Variability of the Date of HIV Diagnosis: A Comparison of Self-Report, Medical Record, and HIV/AIDS Surveillance Data

The Utah Department of Health currently groups African-born blacks with U.S.-born blacks when reporting HIV/AIDS surveillance data. Studies suggest that categorizing HIV/AIDS cases in this manner may mask important epidemiological trends, and the distinct differences between these two populations warrant disaggregating data prior to reporting. The purpose of this study was to characterize the HIV/AIDS positive populations in U.S. and African-born blacks in Utah and evaluate the need for disaggregating the two groups. A total of 1,111 cases were identified through the statewide electronic HIV/AIDS Reporting System from 2000 - 2009. Data were analyzed for prevalence of HIV diagnosis for African-born blacks, U.S.-born blacks, and U.S.-born whites. Secondary analysis included HIV diagnosis by age, sex, African region of nativity, transmission risk factors, and differences in late diagnosis of HIV infection. U.S.-born whites accounted for 914 (82.3%) cases, and had the lowest annual prevalence (4/100,000). Conversely, African-born and U.S.- born blacks had the highest prevalence, 162/100,000 and 24/100,000 respectively. African-born blacks made up 0.25% of the total population, but accounted for 7.9% of all HIV/AIDS cases. African-born black males were more likely to report “no reported risk” for HIV transmission than U.S.-born black males. Of African-born blacks, 55.7% reported East-African nativity. These results demonstrate the importance of stratifying the black/African American racial category by African-born and U.S.-born blacks when collecting and reporting HIV/AIDS state surveillance data even in a low-incidence state,which will better inform prevention and linkage-to-care efforts in Utah.

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Dukungan sosial dan kualitas hidup orang dengan HIV/AIDS

Berita Kedokteran Masyarakat ◽

10.22146/bkm.12563 ◽

2017 ◽

Vol 33 (3) ◽

pp. 147

Author(s):

Mardia Mardia ◽

Riris Andono Ahmad ◽

Bambang Sigit Riyanto

Keyword(s):

Quality Of Life ◽

Social Support ◽

Antiretroviral Therapy ◽

Social Life ◽

Opportunistic Infections ◽

People Living With Hiv ◽

Hiv Diagnosis ◽

Criteria For Diagnosis ◽

Hiv Aids

Purpose: This study aimed to determine the quality of life among people living with HIV/AIDS based on the criteria for diagnosis and other factors.Methods: This study was conducted in the VCT clinic hospital of Dr. Moewardi. The population was HIV-positive patients with antiretroviral therapy. Data collection conducted through medical records and interview to patients. Results: Out of a total of 89 respondents, 66.29% were males and 71.91% were aged between 26-45 years. We found significant correlations for diagnosis of HIV/AIDS, opportunistic infections, time since HIV diagnosis, duration of ARV therapy, social support, modes of transport, sex, age, and marital status with the quality of life. Multivariate analysis obtained by each variable showed the strongest association with the quality of life was time since diagnosis, social support and duration of ARV therapy. Conclusion: The quality of life was better for those who have been diagnosed with HIV/AIDS ≥ 32 months, with social support, and who have been undergoing antiretroviral therapy ≥ 29 months. Improved counseling in the early days of ARV therapy is necessary to always maintain the treatment and provide support for their social life.

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Understanding the Reasons for Deferring ART Among Patients Diagnosed Under the Same-Day-ART Policy in Johannesburg, South Africa

AIDS and Behavior ◽

10.1007/s10461-021-03171-6 ◽

2021 ◽

Author(s):

Dorina Onoya ◽

Tembeka Sineke ◽

Idah Mokhele ◽

Jacob Bor ◽

Matthew P. Fox ◽

...

Keyword(s):

South Africa ◽

Hiv Testing ◽

Self Report ◽

Hiv Diagnosis ◽

Adjusted Risk ◽

Art Initiation ◽

Art Policy ◽

Universal Test And Treat ◽

Post Test ◽

Treat All

AbstractWe aimed to examine the correlates of antiretroviral therapy (ART) deferral to inform ART demand creation and retention interventions for patients diagnosed with HIV during the Universal Test and Treat (UTT) policy in South Africa. We conducted a cohort study enrolling newly diagnosed HIV-positive adults (≥ 18 years), at four primary healthcare clinics in Johannesburg between October 2017 and August 2018. Patients were interviewed immediately after HIV diagnosis, and ART initiation was determined through medical record review up to six-months post-test. ART deferral was defined as not starting ART six months after HIV diagnosis. Participants who were not on ART six-months post-test were traced and interviewed telephonically to determine reasons for ART deferral. Modified Poisson regression was used to evaluate correlates of six-months ART deferral. We adjusted for baseline demographic and clinical factors. We present crude and adjusted risk ratios (aRR) associated with ART deferral. Overall, 99/652 (15.2%) had deferred ART by six months, 20.5% men and 12.2% women. Baseline predictors of ART deferral were older age at diagnosis (adjusted risk ratio (aRR) 1.5 for 30–39.9 vs 18–29.9 years, 95% confidence intervals (CI): 1.0–2.2), disclosure of intentions to test for HIV (aRR 2.2 non-disclosure vs disclosure to a partner/spouse, 95% CI: 1.4–3.6) and HIV testing history (aRR 1.7 for > 12 months vs < 12 months/no prior test, 95% CI: 1.0–2.8). Additionally, having a primary house in another country (aRR 2.1 vs current house, 95% CI: 1.4–3.1) and testing alone (RR 4.6 vs partner/spouse support, 95% CI: 1.2–18.3) predicted ART deferral among men. Among the 43/99 six-months interviews, women (71.4%) were more likely to self-report ART initiation than men (RR 0.4, 95% CI: 0.2–0.8) and participants who relocated within SA (RR 2.1 vs not relocated, 95% CI: 1.2–3.5) were more likely to still not be on ART. Under the treat-all ART policy, nearly 15.2% of study participants deferred ART initiation up to six months after the HIV diagnosis. Our analysis highlighted the need to pay particular attention to patients who show little social preparation for HIV testing and mobile populations.

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"Concordance between comorbidity data from patient self-report interviews and medical record documentation"

BMC Health Services Research ◽

10.1186/1472-6963-8-85 ◽

2008 ◽

Vol 8 (1) ◽

Cited By ~ 62

Author(s):

William Corser ◽

Alla Sikorskii ◽

Ade Olomu ◽

Manfred Stommel ◽

Camille Proden ◽

...

Keyword(s):

Medical Record ◽

Self Report ◽

Medical Record Documentation

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The Effect of the E-Patuh Application on HIV/Aids Patients’ Adherence in Consuming Antiretroviral

Jurnal Keperawatan Padjadjaran ◽

10.24198/jkp.v7i1.809 ◽

2019 ◽

Vol 7 (1) ◽

Author(s):

Alfian Alfian ◽

Kusman Ibrahim ◽

Imas Rafiyah

Keyword(s):

Health Care ◽

Medication Adherence ◽

Health Care Providers ◽

Antiretroviral Treatment ◽

Intervention Group ◽

Self Report ◽

Care Providers ◽

Aids Patients ◽

Antiretroviral Adherence ◽

Hiv Aids

Medication adherence is behavior that refers to client obeys in following a medication, and makes lifestyle changes in accordance of recommendations from health care providers. Antiretroviral adherence is paramount for HIV/AIDS patients. The effects were often a problem in antiretroviral treatment and toxicity and often be the reason for replacing or stopping antiretroviral treatment. This study aimed to determine the “E-Patuh” Applications effect on antiretroviral adherence in patients Of HIV/AIDS In West Java. The research design was a quasi-experimental with nonequivalent control group design. The location of this research was in RSUD Kota Bandung and in RSUD Kota Banjar. The respondents was selected without randomization and used purposive sampling technique. Respondents in this study were 30 respondents. Data were obtained using self-report questionnaires. The intervention group was monitored a 30-day android-based E-Patuh application and monitored on an E-Patuh website and then measured adherence value with self-report. Data were analyzed using SPSS 22 with chi-square test. The results showed a significant difference between adherence value before and after application of E-Patuh in the intervention group with (p <0.05) with obtained p value = 0,006. The results of this study prove a positive effect on the using of E-Patuh applications against ARV medication adherence in the intervention group with the support system of the E-Patuh application. The used of E-Patuh is helpful in improving ARV adherence in HIV/AIDS patients. The features contained in E-Patuh were directly reminiscent of the timing of taking medication for PWLH. E-Patuh should be consideration for PLHIV and health care providers in hospitals to improve ARV adherence to reduce mortality rates in people living with HIV.

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Psychometric properties of the HIV/AIDS Knowledge Scale for Spanish adolescents (HIV-KS) / Propiedades psicométricas de la Escala de Conocimientos sobre VIH/SIDA para adolescentes (VIH-KS)

Health and Addictions/Salud y Drogas ◽

10.21134/haaj.v9i2.42 ◽

2009 ◽

Vol 9 (2) ◽

Cited By ~ 1

Author(s):

José P. Espada ◽

Tania B. Huedo-Medina ◽

Mireia Orgilés ◽

Roberto Secades ◽

Rafael Ballester ◽

...

Keyword(s):

Factor Structure ◽

Discriminant Validity ◽

Reliability And Validity ◽

Principal Component ◽

Self Report ◽

Internal Reliability ◽

Gender And Age ◽

Aids Knowledge ◽

Knowledge Scale ◽

Hiv Aids

El objetivo de este trabajo consistió en desarrollar y analizar las propiedades psicométricas de una escala multidimensional para evaluar los conocimientos relacionados con el VIH/SIDA en adolescentes (Escala de conocimientos sobre VIH/SIDA, HIV-KS). Tras un estudio piloto se administró un cuestionario de 48 ítems a una muestra de 14 centros escolares de 5 provincias españolas. Se puso a prueba la estructura teórica del cuestionario mediante un análisis de componentes principales al que se le aplicó un análisis confirmatorio. Se analizó la validez convergente y discriminante y la fiabilidad de la escala y, finalmente, se procedió a comprobar su invarianza factorial en función del género y la edad con una muestra de 1216 participantes. La versión final de HIV-KS estuvo compuesta por 10 ítems distribuidos en 3 factores principales. Los factores incluidos fueron (1) Transmisión oral del VIH, (2) Efectos del VIH, y (3) Otras vías de transmisión del VIH. La escala HIV-KS muestra invarianza en función del género y la edad y buena consistencia interna. HIV-KS es una escala capaz de evaluar de forma rápida y eficaz el grado de conocimientos sobre VIH/SIDA en población adolescente. Absctract This paper aims to describe the development process, the factor structure, the reliability and validity of a multidimensional scale to measure HIV/AIDS-related knowledge for adolescents (HIV/AIDS Knowledge Scale, HIV-KS). After a pilot study of the items, a questionnaire of 28 items was administered to a sample from 14 different schools in 5 counties in Spain. Firstly, Principal-component analysis was used: first, to test a theory-driven structure and second, to develop an empirically derived factor structure for HIV-KS, which was tested with a confirmatory factor analysis. Secondly, reliability and convergent and discriminant validity were examined and finally, the factorial invariance was analyzed according to gender and age with a sample of 1,216 Spanish adolescents.The final version of the HIV-KS consists of 10 items distributed across three major factors. The factors included are: (1) HIV oral transmission, (2) HIV effects, and (3) other HIV transmission methods. The HIV-KS is invariant across gender and age and shows good validity and internal reliability. HIV-KS is a capable and parsimonious self-report scale for assessing main aspects of HIV/AIDS-related knowledge for adolescents.

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Self-report of current and prior antiretroviral drug use in comparison to the medical record among HIV-infected patients receiving primary HIV care

Pharmacoepidemiology and Drug Safety ◽

10.1002/pds.2096 ◽

2011 ◽

Vol 20 (4) ◽

pp. 432-439 ◽

Cited By ~ 11

Author(s):

Emily Suzanne Brouwer ◽

Sonia Napravnik ◽

Sarah G. Smiley ◽

Amanda H. Corbett ◽

Joseph J. Eron

Keyword(s):

Drug Use ◽

Medical Record ◽

Self Report ◽

Hiv Care ◽

Antiretroviral Drug

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Your Health, Your Faith: HIV prevention with African faith-based communities in Germany

European Journal of Public Health ◽

10.1093/eurpub/ckz187.018 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

T Gangarova ◽

A Bakambamba

Keyword(s):

Hiv Prevention ◽

Hiv Diagnosis ◽

African Countries ◽

Educational Theatre ◽

Prevention Services ◽

Faith Based ◽

African Churches ◽

Sub Saharan ◽

German Cities ◽

Hiv Aids

Abstract Migrants are disproportionally affected by HIV/AIDS in Germany, with about every third new HIV diagnosis given to a person who has migrated to Germany. More than half of HIV new diagnoses among migrants are people from sub-Saharan African countries. Because infections are not just brought from the countries of origin but also occur in Germany, HIV prevention services must be better tailored to the needs of migrants. Your Health, Your Faith (2016-2018) is a community-based participatory health project that aims to improve the involvement of African faith-based communities in HIV prevention services. The project is conducted by the National AIDS Service Organization in collaboration with partners from different African communities, African pastors, AIDS service organizations (ASOs) and researchers from the Ludwig Maximilian University of Munich. Teams of African activists, African pastors and ASOs have been built in eight German cities. All partners were invited to a series of concept workshops in Berlin in order to define together prevention contents, methods and forms of cooperation. Together, they developed a concept for preaching preventive messages in church settings and scenarios for a mobile educational theatre group. To date 65 multilingual events have been held at various African churches, reaching approximately 5000 people. The results of the project has been evaluated on a multi-case basis, with quality standards being compiled for prevention events in African churches. In the course of the project, the participants designed a video that illustrates the prevention work in African Church communities. At the request of the pastors involved, a mobile training series on HIV/Aids for African pastors has been developed with the support of medical doctors. Key messages HIV prevention in African churches and cooperation between African churches, public health authorities and ASOs is possible and promising. Communication via pastors has proven useful, as have supporting theatre performances that facilitate communication about taboo subjects such as HIV/AIDS.

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The role of socio-demographic determinants in the geo-spatial distribution of newly diagnosed HIV infections in small areas of Catalonia (Spain)

BMC Public Health ◽

10.1186/s12889-020-09603-7 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Cristina Agustí ◽

Núria Font-Casaseca ◽

Francesc Belvis ◽

Mireia Julià ◽

Núria Vives ◽

...

Keyword(s):

Spatial Distribution ◽

Hiv Infection ◽

Urban Areas ◽

Western Europe ◽

Hiv Infections ◽

National Registry ◽

Surveillance Data ◽

Newly Diagnosed ◽

Hiv Diagnosis ◽

Incident Cases

Abstract Background Spatial visualization of HIV surveillance data could improve the planning of programs to address the HIV epidemic. The objectives of the study were to describe the characteristics and the spatial distribution of newly diagnosed HIV infection in Catalonia and to identify factors associated with HIV infection rates. Methods Surveillance data from the national registry were presented in the form of descriptive and ring maps and used to study the spatial distribution of new HIV diagnoses in Catalonia (2012–2016) and associated risk factors at the small area level (ABS, acronym for “basic health area” in Catalan). Incident cases were modeled using the following as predictors: type of municipality, prevalence of young men and migrant groups, GBMSM activity indicators, and other variables at the aggregated level. Results New HIV diagnoses are heterogeneously distributed across Catalonia. The predictors that proved to be significantly associated with a higher rate of new HIV diagnoses were ABS located in the city of Barcelona (IRR, 2.520; P < 0.001), a higher proportion of men aged 15–44 years (IRR, 1.193; P = 0.003), a higher proportion of GBMSM (IRR, 1.230; P = 0.030), a higher proportion of men from Western Europe (IRR, 1.281; P = 0.003), a higher proportion of men from Latin America (IRR, 1.260; P = 0.003), and a higher number of gay locations (IRR, 2.665; P < 0.001). No association was observed between the HIV diagnosis rate and economic deprivation. Conclusions Ring maps revealed substantial spatial associations for the rate of new HIV diagnoses. New HIV diagnoses are concentrated in ABS located in urban areas. Our results show that, in the case of HIV infection, the socioeconomic deprivation index on which the Catalan government bases its budget allocation policies among the ABS should not be the only criterion used.

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