scholarly journals HIV Screening During the Coronavirus Disease-19 Pandemic in a Respiratory-Emergencies Unit from a Single-Hospital in Mexico

2021 ◽  
pp. 1-4
Author(s):  
Darwin S Torres-Erazo ◽  
◽  
Nelda J Nuñez-Caamal ◽  
Keyword(s):  
Continuum Of Care ◽  
People Living With Hiv ◽  
Hiv Screening ◽  
The World ◽  
Living With Hiv ◽  
Respiratory Emergencies ◽  
The Continuum

The COVID-19 has affected million people around the world with Mexico being one of the most affected countries. This pandemic has impacted the continuum of care for people living with HIV so it was decided to know the frequency and usefulness of performing rapid HIV tests during COVID-19 pandemic.

scholarly journals Consequences of the COVID-19 pandemic on the continuum of care in a cohort of people living with HIV followed in a single center of Northern Italy

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Eugenia Quiros-Roldan ◽  
Paola Magro ◽  
Canio Carriero ◽  
Annacarla Chiesa ◽  
Issa El Hamad ◽  
...  
Keyword(s):  
Continuum Of Care ◽  
Antiretroviral Drugs ◽  
Hiv Care ◽  
Categorical Variables ◽  
People Living With Hiv ◽  
Continuous Variables ◽  
Hiv Diagnosis ◽  
Missed Visits ◽  
Living With Hiv ◽  
The Continuum

Abstract Introduction During the COVID-19 pandemic, hospitals faced increasing pressure, where people living with HIV risked to either acquire SARS-CoV-2 and to interrupt the HIV continuum of care. Methods This is a retrospective, observational study. We compared the numbers of medical visits performed, antiretroviral drugs dispensed and the number of new HIV diagnosis and of hospitalizations in a cohort of people living with HIV (PLWH) followed by the Spedali Civili of Brescia between the bimester of the COVID-19 pandemic peak and the bimester of October–November 2019. Data were retrieved from administrative files and from paper and electronic clinical charts. Categorical variables were described using frequencies and percentages, while continuous variables were described using mean, median, and interquartile range (IQR) values. Means for continuous variables were compared using Student’s t-tests and the Mann–Whitney test. Proportions for categorical variables were compared using the χ2 test. Results As of December 31st, 2019, a total of 3875 PLWH were followed in our clinic. Mean age was 51.4 ± 13 years old, where 28% were females and 18.8% non-Italian. Overall, 98.9% were on ART (n = 3834), 93% were viro-suppressed. A total of 1217 and 1162 patients had their visit scheduled at our out-patient HIV clinic during the two bimesters of 2019 and 2020, respectively. Comparing the two periods, we observed a raise of missed visits from 5 to 8% (p < 0.01), a reduction in the number of new HIV diagnosis from 6.4 in 2019 to 2.5 per month in 2020 (p = 0.01), a drop in ART dispensation and an increase of hospitalized HIV patients due to COVID-19. ART regimens including protease inhibitors (PIs) had a smaller average drop than ART not including PIs (16.6 vs 21.6%, p < 0.05). Whether this may be due to the perception of a possible efficacy of PIs on COVID19 is not known. Conclusions Our experience highlights the importance of a resilient healthcare system and the need to implement new strategies in order to guarantee the continuum of HIV care even in the context of emergency.

Socio-cultural Factors affecting People Living with HIV/AIDS Attendance at Hawassa and Yirgalem Hospital ART Clinics, South Ethiopia. Quantitative and Qualitative Mixed Approach.

2021 ◽  
Author(s):  
Alemante A Ayalew ◽  
Zeytu G Asfaw ◽  
Solomon A Lemma
Keyword(s):  
Cultural Practices ◽  
Cultural Factors ◽  
Complete Healing ◽  
People Living With Hiv ◽  
Long Distance ◽  
Factors Affecting ◽  
Care Givers ◽  
The World ◽  
Living With Hiv ◽  
Hiv Aids

Abstract Background: HIV/AIDS pandemic seriously ravaged the world for the past three decades. It left the world with full of complicated social, economic and political problems. The problem has continued as major health problems for most developing countries, including Ethiopia. Socio-cultural practices which are predominantly determining the life of most of these peoples have structured the spread of HIV/AIDS. The aim of this study was to investigate how socio-cultural factors are affecting patients' adherence at ART clinics in Hawassa and Yirgalem Referral Hospitals. Methods: Qualitative and quantitative designs were used to collect the data. Results: The findings have shown that for fear of stigma and discrimination at family and community levels forced patients' affected adherence at ART clinics. People living with HIV were forced to travel long distance to get rid of social exclusion and isolation that resulting in drug interruptions and drop outs. The findings have also shown that most of the followers of protestant religion make believe that HIV could be cured and boycotted them from taking ART drugs. Moreover, confidentiality of information about HIV positive children living with care givers and newly tested patients found to be resistant to start or continue their drugs. Sense of wellbeing elicited form long term ART drugs effects made patients to imagine complete healing thereby dropping their treatment. Conclusions: The findings made clear that multidimensional socio-cultural factors structure and restructure adherence problems at the ART clinics in the study hospitals. Interventions targeting to change socio-cultural factors play crucial roles to prevent and control new infections, occurrence of drug resistant strains, and social and economic repercussions in the society.

HIV/AIDS in the Middle East and North Africa: A Brief Review of Prevention, Research, and Resources

2006 ◽  
Vol 40 (1) ◽  
pp. 45-52 ◽  
Author(s):  
Rachel Kaplan
Keyword(s):  
Middle East ◽  
North Africa ◽  
Sub Saharan Africa ◽  
People Living With Hiv ◽  
Main Mode ◽  
Prevention Services ◽  
Aids Epidemic ◽  
The World ◽  
Sub Saharan ◽  
Living With Hiv

The 2005 UNAIDS/WHO Epidemic Update reports that the number of people living with HIV last year worldwide was 40.3 million (1). In 2005, approximately 3.2 million people became newly infected by HIV in Sub-Saharan Africa, the region of the world that is considered the epicenter of the AIDS epidemic (2).Although the rates of HIV are much less in the Middle East and North Africa (MENA) than in Sub-Saharan Africa, some experts believe that without appropriate implementation of surveillance and prevention services, the epidemic will spread to the general population (3). Reportedly, 67,000 people in MENA became infected with HIV in 2005; there are approximately 510,000 people living with HIV in the region (2). Because of cultural and social taboos surrounding the discussion of the acquisition of HIV around the world in general, and in MENA in particular, it is difficult to develop a clear representation of HIV's presence and risk in countries in the Middle East. Based on the information that is available, the main mode of transmission of HIV is sexual contact, with injecting drug use recognized as the second mode of increasing prevalence (2). Without sufficient implementation of surveillance in the region, however, estimated rates of infection may indeed be lower than the actual number of people infected with HIV (4).

scholarly journals Law, Criminalisation and HIV in the World: Have countries that criminalise achieved more or less successful AIDS pandemic response?

2021 ◽  
Author(s):  
Matthew M Kavanagh ◽  
Schadrac C Agbla ◽  
Mara Pillinger ◽  
Marissa Joy ◽  
Alaina Case ◽  
...  
Keyword(s):  
Drug Use ◽  
Sex Work ◽  
Viral Suppression ◽  
Hiv Transmission ◽  
People Living With Hiv ◽  
Gender Based Violence ◽  
Same Sex ◽  
The World ◽  
Laws And Policies ◽  
Living With Hiv

How does the use of criminal law affect disease-fighting efforts, particularly in a pandemic? This longstanding question for governments around the world is felt acutely in the context of the COVID-19 and HIV pandemics. Many countries have laws and policies that criminalise behaviours, making same-sex relationships, illicit drug use, and sex work illegal. Meanwhile, some countries have enshrined gender- and rights-protective institutions in law. Under the global AIDS strategy of the last five years, national AIDS response efforts in countries have focused on reaching people living with HIV with testing and antiretroviral treatment to suppress the HIV virus, preventing mortality and HIV transmission. At the end of this 5-year push, this article provides an ecological analysis of whether those countries with criminalising legal environments achieved more or less success. In countries where same-sex relationships were fully criminalised, the portion of people living with HIV who knew their status was 11% lower and viral suppression rates were 8% lower. Under sex-work criminalization, the rate of people living with HIV who knew their status was 10% lower and viral suppression 6% lower. Drug use criminalisation was associated with 14% lower knowledge of status and viral. On the other hand in countries with laws advancing non-discrimination, human rights institutions, and gender-based violence response, HIV services indicators were significantly better. This ecological evidence on the relationships between the legal environment and successful HIV response provides support for a strategy that includes a focus on law reform to achieve goals missed in 2020.

scholarly journals Studi Literatur: Hubungan Pengetahuan dengan Stigma pada Penderita HIV/AIDS (ODHA)

2021 ◽  
Vol 7 (1) ◽  
pp. 21
Author(s):  
Nila Alfiani ◽  
Ahmad Rido'i Yuda Prayogi ◽  
Ayik Mirayanti Mandagi ◽  
Diansanto Prayoga
Keyword(s):  
Systematic Review ◽  
Hiv Positive ◽  
People Living With Hiv ◽  
Systematic Review Methods ◽  
Hiv Virus ◽  
The World ◽  
Living With Hiv ◽  
The Relationship ◽  
Prevention Of Hiv ◽  
Hiv Aids

HIV/AIDS is a disease that has become a pandemic and worries people all over the world, because until now there has not been found a vaccine or drug for the prevention of HIV/AIDS. HIV positive cases in Indonesia from year to year have increased. The problems faced by people with HIV/AIDS are very complex. Every day the patient's condition will get weaker if he does not take medication regularly because the HIV virus will attack the patient's immune system. In addition, the stigma and discrimination of the surrounding community are also a burden that must be borne by people with HIV AIDS. The stigma makes HIV sufferers worse, with this stigma, HIV sufferers are ashamed to seek treatment at a health service. This writing is to determine the relationship between knowledge and stigma against people living with HIV/AIDS (PLWHA) through a review of various literature with the same theme. The method used in this paper uses rivew literature. This type of research uses systematic review. The study design used retrospective, prospective and systematic review methods. There is a relationship between knowledge and stigma against PLWHA. People with low knowledge tend to stigmatize people with HIV.

scholarly journals Consequences of the COVID-19 pandemic on the continuum of the care in a cohort of people living with HIV followed in a single center of Northern Italy

2020 ◽  
Author(s):  
Eugenia Quiros-Roldan ◽  
Paola Magro ◽  
Canio Carriero ◽  
Annacarla Chiesa ◽  
Issa El Hamad ◽  
...  
Keyword(s):  
Antiretroviral Drugs ◽  
Hiv Care ◽  
Categorical Variables ◽  
People Living With Hiv ◽  
Continuous Variables ◽  
Hiv Diagnosis ◽  
Missed Visits ◽  
Hiv Continuum Of Care ◽  
Living With Hiv ◽  
The Continuum

Abstract Introduction: During the COVID-19 pandemic, hospitals faced increasing pressure, where people living with HIV risked to either acquire SARS-CoV-2 and to interrupt the HIV continuum of care.Methods: this is a retrospective, observational study. We compared the numbers of medical visits performed, antiretroviral drugs dispensed and the number of new HIV diagnosis and of hospitalizations in a cohort of people living with HIV (PLWH) followed by the Spedali Civili of Brescia between the bimester of the COVID-19 pandemic peak and the bimester of October-November 2019. Data were retrieved from administrative files and from paper and electronic clinical charts. Categorical variables were described using frequencies and percentages, while continuous variables were described using mean, median, and interquartile range (IQR) values. Means for continuous variables were compared using Student’s t-tests and the Mann-Whitney test. Proportions for categorical variables were compared using the χ2 test.Results: As of December 31st, 2019, a total of 3875 PLWH were followed in our clinic. Mean age was 51,4 ±13 years old, where 28% were females and 18.8% non-Italian. Overall, 98.9% were on ART (n=3834), 93% were viro-suppressed. A total of 1217 and 1162 patients had their visit scheduled at our out-patient HIV clinic during the two bimesters of 2019 and 2020, respectively. Comparing the two periods, we observed a raise of missed visits from 5% to 8% (p<0.01), a reduction in the number of new HIV diagnosis from 6.4 in 2019 to 2.5 per month in 2020 (p=0.01), a drop in ART dispensation and an increase of hospitalized HIV patients due to COVID-19. ART regimens including protease inhibitors (PIs) had a smaller average drop than ART not including PIs (16,6% vs 21,6%, p<0.05). Whether this may be due to the perception of a possible efficacy of PIs on COVID19 is not known. Conclusions: Our experience highlights the importance of a resilient healthcare system and the need to implement new strategies in order to guarantee the continuum of HIV care even in the context of emergency.

Sexual function and dysfunction in older HIV-positive individuals

Sexual Health ◽  
2011 ◽  
Vol 8 (4) ◽  
pp. 502 ◽  
Author(s):  
Darren B. Russell
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Functioning ◽  
Hiv Transmission ◽  
Hiv Positive ◽  
People Living With Hiv ◽  
Organ Systems ◽  
The World ◽  
Risk Of Disease ◽  
Living With Hiv ◽  
Hiv Negative

With many parts of the world seeing an aging cohort of people living with HIV (PLHIV), it is becoming clear that some organ systems in these individuals are at a greater risk of disease. There are effects on sexual functioning in aging PLHIV, with many studies finding higher levels of sexual dysfunction in HIV-positive individuals compared with those who are HIV-negative. HIV itself, along with antiretroviral agents, may cause dysfunction. Treatment involves making an assessment of the dysfunction and using the usual methods available, although treatment may be complicated by hormonal deficiencies in HIV-positive individuals, along with the effects of antiretroviral therapy, and drug interactions involving such medications. Furthermore, the issue of HIV transmission needs to be addressed in those seeking treatment for sexual dysfunction.

A multi-level examination of the experiences of female sex workers living with HIV along the continuum of care in the Dominican Republic

2017 ◽  
Vol 13 (8) ◽  
pp. 1020-1034 ◽  
Author(s):  
Rose Zulliger ◽  
Caitlin Kennedy ◽  
Clare Barrington ◽  
Martha Perez ◽  
Yeycy Donastorg ◽  
...  
Keyword(s):  
Dominican Republic ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Continuum Of Care ◽  
Female Sex ◽  
Multi Level ◽  
Living With Hiv ◽  
The Continuum
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