correlation analyses were used to investigate the correlation between the variables. Results: COVID-19 cases and death ratio negatively correlated with the prevalence of HIV/AIDS (r = -0.40 and r = -0.38, p < 0.05, respectively). Conclusions: The findings indicated that in countries with high prevalence of HIV/AIDS, COVID-19 cases and death ratio were low, which could be due to the type of therapy or screening system. Nevertheless, further studies are required in this field.","PeriodicalId":53943,"journal":{"name":"HIV & AIDS Review","volume":"20 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81356905","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
Causes of defaulting from antiretroviral therapy and their prevention: a qualitative study of adherent clients and defaulters in Nigeria 不接受抗逆转录病毒治疗的原因及其预防:尼日利亚坚持接受治疗者和不接受治疗者的定性研究
IF 0.2 Q4 INFECTIOUS DISEASES Pub Date : 2021-01-01 DOI: 10.5114/HIVAR.2021.107240
O S Ilesanmi, A. Afolabi
{"title":"Causes of defaulting from antiretroviral \u0000therapy and their prevention: a qualitative \u0000study of adherent clients and defaulters \u0000in Nigeria","authors":"O S Ilesanmi, A. Afolabi","doi":"10.5114/HIVAR.2021.107240","DOIUrl":"https://doi.org/10.5114/HIVAR.2021.107240","url":null,"abstract":"","PeriodicalId":53943,"journal":{"name":"HIV & AIDS Review","volume":"351 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89264486","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
HIV & AIDS Review
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