scholarly journals Challenges and Barriers to HIV Care for Mexican Born Men Living in Chicago

2021 ◽  
Author(s):  
Patricia Aguado ◽  
Susan Ryerson-Espino ◽  
Pamela Vergara-Rodriguez
Keyword(s):  
Hiv Transmission ◽  
Social Stigma ◽  
Hiv Care ◽  
Health Clinic ◽  
Health Concerns ◽  
Hiv Care Engagement ◽  
Hiv Research ◽  
Baseline Characteristics ◽  
First Time ◽  
Public Health Clinic

AbstractBackground: Latinx men are disproportionately impacted by HIV. Research often looks at Latinx people as a heterogeneous population. This paper describes baseline characteristics and barriers to HIV care among Mexican born men enrolled in an HIV care engagement intervention at a public health clinic in Chicago. Methods: Survey and medical chart data were collected. Results: 66 Mexican born men enrolled in the project. Over half (60%) were newly diagnosed; 40% were reengaging in care or establishing care for the first time. Participants reported significant pre and postmigration concerns including poverty, social stigma, late entry to care, and concurrent health concerns, including 47% screening positive for depression. Barriers to care and mental health concerns were significantly related to Stage 3 HIV. Discussion: More prevention and intervention research is needed to ameliorate the negative socioeconomic and health ramifications of immigration and bolster mental and sexual health, reduce HIV transmission, and increase testing, linkage and care retention.

HIV advances will fail to reduce global burden for now

2015 ◽  
Keyword(s):  
Hiv Transmission ◽  
Treatment Compliance ◽  
Hiv And Aids ◽  
Hiv Care ◽  
Content Type ◽  
Protective Antibodies ◽  
Successful Design ◽  
Aids Therapy ◽  
First Time ◽  
Hiv Aids

Subject The implications of advances on HIV therapies. Significance A first-stage clinical trial on treating HIV and AIDS published its results in April. It showed that the use of a therapeutic antibody -- 3BNC117 -- against HIV/AIDS may be effective, safe and well-tolerated in humans. This demonstrates the potential of neutralising antibodies against HIV/AIDS and proves for the first time the feasibility of an antibody-based HIV/AIDS therapy. Impacts The less frequent dosage schedule of 3BNC117 might increase treatment compliance, reducing overall HIV transmission. The successful design of protective antibodies may have the capacity to confer protection against HIV in healthy individuals for life. This would effectively create an HIV vaccine, transforming HIV care worldwide.

scholarly journals HIV-related stigma in the UK then and now: to what extent are we on track to eliminate stigma? A qualitative investigation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Barbara Hedge ◽  
Karrish Devan ◽  
Jose Catalan ◽  
Anna Cheshire ◽  
Damien Ridge
Keyword(s):  
Antiretroviral Treatment ◽  
Hiv Transmission ◽  
Minority Groups ◽  
Physical Violence ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Structured Interviews ◽  
Health And Social Care ◽  
Related Stigma ◽  
Engagement In Hiv Care

Abstract Background The introduction of effective antiretroviral treatment in the late 1990s led to the perception that HIV was a chronic but manageable condition. Nevertheless, stigma remains one of the major hurdles for people living with HIV (PLWH) to accessing healthcare and biomedical preventions. Thus, Fast Track Cities has set a target of zero HIV discrimination by 2030 as part of its strategy to end HIV transmission. Methods Fifty-three participants from the United Kingdom, including PLWH (n = 21, 40%), health and social care workers (n = 24, 45%), and charity workers and activists (n = 13, 25%), were recruited. Semi-structured interviews investigated stigma and discrimination, focusing on both before and after the widespread use of effective antiretroviral treatment in the late 1990s. Data were analysed using a thematic approach. Results Before effective antiretroviral treatment narratives were shaped by two main themes: 1) the media’s role in influencing public opinion and contributing to misunderstandings of HIV transmission; and 2) personal experiences of HIV-related stigma, which for PLWH included incidents of physical violence and aggression, as well as fears of their HIV status being publicised. Contemporary narratives on stigma experiences were organised around four themes: 1) discrimination in healthcare settings; 2) stigma amongst men who have sex with men (MSM); 3) stigma towards African and Afro-Caribbean PLWH; and 4) the limits of change in public HIV-related knowledge and attitudes. Contemporary narratives indicated a reduction in enacted stigma, but continued anticipation of discrimination and self-reported shame, particularly in MSM and African and Afro-Caribbean PLWH. Conclusion The nature of stigma against those with HIV has evolved. The intersection of PLWH and minority groups (e.g. MSM and African and Afro-Caribbean persons) may enhance anticipatory and internalised stigma, with some suggestion that this may contribute to reduced engagement in HIV care and prevention services. Our findings indicate the need for further research in this area, as well as proactive interventions with community groups to enhance knowledge of HIV.

scholarly journals 1042. The Attitude of Patients With HIV about Telehealth for Their HIV Care

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S550-S551
Author(s):  
Dima Dandachi ◽  
Bich Dang ◽  
Thomas Giordano Giordano
Keyword(s):  
Hiv Transmission ◽  
Personal Information ◽  
Critical Role ◽  
Retention In Care ◽  
Hiv Care ◽  
Structural Factors ◽  
Personal Factors ◽  
Response Distribution ◽  
Related Factors ◽  
Clinic Visits

Abstract Background The world is facing a pandemic of SARS-CoV-2 that disrupted our healthcare system and the way we deliver healthcare. For people with HIV (PWH), the ability to be retained in care plays a critical role in improving health outcomes and in preventing HIV transmission. Several definitions exist for retention in care, but they are centered around outpatient clinic visits. It is now more important than ever to understand PWH’s attitudes about using telemedicine for HIV care instead of face-to face clinic visits. Methods We administered a one-time survey to PWH presenting to an outpatient HIV center in Houston, Texas, from February–June 2018. The survey items were used to assess PWH’s attitudes towards and concerns for telehealth and explanatory variables. Results 371 participants completed the survey; median age was 51, 36% were female, and 63% African-American. Overall, 57% of respondents were more likely to use telehealth for their HIV care if available, as compared to one-on-one in-person care, and 37% would use telehealth frequently or always as an alternative to clinic visits. Participants reported many benefits including ability to fit better their schedule, decreasing travel time, and privacy but expressed concerns about the ability to effective communication and examination and the safety of personal information. Factors associated with likelihood of using telehealth include personal factors (US-born, men who have sex with men, higher educational attainment, higher HIV-related stigma perception), HIV-related factors (long standing HIV), and structural factors (having difficulty attending clinic visits, not knowing about or not having the necessary technology). There was no association between participants with uncontrolled HIV, medication adherence, and likelihood of using telehealth. Survey items and response distribution Conclusion Telehealth programs for PWH can improve retention in care. A modification of the definition for retention in care, incorporating telehealth, should be considered. Availability and confidence using various telehealth technologies need to be addressed to increase acceptability and usage of telehealth among PWH. Disclosures All Authors: No reported disclosures

scholarly journals The psychosocial health needs of bisexual men in Senegal: A research translation experience

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Martínez-Pérez ◽  
F Nabil ◽  
E Mbaye ◽  
N Nkoum
Keyword(s):  
Hiv Transmission ◽  
Life Story ◽  
Internalized Homophobia ◽  
Psychosocial Health ◽  
Sub Saharan Africa ◽  
Hiv Care ◽  
Research Translation ◽  
Bisexual Men ◽  
Psychosocial Needs ◽  
Same Sex

Abstract Background Criminalization of same-sex relations is a driver of the HIV epidemic. Whilst LGBT activists advocate for social change in sub-Saharan Africa, men who engage in same-sex relations -many of which have sex with women (MSM/W)- face obstacles in all steps of the HIV cascade of care. In Senegal, research on MSM/W has been authorized given their assigned status as a key population in the fight against HIV. In 2018-19, a grounded theory research was done with the aim to understand the health experiences of MSM/W in Dakar. Methods Individual interviews were conducted with 19 MSM/W. Respondents were recruited with the aid of local grassroots. A non-structured life story guide was used to help them recall in chronological order their experiences with healthcare. Results No major constraints in using HIV services were expressed. There were narratives of self-hatred, internalized homophobia, emotional stress, sleep disorders, and low self-esteem. A few mentioned suicidal thoughts. Histories of sexual abuse, and feelings of sexual orientation being passed on by the perpetrators were common. Fear of hatred and violence caused some respondents to pursue heterosexual relationships, and, in a few cases, to resort to spiritual healers to change their sexual identity. In spite of religion being identified as a fueler of stigmatization, many found relief in practicing Islam. Conclusions Findings informed a Training Program on MSM/W Psychosocial Health, which will target 100 healthcare workers in 2020. This study shows that psychosocial health for MSM/W needs to be promoted not just as a component in the Zero HIV Transmission for 2030 efforts. It is time to move from an HIV Care for All MSM to a Wellbeing for All MSM paradigm. Further research on same-sex identities as determinants of diseases other than HIV is needed. Human rights should be at the fore of efforts to build capacities to tackle the psychosocial needs of all MSM/W in Senegal.

Health Complaints Related to Pesticide Stored at a Public Health Clinic

2000 ◽  
Vol 82 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Lina S. Balluz ◽  
Rossanne M. Philen ◽  
John Brock ◽  
Kenneth Falter ◽  
Max Kiefer ◽  
...  
Keyword(s):  
Public Health ◽  
Health Clinic ◽  
Health Complaints ◽  
Public Health Clinic

Compliance to mineral supplementation among pregnant women at a public health clinic in Malaysia

2021 ◽  
Vol 29 (6) ◽  
pp. 316-322
Author(s):  
Nurul Nabilah Ahmad Fadzil ◽  
Azura Abdul Halain ◽  
Santhi A/P Yew Roan Nee ◽  
Soh Kim Lam ◽  
Salimah Japar
Keyword(s):  
Pregnant Women ◽  
Household Income ◽  
Postpartum Haemorrhage ◽  
Simple Random Sampling ◽  
Health Clinic ◽  
Cross Sectional ◽  
Mineral Supplementation ◽  
Cross Sectional Design ◽  
Vitamin And Mineral Supplementation ◽  
Public Health Clinic

Background Prenatal supplementation has been introduced to pregnant women during early pregnancy to prevent complication to both mother and fetus. The complications include anaemia, postpartum haemorrhage, low birth weight and fetal defects. Aim To assess compliance with vitamin and mineral supplementation in pregnant women. Methods A cross-sectional design with simple random sampling was used in this study with 100 respondents who attended the maternal and child clinic in Selangor, Malaysia. Findings The findings showed that 86 respondents (86%) were compliance towards vitamin and mineral supplementation, whereas 35 respondents (35%) were non-compliance mainly due to forgetfulness. The result indicated a significant association between compliance with race (p=0.02), occupation (p<0.01), household income (p=0.02), education (p<0.01), parity (p<0.01) and trimester (p=0.02). Conclusion Majority of the respondents acknowledge that side effects and forgetfulness were the main influencing factors towards non-compliance.

scholarly journals An Accident-Prone Employee: No, Multiple Sclerosis

2017 ◽  
Vol 66 (1) ◽  
pp. 5-7
Author(s):  
Ann Regina Lurati
Keyword(s):  
Public Health ◽  
Multiple Sclerosis ◽  
Physical Examination ◽  
Review Article ◽  
Health Clinic ◽  
Workplace Interventions ◽  
Public Health Clinic

An employee is labeled “accident-prone,” and sustained an acute lumbar injury at work. Upon physical examination, a diagnosis of multiple sclerosis was suspected. She was referred to a public health clinic for further evaluation. This is a review article of multiple sclerosis and workplace interventions.

scholarly journals The reporting of the mode of transmission among HIV-positive men who have sex with men in Lviv oblast, Ukraine, 2014-2018

2020 ◽  
Vol 14 (11.1) ◽  
pp. 122S-127S
Author(s):  
Maryana Sluzhynska ◽  
Olga Denisiuk ◽  
Ruzanna Grigoryan ◽  
Yulia Sereda ◽  
Gennadiy Slabkiy ◽  
...  
Keyword(s):  
Urban Areas ◽  
Hiv Transmission ◽  
Cross Sectional Study ◽  
Medical Doctor ◽  
Hiv Care ◽  
Hiv Positive ◽  
Cross Sectional ◽  
Aids Epidemic ◽  
Mode Of Transmission ◽  
Sex With Men

Introduction: Men who have sex with men (MSM) are one of the key populations driving HIV/AIDS epidemic globally. To date, MSM is the only population in Ukraine where the prevalence and incidence of HIV is increasing. As HIV-positive MSM might feel uncomfortable to report homosexual intercourses as a possible mode of transmission (MoT) of HIV, they prefer being registered as patients with heterosexual or non-defined MoT. This study aimed to calculate the proportion of misclassified MoT among HIV-positive MSM registered in Lviv oblast, Ukraine, during 2014-2018. Methodology: Cross-sectional study with 127 HIV-positive MSM patients from Lviv region for the period of 2014-2018. Results: Out of 127 HIV-positive MSM included in the study, 110 (86.6%) were from urban areas. In addition, 52 patients (40.9%) were diagnosed with stage 1 HIV, 16 (12.6%) – stage 2, 19 (15%) – stage 3, and 36 (28.3%) – stage 4. CD4 count < 200 cells/μL was found in 35 (27.6%) patients. Mean time from registration to antiretroviral therapy initiation was 80 days. During the first visit to medical doctor out of those 48 patients who had previously reported “other modes” of HIV transmission, 33 patients (68.7%) disclosed homosexual MoT of HIV. The remaining 15 (31.3%) patients disclosed their homosexual MoT of HIV later – during their regular follow-up visits to the doctor. Conclusion: Special measures are needed to improve the reporting of homosexual MoT which can potentially strengthen the HIV care among MSM.

Sign in / Sign up

Export Citation Format

Share Document