AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV

AbstractThe aim of this study was to analyze the relationship between treatment adherence and subjective well-being (positive and negative affects and satisfaction with life) in HIV/AIDS infection. The empirical study was conducted at two Portuguese hospitals (Porto and Lisbon) with a sample of 197 outpatients diagnosed with HIV/AIDS attending the Infectology service and on antiretroviral medication, during a 6-month period (February–July 2009). All patients were asked for voluntary fulfillment of the questionnaire which recorded information on different socio-demographic variables. Clinical records were inspected in order to collect additional clinical information from the patients. The "Questionnaire to Assess Adherence to Antiretroviral Treatment-HIV" was used in order to assess the adherence degree in Portuguese version of Reis et al. The Portuguese versions of "Positive and Negative Affect Schedule" (PANAS) and the "Satisfaction with Life Scale" were used to measure subjective well-being. The study collected evidence on the positive correlation between therapeutic adherence (assessed by CEAT-VIH) and positive affect, as well as between adherence and satisfaction with life. Differences in therapeutic adherence and positive affect according to some clinical variables were also found. The multiplicity and the interaction of several determinants are being considered in the adjustment process during treatment for HIV/AIDS. The results may have implications for the psychological intervention directed at improving adherence to antiretroviral therapy.Keywords: adherencesubjective well-beingpositive and negative affectssatisfaction with lifeHIV/AIDS

Ana Catarina Rodrigues da Silva Reis

Marina Natália Prista Guerra

Leonor Mendes de Freitas Queirós e Lencastre

AIDS Care

Treatment adherence and subjective well-being in HIV/AIDS infection

HIV/AIDS感染中的治疗依从性与主观幸福感

Adolescent girls and young women (AGYW) seeking post-abortal care (PAC) remain at risk of unintended pregnancies and HIV due to infrequent condom use. Integrating HIV prevention services, such as PrEP, into PAC services offers an opportunity to enhance reach, uptake, and efficiency, particularly in high-burden settings like Kenya. However, data on acceptability, feasibility, and sustainability of PAC clinics as entry points for PrEP is limited. A cross-sectional qualitative study, part of a cluster-randomized trial in 14 Kenyan public and private facilities, explored the integration of PrEP delivery for AGYW aged 15-30 within PAC clinics. Using in-depth interviews, focus group discussions, and key informant interviews, the study gathered perspectives from AGYW, providers, and implementing partners. Guided by the theoretical framework of acceptability, findings revealed receptiveness for the integration as a timely and effective intervention to expand PrEP reach, enhance access , and reduce stigma. Provider competence, their attitudes towards the integration, and AGYWs' confidence in using PrEP were identified as critical influencers. Essentail operational considerations were staffing, availability of safe spaces, commodity management, and efficient reporting systems. The study highlights the acceptability and scalability of integrating PrEP services into PAC while emphasizing the need for strategies to enhance operational efficiency.

Edinah Casmir

Njeri Wairimu

Lydia Etyang

Felix Mogaka

Kelvin Oware

Bernard Nyerere

Inviolata Nafula

Susan Kimani

Elizabeth Bukusi

Renee Heffron

Nelly Mugo

Kenneth Ngure

Expanding the reach of HIV pre-exposure prophylaxis (PrEP) among Kenyan adolescent girls and young women: the acceptability of HIV PrEP integration into post-abortal care services

扩大肯尼亚少女和年轻女性中HIV暴露前预防（PrEP）的覆盖范围：将HIV PrEP整合到流产后护理服务中的可接受性

Living with HIV can affect mothers' wellbeing, functioning, and experiences of caregiving. Most research about caregiving in the context of HIV comes from studies of dyads where both mother and child are living with HIV. Less is known about how mothers experience caregiving when their children are HIV exposed, but their HIV-status is not yet known. We conducted a scoping review to map out existing evidence on this topic. Systematic database search was conducted combined with a purposive hand search and expert consultation to identify relevant peer-reviewed literature. Title and abstract screening followed by a full-text review was done to select eligible studies. Studies were eligible for inclusion if they related to maternal caregivers; young children exposed to HIV, confirmed to be uninfected or whose HIV-status is unknown; and caregiving including any maternal involvement with her child. We identified 19 relevant studies. Analysis revealed that many mothers' caregiving experience was marked by feelings of fear and stress in the early months of motherhood, mostly to do with the possibility of the child receiving a positive HIV diagnosis. Two dominant themes emerged - (1) experiences related to feeding and (2) experiences related to HIV testing, medications and health care utilization. Mothers had concerns pertaining to HIV transmission, feeding choices, efficacy of antiretrovirals and infant testing at multiple stages. Finally, any kind of support received from family, community or health workers, acted as a facilitator to improve caregiving experiences. This review highlights the need to provide additional support to mothers in their caregiving roles, especially before a child's negative HIV-status is confirmed. Further investigation is warranted to determine if mothers' concerns and challenges with caregiving persist even after HIV has been ruled out in the child.

Himani Pandya

Xanthe Hunt

Thea Carstens

Peter S. Nyasulu

Amy L. Slogrove

Caring for a young child who is HIV exposed and whose HIV status is not yet known: a scoping review of mothers’ experiences

照顾尚未确定HIV感染状况的HIV暴露幼儿：母亲经验的综述研究

Although the biomedical advancements in HIV treatment have improved the original prognosis of the illness, people living with HIV (PLHIV) continue to encounter psychosocial challenges that impact their quality of life (QoL), including HIV-stigma and social connectedness. The present study investigates how different types of HIV-related stigma, as per the Conceptual Model of Perceived Stigma, respectively relate to QoL in the context of social connectedness in PLHIV. A total of 213 PLHIV attending a tertiary HIV clinic in Sydney Australia, completed questionnaires assessing HIV-related stigma, social connectedness, and QoL. After controlling for illness duration, the results revealed that overall HIV-related stigma and social connectedness were predictors of reduced QoL. Specifically, negative self-image, one of the four stigma types, was associated with decreased QoL, while personalized stigma, concerns about public attitudes, and disclosure concerns were not significant predictors. Furthermore, social connectedness partially mediated the relationship between negative self-image and QoL. This study enhances understanding of the impact of various forms of HIV-related stigma in an Australian cohort, including the role of social relationships, providing novel insights for clinical interventions.

Peta Bowler-Bowerman

Toby Newton-John

Dion Alperstein

Kim Begley

Ruth Hennessy

Shiraze Bulsara

Exploring the dimensions of HIV-related stigma: the impact on social connectedness and quality of life

探索HIV相关污名的维度：对社会联系和生活质量的影响

Disclosing one's HIV status or drug use in healthcare settings has significant implications for public and individual health. It is related to reduced occupational risk of infection for medical providers, improved care, reduction in disease transmission, and other clinical benefits for patients. However, disclosure can be challenging and problematic due to its discrediting aspects. We explored HIV and drug use disclosure experiences in clinical settings among Ukrainian women who live with HIV (WLWH) and inject drugs. This study was conducted in Kyiv, Ukraine. 309 surveys were completed between December 2019 and November 2020, followed by qualitative in-depth interviews with 18 participants. Some women in our study believed that disclosing their status ensured optimal medical care and necessary precautions by providers (e.g., sterilizing equipment). Other participants said they did not disclose after experiencing mistreatment in healthcare settings in the past. Still others utilized alternative strategies to disclose, such as using indirect language or cautiously informing about a less stigmatizing condition such as hepatitis. Clinical implications include training women who live with HIV to use communication skills to support disclosure in healthcare settings, taking into consideration consequences of disclosure to medical professionals to increase women's self-efficacy around this process.

Julia Burlaka

Shannon Fuller

Karin Tobin

Melissa Davey-Rothwell

Tetiana Kiriazova

Jill Owczarzak

A mixed methods exploration of HIV and drug use disclosure in healthcare settings among HIV-positive women who inject drugs in Ukraine

乌克兰注射吸毒的HIV阳性女性在医疗环境中关于HIV和吸毒情况的混合方法探索

Effective antiretroviral therapy has extended the life expectancy of people living with HIV and in Western countries, with 50% of individuals in Western countries now aged 50 or older. The aim was to review empirical research on adults who are 60 years or older on their experiences of living with HIV and their healthcare needs. A scoping review with a systematic literature search in Cinahl, Psycinfo and PubMed was performed in February and March 2022. A total of 4757 references, published 2012-2022, were screened and 20 studies were included. The findings indicate that the experiences and needs of older adults living with HIV vary depending on whether they are in the younger or the eldest part of the cohort. Overall, the group lives with multiple chronic conditions, is at a higher risk of cognitive limitations and reports more loneliness than people with no HIV. Limited qualitative research was available. Thus, future research should describe the subjective experiences of older adults to understand psychosocial aspects that impact successful ageing. This knowledge can inform interventions and services to support the well-being of older adults living with HIV, not only in Western countries but globally as the ageing population living with HIV continues to grow.

Ewa Carlsson Lalloo

Mariela Acuña Mora

Annelie J. Sundler

Patient reported experiences in older adults living with HIV – a scoping review

老年HIV感染者自我报告体验的范围综述

Abbreviation	AIDS Care
Journal Impact	1.21
Quartiles(Global)	SOCIAL SCIENCES, BIOMEDICAL(Q4)

ISSN	0954-0121, 1360-0451
h-index	108

Publication Information	Publisher: Routledge，Publishing cycle: ，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 1989，Proportion of original research papers: 96.34%，Self Citation Rate:0.00%， Gold OA Rate: 15.54%

AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV

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Treatment adherence and subjective well-being in HIV/AIDS infection

Expanding the reach of HIV pre-exposure prophylaxis (PrEP) among Kenyan adolescent girls and young women: the acceptability of HIV PrEP integration into post-abortal care services

Caring for a young child who is HIV exposed and whose HIV status is not yet known: a scoping review of mothers’ experiences

Exploring the dimensions of HIV-related stigma: the impact on social connectedness and quality of life

A mixed methods exploration of HIV and drug use disclosure in healthcare settings among HIV-positive women who inject drugs in Ukraine

Exploring the dimensions of HIV-related stigma: the impact on social connectedness and quality of life

A mixed methods exploration of HIV and drug use disclosure in healthcare settings among HIV-positive women who inject drugs in Ukraine

Expanding the reach of HIV pre-exposure prophylaxis (PrEP) among Kenyan adolescent girls and young women: the acceptability of HIV PrEP integration into post-abortal care services

Caring for a young child who is HIV exposed and whose HIV status is not yet known: a scoping review of mothers’ experiences

Patient reported experiences in older adults living with HIV – a scoping review