3,260 results match your criteria AIDS Patient Care and STDs[Journal]


Considering Stigma in the Provision of HIV Pre-Exposure Prophylaxis: Reflections from Current Prescribers.

AIDS Patient Care STDS 2019 Feb;33(2):79-88

14 Department of Psychology, Yale University, New Haven, Connecticut.

Efforts to identify and address social inequities in HIV pre-exposure prophylaxis (PrEP) access are urgently needed. We investigated early-adopting PrEP prescribers' beliefs about how stigma contributes to PrEP access disparities in health care and explored potential intervention strategies within the context of PrEP service delivery. US-based PrEP prescribers were recruited through professional networks and participant referrals. Read More

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http://dx.doi.org/10.1089/apc.2018.0166DOI Listing
February 2019
1 Read

Decisional Balance and Contemplation Ladder to Support Interventions for HIV Pre-Exposure Prophylaxis Uptake and Persistence.

AIDS Patient Care STDS 2019 Feb 17;33(2):67-78. Epub 2019 Jan 17.

2 Department of Psychology, Center for HIV/AIDS Educational Studies & Training, Hunter College of the City University of New York (CUNY), New York, New York.

Fewer than 60,000 males-inclusive of all sexual identities-were prescribed HIV pre-exposure prophylaxis (PrEP) by mid-2017 in the United States. Efforts to increase PrEP uptake among gay, bisexual, and other men who have sex with men (GBM), in particular, are ongoing in research and practice settings, but few tools exist to support interventions. We aimed to develop and validate tools to support motivational interviewing interventions for PrEP. Read More

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http://dx.doi.org/10.1089/apc.2018.0136DOI Listing
February 2019
2 Reads

Retention in HIV Care Among Participants in the Patient-Centered HIV Care Model: A Collaboration Between Community-Based Pharmacists and Primary Medical Providers.

AIDS Patient Care STDS 2019 Feb 16;33(2):58-66. Epub 2019 Jan 16.

1 Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.

Poor retention in HIV care is associated with higher morbidity and mortality and greater risk of HIV transmission. The Patient-Centered HIV Care Model (PCHCM) integrated community-based pharmacists with medical providers. The model required sharing of patient clinical information and collaborative therapy-related action planning. Read More

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http://dx.doi.org/10.1089/apc.2018.0216DOI Listing
February 2019
1 Read

Awareness and Interest in HIV Pre-Exposure Prophylaxis Among Street-Based Female Sex Workers: Results from a US Context.

AIDS Patient Care STDS 2019 Feb 11;33(2):49-57. Epub 2019 Jan 11.

1 Department of Health, Behavior, and Society, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland.

Pre-exposure prophylaxis (PrEP) has the potential to be an empowering HIV prevention tool among female sex workers (FSW), yet little is known about PrEP awareness and interest in this population. Sex workers and Police Promoting Health in Risky Environments (SAPPHIRE) is a prospective cohort study of street-based FSW in Baltimore, MD. A cross-sectional analysis explored awareness and interest in PrEP among HIV-negative FSW. Read More

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http://dx.doi.org/10.1089/apc.2018.0182DOI Listing
February 2019
5 Reads

Mental Health Diagnoses, Symptoms, and Service Utilization in US Youth with Perinatal HIV Infection or HIV Exposure.

AIDS Patient Care STDS 2019 Jan;33(1):1-13

7 Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Youth perinatally HIV infected (PHIV) or HIV exposed, but uninfected (PHEU), are aging into adolescence and adulthood with multiple complex risk factors for mental health (MH) problems and poor MH treatment utilization. Our aims were to estimate prevalence of MH diagnoses, clinically significant symptoms, and MH treatment utilization among youth with PHIV and among PHEU youth, 10-22 years old. We also aimed to identify correlates of diagnoses and treatment utilization. Read More

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http://dx.doi.org/10.1089/apc.2018.0096DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338457PMC
January 2019
1 Read

Transgender and Other Gender-Diverse Youth's Progression Through the HIV Continuum of Care: Socioecological System Barriers.

AIDS Patient Care STDS 2019 Jan;33(1):32-43

2 University of Wisconsin-Milwaukee, College of Nursing, Milwaukee, Wisconsin.

Transgender and other gender-diverse youth (TGDY) are disproportionately affected by HIV and in need of developmentally and culturally appropriate services as they progress along the HIV continuum of care (CoC). We conducted a phenomenological analysis of 66 in-depth interviews with TGDY living with HIV (ages 16-24) from 14 cities across the United States about their experiences within the different stages of the HIV CoC. TGDY described experiencing a wide variety of barriers across each examined stage of the HIV CoC, including HIV testing, linkage to care, retention in care, initiation of antiretroviral therapy, and adherence to antiretroviral therapy. Read More

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http://dx.doi.org/10.1089/apc.2018.0078DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338455PMC
January 2019
2 Reads

Factors Associated with Postpartum Loss to Follow-Up and Detectable Viremia After Delivery Among Pregnant Women Living with HIV.

AIDS Patient Care STDS 2019 Jan;33(1):14-20

2 Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas.

Pregnant women living with HIV are at risk for loss to follow-up and viral rebound after delivery. We conducted a retrospective cohort study of women with HIV who delivered at Parkland Hospital, Dallas, to identify factors associated with postpartum loss to HIV care 1 year after delivery. Logistic regression was used to identify factors predicting loss to follow-up. Read More

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http://dx.doi.org/10.1089/apc.2018.0117DOI Listing
January 2019
3 Reads

Positive Strategies to Enhance Problem-Solving Skills (STEPS): A Pilot Randomized, Controlled Trial of a Multicomponent, Technology-Enhanced, Customizable Antiretroviral Adherence Intervention for HIV-Infected Adolescents and Young Adults.

AIDS Patient Care STDS 2019 Jan;33(1):21-24

10 Department of Psychology, The University of Miami, Coral Gables, Florida.

Adolescents are disproportionately impacted by HIV in the United States. Optimal effects from antiretroviral therapy (ART) can be achieved through stringent adherence to a daily medication regimen; for adolescents, this may be interrupted due to complex barriers unique to this age group. We previously conducted formative qualitative interviews with HIV-infected adolescents to identify key barriers facing adolescents regarding ART adherence and potential strategies to address these barriers. Read More

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http://dx.doi.org/10.1089/apc.2018.0138DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338456PMC
January 2019
1 Read

Barriers and Facilitators to Seeking HIV Services in Chicago Among Young Men Who Have Sex with Men: Perspectives of HIV Service Providers.

AIDS Patient Care STDS 2018 Nov;32(11):468-476

1 Medical Social Sciences, Northwestern University Feinberg School of Medicine , Chicago, Illinois.

Young men who have sex with men (YMSM) are disproportionally impacted by HIV, and continue to lag behind other age groups in the receipt of HIV prevention and care services. To inform the development of interventions to improve pre-exposure prophylaxis and HIV care engagement outcomes among YMSM, a growing number of studies have reported the barriers and facilitators YMSM encounter when accessing HIV services. Few studies, however, have assessed how HIV service providers perceive these facilitators and barriers. Read More

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https://www.liebertpub.com/doi/10.1089/apc.2018.0094
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http://dx.doi.org/10.1089/apc.2018.0094DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247379PMC
November 2018
25 Reads

Preliminary Impact of the weCare Social Media Intervention to Support Health for Young Men Who Have Sex with Men and Transgender Women with HIV.

AIDS Patient Care STDS 2018 Nov;32(11):450-458

2 Department of Social Sciences and Health Policy, Wake Forest University School of Medicine , Winston-Salem, North Carolina.

Young racial/ethnic minority men who have sex with men (MSM) and transgender women with HIV often have poor health outcomes. They also utilize a wide array of social media. Accordingly, we developed and implemented weCare, a social media intervention utilizing Facebook, texting, and GPS-based mobile social and sexual networking applications to improve HIV-related care engagement and health outcomes. Read More

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https://www.liebertpub.com/doi/10.1089/apc.2018.0060
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http://dx.doi.org/10.1089/apc.2018.0060DOI Listing
November 2018
11 Reads

Impact of Alternative Encounter Types on HIV Viral Suppression Rates in an Integrated Health System.

AIDS Patient Care STDS 2018 Nov;32(11):425-431

3 Kaiser Permanente Northern California , Division of Research, Oakland, California.

Kaiser Permanente Mid-Atlantic States (KPMAS) members are increasingly utilizing electronic encounter types, such as telephone appointments and secure messaging for healthcare purposes, although their impact on health outcomes is unknown. We evaluated whether use of alternative encounters by adult human immunodeficiency virus (HIV)-infected patients affected the likelihood of achieving viral suppression (VS). Our study population of 3114 patients contributed 6520 patient-years between 2014 and 2016. Read More

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https://www.liebertpub.com/doi/10.1089/apc.2018.0079
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http://dx.doi.org/10.1089/apc.2018.0079DOI Listing
November 2018
6 Reads

Stigma and Healthcare-Seeking Practices of Men Who Have Sex with Men in Western Kenya: A Mixed-Methods Approach for Scale Validation.

AIDS Patient Care STDS 2018 Nov;32(11):477-486

3 Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health , Baltimore, Maryland.

In sub-Saharan Africa, men who have sex with men (MSM) experience high HIV prevalence, in part, due to stigma and discrimination creating barriers to engagement in prevention and care services. We examined the reliability and validity of measures of stigma and satisfaction with healthcare providers, as well as explored whether scores on the factors varied across sociodemographic variables among MSM in western Kenya. A mixed-methods design using a sequential triangulation approach was adopted, involving a survey of 89 MSM and 10 key informant interviews. Read More

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https://www.liebertpub.com/doi/10.1089/apc.2018.0101
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http://dx.doi.org/10.1089/apc.2018.0101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247373PMC
November 2018
8 Reads

Multi-Site Evaluation of Community-Based Efforts to Improve Engagement in HIV Care Among Populations Disproportionately Affected by HIV in the United States.

AIDS Patient Care STDS 2018 Nov;32(11):438-449

1 Department of Medicine, Center on Gender Equity and Health, University of California , San Diego, La Jolla, California.

This study assesses effects of a community-based intervention across seven sites in the United States on HIV care utilization and study retention, among people living with HIV (PLWH). A two-armed study was conducted from 2013 to 2016 in each of seven community-based agencies across the United States. Each site conducted interventions involving community engagement approaches in the form of case management or patient navigation. Read More

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http://dx.doi.org/10.1089/apc.2018.0128DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247371PMC
November 2018
1 Read
3.500 Impact Factor

Missed Opportunities for Engagement in the Prevention Continuum in a Predominantly Black and Latino Community in New York City.

AIDS Patient Care STDS 2018 Nov;32(11):432-437

Division of Infectious Diseases, Department of Internal Medicine and Pediatrics, Columbia University Medical Center , New York, New York.

Even though over the last 25 years, the Centers for Disease Control and Prevention recommendations for HIV screening have expanded to encompass population-wide screening in all healthcare settings, and despite the availability of pre-exposure prophylaxis (PrEP), a large proportion of individuals at risk of infection are not linked to prevention care. We evaluated missed opportunities for HIV screening and linkage to PrEP from 2006 through 2017 at an urban academic medical center serving a predominantly minority community. A missed opportunity for HIV screening was a provider visit that did not include HIV testing and occurred within the 12 months before the first positive HIV test. Read More

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https://www.liebertpub.com/doi/10.1089/apc.2018.0127
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http://dx.doi.org/10.1089/apc.2018.0127DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247377PMC
November 2018
7 Reads

Trends in Neonatal Prophylaxis and Predictors of Combination Antiretroviral Prophylaxis in US Infants from 1990 to 2015.

AIDS Patient Care STDS 2018 Feb;32(2):48-57

7 Department of Pediatrics, Feinberg School of Medicine, Northwestern University , Chicago, Illinois.

Postnatal antiretroviral (ARV) prophylaxis for infants born to women with HIV is a critical component of perinatal HIV transmission prevention. However, variability in prophylaxis regimens remains and consistency with guidelines has not been evaluated in the United States. We evaluated trends over time in prophylaxis regimens among 6386 HIV-exposed uninfected (HEU) infants using pooled data spanning two decades from three US-based cohorts: the Women and Infants Transmission Study (WITS, 1990-2007), Pediatric AIDS Clinical Trials Group (PACTG) 219C (1993-2007), and the PHACS Surveillance Monitoring of ART Toxicities (SMARTT) study (2007-2015). Read More

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http://www.liebertpub.com/doi/10.1089/apc.2017.0295
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http://dx.doi.org/10.1089/apc.2017.0295DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5808381PMC
February 2018
17 Reads

Couple-Level Dynamics and Multilevel Challenges Among Black Men Who Have Sex with Men: A Framework of Dyadic HIV Care.

AIDS Patient Care STDS 2018 Nov 19;32(11):459-467. Epub 2018 Oct 19.

2 School of Nursing and Health Studies, University of Washington Bothell , Bothell, Washington.

The primary romantic relationship may offer critical opportunities for improving HIV care among key populations affected by high rates of HIV infection and low rates of care engagement, such as black men who have sex with men. A conceptual framework is needed to identify dyadic processes involved in addressing challenges in retention in care and adherence to antiretroviral therapy. This study conducted dyadic and individual-level qualitative analyses of individual interviews with men living with HIV from 14 black gay couples (n = 28). Read More

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https://www.liebertpub.com/doi/10.1089/apc.2018.0131
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http://dx.doi.org/10.1089/apc.2018.0131DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247374PMC
November 2018
8 Reads
3.500 Impact Factor

Reasons for Accepting and Declining Free HIV Testing and Counseling Among Young African American Women Living in Disadvantaged Southern Urban Communities.

AIDS Patient Care STDS 2019 Jan 17;33(1):25-31. Epub 2018 Oct 17.

Department of Health Education and Behavior, College of Health and Human Performance, University of Florida, Gainesville. Florida.

Advancing HIV prevention and treatment among at-risk Southern communities of color requires understanding why voluntary HIV testing is accepted or declined. Reasons for testing decisions were investigated among young African American women (n = 223, mean age = 20.4 years) recruited from disadvantaged areas in a Southern US city. Read More

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https://www.liebertpub.com/doi/10.1089/apc.2018.0090
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http://dx.doi.org/10.1089/apc.2018.0090DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338458PMC
January 2019
2 Reads

Limited Knowledge and Mixed Interest in Pre-Exposure Prophylaxis for HIV Prevention Among People Who Inject Drugs.

AIDS Patient Care STDS 2018 Dec 11;32(12):529-537. Epub 2018 Oct 11.

6 Center for Health Equity Research, Brown University , Providence, Rhode Island.

People who inject drugs (PWID) experience sexual and injection-related HIV risks, but uptake of pre-exposure prophylaxis (PrEP) for HIV prevention among PWID has been low. Improving PrEP uptake in this population will require understanding of PrEP knowledge and interest. In 2017, we conducted in-depth, semistructured interviews with HIV-uninfected PWID and key informants (PrEP and harm reduction providers) in the US Northeast. Read More

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https://www.liebertpub.com/doi/10.1089/apc.2018.0126
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http://dx.doi.org/10.1089/apc.2018.0126DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300044PMC
December 2018
5 Reads

Gender Differences in HIV Testing, Diagnosis, and Linkage to Care in Healthcare Settings: Identifying African American Women with HIV in Chicago.

AIDS Patient Care STDS 2018 Oct;32(10):399-407

2 Section of Infectious Diseases and Global Health, University of Chicago , Chicago, Illinois.

Women account for 25% of all people living with HIV and 19% of new diagnoses in the United States. African American (AA) women are disproportionately affected. Yet, differences in the care continuum entry are not well understood between patient populations and healthcare sites. Read More

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https://www.liebertpub.com/doi/10.1089/apc.2018.0066
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http://dx.doi.org/10.1089/apc.2018.0066DOI Listing
October 2018
9 Reads

HIV Care and Viral Load Suppression After Sexual Health Clinic Visits by Out-of-Care HIV-Positive Persons.

AIDS Patient Care STDS 2018 Oct;32(10):390-398

1 Institute of Implementation Science in Population Health, City University of New York , New York, New York.

Outcomes among people living with HIV (PLWH) in New York City (NYC) remain suboptimal. To assess the potential role of the city's sexual health clinics (SHCs) in improving HIV outcomes and reducing HIV transmission, we examined HIV care status and its correlates among HIV-positive SHC patients in NYC. Clinic electronic medical records were merged with longitudinal NYC HIV surveillance data to identify HIV-positive patients and derive their retrospective and prospective HIV care status. Read More

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https://www.liebertpub.com/doi/10.1089/apc.2018.0097
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http://dx.doi.org/10.1089/apc.2018.0097DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6198765PMC
October 2018
2 Reads

HIV-Related Stigma by Healthcare Providers in the United States: A Systematic Review.

AIDS Patient Care STDS 2018 Oct;32(10):418-424

Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention , Atlanta, Georgia .

Reducing HIV-related stigma may enhance the quality of HIV prevention and care services and is a national prevention goal. The objective of this systematic review was to identify studies of HIV-related stigma among healthcare providers. For studies published between 2010 and 2017, we: (1) searched databases using our keywords, (2) excluded nonpeer reviewed studies, (3) limited the findings to the provider perspective and studies conducted in the United States, (4) extracted and summarized the data, and (5) conducted a contextual review to identify common themes. Read More

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http://dx.doi.org/10.1089/apc.2018.0114DOI Listing
October 2018
2 Reads

Pre-Exposure Prophylaxis (PrEP) for HIV: Opportunities, Challenges, and Future Directions.

Authors:
Jeffrey Laurence

AIDS Patient Care STDS 2018 Sep 28. Epub 2018 Sep 28.

Division of Hematology and Medical Oncology, Weill Cornell Medical College, New York.

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https://www.liebertpub.com/doi/10.1089/apc.2018.29003.jl
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http://dx.doi.org/10.1089/apc.2018.29003.jlDOI Listing
September 2018
2 Reads

Predictors of Recent HIV Testing Among Chinese Men Who Have Sex with Men: A Barrier Perspective.

AIDS Patient Care STDS 2018 Oct 20;32(10):408-417. Epub 2018 Sep 20.

2 Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health , Baltimore, Maryland.

In China, men who have sex with men (MSM) account for an increasing proportion of new HIV infections. We aim to assess recent HIV testing (in the past 6 months) among Chinese MSM and to identify barriers to testing. A nationwide sample of MSM (n = 1100) from mainland China was recruited. Read More

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http://dx.doi.org/10.1089/apc.2018.0061DOI Listing
October 2018
2 Reads

Acute Kidney Injury in Chinese HIV-Infected Patients: A Retrospective Analysis from the Intensive Care Unit.

AIDS Patient Care STDS 2018 Oct 15;32(10):381-389. Epub 2018 Sep 15.

1 Department of Critical Care Medicine, Beijing Ditan Hospital, Capital Medical University , Beijing, China .

To describe the epidemiology, outcomes, and risk factors of acute kidney injury (AKI) among human immunodeficiency virus (HIV)-infected patients admitted to the intensive care unit (ICU).We reviewed all the HIV-infected admissions to the ICU at Beijing Ditan hospital in the time span from June 2005 to May 2017 and collected demographic, clinical, and laboratory data for our sample. AKI was diagnosed and classified according to the Kidney Disease Improving Global Outcomes (KIDIGO) criteria. Read More

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http://dx.doi.org/10.1089/apc.2018.0040DOI Listing
October 2018
4 Reads

A Mixed Methods Approach to Understanding Antiretroviral Treatment Preferences: What Do Patients Really Want?

AIDS Patient Care STDS 2018 Sep;32(9):340-348

3 Center for Health Policy and Inequalities Research, Duke Global Health Institute, Duke University , Durham, North Carolina.

As the number of effective antiretroviral therapy (ART) options increases, there is greater opportunity to involve HIV patients in ART selection. To establish the parameters for a shared ART decision-making process, we sought to identify ART characteristics that are important to patients and understand considerations in ART selection from both patient and provider perspectives. Using a mixed-methods approach, 16 patients and 12 healthcare providers were interviewed, and ranking tasks were conducted with 26 patients to identify ART characteristics that are relevant for shared decision making. Read More

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http://dx.doi.org/10.1089/apc.2018.0099DOI Listing
September 2018
2 Reads

Acceptability of Mobile Phone-Based Nurse-Delivered Counseling Intervention to Improve HIV Treatment Adherence and Self-Care Behaviors Among HIV-Positive Women in India.

AIDS Patient Care STDS 2018 Sep;32(9):349-359

3 School of Nursing, Yale University , New Haven, Connecticut.

We assessed the acceptability of nurse-delivered mobile phone-based counseling to support adherence to antiretroviral treatment (ART) and self-care behaviors among HIV-positive women in India. We conducted open-ended, in-depth interviews with 27 HIV-positive women and 19 key informants at a government ART center in Karnataka, India. Data were analyzed with interpretive techniques. Read More

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http://dx.doi.org/10.1089/apc.2017.0315DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6121177PMC
September 2018
1 Read
3.500 Impact Factor

Improving HIV Care Engagement in the South from the Patient and Provider Perspective: The Role of Stigma, Social Support, and Shared Decision-Making.

AIDS Patient Care STDS 2018 Sep;32(9):368-378

3 Department of Medicine, Division of Infectious Diseases, UT Southwestern Medical Center , Dallas, Texas.

Initial linkage to medical care is a critical step in the HIV care continuum leading to improved health outcomes, reduced morbidity and mortality, and decreased HIV transmission risk. We explored differences in perspectives on engagement in HIV care between people living with HIV who attended (Arrived) their initial medical provider visit (IMV) and those who did not (Missed), and between patients and providers. The study was conducted in two large majority/minority HIV treatment centers in the United States (US) south, a geographical region disproportionately impacted by HIV. Read More

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http://dx.doi.org/10.1089/apc.2018.0039DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6121178PMC
September 2018
2 Reads

The Impact of Continuation or Initiation of Combination Antiretroviral Therapy in People Living with HIV Presenting with Acute Septic Shock.

AIDS Patient Care STDS 2018 Sep;32(9):337-339

1 Division of Infectious Diseases, Atrium Health , Charlotte, North Carolina.

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http://dx.doi.org/10.1089/apc.2018.0115DOI Listing
September 2018
19 Reads

A Pilot, Randomized Controlled Trial of HIV Self-Testing and Real-Time Post-Test Counseling/Referral on Screening and Preventative Care Among Men Who Have Sex with Men.

AIDS Patient Care STDS 2018 Sep;32(9):360-367

1 Center for Alcohol and Addiction Studies, Brown University School of Public Health , Providence, Rhode Island.

HIV self-testing (HST) could be an effective strategy for helping those at high risk test more regularly. However, concerns about HST's lack of follow-up care and referral have so far limited its use. In a pilot, randomized controlled trial, high-risk HIV-negative, or status unknown men who have sex with men (MSM; N = 65) were recruited from January 2016 to February 2017 and received (1) HST kits by mail, equipped with devices that detected when kits were opened and prompted a follow-up call from a counselor (eTEST); (2) standard HST kits with no follow-up (standard); or (3) informational letters about HIV testing locations (control) at baseline, 3 months, and 6 months. Read More

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http://dx.doi.org/10.1089/apc.2018.0049DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6121176PMC
September 2018
2 Reads

Non-AIDS Mortality Is Higher Among Successfully Treated People Living with HIV Compared with Matched HIV-Negative Control Persons: A 15-Year Follow-Up Cohort Study in Sweden.

AIDS Patient Care STDS 2018 Aug;32(8):297-305

5 Department of Infectious Diseases, Karolinska Institutet, Karolinska University Hospital , Stockholm, Sweden .

There is an ongoing debate whether the life span of successfully treated people living with HIV (PLHIV) is comparable with that of the general population. The aim of this cohort study is to compare all-cause mortality between all PLHIV, successfully treated PLHIV, and HIV-negative control persons from the general population and to explore the impact of viral load (VL) at diagnosis. A total of 4066 PLHIV were matched against 8072 HIV-negative controls according to age, sex, and region of birth. Read More

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http://dx.doi.org/10.1089/apc.2018.0015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6088250PMC
August 2018
4 Reads

The Uses of Self and Space: Health Providers' Approaches to Engaging Patients into the HIV Care Continuum.

AIDS Patient Care STDS 2018 Aug;32(8):321-329

3 School of Nursing and Health Sciences, University of Miami , Miami, New York.

In the context of HIV prevention, the provider-patient relationship has been found to profoundly impact HIV screening, patient initiation into HIV care, and adherence to medication following an HIV diagnosis. Given the importance of the provider-patient relationship, insight into provider approaches to cultivate such relationships is essential. Such insight could highlight considerations for provider engagement with patients that can address the current challenges in HIV prevention and treatment. Read More

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http://dx.doi.org/10.1089/apc.2017.0284DOI Listing
August 2018
13 Reads

Meeting the Challenge: Hepatitis C Virus and HIV Care Experiences Among HIV Specialty Providers.

AIDS Patient Care STDS 2018 Aug;32(8):314-320

3 American Academy of HIV Medicine , Washington, District of Columbia.

Hepatitis C virus (HCV) is frequently comorbid with HIV infection and is independently associated with a significant increase in all-cause mortality among HIV-positive adults. HIV specialists' role and experiences in treating HCV has been understudied, especially among those providers who actively treat patients with HCV. We conducted a brief online survey of HIV specialists (physicians, nurse practitioners, physician assistants, and prescribing pharmacists) who treat patients with HCV to examine their experiences with treating these patients (HCV monoinfected, HIV/HCV coinfected). Read More

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http://dx.doi.org/10.1089/apc.2018.0006DOI Listing
August 2018
4 Reads

Early Retention in Care Neither Mediates Nor Modifies the Effect of Sex and Sexual Mode of HIV Acquisition on HIV Survival in the Americas.

AIDS Patient Care STDS 2018 Aug;32(8):306-313

1 Instituto Nacional de Infectologia Evandro Chagas , Fundação Oswaldo Cruz, Rio de Janeiro, Brazil .

Early retention in care, sex, and sexual mode of HIV acquisition has been associated with mortality risk among persons living with HIV (PLWH). We assessed whether early retention in care mediates or modifies the association between mortality and sex and sexual mode of HIV acquisition among PLWH on antiretroviral therapy (ART) in the Americas. ART-naïve, adult PLWH (≥18 years) enrolling at Caribbean, Central and South America network for HIV epidemiology (CCASAnet) and Vanderbilt Comprehensive Care Clinic sites 2000-2015, starting ART, and with ≥1 visit after ART-start were included. Read More

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http://dx.doi.org/10.1089/apc.2018.0028DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6080124PMC
August 2018
11 Reads

Identifying Solutions to Improve the Sexually Transmitted Infections Testing Experience for Youth Through Participatory Ideation.

AIDS Patient Care STDS 2018 Aug;32(8):330-335

1 Department of Pediatrics, Johns Hopkins School of Medicine , Baltimore, Maryland.

Sexually transmitted infection (STI) services, including screening, treatment, and counseling among youth, remain suboptimal. In the midst of increasing incidence of bacterial STIs, alarming STI disparities, and persistently low testing rates among youth, solution-focused and action-oriented research with youth is needed. To identify solutions to STI testing barriers, we conducted three participatory ideation workshops with 18 youth, 10 key stakeholders who work with youth, and 8 social design graduate students. Read More

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http://dx.doi.org/10.1089/apc.2018.0038DOI Listing
August 2018
6 Reads

HIV Pre-Exposure Prophylaxis and Women: Survey of the Knowledge, Attitudes, and Beliefs in an Urban Obstetrics/Gynecology Clinic.

AIDS Patient Care STDS 2018 Dec 23;32(12):490-494. Epub 2018 Jul 23.

3 Department of Medicine, Section of General Internal Medicine, Lewis Katz School of Medicine at Temple University , Philadelphia, Pennsylvania.

Uptake of HIV pre-exposure prophylaxis (PrEP) is low among women at risk for HIV acquisition. Of 468,000 women, whom the United States Centers for Disease Control and Prevention estimates to be eligible for PrEP, only 10,000 unique women have begun therapy through the third quarter of 2015. These data suggest insufficient HIV prevention efforts. Read More

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http://dx.doi.org/10.1089/apc.2018.0030DOI Listing
December 2018
4 Reads

HIV-Uninfected Kenyan Adolescent and Young Women Share Perspectives on Using Preexposure Prophylaxis During Pregnancy.

AIDS Patient Care STDS 2018 Jul 23. Epub 2018 Jul 23.

1 Department of Global Health, University of Washington , Seattle, Washington.

To optimize scale-up of preexposure prophylaxis (PrEP) for pregnant women at risk of HIV in high HIV burden settings, implementation strategies must be developed that account for perceptions of PrEP in this unique population. Semistructured focus group discussions were conducted with 68 HIV-uninfected Kenyan pregnant and postpartum women without prior PrEP knowledge or experience. A qualitative descriptive analysis was performed, using a constant comparison approach, to identify key themes related to the values and rationale impacting potential PrEP use in pregnancy. Read More

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http://dx.doi.org/10.1089/apc.2018.0058DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300042PMC
July 2018
7 Reads

The Ryan White HIV/AIDS Program: Supplementary Service Provision Post-Affordable Care Act.

AIDS Patient Care STDS 2018 Jul;32(7):265-271

3 School of Medicine, University of Alabama at Birmingham , Birmingham, Alabama.

The Ryan White HIV/AIDS program (RWHAP) provides essential primary and supplementary health services to people living with HIV (PLWH). We examined the relationship between supplementary RWHAP services (Part B) and two outcomes: viral suppression (VS) and two separate measures of retention in care (RiC) based on kept- and missed-visits. We used purposive sampling to identify adult patients who received primary medical care at an academically-affiliated HIV/AIDS clinic in the southeastern United States (N = 1159) and who attended at least one scheduled HIV primary care appointment at the study site during 2015. Read More

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http://dx.doi.org/10.1089/apc.2018.0032DOI Listing
July 2018
7 Reads

Increasing Prevalence of HIV Pretreatment Drug Resistance in Women But Not Men in Rural Uganda During 2005-2013.

AIDS Patient Care STDS 2018 Jul;32(7):257-264

1 Department of Medicine, Massachusetts General Hospital , Boston, Massachusetts.

The prevalence of HIV pretreatment drug resistance (PDR) is increasing in sub-Saharan Africa. We sought to describe correlates of PDR and evaluate effects of PDR on clinical outcomes in rural Uganda. We analyzed data from the Uganda AIDS Rural Treatment Outcomes study, a cohort of antiretroviral therapy (ART)-naive adults with HIV (2005-2015). Read More

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http://dx.doi.org/10.1089/apc.2018.0020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6034395PMC
July 2018
12 Reads

Providing Online-Based Sexual Health Outreach to Gay, Bisexual, and Queer Men in Ontario, Canada: Qualitative Interviews with Multisectoral Frontline Service Providers and Managers.

AIDS Patient Care STDS 2018 Jul 13;32(7):282-287. Epub 2018 Jun 13.

5 Gay Men's Health Activist , Toronto, Canada .

The Internet is a common tool for gay, bisexual, and other men who have sex with men (MSM) to find sexual partners and sexual health information. Given persistently high human immunodeficiency virus (HIV) infection rates among MSM, it is important to examine the role of online outreach for MSM as part of HIV prevention and care. We provide an overview of the unique perspectives of online sexual health outreach, delivered through AIDS Service Organizations (ASOs) through sociosexual Internet sites and mobile applications. Read More

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http://dx.doi.org/10.1089/apc.2018.0027DOI Listing
July 2018
3 Reads
3.500 Impact Factor

Enhancing Patient Navigation with Contingent Incentives to Improve Healthcare Behaviors and Viral Load Suppression of Persons with HIV and Substance Use.

AIDS Patient Care STDS 2018 Jul 8;32(7):288-296. Epub 2018 Jun 8.

5 Department of Sociomedical Sciences Mailman School of Public Health, Columbia University , New York, New York.

This secondary analysis compares health behavior outcomes for two groups of HIV+ substance users randomized in a 3-arm trial [1] to receive Patient Navigation with (PN+CM) or without (PN) contingent financial incentives (CM). Mean age of participants was 45 years; the majority was male (67%), African American (78%), unemployed (35%), or disabled (50%). Behaviors incentivized for PN+CM were (1) attendance at HIV care visits and (2) verification of an active HIV medication prescription. Read More

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http://dx.doi.org/10.1089/apc.2018.0014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6034401PMC
July 2018
4 Reads
3.500 Impact Factor

Models of HIV Preconception Care and Key Elements Influencing These Services: Findings from Healthcare Providers in Seven US Cities.

AIDS Patient Care STDS 2018 Jul 5;32(7):272-281. Epub 2018 Jun 5.

2 Department of Family Medicine, University of Kansas Medical Center , Kansas City, Kansas.

Preconception care can improve maternal and infant outcomes by identifying and modifying health risks before pregnancy and reducing unplanned pregnancies. However, information about how preconception care is provided to persons living with HIV (PLWH) is lacking. This study uses qualitative interviews with HIV care providers to describe current models of preconception care and explore factors influencing services. Read More

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http://www.liebertpub.com/doi/10.1089/apc.2017.0299
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http://dx.doi.org/10.1089/apc.2017.0299DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6034389PMC
July 2018
6 Reads

Optimizing Community-Based HIV Testing and Linkage to Care for Young Persons in Metropolitan Atlanta.

AIDS Patient Care STDS 2018 Jun;32(6):234-240

6 Ponce Family and Youth Clinic , Grady Infectious Diseases Program, Grady Health Systems, Atlanta, Georgia .

HIV continuum of care analyses in Georgia during 2013 revealed that 82% of adolescents and adults living with HIV knew their diagnosis and that 75% were linked to care. However, of all persons in Georgia living with HIV in 2014, only 60% had at least one HIV care visit, and just 48% were retained in care. Understanding barriers for HIV testing, linkage, and retention in youth may strengthen HIV-related encounters and improve patient outcomes. Read More

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http://dx.doi.org/10.1089/apc.2018.0044DOI Listing
June 2018
15 Reads

PositiveLinks: A Mobile Health Intervention for Retention in HIV Care and Clinical Outcomes with 12-Month Follow-Up.

AIDS Patient Care STDS 2018 Jun;32(6):241-250

4 Department of Public Health Sciences, University of Virginia School of Medicine , Charlottesville, Virginia.

Mobile health interventions may help People Living with HIV (PLWH) improve engagement in care. We designed and piloted PositiveLinks, a clinic-affiliated mobile intervention for PLWH, and assessed longitudinal impact on retention in care and viral suppression. The program was based at an academic Ryan White Clinic serving a nonurban population in Central Virginia. Read More

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http://dx.doi.org/10.1089/apc.2017.0303DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5982157PMC
June 2018
6 Reads

Metabolic Syndrome Among Antiretroviral Therapy-Naive Versus Experienced HIV-Infected Patients Without Preexisting Cardiometabolic Disorders in Western Kenya.

AIDS Patient Care STDS 2018 Jun;32(6):215-222

8 Department of Medicine, Duke Clinical Research Institute and Duke Global Health Institute, Duke University , Durham, North Carolina.

Metabolic syndrome (MetS), a cluster of cardiovascular disease risk factors, is increasingly common in people living with HIV; however, data on prevalence and the role of antiretroviral therapy (ART) as a risk factor for MetS in sub-Saharan Africa are lacking. We conducted a cross-sectional study to assess the prevalence and risk factors for MetS among ART-naive and ART-experienced HIV-infected adults without preexisting cardiometabolic disorders in Western Kenya using validated questionnaires and laboratory tests after overnight fasting. We used logistic regression to identify associations between traditional risk factors, HIV disease characteristics, ART, and MetS. Read More

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http://dx.doi.org/10.1089/apc.2018.0052DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5982154PMC
June 2018
4 Reads

The Changing Burden of HIV Attributable to Methamphetamine Among Men Who Have Sex with Men in King County, Washington.

AIDS Patient Care STDS 2018 Jun;32(6):223-233

1 HIV/STD Program, Public Health-Seattle & King County , Seattle, Washington.

Methamphetamine use is a key driver of HIV transmission among men who have sex with men (MSM). We evaluated trends in incident HIV diagnosis rates among methamphetamine using and nonusing MSM and assessed the relationship between methamphetamine use and demographic, behavioral, and clinical characteristics among MSM newly diagnosed with HIV. We analyzed several sources of HIV and behavioral surveillance data to estimate incident rates of HIV diagnoses and the population attributable risk percent corresponding to methamphetamine use among MSM in King County, Washington. Read More

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http://dx.doi.org/10.1089/apc.2017.0306DOI Listing
June 2018
13 Reads

Understanding Predictors of Early Antenatal Care Initiation in Relationship to Timing of HIV Diagnosis in South Africa.

AIDS Patient Care STDS 2018 Jun;32(6):251-256

1 Health Economics and Epidemiology Research Office, Department of Internal Medicine, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand , Johannesburg, South Africa .

Effective prevention of mother-to-child transmission benefits from early presentation to antenatal care (ANC). It is, however, unclear whether a previous HIV diagnosis results in earlier initiation of ANC. We estimated the probability of early ANC initiation among women with a previous HIV-positive diagnosis compared to those who first tested for HIV during ANC and explored determinants of early ANC among HIV-positive women. Read More

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http://dx.doi.org/10.1089/apc.2018.0023DOI Listing
June 2018
3 Reads

Where Are They Now? Assessing if Persons Returned to HIV Care Following Loss to Follow-Up by Public Health Case Workers Were Engaged in Care in Follow-Up Years.

AIDS Patient Care STDS 2018 May;32(5):181-190

1 Epidemiology and Field Services Program , New York City Department of Health and Mental Hygiene, Long Island City, New York.

We examined care engagement and viral suppression (VS) over a 1- to 5-year period among persons re-engaged in HIV care using retrospective cohort study and longitudinal follow-up. The population comprised five cohorts of persons re-engaged in care from 2009 to 2013. We used surveillance data [CD4 T cell count or HIV viral load (VL) RNA] to measure four outcomes 1-5 years post-care engagement. Read More

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http://dx.doi.org/10.1089/apc.2018.0004DOI Listing
May 2018
3 Reads

Knowledge of HIV Testing Guidelines Among US Internal Medicine Residents: A Decade After the Centers for Disease Control and Prevention's Routine HIV Testing Recommendations.

AIDS Patient Care STDS 2018 May;32(5):175-180

1 Section of Infectious Diseases, Department of Medicine, Baylor College of Medicine , Houston, Texas.

Ten years after the Centers for Disease Control and Prevention recommended universal HIV screening, rates remain low. Internal medicine residents are the front-line medical providers for large groups of patients. We evaluated the knowledge of internal medicine residents about HIV testing guidelines and examined adherence to universal HIV testing in an outpatient setting. Read More

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http://dx.doi.org/10.1089/apc.2018.0035DOI Listing
May 2018
4 Reads