Journal of the International Association of Physicians in AIDS Care (JIAPAC) This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Unknown HIV Status in the Emergency Department: Implications for Expanded Testing Strategies
Conclusion: The prevalence of unknown HIV status is decreasing, but in 2011 75% of ED patients aged ≥13 still had unknown status, and it was associated with specific patient characteristics. Understanding the trends in the prevalence of unknown HIV status and how it is associated with patient characteristics should inform the design and implementation of expanded HIV-testing strategies. (Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC))
Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC) - July 4, 2016 Category: Infectious Diseases Authors: Felsen, U. R., Bellin, E. Y., Cunningham, C. O., Zingman, B. S. Tags: HIV Testing & amp;amp; Diagnosis Source Type: research

Why Physicians Dont Ask: Interpersonal and Intrapersonal Barriers to HIV Testing--Making a Case for a Patient-Initiated Campaign
In 2006, the US Centers for Disease Control and Prevention recommended HIV testing for all adolescents and adults aged 13 to 64 in health care settings with a HIV prevalence of at least 0.1%. However, 55% of US adults have never been tested and therefore do not know their HIV status. To understand suboptimal HIV testing rates, this study sought to illuminate interpersonal and intrapersonal physician barriers to HIV testing. One hundred and eighty physicians from health centers in Houston completed a survey based on Cabana’s Knowledge, Attitudes and Behaviors model. One-third of the physicians faced at least 1 interpe...
Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC) - July 4, 2016 Category: Infectious Diseases Authors: Arya, M., Patel, S., Kumar, D., Zheng, M. Y., Kallen, M. A., Street, R. L., Viswanath, K., Giordano, T. P. Tags: HIV Testing & amp;amp; Diagnosis Source Type: research

Job Perception of Counselors Employed at Integrated Counseling and Testing Centers for HIV in a District of South India
Conclusion: The issues identified by counselors such as problems related to refresher training, targets set for counseling and testing, the pay scale and shared confidentiality should be addressed for better service delivery. (Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC))
Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC) - July 4, 2016 Category: Infectious Diseases Authors: Papanna, M. K., Kumar, P., Shetty, A., Kulothungan, K., Poojary, I. B., Ballala, K. Tags: Provider Perspectives Source Type: research

Identifying Perceived Barriers along the HIV Care Continuum: Findings from Providers, Peer Educators, and Observations of Provider-Patient Interactions in Ethiopia
Increasing the proportion of HIV-positive individuals who link promptly to and are retained in care remains challenging in sub-Saharan Africa, but little evidence is available from the provider perspective. In 4 Ethiopian health facilities, we (1) interviewed providers and peer educators about their perceptions of service delivery- and patient-level barriers and (2) observed provider–patient interactions to characterize content and interpersonal aspects of counseling. In interviews, providers and peer educators demonstrated empathy and identified nonacceptance of HIV status, anticipated stigma from unintended disclos...
Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC) - July 4, 2016 Category: Infectious Diseases Authors: Kulkarni, S., Hoffman, S., Gadisa, T., Melaku, Z., Fantehun, M., Yigzaw, M., El-Sadr, W., Remien, R., Tymejczyk, O., Nash, D., Elul, B. Tags: Provider Perspectives Source Type: research

23-Valent Pneumococcal Polysaccharide Vaccine Uptake in the United States Air Force HIV Program
Streptococcus pneumoniae infection is a predominant cause of bacterial infection in HIV-infected individuals. However, reported rates of pneumococcal vaccination with 23-valent polysaccharide vaccine (PPV23) are variable. We evaluated uptake of PPV23 in patients diagnosed with HIV between 1996 and 2012 (n = 507) in the United States Air Force, a centralized HIV program with free access to care including vaccines and medications. A total of 411 (81.1%) patients received at least 1 PPV23 dose. The PPV23 vaccination within 1 year of diagnosis was greater for those diagnosed between 2004 and 2012 (n = 184, 86%) compared with 1...
Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC) - July 4, 2016 Category: Infectious Diseases Authors: Ocampo, T. F., Le, T., Matthews, P. E., Okulicz, J. F. Tags: Brief Report Source Type: research

Assessment of HIV Knowledge in Correctional Facility Health Care Workers: A Pilot Study of an Educational Intervention
This study demonstrates that correctional facility nurses may not receive ideal HIV education during employment and that targeted HIV workshops can significantly increase knowledge and confidence when caring for affected individuals. (Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC))
Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC) - July 4, 2016 Category: Infectious Diseases Authors: Hoang, H. L., Khan, M. N., Berger, S., Moreau, D., Nickel, P., Woods, D., Jaipaul, J., Pyne, D., Moreland, B., Singh, A., Ahmed, R. Tags: Short Communication Source Type: research

Discrimination, HIV among People Who Use Drugs, and the UNGASS 2016 on the World Drug Problem
(Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC))
Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC) - July 4, 2016 Category: Infectious Diseases Authors: Tinasti, K., Ravishankar, S., Zuniga, J. M. Tags: Editorial Source Type: research

Patterns of HIV-1 Drug-Resistance Mutations among Patients Failing First-Line Antiretroviral Treatment in South India
Conclusion: The study documents the frequency of nucleoside reverse transcriptase inhibitor and nonnucleoside reverse transcriptase inhibitor mutations that are prevalent in the first-line failing HIV-infected patients of South Indian region and adds up to the data for developing future algorithms to study the drug-resistance mutations of HIV subtype C. Thus, the results of the study call for the need for rational approach for selecting and for frequent viral monitoring to be performed to detect failure, followed by genotyping. (Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC))
Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC) - May 8, 2016 Category: Infectious Diseases Authors: Thirunavukarasu, D., Udhaya, V., Iqbal, H. S., Umaarasu, T. Tags: Antiretroviral Therapy Source Type: research

The Modalities of Nonadherence to Highly Active Antiretroviral Therapy and the Associated Factors Related to Patients Sociodemographic Characteristics and Their Caregiving Perceptions in Ouagadougou (Burkina Faso)
Conclusion: Nonadherence to HAART needs to be correctly managed during HIV/AIDS monitoring. (Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC))
Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC) - May 8, 2016 Category: Infectious Diseases Authors: Guira, O., Kabore, D. S. R., Dao, G., Zagre, N., Zohoncon, T. M., Pietra, V., Drabo, J. Y., Simpore, J. Tags: Antiretroviral Therapy Source Type: research

Correlates of Antiretroviral Therapy Adherence among HIV-Infected Older Adults
Conclusion: These findings indicated that improvements in self-efficacy for taking ART may be an effective strategy to improve adherence regardless of race or gender. (Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC))
Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC) - May 8, 2016 Category: Infectious Diseases Authors: McCoy, K., Waldrop-Valverde, D., Balderson, B. H., Mahoney, C., Catz, S. Tags: Antiretroviral Therapy Source Type: research

Randomized Trial of Lower Extremity Splinting to Manage Neuropathic Pain and Sleep Disturbances in People Living with HIV/AIDS
Conclusion: The 6-week use of nighttime splints reduces DSPN-pain possibly by providing peripheral inhibition of external stimuli. Future studies are needed to validate this inhibitory intervention to manage DSPN in PLWHA and other neuropathic conditions. (Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC))
Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC) - May 8, 2016 Category: Infectious Diseases Authors: Sandoval, R., Roddey, T., Giordano, T. P., Mitchell, K., Kelley, C. Tags: Clinical Managements Source Type: research

The Battle Over Control: A Discourse Analysis of HIV/AIDS Caregiving in South Africa, Past and Present
In this discourse analytic article, I discuss the shifting challenges of HIV/AIDS caregiving, as highlighted in previous research, as well as the similarities between past and present challenges as illustrated by the discourses of HIV/AIDS caregivers at a nonprofit organization in South Africa. Using data from interviews with staff members and volunteers, I illustrate how both past and contemporary challenges in HIV/AIDS caregiving relate to an inability to exercise control. Participants’ discourses revealed a contrast whereby, on one hand, they conveyed a sense of being in control over HIV, while, contradictorily, t...
Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC) - May 8, 2016 Category: Infectious Diseases Authors: Ranjbar, V. Tags: Clinical Managements Source Type: research

In-Country Migration and Risk Factors for HIV Acquisition among Pregnant Women in Tijuana, Mexico
Conclusion: The overall HIV seroprevalence was 0.63% and did not differ between Tijuana residents and migrants. (Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC))
Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC) - May 8, 2016 Category: Infectious Diseases Authors: Viani, R. M., Araneta, M. R., Spector, S. A. Tags: Clinical Managements Source Type: research

Frequency and Determinants of Preventive Care Counseling by HIV Medical Care Providers during Encounters with Newly Diagnosed and Established HIV-Infected Patients
This study evaluates the frequency and determinants of preventive care counseling by HIV medical care providers (HMCPs) during encounters with newly diagnosed and established HIV-infected patients. Data used were from a probability sample of HMCPs in Houston/Harris County, Texas, surveyed in 2009. Overall, HMCPs offered more preventive care counseling to newly diagnosed than the established patients (adjusted odds ratio [AOR] = 7.28; 95% confidence interval [CI] = 2.86-16.80). They were more likely to counsel newly diagnosed patients than the established ones on medication and adherence (AOR = 14.70; 95% CI = 1.24-24.94), ...
Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC) - May 8, 2016 Category: Infectious Diseases Authors: Mgbere, O., Rodriguez-Barradas, M. C., Bell, T. K., Khuwaja, S., Arafat, R., Essien, E. J., Singh, M., Simmons, P., Aguilar, J. Tags: Clinical Managements Source Type: research

Feasibility of HIV Universal Voluntary Counseling and Testing in a Thai General Practice Clinic
An HIV transmission prevention program incorporating universal voluntary counseling and testing (UVCT) was conducted in a general practice (GP) clinic of a Thai hospital. Of the 494 participating patients, 356 (72%) accepted HIV-UVCT. Independent factors associated with HIV-UVCT acceptance included participating in the program after office hours (4-8 pm; P < .001), living with domestic partner with no marriage (P = .01), and having primary school education or less (P = .02). The main reasons for declining HIV-UVCT were time constraint (38%) and perceiving self as no risk (35%). Among the 356 patients undergoing HIV-UVCT...
Source: Journal of the International Association of Physicians in AIDS Care (JIAPAC) - May 8, 2016 Category: Infectious Diseases Authors: Khawcharoenporn, T., Apisarnthanarak, A., Chunloy, K., Smith, K. Tags: HIV Testing & amp;amp; Diagnosis Source Type: research