76. Effects of the “Undetectable = Untransmittable” (“U=U”) Educational Campaign on Treatment Outcomes and Perceptions among People Living with HIV in North American Countries

Abstract Background The educational campaign “Undetectable = Untransmittable” (U=U) began in 2016 to improve the well-being of people living with HIV (PLHIV) and recalibrate HIV-related social norms. As medical practice can vary by region, we examined reports from PLHIV in North American countries to identify if the campaign affected healthcare provider (HCP) communication of U=U and if positive health outcomes differed by U=U-informed status or country. Methods Data were collected from the 2019 Positive Perspectives survey of PLHIV in Canada (n=120), Mexico (n=63), and the United States (US; n=400) and stratified by country. Outcomes were self-rated mental and sexual health (“Good”/”Very good”), viral suppression, and sharing of HIV status. Treatment perceptions were also assessed. Results Whether diagnosis occurred before or after the U=U campaign launch did not significantly affect the proportion of PLHIV who reported receipt of U=U from an HCP in any North American country. Whether an individual was informed of U=U varied significantly by sexual orientation (heterosexual, 62.8%; homosexual, 74.9%; other, 87.8%), sex (men, 64.7%; women, 89.8%; other, 100%), and metropolitan vs non-metropolitan residence (metropolitan, 78.2%; non-metropolitan, 65.2%) in the US (P< 0.01 for all) but not in Canada or Mexico. Prevalence of sharing of HIV status with ≥ 1 person besides an HCP varied among PLHIV (Canada, 87%; Mexico, 95%; US, 84%). Prevalence of other positive outcomes varied by country and whether PLHIV had been informed of U=U (Figure). Whether PLHIV were informed of U=U was also correlated with treatment satisfaction and the perception that treatment needs were being met among PLHIV in the US and Canada (P< 0.01 for all), and with the belief that treatment prevents transmission among PLHIV in the US (P=0.01). Figure. Prevalence of positive outcomes among PLHIV in Canada (n=120), Mexico (n=63), and the US (n=400). PLHIV, people living with HIV; US, United States; U=U, Undetectable = Untransmittable. *P<0.01 for U=U informed vs uninformed. Conclusion Being informed of U=U was associated with higher treatment satisfaction, and higher mental and sexual health outcomes among PLHIV in North America. Receipt of U=U was associated with significantly higher treatment satisfaction among PLHIV in the US and Canada, and significantly more PLHIV with optimal mental and sexual health in the US. Disclosures Frank Spinelli, MD, ViiV Healthcare (Employee) Bruce Richman, JD, ViiV Healthcare (Consultant) Patricia De Los Rios, MSc, GlaxoSmithKline (Shareholder)ViiV Healthcare (Employee) Benjamin Young, MD, PhD, GlaxoSmithKline (Shareholder)ViiV Healthcare (Employee) Nicolas Van de Velde, PhD, ViiV Healthcare (Employee) Chinyere Okoli, PharmD, MSc, DIP, GlaxoSmithKline (Shareholder)ViiV Healthcare (Employee)

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HIV/AIDS in childhood – a special case

Romanian Journal of Infectious Diseases ◽

10.37897/rjid.2016.2.3 ◽

2016 ◽

Vol 19 (2) ◽

pp. 60-64

Author(s):

Mioriţa Toader ◽

◽

Daniela Neacşu ◽

Alina Oprea ◽

Andreea Şerbănică ◽

...

Keyword(s):

Support Groups ◽

Western Europe ◽

People Living With Hiv ◽

Children And Families ◽

Hiv Status ◽

Pediatric Pathology ◽

Aids Epidemic ◽

Poor Access ◽

The Us ◽

Living With Hiv

HIV pediatric pathology is currently facing a large number of specialists such as neonatologists, pediatricians, family physicians, oncologists, otorhinolaryngologists, pharmacists, pediatric infectious disease, etc. The involvement of epidemiologists, nurses, social workers, sociologists, support groups together not by politicians is imperative, essential for the diagnosis, management and prevention of HIV infection require focusing on mothers of children and families within dysfunctions social and poverty. Social problems that a child infected with HIV face are almost always overwhelming: drug abuse, discrimination against minority people living with HIV, poverty, poor access to adequate medical services, family breaking when the HIV status of a family member is learned by and other domestic violence, are important to consider. Countries like Romania must learn what is good and what is bad about the AIDS epidemic in the US and Western Europe not to repeat their mistakes and at the same time to rediscover principles generally available today.

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The Role of Health Education Specialists in Conducting Rapid HIV Testing

American Journal of Health Studies ◽

10.47779/ajhs.2014.208 ◽

2020 ◽

Vol 29 (1) ◽

Author(s):

Anthony Santella ◽

Jacquie Fraser ◽

Angela Prehn

Keyword(s):

United States ◽

Health Education ◽

Hiv Testing ◽

The United States ◽

People Living With Hiv ◽

Hiv Status ◽

Rapid Hiv Testing ◽

Testing Strategies ◽

Living With Hiv

There are over one million people living with HIV in the United States; an estimated 16% are unaware of their status. More innovative testing strategies are needed, as evidence suggests that persons most at risk for HIV, or who may present with early infections, are not being reached. Expanding the role of health education specialists can make HIV testing routine and more accessible, and help achieve the national goals of decreasing HIV infection and increasing knowledge of HIV status. This paper focuses on the role of Certified Health Education Specialists (CHES)/Master CHES as being professionally prepared to conduct HIV testing.

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The Lived Experiences of Stigmatization in the Process of HIV Status Disclosure among People Living with HIV in Taiwan

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18105089 ◽

2021 ◽

Vol 18 (10) ◽

pp. 5089

Author(s):

Chia-Hui Yu ◽

Chu-Yu Huang ◽

Nai-Ying Ko ◽

Heng-Hsin Tung ◽

Hui-Man Huang ◽

...

Keyword(s):

Lived Experiences ◽

Healthcare Professionals ◽

Social Stigma ◽

People Living With Hiv ◽

Hiv Status ◽

Structured Interviews ◽

Two Phases ◽

Hiv Status Disclosure ◽

Living With Hiv ◽

Status Disclosure

People living with HIV (PLWH) face social stigma which makes disclosure of HIV status difficult. The purpose of this descriptive qualitative study was to understand the lived experiences of stigmatization in the process of disease disclosure among PLWH in Taiwan. Analysis of the semi-structured interviews from 19 PLWH in Taiwan revealed two phases and six themes. Phase one “experiences before disclosure” involved three themes: “Struggles under the pressure of concealing the HIV Status,” “Torn between fear of unemployment/isolation and desire to protect closed ones,” and “Being forced to disclose the HIV status.” Phase two “experiences after disclosure” included three themes: “Receiving special considerations and requirements from school or work,” “Receiving differential treatments in life and when seeking medical care,” and “Stress relief and restart.” Healthcare professionals need to assess stigmatization in PLWH and develop individualized approaches to assist with the disease disclosure process.

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Exploring the Factors Considered by People Living with HIV and Their Partners during Preconception

Journal of the International Association of Providers of AIDS Care (JIAPAC) ◽

10.1177/2325957416682089 ◽

2016 ◽

Vol 16 (3) ◽

pp. 239-246 ◽

Cited By ~ 3

Author(s):

V. Logan Kennedy ◽

Micaela Collins ◽

Mark H. Yudin ◽

Lena Serghides ◽

Sharon Walmsley ◽

...

Keyword(s):

Logit Model ◽

Hiv Transmission ◽

Horizontal Transmission ◽

People Living With Hiv ◽

Relative Importance ◽

Hiv Status ◽

Ordered Logit Model ◽

Living With Hiv ◽

Shed Light ◽

Hiv Negative

Data are lacking on factors that may impact conception-related decision-making among individuals living with HIV. This study’s aim was to shed light on these considerations. Participants were invited to complete a survey on preconception considerations. A rank-ordered logit model was fit to estimate the relative importance of listed consideration factors; the interaction of HIV status and the factors was assessed. Fifty-nine participants living with HIV and 18 partners (11 HIV-negative participants and 7 living with HIV) were included. Risk of vertical and horizontal HIV transmission and the effect of antiretroviral therapy on the fetus were the top considerations. However, individuals living with HIV prioritized vertical transmission, whereas HIV-negative participants prioritized horizontal transmission. Other factors of importance were probability of conception, stress of trying to conceive, cost associated with fertility clinics, and stigma associated with certain conception methods. This study builds our understanding of the preconception considerations for people living with HIV.

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THE GENESIS OF THE US FOREIGN POLICY: THE ORIGIN OF THE HISTORIOGRAPHY OF THE TOPIC, 1610–1820S

Scientific Notes of V.I. Vernadsky Crimean Federal University. Historical science ◽

10.37279/2413-1741-2021-7-2-81-93 ◽

2021 ◽

Vol 7 (73) (2) ◽

pp. 81-93

Author(s):

D. V. Dorofeev

Keyword(s):

United States ◽

Foreign Policy ◽

International Relations ◽

North American ◽

Alternative Hypothesis ◽

The United States ◽

Us Foreign Policy ◽

Founding Fathers ◽

The North ◽

The Us

The research is devoted to the study of the origin of the historiography of the topic of the genesis of the US foreign policy. The key thesis of the work challenges the established position in the scientific literature about the fundamental role of the work of T. Lyman, Jr. «The diplomacy of the United States: being an account of the foreign relations of the country, from the first treaty with France, in 1778, to the Treaty of Ghent in 1814, with Great Britain», published in 1826. The article puts forward an alternative hypothesis: the emergence of the historiography of the genesis of the foreign policy of the United States occurred before the beginning of the second quarter of the XIX century – during the colonial period and the first fifty years of the North American state. A study of the works of thirty-five authors who worked during the 1610s and 1820s showed that amater historians expressed a common opinion about North America’s belonging to the Eurocentric system of international relations; they were sure that both the colonists and the founding fathers perceived international processes on the basis of raison d’être. The conceptualization of the intellectual heritage of non-professional historians allowed us to distinguish three interpretations of the origin of the United States foreign policy: «Autochthonous» – focused on purely North American reasons; «Atlantic» – postulated the borrowing of European practice of international relations by means of the system of relations that developed in the Atlantic in the XVII–XVIII centuries; «Imperial» – stated the adaptation of the British experience. The obtained data refute the provisions of scientific thought of the XX–XXI centuries and create new guidelines for further study of the topic.

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Association Between Bilirubin, Atazanavir, and Cardiovascular Disease Events Among People Living With HIV Across the United States

JAIDS Journal of Acquired Immune Deficiency Syndromes ◽

10.1097/qai.0000000000002071 ◽

2019 ◽

Vol 81 (5) ◽

pp. e141-e147 ◽

Cited By ~ 4

Author(s):

Heidi M. Crane ◽

Robin M. Nance ◽

Susan R. Heckbert ◽

Corey Ritchings ◽

Lisa Rosenblatt ◽

...

Keyword(s):

United States ◽

Cardiovascular Disease ◽

The United States ◽

People Living With Hiv ◽

Living With Hiv

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An Integrated Approach to HIV Disclosure for HIV-Affected Families in Thailand

Journal of the International Association of Providers of AIDS Care (JIAPAC) ◽

10.1177/2325958219831021 ◽

2019 ◽

Vol 18 ◽

pp. 232595821983102 ◽

Cited By ~ 1

Author(s):

Jureeporn Jantarapakde ◽

Chitsanu Pancharoen ◽

Somsong Teeratakulpisarn ◽

Pornpen Mathajittiphan ◽

Rosalin Kriengsinyot ◽

...

Keyword(s):

Family Relationship ◽

Integrated Approach ◽

Hiv Disclosure ◽

People Living With Hiv ◽

Hiv Status ◽

Hiv Knowledge ◽

Group Education ◽

Living With Hiv ◽

Hiv Programs ◽

The Impact

Disclosure of HIV status to family members could improve communication, relationship, and cohesion. We evaluated the impact of a family-centered program designed to increase the readiness/willingness of parents to disclose HIV status to their children. People living with HIV (PLWH) with children ≥8 years were surveyed regarding HIV knowledge, family relationship, attitudes, willingness/readiness to disclose, and they were then invited to participate in group education and family camps. Of 367 PLWH surveyed, 0.8% had disclosed, 14.7% had not yet disclosed but were willing/ready to disclose, 50.4% were willing but not ready, and 33.2% did not wish to disclose. The educational sessions and camps led to significant improvements of HIV knowledge and disclosure techniques, and readiness/willingness to disclose. Given the benefits of group education and family camps in supporting PLWH to improve their communication with their families and disclose their HIV status, these supporting activities should be included in HIV programs.

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