Journal articles on the topic 'HIV/AIDS clients-Demographic characteristics'
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1
Dutt, Rekha, Susmita Chaudhuri, and Shweta Goswami. "Profile of HIV positive clients: an ICTC record based retrospective study." International Journal Of Community Medicine And Public Health 4, no. 8 (July 22, 2017): 3018. http://dx.doi.org/10.18203/2394-6040.ijcmph20173364.
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Background: Deaths in productive age group due to HIV/AIDS have damaging impact on families and communities, skills are lost, workforce shrinks & children's are orphaned. Our study reports the socio-demographic characteristics of HIV/ AIDS clients from one of the Integrated Counselling & Testing Centre (ICTC) situated at Amtala, West Bengal. This will give us an insight on the distribution of various epidemiological characteristics of the HIV positive clients in this region thus help in formulating strategies for effective implementation of its prevention. The objective was to study socio-demographic profile and risk behavior pattern of HIV positive clients attending ICTC.Methods: It was an observational study cross sectional in design. Records of last eight years of HIV positive clients were accessed from ICTC centre at Amtala hospital, rural training centre, Department of community medicine, ESI PGIMSR medical college, Joka, Kolkata. Data was entered in SPSS for Windows version 20 software. Data was presented in percentages, mean with standard deviation etc.Results: Retrospective record of 62 HIV positive clients was studied, of them 37 were males (5 pediatric cases) and 25 females (7 ANC).Excluding pediatric clients, mean age of clients was 32 years. It was observed that majority of clients were illiterate and were on daily wages. Except one male client who was homosexual rest were heterosexual. Majority of clients 71.9% males and 92% females were married, of them 45.3% males and 34.7% females were sero concordant with their spouse. Seventeen subjects were co infected with TB.Conclusions: HIV sero prevalence rate has inverse relation with literacy level. Majority of male clients were daily wagers who act as link between high risk populations to general population i.e. their spouse, which in turn can pass on the infection to her baby. Lack of knowledge on mode of spread and preventive measures against HIV infection devastate the families making many children orphaned. There is need to carry out intense IEC activities for behavior change at grass root level.
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Prayoga, Putu Artawan, and Lalu Sulaiman. "Evaluasi efektivitas konseling terhadap tingkat kecemasan klien resiko tinggi HIV/AIDS." Riset Informasi Kesehatan 9, no. 2 (December 31, 2020): 170. http://dx.doi.org/10.30644/rik.v9i2.459.
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Background: HIV / AIDS has become a global public health problem like Indonesia, with a fairly large percentage of 80% by 2020. The increase in cases is due to the absence of symptoms or special characteristics that mark the physical characteristics of ODHA and the absence of typical health complaints related to HIV. / AIDS. Anxiety is one of the things that will arise for clients in the form of feelings of fear and caution and unclear and unpleasant vigilance. The emergence of discrimination and classification will affect the quality of life and the level of welfare. Therefore, this study is important to determine the level of effectiveness of counseling interventions on clients' anxiety level with HIV / AIDS. The purpose of this study was to evaluate the effectiveness of the counseling intervention on the anxiety level of high-risk clients with HIV / AIDS.
Method: Pre-experimental method with a one-group pre-test approach was developed in this study. HARS is an instrument and purposive sampling for data processing with a sample size of 21 people.
Results: The results showed that the respondents had different characteristics, 70% male respondents, 30% of respondents aged 25-30 years, 50% had a high school education, and most worked as hotel employees.
Conclusion: Counseling interventions can reduce clients' anxiety levels with a high risk of HIV / AIDS from 100% to 62%; in other words, counseling interventions affect clients' anxiety levels with a high risk of HIV / AIDS.
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Ranin, J., D. Salemovic, B. Brmbolic, J. Marinkovic, I. Boricic, Pavlovic I. Pesic, S. Zerjav, M. Stanojevic, and D. Jevtovic. "Comparison of Demographic, Epidemiological, Immunological, and Clinical Characteristics of Patients with HIV Mono-infection Versus Patients Co-infected with HCV or/and HBV: A Serbian Cohort Study." Current HIV Research 16, no. 3 (October 16, 2018): 222–30. http://dx.doi.org/10.2174/1570162x16666180717115614.
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Objective:The study aimed to correlate the status of hepatitis C (HCV) and hepatitis B virus (HBV) co-infection in patients with human immunodeficiency virus (HIV) infection with clinical and demographic data prior to starting highly active antiretroviral therapy (HAART) and assess the impact of HCV and HBV co-infection on the natural history of HIV infection.Patients and Methods:The study involved a total of 836 treatment-naive patients with available serological status for HBV and HCV at the point of therapy initiation. Patients were stratified into four groups: HIV mono-infection, HIV/HCV, HIV/HBV, and HIV/HCV/HBV co-infection. Demographic, epidemiological, immunological and clinical characteristics were analyzed in order to assess the possible impact of HCV and HBV co-infection on HIV - related immunodeficiency and progression to AIDS.Results:The prevalence of HCV and HBV co-infection in our cohort was 25.7% and 6.3%, respectively. Triple HIV/HCV/HBV infection was recorded in 1.7% of the patients. In comparison with those co-infected with HCV, patients with HIV mono-infection had lower levels of serum liver enzymes activity and higher CD4 cell counts, and were less likely to have CD4 cell counts below100 cells/µL and clinical AIDS, with OR 0.556 and 0.561, respectively. No difference in the development of advanced immunodeficiency and/or AIDS was recorded between patients with HIV monoinfection and those co-infected with HBV, or both HCV/HBV.Conclusion:HIV/HCV co-infection was found to be more prevalent than HIV/HBV co-infection in a Serbian cohort. Co-infection with HCV was related to more profound immunodeficiency prior to therapy initiation, reflecting a possible unfavorable impact of HCV on the natural history of HIV infection.
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Mozaleva, O. L., and A. V. Samarina. "DEMOGRAPHIC AND EPIDEMIOLOGICAL CHARACTERISTICS OF THE HIV-INFECTED PREGNANT WOMEN IN SAINT-PETERSBURG." HIV Infection and Immunosuppressive Disorders 11, no. 3 (September 14, 2019): 7–15. http://dx.doi.org/10.22328/2077-9828-2019-11-3-7-15.
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Analysis of the epidemiological and demographic characteristics of HIV-infected pregnant women is important for organizing effective care for this group of patients and further reducing the frequency of mother-to-child transmission. Between 2014 and 2017 in Saint-Petersburg, there were 2524 deliveries in HIV-infected women who were observed during pregnancy, mainly in the Saint-Petersburg AIDS Center (AIDS Center). The average frequency of perinatal HIV transmission over the study period in the city was 1,3%, which is lower than the average for Russia. Out of 2524 women recently confined, 1858 HIV-infected women, who were observed during pregnancy at the AIDS Center in 2014–2017, were enrolled. Risk groups for perinatal HIV transmission in Saint-Petersburg are HIV-infected pregnant women: external or internal migrants, women with late registration at the dispensary registration for pregnancy in the antenatal clinic and the AIDS Center and, accordingly, late initiation of perinatal HIV transmission, active consumers of surfactants, pregnant women with low adherence to observation in medical institutions and to getting antiretroviral agents. The increase in coverage of the city’s population with HIV testing reveals new infections, including among women of reproductive age, as well as their partners. The timely use of ARV at the planning stage of pregnancy reduces perinatal HIV transmission and the risks of opportunistic diseases. The availability of medical care and free distribution of ARV drugs to all pregnant women who applied to the AIDS Center helps to reduce perinatal HIV transmission, including among internal and external migrants who do not have a permanent registration in Saint-Petersburg. Counseling women at the planning stage and during pregnancy by various specialists of the AIDS Center (gynecologists, infectious disease specialists, psychologists, narcologists) allows one to form a commitment to monitoring, to receiving ARV, giving up bad habits, to reduce the incidence of HIV-dissidence.
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Hu, Zhi, Xia Qin, Min-Zhen Zhu, Sen Yang, and Xue-Jun Zhang. "Epidemiological characteristics of HIV/AIDS in west China." International Journal of STD & AIDS 17, no. 5 (May 1, 2006): 324–28. http://dx.doi.org/10.1258/095646206776790105.
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China is facing a major crisis because of the increasing epidemic of HIV/AIDS, especially in the western areas. The purpose of this paper is to enhance understanding of the crisis by analysing the published literature on the epidemiology, demographic features, routes of infection, and risk factors of HIV/AIDS infection in the 12 provinces in the west of China. HIV/AIDS has increased rapidly in recent years. The situation is urgent and requires comprehensive action. China's health care system is decentralized and under-funded, and access to treatment by the poor is seriously limited. There is a lack of knowledge about HIV/AIDS in the general public and health care workers. The HIV/AIDS epidemic emerged initially in western areas of the country by means of intravenous drug use, but sexual risk behaviour and mother-to-child transmissions in the west of China are becoming important for HIV transmission.
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Linnemayr, Sebastian, Lydia Buzaalirwa, James Balya, and Glenn Wagner. "A Microfinance Program Targeting People Living with HIV in Uganda: Client Characteristics and Program Impact." Journal of the International Association of Providers of AIDS Care (JIAPAC) 16, no. 3 (September 14, 2016): 254–60. http://dx.doi.org/10.1177/2325957416667485.
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HIV has disproportionately affected economically vulnerable populations. HIV medical care, including antiretroviral therapy, successfully restores physical health but can be insufficient to achieve social and economic health. It may therefore be necessary to offer innovative economic support programs such as providing business training and microcredit tailored to people living with HIV/AIDS. However, microfinance institutions have shown reluctance to reach out to HIV-infected individuals, resulting in nongovernment and HIV care organizations providing these services. The authors investigate the baseline characteristics of a sample of medically stable clients in HIV care who are eligible for microcredit loans and evaluate their business and financial needs; the authors also analyze their repayment pattern and how their socioeconomic status changes after receipt of the program. The authors find that there is a significant unmet need for business capital for the sample under investigation, pointing toward the potentially beneficial role of providing microfinance and business training for clients in HIV care. HIV clients participating in the loans show high rates of repayment, and significant increases in (disposable) income, as well as profits and savings. The authors therefore encourage other HIV care providers to consider providing their clients with such loans.
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Panter, A. T., G. J. Huba, Lisa A. Melchior, Donna Anderson, Mary Driscoll, Victor F. German, Harold Henderson, et al. "Trainee Characteristics and Perceptions of HIV/AIDS Training Quality." Evaluation & the Health Professions 23, no. 2 (June 2000): 149–71. http://dx.doi.org/10.1177/016327870002300202.
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HIV/AIDS education and training have played a vital role in keeping health providers up to date on emerging developments and approaches. This study reports findings from seven HIV/AIDS education and training projects. Participants in more than 600 training sessions described themselves, their professional background, and their general reasons for taking the training. Immediately following the training, they also rated the quality of their educational experience along several dimensions. Trainee characteristics were related to assessments of training quality, using a regression decision-tree analytic approach. Although effect sizes were generally small, quality ratings of the HIV/AIDS training experiences were associated with certain projects, basic trainee demographic characteristics, professional background, and experience in the HIV field. Greater understanding about participant characteristics can provide clues about how these training experiences are perceived and processed and may inform decision making about instructional HIV/AIDS curricula.
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Liu, Huijun, Min Zhao, Ying Wang, Marcus W. Feldman, and Qunying Xiao. "The sexual networks of female sex workers and potential HIV transmission risk: an entertainment venue-based study in Shaanxi, China." International Journal of STD & AIDS 31, no. 5 (March 19, 2020): 402–9. http://dx.doi.org/10.1177/0956462419886780.
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People involved in commercial sex are thought to be at high risk for human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) transmission. To explore the characteristics of female sex workers’ (FSWs) sexual networks and how FSWs and their sex partners could serve as ‘bridges’ in HIV/AIDS transmission, egocentric sexual networks (where a subject is asked to identify his or her sexual contacts and their relationships) of 66 FSWs in Xi'an city, Shaanxi Province of China, were studied. Convenience sampling was used to collect FSWs’ socio-demographic and sexual behavior data, which we analyzed using social network and descriptive statistical methods. Results show that some egocentric sexual networks were connected by sex partners, and these were integrated into several components of a sexual network. According to centrality indicators, FSWs and their commercial sex partners (especially regular clients) served as key nodes within high-risk groups and as bridges between high-risk groups and the general population. The cluster of high-risk groups with cohesive sub-networks had larger network size (P < 0.001), more complex network structures, and more high-risk members (P < 0.05) than other isolated networks. The sexual network of FSWs was characterized by multiple sexual relations (680), unstable relationships (50.15%), and a high rate of inconsistent condom use with non-commercial sex partners (31.22%). By linking commercial and non-commercial sexual networks, the FSWs and their clients can become effective bridges for HIV/AIDS spread from high-risk groups to the general population.
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Aprilla, Gabe Gusmi. "CHARACTERISTICS OF KNOWLEDGE, ATTITUDE AND BEHAVIOR ABOUT HIV/AIDS IN INDONESIA 2017." Jukema (Jurnal Kesehatan Masyarakat Aceh) 7, no. 1 (July 1, 2021): 1–21. http://dx.doi.org/10.37598/jukema.v7i1.1062.
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Background: According to the 2017 IDHS, in 2016 an estimated 620.000 thousand people were living with HIV AIDS (PLWHA), around 48.000 people with new HIV sufferers and about 38.000 deaths related to HIV/AIDS. Methods: This study used a review study and descriptive statistical analysis to know the description of the characteristics of Indonesian knowledge, attitudes and behavior about HIV/AIDS. The data source in this study is secondary data from the Demographic and Health Survey 2017. The data used are secondary data that has been analyzed univariately in the form of a percentage then reviewed with some research literature and then summarized into a series of information describing the characteristics of knowledge, attitudes and behavior about AIDS. Result: Percentage of married women and men who had heard about HIV/AIDS, respectively 82.4% (49.627 respondents) and 82.9% (10.009 respondents). As many as 79% of women refuse to have sexual relations with their husbands if they know that their husbands have had sex with other women and 75.1% ask their husbands to use condoms when having sex if they know that their husbands have an STI. As many as 85.1% of women and 85.7% of men have a discriminatory attitude towards people with HIV/AIDS. The behavior of married men who had paid for sexual intercourse 3.7%, who paid for sexual intercourse in the last 12 months was 0.9%. Based on the level of education and wealth of both women and men, the higher the level of education and wealth, the better the knowledge, attitudes and behavior will be. Based on sources of information about HIV/AIDS, both women and men get the most information from television. Recommendation: It is recommended that health workers be able to provide more education on HIV/AIDS with various methods of approach.
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Couto, Maria Clara Pinheiro de Paula, Eva Diniz, Laíssa Eschiletti Prati, and Sílvia Helena Koller. "A Case-control Study of Factors Associated with HIV Infection on Southern Brazilian Elders." Acta de Investigación Psicológica 2, no. 3 (December 1, 2012): 771–82. http://dx.doi.org/10.22201/fpsi.20074719e.2012.3.232.
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A case-control study assessed factors associated with HIV infection among cases (59 persons aged 50 years or older at HIV diagnosis) and controls (59 self-reported uninfected persons aged 50 years and older) from Southern Brazil. Participants answered a 142–item questionnaire that included queries on demographic characteristics, sexual behavior, substance use, and knowledge about HIV/AIDS. The participants' age ranged from 50 to 87 years and 75.4% were women. A multivariate analysis demonstrated that cases had higher odds of being male, having lower incomes, and reporting STDs. The study reinforces that HIV infection among the population aged 50 years and older is related to demographic characteristics and sexual behavior. Once mainly prevalent among younger persons, HIV/AIDS is now manifesting increasingly in older adults. This indicates the need for health care professionals to not overlook important aspects of older persons’ lives. Sexuality, for example, is an important part of the life cycle. It cannot be ignored in this population.
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Heath, Katherine V., Gerry Bally, Benita Yip, Michael V. O'Shaughnessy, and Robert S. Hogg. "HIV/AIDS care giving physicians: their experience and practice patterns." International Journal of STD & AIDS 8, no. 9 (September 1, 1997): 570–75. http://dx.doi.org/10.1258/0956462971920802.
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To identify associations between HIV-related experience and patterns of service provision, physicians across Canada were solicited by mail to register in a national network of HIV/AIDS care givers. Respondents provided data about: personal, demographic and practice characteristics; the number of HIV-positive patients ever seen; the nature of the HIV-positive client population; and services provided to HIV-positive patients. Univariate techniques provided a demographic and professional profile of participating physicians. Logistic regression was used to identify associations between level of HIV-related experience and the provision of patient services. The 566 registered physicians have provided care to 56,378 HIVinfected persons and represent every province and territory in Canada. Multivariate analysis revealed that highly experienced physicians were more likely to provide all 3 types of services considered, to practise in Montreal, Vancouver or Toronto, and to < be medical specialists (all P 0.001).
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Levine, Alexandra M., Lasika Seneviratne, Byron M. Espina, Amy Rock Wohl, Anil Tulpule, Bharat N. Nathwani, and Parkash S. Gill. "Evolving characteristics of AIDS-related lymphoma." Blood 96, no. 13 (December 15, 2000): 4084–90. http://dx.doi.org/10.1182/blood.v96.13.4084.h8004084_4084_4090.
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Over time, the epidemiologic and demographic characteristics of AIDS have changed in the United States, while the use of highly active antiretroviral therapy has changed the natural history of the disease. The goal of the study was to ascertain any changes in the epidemiologic, immunologic, pathologic, or clinical characteristics of AIDS-related lymphoma (ARL) over the course of the AIDS epidemic. Records of 369 patients with ARL diagnosed or treated at a single institution from 1982 through 1998 were reviewed. Single institutional data were compared to population-based data from the County of Los Angeles. Significant changes in the demographic profile of patients with newly diagnosed ARL have occurred, with the later time intervals associated with a higher prevalence in women (P = .25), in Latino/Hispanic individuals (P < .0001), and in those who acquired human immunodeficiency virus (HIV) heterosexually (P = .01). These changes were similar in both countywide, population-based analyses and in those from the single institution. The median CD4+ lymphocyte count at lymphoma diagnosis has decreased significantly over the years, from 177/dL in the earliest time period (1982-1986), to 53/dL in the last time period from 1995 to 1998 (P = .0006). The pathologic spectrum of disease has also changed, with a decrease in the prevalence of small noncleaved lymphoma (P = .0005) and an increase in diffuse large cell lymphoma (P < .0001). Despite changes in the use of antiretroviral or chemotherapy regimens, the median survival has not significantly changed.
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SNELLING, DANA, D. WALTER RASUGU OMARIBA, SUNGJIN HONG, KATHOLIKI GEORGIADES, YVONNE RACINE, and MICHAEL H. BOYLE. "HIV/AIDS KNOWLEDGE, WOMEN’S EDUCATION, EPIDEMIC SEVERITY AND PROTECTIVE SEXUAL BEHAVIOUR IN LOW- AND MIDDLE-INCOME COUNTRIES." Journal of Biosocial Science 39, no. 3 (May 2007): 421–42. http://dx.doi.org/10.1017/s0021932006001465.
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Summary.A fundamental public health strategy to reduce the risk of HIV/AIDS is to increase levels of awareness and knowledge about the disease. Although knowledge about HIV/AIDS and protective sexual behaviour are linked theoretically, relatively little is known about their empirical relationship. Using Demographic and Health Survey data from 23 low- and middle-income countries, this study used multilevel logistic regression models: to examine cross-national variability in the relationship between HIV/AIDS knowledge and protective behaviour (condom use and restricted sex); to investigate the moderating influences of women’s educational attainment on this relationship; and to test the extent to which severity of the HIV/AIDS epidemic accounts for cross-national variability in the association between HIV/AIDS knowledge and protective behaviour. There was an association between increased knowledge of HIV/AIDS and condom use that varied in strength and form cross-nationally. This cross-national variation was accounted for partially by the socioeconomic characteristics of women resident in the study countries and between-country differences in the severity of the HIV epidemic. While education modified the association between HIV/AIDS knowledge and protective behaviour – stronger associations at lower levels of education – epidemic severity exerted a stronger influence on behaviour than any other characteristic. Finally, this study indicates that protective sexual practices are disturbingly low. In eight of 23 countries, overall levels of condom use to prevent STDs and HIV/AIDS were less than 5·0%. Waiting for the spread of HIV/AIDS infection to change sexual practices in low- and middle-income countries will result in dramatic unnecessary suffering.
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Levine, Alexandra M., Lasika Seneviratne, Byron M. Espina, Amy Rock Wohl, Anil Tulpule, Bharat N. Nathwani, and Parkash S. Gill. "Evolving characteristics of AIDS-related lymphoma." Blood 96, no. 13 (December 15, 2000): 4084–90. http://dx.doi.org/10.1182/blood.v96.13.4084.
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Abstract Over time, the epidemiologic and demographic characteristics of AIDS have changed in the United States, while the use of highly active antiretroviral therapy has changed the natural history of the disease. The goal of the study was to ascertain any changes in the epidemiologic, immunologic, pathologic, or clinical characteristics of AIDS-related lymphoma (ARL) over the course of the AIDS epidemic. Records of 369 patients with ARL diagnosed or treated at a single institution from 1982 through 1998 were reviewed. Single institutional data were compared to population-based data from the County of Los Angeles. Significant changes in the demographic profile of patients with newly diagnosed ARL have occurred, with the later time intervals associated with a higher prevalence in women (P = .25), in Latino/Hispanic individuals (P < .0001), and in those who acquired human immunodeficiency virus (HIV) heterosexually (P = .01). These changes were similar in both countywide, population-based analyses and in those from the single institution. The median CD4+ lymphocyte count at lymphoma diagnosis has decreased significantly over the years, from 177/dL in the earliest time period (1982-1986), to 53/dL in the last time period from 1995 to 1998 (P = .0006). The pathologic spectrum of disease has also changed, with a decrease in the prevalence of small noncleaved lymphoma (P = .0005) and an increase in diffuse large cell lymphoma (P < .0001). Despite changes in the use of antiretroviral or chemotherapy regimens, the median survival has not significantly changed.
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Li, Wei, Jinjin Chu, Zhengping Zhu, Xin Li, You Ge, Yan He, Qian Ni, Taha Musa, Xiaoshan Li, and Pingmin Wei. "Epidemiological characteristics of HIV infection among college students in Nanjing, China: a cross-sectional survey." BMJ Open 10, no. 5 (May 2020): e035889. http://dx.doi.org/10.1136/bmjopen-2019-035889.
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ObjectiveThis study aimed to investigate the epidemiological characteristics and HIV/AIDS-related knowledge, attitudes and practice (KAP) among HIV-positive college students.DesignA cross-sectional study.SettingFive districts of Nanjing, China.ParticipantsA total of 156 college students with newly diagnosed HIV infection between September 2015 and July 2017.Main outcome measuresSocial-demographic characteristics, mode of HIV acquisition, infection of sexually transmitted diseases, risky sexual behaviours and HIV/AIDS-related KAP were collected by a face-to-face questionnaire administered by trained interviewers.ResultsAbout 98.7% (154/156) of HIV-positive college students in our study were men, and 96.1% (148/154) of them were infected by sexual intercourse with men. More than half (52.5%, 82/156) of participants were freshmen or sophomores. Nearly 30% (44/154) of male students did not realise the severe status of the HIV/AIDS epidemic among students who are men who have sex with men (MSM). More than four-fifths of male students did not know if their male regular (83.0%, 93/112) or casual (95.9%, 94/98) sexual partners were HIV-positive, while less than half of them had high-risk perceptions towards HIV infection from male regular and occasional sexual partners. Approximately one-half and four-fifths of male students had more than two regular (54.5%, 61/112) and occasional (79.6%, 78/98) partners during lifetime, respectively. However, only 62.5% (70/112) and 66.3% (65/98) of male students used condoms consistently during sexual intercourse with regular and casual partners, respectively. Geosocial networking apps have become the most dominant way for male students to seek sexual partners.ConclusionsThis study reported a low level of HIV/AIDS-related knowledge, a high level of exposure to risky sexual behaviours and some valuable epidemiological characteristics among HIV-positive college students, which highlighted the importance of carrying out HIV/AIDS prevention education and risk warning education early and timely towards college students on campus.
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Rael, Christine T., and Alissa Davis. "Depression and key associated factors in female sex workers and women living with HIV/AIDS in the Dominican Republic." International Journal of STD & AIDS 28, no. 5 (July 10, 2016): 433–40. http://dx.doi.org/10.1177/0956462416651374.
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Little is known about the mental health of female sex workers and women living with HIV/AIDS in the Dominican Republic, which impedes HIV prevention, testing, and treatment. This project estimates the prevalence of depression and identifies key contributing factors to this outcome in female sex workers, women living with HIV/AIDS, and a comparison group. Participants were female sex workers (N = 349), women living with HIV/AIDS (N = 213), and a comparison group of HIV-negative women who were not sex workers (N = 314) from the Dominican Republic. Participants completed questionnaires assessing demographic characteristics and depression. Female sex workers and women living with HIV/AIDS completed additional questionnaires ascertaining HIV or sex work-related internalized stigma. Depression was prevalent among female sex workers (70.2%), women living with HIV/AIDS (81.1%), and the comparison group (52.2%). Adjusted logistic regressions showed that internalized stigma was associated with depression for female sex workers (OR = 2.73; 95% CI = 1.95–3.84) and women living with HIV/AIDS (OR = 3.06; 95% CI = 1.86–5.05). Permanent income was associated with this outcome for female sex workers (OR = 0.08; 95% CI = 0.01–0.80) and the comparison group (OR = 0.04; 95% CI = 0.00–0.45).
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Worthington, C., and H. B. Krentz. "Socio-economic factors and health-related quality of life in adults living with HIV." International Journal of STD & AIDS 16, no. 9 (September 1, 2005): 608–14. http://dx.doi.org/10.1258/0956462054944408.
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This study examined the relationships of income, employment status and other socioeconomic characteristics with dimensions of health-related quality of life (HRQOL) for those living with HIV/AIDS, controlling for clinical characteristics. Demographic (gender, age, education, living with a partner, HIV transmission category), economic (employment status, monthly household income, volunteer experience), clinical (CD4 count, AIDS defining illness, time since diagnosis, number of HIV symptoms, and highly active antiretroviral therapy), and HRQOL measures (five Medical Outcomes Study HIV Health Survey subscales) were obtained from 308 consenting HIV clinic patients in Calgary, Canada. Multiple regression results indicate that the strongest predictor of the five QL subscales is employment status, while income was significant as an independent predictor in two of the models. Other socioeconomic characteristics were not consistently significant predictors of HRQOL subscales. The contribution of employment to HRQOL is important to explore further, and suggest the need for flexibility in income support and return-to-work programmes for those with HIV.
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Misra, Gunjika, Damodar Sahu, Umenthala S. Reddy, and Saritha Nair. "Correlates of HIV prevalence among female sex workers in four north and east Indian states: findings of a national bio-behavioural survey." International Journal of STD & AIDS 30, no. 2 (September 20, 2018): 120–30. http://dx.doi.org/10.1177/0956462418799018.
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The socio-demographic, sex work characteristics and the factors affecting HIV prevalence among female sex workers (FSWs) are not well known in low prevalence states showing rising trends within the HIV epidemic. This paper studies these attributes among FSWs in three north (Punjab, Rajasthan and Uttar Pradesh) and one east Indian states (Jharkhand). Integrated Biological and Behavioural Surveillance (IBBS) data, collected from 4491 FSWs in the study states, were analysed, with HIV status as the dependent variable and several socio-demographic, sex work, knowledge and agency characteristics as independent variables. Multivariate analysis found a number of factors such as age above 25 years (adjusted odds ratio [AOR] 5.0, 95% confidence interval [CI] 1.4–18.1), client solicitation in rented rooms (AOR 2.8, 95% CI 1.2–6.4) and the use of mobile phones for client solicitation (AOR 5.1, 95% CI 1.6–16.0) to be significantly associated with HIV risk. The study found low levels of HIV programme services uptake and HIV/AIDS knowledge among FSWs in the study states. There is an urgent need to focus on these risk factors for improving the effectiveness of the ongoing HIV prevention efforts and attaining the ‘Sustainable Development Goals’ goal of ‘Ending the AIDS epidemic’ by 2030.
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Karmakar, Arun, Abhipsa Mazumdar, Nabarun Karmakar, and Aditya Kumar Mishra. "Socio-demographic profile of Human Immunodeficiency Virus patients on second line antiretroviral therapy in a tertiary care centre of North-East India." International Journal of Research in Medical Sciences 7, no. 12 (November 27, 2019): 4594. http://dx.doi.org/10.18203/2320-6012.ijrms20195524.
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Background: HIV/ AIDS is one of the major global health issue, resulting an epidemic. Understanding the socio-demographic profile with magnitude of risky behavior might include positive messages in the routine HIV/AIDS care and treatment. Objective of this study was to find out the socio-demographic, behavioural characteristics among patients receiving second line ART (Anti-Retroviral therapy) in a tertiary centre of North-East India.Methods: A cross sectional study was carried out among 90 PLWHA patients receiving second line ART in Regional Institute of Medical Sciences (RIMS), Imphal from March 2016 to August 2017. A predesigned and pretested schedule was used as study tool to collect required information.Results: Majority participants (43.3%) belonged to 30-40 years age group, mean age 39.96±8.021 years; 51.1% were female. Majority (58.9%) got infected with HIV through heterosexual route followed by IV drug use (31.1%). Nearly half (51.1%) were diagnosed with HIV for 11-15 years duration and majority (61.1%) were under 2nd line ART for 6-10 years duration. Here, 3.3% subjects had Hepatitis B and 7.8% were infected with hepatitis C.Conclusions: Young population were most affected group and heterosexual route being the commonest mode of transmission. Combination of socio-demographic, behavioural risk factor and unawareness are responsible for rapid spread of HIV/AIDS. So, people need to be educated for primary and secondary prevention.
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Merzouki, Aziza, Janne Estill, Erol Orel, Kali Tal, and Olivia Keiser. "Clusters of sub-Saharan African countries based on sociobehavioural characteristics and associated HIV incidence." PeerJ 9 (January 15, 2021): e10660. http://dx.doi.org/10.7717/peerj.10660.
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Introduction HIV incidence varies widely between sub-Saharan African (SSA) countries. This variation coincides with a substantial sociobehavioural heterogeneity, which complicates the design of effective interventions. In this study, we investigated how sociobehavioural heterogeneity in sub-Saharan Africa could account for the variance of HIV incidence between countries. Methods We analysed aggregated data, at the national-level, from the most recent Demographic and Health Surveys of 29 SSA countries (2010–2017), which included 594,644 persons (183,310 men and 411,334 women). We preselected 48 demographic, socio-economic, behavioural and HIV-related attributes to describe each country. We used Principal Component Analysis to visualize sociobehavioural similarity between countries, and to identify the variables that accounted for most sociobehavioural variance in SSA. We used hierarchical clustering to identify groups of countries with similar sociobehavioural profiles, and we compared the distribution of HIV incidence (estimates from UNAIDS) and sociobehavioural variables within each cluster. Results The most important characteristics, which explained 69% of sociobehavioural variance across SSA among the variables we assessed were: religion; male circumcision; number of sexual partners; literacy; uptake of HIV testing; women’s empowerment; accepting attitude toward people living with HIV/AIDS; rurality; ART coverage; and, knowledge about AIDS. Our model revealed three groups of countries, each with characteristic sociobehavioural profiles. HIV incidence was mostly similar within each cluster and different between clusters (median (IQR); 0.5/1000 (0.6/1000), 1.8/1000 (1.3/1000) and 5.0/1000 (4.2/1000)). Conclusions Our findings suggest that the combination of sociobehavioural factors play a key role in determining the course of the HIV epidemic, and that similar techniques can help to predict the effects of behavioural change on the HIV epidemic and to design targeted interventions to impede HIV transmission in SSA.
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Davis, Stephanie M., Jonas Z. Hines, Melissa Habel, Jonathan M. Grund, Renee Ridzon, Brittney Baack, Jonathan Davitte, et al. "Progress in voluntary medical male circumcision for HIV prevention supported by the US President’s Emergency Plan for AIDS Relief through 2017: longitudinal and recent cross-sectional programme data." BMJ Open 8, no. 8 (August 2018): e021835. http://dx.doi.org/10.1136/bmjopen-2018-021835.
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ObjectiveThis article provides an overview and interpretation of the performance of the US President’s Emergency Plan for AIDS Relief’s (PEPFAR’s) male circumcision programme which has supported the majority of voluntary medical male circumcisions (VMMCs) performed for HIV prevention, from its 2007 inception to 2017, and client characteristics in 2017.DesignLongitudinal collection of routine programme data and disaggregations.Setting14 countries in sub-Saharan Africa with low baseline male circumcision coverage, high HIV prevalence and PEPFAR-supported VMMC programmes.ParticipantsClients of PEPFAR-supported VMMC programmes directed at males aged 10 years and above.Main outcome measuresNumbers of circumcisions performed and disaggregations by age band, result of HIV test offer, procedure technique and follow-up visit attendance.ResultsPEPFAR supported a total of 15 269 720 circumcisions in 14 countries in Southern and Eastern Africa. In 2017, 45% of clients were under 15 years of age, 8% had unknown HIV status, 1% of those tested were HIV+ and 84% returned for a follow-up visit within 14 days of circumcision.ConclusionsOver 15 million VMMCs have been supported by PEPFAR since 2007. VMMC continues to attract primarily young clients. The non-trivial proportion of clients not testing for HIV is expected, and may be reassuring that testing is not being presented as mandatory for access to circumcision, or in some cases reflect test kit stockouts or recent testing elsewhere. While VMMC is extremely safe, achieving the highest possible follow-up rates for early diagnosis and intervention on complications is crucial, and programmes continue to work to raise follow-up rates. The VMMC programme has achieved rapid scale-up but continues to face challenges, and new approaches may be needed to achieve the new Joint United Nations Programme on HIV/AIDS goal of 27 million additional circumcisions through 2020.
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Arumugam, Elangovan, Vasna Joshua, Santhakumar Aridoss, Ganesh Balasubramanian, Nagaraj Jaganathasamy, Joseph K. David, Malathi Mathiyazhakan, Manikandan Natesan, Padmapriya VM, and Pradeep Kumar. "Identifying Risk Factors and Spatial Clustering of HIV Infection Among Female Sex Workers in India." International Journal of Translational Medical Research and Public Health 5, no. 1 (March 17, 2021): 41–53. http://dx.doi.org/10.21106/ijtmrph.145.
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Background: The human immunodeficiency virus (HIV) epidemic in India is generally considered to be more concentrated, with the focus on high-risk groups including female sex workers (FSWs). The Integrated Biological and Behavioral Surveillance (IBBS), the first nationwide surveillance conducted during 2014-2015, collected many key indicators, including indicators related to HIV/STI transmission. The purpose of this study was to develop an index score for each domain surveyed and to identify focus areas for interventions among FSWs. Methods: The study population consisted of 27,007 FSWs. Forty high-risk related covariates of HIV/STI transmission, demographic characteristics, sexual history, condom practices, knowledge of HIV/STI and biological variables were considered. The original data set was examined using the correlation matrix and was reduced to 15 highly-correlated factors using principal component analysis. The factors were further improved using varimax rotation and the percentage of variation was used as weights to obtain the initial score for each domain, which were then standardized for comparison. Bartlett’s test of sphericity was examined before the factor extraction. Results: Six factors were extracted, which together explained about 73% of the total variation. The factors were: (1) more number of clients; (2) younger FSW and started selling sex at younger age; (3) experiencing condom breakage; (4) having occasional clients and poor HIV/AIDS knowledge; (5) illiteracy; and (6) a longer period of sex work. Six domains with an index score of above 80, from the states of Maharashtra, Rajasthan, Arunachal Pradesh, Uttar Pradesh, and Jharkhand need greater intervention. Conclusion and Implications for Translation: FSWs’ current age, age at commencement of sex work, and the number of clients were the indicators most-associated with HIV infection. Therefore, program and policy interventions should focus on FSWs who are younger than <25 years, who started selling sex at <22 years, and who have >10 clients. Key words: • Female Sex Worker • Kriged Map • Factor Analysis • Principle Component Analysis • HIV • Sexually Transmitted Infections Copyright © 2021 Elangovan et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.
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Awopegba, RO, O. Oladepo, OB Solademi, JO Sotunsa, and FI Ani. "Level of preparedness of Religious Leaders for the Prevention of HIV/AIDS in Nigeria." Babcock University Medical Journal (BUMJ) 1, no. 2 (June 30, 2015): 1–12. http://dx.doi.org/10.38029/bumj.v1i2.7.
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Objective: HIV/AIDS is a pandemic affecting over 3.2 million Nigerians. Over 90% of the African population belong to religious congregation and are often inuenced by the religious leaders. Since health education is a very effective tool in the control of HIV/AIDS, it is expedient to assess the level of preparedness of religious leaders for the prevention of HIV/AIDS so as to maximize opportunities of controlling this menace. This study aims to assess the preparedness of religious leaders to promote and support HIV/AIDS prevention.
Methodology: This is a cross sectional study involving 252 religious leaders (Christians and Islamic) from Oyo and Kaduna State Nigeria randomly selected across the senatorial districts of the state. Questionnaire was used to collect information about demographic characteristics, knowledge about HIV/AIDS education/promotion, history of HIV/AIDS training and the level of preparedness of the respondents for prevention of HIV/AIDS.
Results: Of the 252 respondents, from Oyo State (122) and Kaduna State (130), majority were male (96%), over 30 years of age (96.6%), willing to be screened for HIV(64.7%) and educated their congregation about HIV/AIDS (51.2%), had minimum of secondary education (89.6%) while 22.6% ever tested for HIV. Though 96.4% acknowledge the need for basic knowledge on HIV/AIDS, only 23.8% wanted to know its presentation while 5.6% wanted to know how to carefor persons affected with HIV.
Conclusion: Religious leaders had demonstrated high preparedness for the prevention of HIV-AIDS in this study. However, appropriate and consistent education and promotion is required for the clergy to identify challenges early and be capable of proffering appropriate solution.
Key words: HIV, AIDS, Religious leaders, HIV/AIDS education, faith-based organization, preparedness.
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Morrison, Shane Douglas, Vania Rashidi, Clea Sarnquist, Vilson H. Banushi, Michael K. Hole, Namrata J. Barbhaiya, Valbona H. Gashi, Lars Osterberg, Yvonne Maldonado, and Arjan Harxhi. "Antiretroviral therapy adherence and predictors to adherence in Albania: a cross-sectional study." Journal of Infection in Developing Countries 8, no. 07 (July 14, 2014): 853–62. http://dx.doi.org/10.3855/jidc.3563.
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Introduction: The possibility of an HIV/AIDS epidemic in southeastern Europe (SEE) is not improbable. Thus, an understanding of the current issues surrounding HIV/AIDS care, specifically antiretroviral therapy (ART) adherence, in countries within SEE is critical. This study was conducted to determine the ART adherence characteristics of Albania’s HIV-positive population. Methodology: This cross-sectional study reports initial demographic and adherence characteristics of patients receiving HIV/AIDS treatment in Albania. Retrospective review of pharmacy medications dispensed supplemented reported adherence behavior. Further, an adherence index was utilized to explore adherence more thoroughly. Results: Patient-reported adherence and pharmacy review showed adherence levels of 98.9±4.4% and 97.7±4.7%, respectively. Assessment by adherence index revealed an index level of 91.7±6.7. Factors associated with a score of < 95 on the adherence index were: being partnered (OR = 0.29, 95% CI = 0.09 – 0.98), history of depression (OR = 0.24, 95% CI = 0.08 – 0.76), increased number of barriers to care (OR = 0.80, 95% CI = 0.66 – 0.97), and increased number of current social and medical needs (OR = 0.72, 95% CI = 0.58 – 0.91). Conclusions: Interventions aimed at reducing barriers to care, addressing current medical and social needs, and treating mental health issues may help improve adherence to ART in patients with HIV/AIDS in Albania. With little known about HIV/AIDS in SEE, this study provides guidance on how SEE countries can help prevent a possible rise in the prevalence of HIV given the close link of ART adherence and spread of HIV.
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Reiche, Edna Maria Vissoci, Ana Maria Bonametti, Maria Angélica Ehara Watanabe, Helena Kaminami Morimoto, Arilson Akira Morimoto, Susana Lilian Wiechmann, José Wander Breganó, Tiemi Matsuo, and Fernando Vissoci Reiche. "Socio-demographic and epidemiological characteristics associated with human immunodeficiency virus type I (HIV-1) infection in HIV-1-explosed but uninfected individuals, and in HIV-1-infected patients from a southern brasilian population." Revista do Instituto de Medicina Tropical de São Paulo 47, no. 5 (October 2005): 239–46. http://dx.doi.org/10.1590/s0036-46652005000500001.
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The ability to control human immunodeficiency virus type 1 (HIV-1) infection and progression of the disease is regulated by host and viral factors. This cross-sectional study describes the socio-demographic and epidemiological characteristics associated with HIV-1 infection in 1,061 subjects attended in Londrina and region, south of Brazil: 136 healthy individuals (Group 1), 147 HIV-1-exposed but uninfected individuals (Group 2), 161 HIV-1-infected asymptomatic patients (Group 3), and 617 patients with AIDS (Group 4). Data were obtained by a standardized questionnaire and serological tests. The age of the individuals ranged from 15.1 to 79.5 years, 54.0% and 56.1% of the Groups 3 and 4 patients, respectively, were men. The major features of groups 2, 3, and 4 were a predominance of education level up to secondary school (55.8%, 60.2% and 62.4%, respectively), sexual route of exposure (88.4%, 87.0% and 82.0%, respectively), heterosexual behavior (91.8%, 75.2% and 83.7%, respectively), and previous sexually transmitted diseases (20.4%, 32.5%, and 38.1%, respectively). The patients with AIDS showed the highest rates of seropositivity for syphilis (25.6%), of anti-HCV (22.3%), and anti-HTLV I/II obtained by two serological screening tests (6.2% and 6.8%, respectively). The results documenting the predominant characteristics for HIV-1 infection among residents of Londrina and region, could be useful for the improvement of current HIV-1 prevention, monitoring and therapeutic programs targeted at this population.
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Oliveira, Evaldo Hipólito de, Roseane Mara Cardoso Lima Verde, Aldemir Branco Oliveira Filho, Leonardo Ferreira Soares, Francisco Tiago dos Santos Silva Júnior, Maria Alice Freitas Queiroz, and Antonio Carlos Rosário Vallinoto. "HIV/AIDS in the elderly: epidemiological impact and associated risk factors in the State of Piauí, Brazil." Research, Society and Development 9, no. 8 (July 13, 2020): e460985906. http://dx.doi.org/10.33448/rsd-v9i8.5906.
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The objective of the present study was to determine the prevalence, epidemiological and socioeconomic profile and risk factors associated with HIV-1 infection in elderly patients diagnosed with HIV/AIDS in the state of Piauí, Brazil. A total of 805 individuals seen at the Central Laboratory of Public Health of Piauí were included. The subjects were classified into two groups: a group of individuals 18 to 59 years old and a group of those 60 years or older. These individuals were tested for HIV-1 infection (ELISA), which was monitored by TCD4+/CD8+ lymphocyte count (flow cytometry) and viral load quantification (branched DNA method), and for coinfections with HBV, HCV and HTLV-1/2 (ELISA and PCR). They also answered an epidemiological questionnaire on socio-demographic, epidemiological and clinical characteristics. The frequency of HIV-1 infection in elderly patients was 3.7% (30/805). The majority of patients were male (66.6%), had a primary school education level (90%), were married (40%) and had a family income of 1 to 4 times the minimum wage (63.3%). The main behavioral risk factors associated with these individuals included lack of condom use (100%) and a history of Sexual Transmitted Diseases – STI (53.3%), surgery (63.3%) or blood transfusion (40%). The elderly patients also had a higher frequency of HIV-HTLV-1/2 co-infection (13.3%). Identifying the main characteristics related to HIV infection in the elderly is important to show that these individuals are also susceptible to HIV-1 infection and must be made aware of risk behaviors.
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Jahan, Mohammed Shahed, Mushfiq Hassan Shaikh, Jahanara Begum, Tazdik G. Chowdhury, and Morshed Hasan. "Knowledge about HIV/AIDS among the dental students in Dhaka." Update Dental College Journal 2, no. 2 (June 30, 2013): 23–27. http://dx.doi.org/10.3329/updcj.v2i2.15531.
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Aims:This was a cross-sectional study done in the City Dental College, Malibagh, Chowdhurypara. The objective of the study was to assess the level of knowledge about HIV/AIDS among the final year dental students during the period between April to June 2012. Materials and Method:Convenient sampling technique was used and a total of 77 final year dental students were included. A pretested questionnaire was used in English and information was gathered by face to face interview regarding demographic characteristics and HIV/AIDS related knowledge which contained; meaning of HIV/AIDS cause of HIV/AIDS, mode of transmission, risk group, preventive measure. Result:The data were analyzed by computer software SPSS version 17. The study showed that 23.4 percent of the respondents had poor knowledge on HIV/AIDS. About 18.1% know that AIDS can be transmitted if having sexual contact with HIV positive case. Moreover, 13.8% have knowledge about HIV contaminated blood transfusion, 15.1% have knowledge about HIV infected mother to child, 14.6 % know that HIV infection can cause by pricking an infected needle and 10.5% know that it can transmit through body fluids like blood; semen etc. 45.1% had knowledge about injury by infected surgical instrument. Conclusion:The study revealed that the relationship between the knowledge of HIV/AIDS among dental students and sex of the respondents is statistically significant. It is evident that even in the second decade of the AIDS epidemic, final year dental students continue to have a lack of proper knowledge about HIV/AIDS. Training Programme should be arranged on HIV/AIDS for the dental students during clinical attachment. DOI: http://dx.doi.org/10.3329/updcj.v2i2.15531 Update Dent. Coll. j: 2012; 2 (2): 23-27
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Nyagaka, Benuel, Stanslaus Kiilu Musyoki, Lucy Karani, and Anthony Kebira Nyamache. "Characteristics and treatment outcomes of HIV infected elderly patients enrolled in Kisii Teaching and Referral Hospital, Kenya." African Health Sciences 20, no. 4 (December 16, 2020): 1537–45. http://dx.doi.org/10.4314/ahs.v20i4.6.
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Background: A better understanding of the baseline characteristics of elderly people living with HIV/AIDS (PLWHA) is relevant because the world’s HIV population is ageing.
Objectives: This study aimed to evaluate the baseline characteristics of PLWHA aged ≥ 50years at recruitment to HIV/ AIDS clinic compared against the viral load (VL) and CD4 count among patients attending Kisii Teaching and Referral Hospital (KTRH), Kenya.
Methods: We retrospectively evaluated temporal inclinations of CD4 levels, viral load change and baseline demographic characteristics in the electronic records at the hospital using a mixed error-component model for 1329 PLWHA attending clinic between January 2008 and December 2019.
Results: Findings showed a significant difference in the comparison between baseline VL and WHO AIDS staging (p=0.026). Overall VL levels decreased over the period significantly by WHO AIDS staging (p<0.0001). Significant difference was ob- served by gender (p<0.0001), across age groups (p<0.0001) and baseline CD4 counts (p=0.003). There were significant differences in WHO staging by CD4 count >200cell/mm3 (p=0.048) and residence (p=0.001).
Conclusion: Age, WHO AIDS staging, gender and residence are relevant parameters associated with viral load decline and CD4 count in elderly PLWHA. A noticeable VL suppression was attained confirming possible attainment of VL suppression among PLWHA under clinical care.
Keywords: HIV infected elderly patients; Kisii Teaching and Referral Hospital, Kenya.
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Nketiah-Amponsah, Edward, Emmanuel A. Codjoe, and Samuel Ampaw. "HIV/AIDS Awareness and Knowledge Among Ghanaian Women of Reproductive Age: What Are the Correlates?" Journal of Asian and African Studies 54, no. 2 (November 7, 2018): 267–81. http://dx.doi.org/10.1177/0021909618810037.
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This paper explores the predictors of HIV/AIDS awareness and knowledge among older and younger Ghanaian women of reproductive age. Logistic regression was estimated using the 2014 Ghana Demographic and Health Survey data. Results indicate that older Ghanaian women are significantly different from their younger counterparts in terms of the selected socio-economic and demographic characteristics that influence awareness and knowledge of the epidemic. In all, the respondents’ age, region of residence, wealth status, education, marital status and religious affiliation were found to significantly predict knowledge and awareness of HIV/AIDS among women. In addition, pregnancy status and place of residence proved to be significant correlates of HIV/AIDS awareness among Ghanaian women. The study suggests that higher social status is critical in determining whether women of reproductive age are aware of and knowledgeable about the epidemic. Thus, there is the need for policies and interventions to target messages taking into account the varied socio-economic and demographic backgrounds of women in Ghana. Further, health education interventions should be sensitive to the changing technological landscape in order to develop messages that can be delivered via mobile phones, whether as reminders or ringtones, and therefore enhance health knowledge and promote behaviour that brings about desirable health outcomes.
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Kolarova-Dimitrova, M., and T. Paunov. "Epidemiology of the socio-demographic profile of HIV-positive people in Varna after 2015." HIV Infection and Immunosuppressive Disorders 13, no. 2 (June 19, 2021): 66–71. http://dx.doi.org/10.22328/2077-9828-2021-13-2-66-71.
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Introduction. The epidemic process of HIV/АIDS is a complex mix of diverse epidemics in and between different countries and regions around the world and is a leading public health crisis of our time.Aim. The purpose of this study is to analyze the socio-demographic profile of HIV-positive people in Varna. after 2015.Materials and methods. This study included a total of 100 HIV-positive people. All statistical analyzes are performed using SPSS v. 20.0 software. Analysis of variancecomparative analysis (r2), correlation analysis (Student’s coefficient, r) and risk analysis (RR) were used. Level of significance was taken to be 0.05 and 95% confidence interval were calculated.Results. The results of the epidemiological analysis show that the Varna region is characterized by a low endemic risk of HIV / AIDS. The majority of PLHIV are men (72.0%), mainly among men who have sex with men (72.0%), persons aged 20–29 (56.00%) with secondary education (58.0%), вulgarian ethnicity (66.0%) and those living in the city (82.0%) predominate. About 1⁄3 (32.0%) of the subjects had sexually transmitted infections, with syphilis rankng first (43.80%) followed by hepatitis C (25.0%).Conclusion. The city of Varna is defined as a successful model in the field of HIV/АIDS prevention, based on risk groups characteristics, with excellent cooperation between the interested institutions, and a good strategic approach in the planning and development of local HIV/AIDS prevention policies.
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Vuksanović-Begović, Biljana, and Ivana Begović-Lazarević. "Characteristics of clients and new HIV cases in the Institute of public health Belgrade, center for HIV/AIDS, 2007-2016." Zdravstvena zastita 47, no. 4 (2018): 19–24. http://dx.doi.org/10.5937/zz1801019v.
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Fagbamigbe, Adeniyi Francis, and Babatunde Raphael Ojebuyi. "Influence of Spousal Communication about Family Planning and HIV/AIDS-related Issues on Modern Contraceptive Use in Nigeria." Journal of Health Management 19, no. 2 (May 10, 2017): 320–33. http://dx.doi.org/10.1177/0972063417699693.
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Contraceptive use in Nigeria at 15 per cent is low, despite a high human immunodeficiency virus (HIV) prevalence of 3.4 per cent and fertility rate of 5.7 per cent. We assessed the levels of spousal communication on family planning and contraception (FPC) and HIV/acquired immune deficiency syndrome (HIV/AIDS), influence of demographic characteristics on this communication and association between this communication and the respondents’ health behaviours. We used a cross-sectional and nationally representative data on reproductive health and HIV/AIDS-related issues from randomly selected 30,752 men and women of reproductive age. Descriptive statistics, Pearson chi-square (c2) and logistic regression were used to analyze the data at 5 per cent significance level. About 61 per cent of the respondents were 25–49 years old and mostly from rural areas (65 per cent). Only 20 per cent of the respondents discussed HIV/AIDS with their spouses within 12 months preceding the survey while 15 per cent discussed FPC. A discussion of both HIV/AIDS and FPC among spouses was reported among 9 per cent compared to 26 per cent who reported discussing either. Respondents aged 35–39 years had higher odds of discussing HIV/AIDS (Odds Ratios [OR] = 7.06:6.16–8.09) than those aged 15–19 years. Urban dwellers also had higher odds (OR = 1.24:1.16–1.31) of HIV/AIDS discussions than rural respondents. Modern contraceptive use was 35 per cent and 23 per cent among respondents who discussed FPC and HIV/AIDS compared to 8 per cent and 9 per cent, respectively, among those who did not. Spousal communication on FP and HIV/AIDS was low and has influenced contraceptive use and HIV positivity in Nigeria. There is a need to encourage spousal discussion on FP and HIV/AIDS, especially among the rural dwellers and the poor and uneducated as a strategy for improving modern contraceptive use.
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Kingori, Caroline, Zelalem T. Haile, Peter Ngatia, and Ruth Nderitu. "Factors that can influence feelings towards and interactions with people living with HIV/AIDS in rural Central Kenya." International Journal of STD & AIDS 28, no. 9 (November 22, 2016): 910–19. http://dx.doi.org/10.1177/0956462416680764.
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Background In Kenya, HIV incidence and prevalence have declined. HIV rates are lower in rural areas than in urban areas. However, HIV infection is reported higher in men in rural areas (4.5%) compared to those in urban areas (3.7%). Objectives This study examined HIV knowledge, feelings, and interactions towards HIV-infected from 302 participants in rural Central Kenya. Methods Chi square tests and multivariable logistic regression analyzed variables of interest. Results Most participants exhibited positive feelings in their interaction with people living with HIV and AIDS (PLWHA). Association between HIV knowledge and socio-demographic characteristics revealed that the proportion of participants with a correct response differed by gender, age, level of education, and marital status ( p < 0.05). Compared to those with inadequate knowledge of HIV/AIDS, participants with adequate HIV/AIDS knowledge were nearly three times as likely to disagree that PLWHA should be legally separated from others to protect public health (adjusted odds ratio: aOR (95% CI) (2.76 (1.12, 6.80). Conclusions HIV stigma continues to impact HIV prevention strategies particularly in rural Central Kenya. Culturally, appropriate interventions addressing HIV knowledge among those with lower levels of education, single, older, and male are warranted. Review of HIV policies separating high-risk populations from the general population is needed to reduce stigma.
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Fenny, Ama P., Aba O. Crentsil, and Derek Asuman. "Determinants and Distribution of Comprehensive HIV/AIDS Knowledge in Ghana." Global Journal of Health Science 9, no. 12 (October 8, 2017): 32. http://dx.doi.org/10.5539/gjhs.v9n12p32.
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Globally, nearly 37 million people are living with HIV with about 70 percent of these living in Sub-Saharan Africa (SSA). Stigma and discrimination remain one of the major barriers to preventing new infections in the country. However, misconceptions about HIV/AIDS have been indicated as one of the key drivers of the disease. Efforts to prevent new infections have not been entirely successful. Therefore, this study aims to examine the trends and distribution in comprehensive knowledge of HIV and AIDS and determine the factors associated with comprehensive awareness of HIV and AIDS among adult women and men. The study relies on data from three rounds of Ghana Demographic & Health Surveys conducted in 2003, 2008 and 2014 to show trends. Logistic regression was used for multivariate analysis. The thematic mapping of HI/AIDS comprehensive knowledge was conducted using ArcGIS version 10.4 using GPS coordinates in the 2014 GDHS which contained aggregated individual characteristics and HIV knowledge scores.While comprehensive HIV and AIDS knowledge is above 50% among adult population in Ghana, the results show a significant decrease in comprehensive knowledge from 72% in 2008 to 59% in 2013. The strongest predictors for having comprehensive knowledge were found to be education; gender, marital status, locality, occupation and wealth status. The paper demonstrates that preventive activities leading to improvement in the comprehensive knowledge of HIV and AIDS in Ghana is needed. Sound knowledge about HIV and AIDS is critical for the adoption of behaviours that reduce the risk of HIV transmission. Education on HIV prevention must be expanded to improve the comprehensive knowledge of the disease.
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Pandey, N. "Knowledge of Pregnant Women regarding HIV/AIDS." Journal of Chitwan Medical College 3, no. 3 (September 15, 2013): 18–21. http://dx.doi.org/10.3126/jcmc.v3i3.8632.
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A descriptive study was conducted with the purpose of assessing the knowledge of HIV/AIDS among the pregnant women in antenatal clinic of Bir Hospital, Kathmandu. Sixty pregnant women were selected using non- probability purposive sampling technique. A pretested Nepali version semi-structured interview schedule was used to collect the data from them. Ethical consideration was maintained throughout the study. The obtained data was analyzed using descriptive statistics. The data are presented in different tables. Findings related to socio-demographic characteristics revealed that half (50%) percent of the respondents belonged to the age of 20-24years. Majority (88.3%) of the respondents were literate and (85%) of them belonged to Hindu religion. Findings showed that (90%) of respondents have heard about HIV/AIDS. The most common sources of information of HIV/AIDS were Television (77.8%), Radio (75%) and newspapers (66.7%). Regarding transmission of HIV/AIDS, majority (88.9%) knew that HIV/AIDS is transmitted from sexual contact with infected person (81.5%) knew from infected blood transfusion and (70.4%) said from infected mother to child. More than (80%) of respondents said that commercial sex worker and having multiple sex workers were the high risk group for HIV/AIDS. Majority (77.8%) said by avoiding multiple sex partners and (72.2%) being faithful to the partner was the preventive measures of HIV/AIDS. Majority (61%) of respondents did not know the relationship between STI and HIV/AIDS. Majority (68.5%) of respondents did not know that there is available of drugs which lengthen the living years of life of people living with HIV/AIDS. Majority 51(98.1%) knew the use of condom is to prevent pregnancy, 44(84.6%) said prevent HIV/AIDS, 29(55.8%) said control STI. Although majority of the respondents had knowledge regarding the high risk group, mode of transmission and prevention of HIV/AIDS, some lacking areas has been identified that majority of the respondents were not aware about the the relationship between STI and HIV/AIDS. They also lacked awareness that use of condom controls STI and about availability of drug which prevents progression of HIV infection. On the basis of finding, it is concluded that health education and awareness programme should be planned to women attending the antenatal clinic to enhance their knowledge on HIV/AIDS prevention and management. DOI: http://dx.doi.org/10.3126/jcmc.v3i3.8632 Journal of Chitwan Medical College 2013; 3(3): 18-21
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Mageras, Anna, Ellen Brazier, Théodore Niyongabo, Gad Murenzi, Jean D’Amour Sinayobye, Adebola A. Adedimeji, Christella Twizere, et al. "Comparison of cohort characteristics in Central Africa International Epidemiology Databases to Evaluate AIDS and Demographic Health Surveys: Rwanda and Burundi." International Journal of STD & AIDS 32, no. 6 (February 3, 2021): 551–61. http://dx.doi.org/10.1177/0956462420983783.
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Clinical health record data are used for HIV surveillance, but the extent to which these data are population representative is not clear. We compared age, marital status, body mass index, and pregnancy distributions in the Central Africa International Databases to Evaluate AIDS (CA-IeDEA) cohorts in Burundi and Rwanda to all people living with HIV and the subpopulation reporting receiving a previous HIV test result in the Demographic and Health Survey (DHS) data, restricted to urban areas, where CA-IeDEA sites are located. DHS uses a probabilistic sample for population-level HIV prevalence estimates. In Rwanda, the CA-IeDEA cohort and DHS populations were similar with respect to age and marital status for men and women, which was also true in Burundi among women. In Burundi, the CA-IeDEA cohort had a greater proportion of younger and single men than the DHS data, which may be a result of outreach to sexual minority populations at CA-IeDEA sites and economic migration patterns. In both countries, the CA-IeDEA cohorts had a higher proportion of underweight individuals, suggesting that symptomatic individuals are more likely to access care in these settings. Multiple sources of data are needed for HIV surveillance to interpret potential biases in epidemiological data.
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Kattumuri, Ruth. "One-and-a-half decades of HIV/AIDS in Tamil Nadu: how much do patients know now?" International Journal of STD & AIDS 14, no. 8 (August 1, 2003): 552–59. http://dx.doi.org/10.1258/095646203767869174.
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Tamil Nadu has experienced the impact of HIV/AIDS for one-and-a-half decades and is considered a trailblazer in India in terms of combating the infection. So what are the knowledge levels among 292 HIV patients at Government Hospital for Thoracic Medicine and Christian Medical College? Latent class analysis revealed that it was not adequate. Television and peer contact were found to be most effective as source of knowledge for HIV. Patients who were in contact with health personnel might be expected to have more information but they came out with low scores. Association of knowledge with socio-demographic characteristics revealed that education, occupation, income, place of residence, and age were important predictors. Future information, education and communication programmes need to consider the variation across different socio-demographic groups as a basis for targeting education programmes.
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Khanal, Vijay Kumar, Bijay Thapa, Rajan Bikram Rayamajhi, Puspanjali Adhikari, Shyam Sundar Budhathoki, Anup Ghimire, Suman Bahadur Singh, and Paras Kumar Pokharel. "A Household Survey on Awareness of Hiv/Aids Among Rural People of Chandbela Vdc Of Eastern Nepal." Journal of Nobel Medical College 3, no. 1 (March 1, 2015): 35–39. http://dx.doi.org/10.3126/jonmc.v3i1.12235.
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Background: In the past 20 years HIV/AIDS has become an increasing global phenomenon. The rising trend of morbidity and mortality has not only changed the demography but also poses a huge socio-economic burden on well-being of households, communities and country. In Nepal as the epidemic is maturing. However, the epidemic has never been maintained in the general population through heterosexual transmission in Nepal, rather it is driven by the infections among higher risk populations and their sexual partners. Objectives: To assess the knowledge about HIV/AIDS among household level. Material and Methods: A household based survey was conducted in all the nine wards of Chandbela VDC. Interview was conducted using pre-tested semi structured questionnaire which included socio demographic profile and characteristics to assess awareness on HIV/AIDS. The data was analyzed to calculate percentages and proportions. Results: Out of total population (7034), 50.39% were male and 49.60% were female. Majority of the males and females were literate i.e. 73.58% and 51.37% respectively. Out of 1274 households, 946(74.25%) households were below poverty line, where 19.34% of people did agriculture for living and 3.3% were migrant worker. Most of the people 73.2% were aware and had heard about HIV/AIDS from various medium like 24.53% from radio, 15.19% from friends However, 16.8% of the people never heard of HIV/AIDS. According to 33% of people unsafe sexual practice could transmit HIV/AIDS and 28.83% of people thought avoiding unsafe sexual Practice can prevent from acquiring HIV/AIDS. Of the total respondents, 61.6% of the people believed that even a healthy looking person can have HIV/AIDS. Attitude towards HIV/AIDS patients of majority of population (55.93%) was to avoid any kind of relation or contact with patient. Conclusion: Although majority of the population were literate, were aware of and had heard about HIV/AIDS, the attitude towards the patient was not positive.DOI: http://dx.doi.org/10.3126/jonmc.v3i1.12235Journal of Nobel Medical CollegeVol. 3, No.1 Issue 6, 2014, Page: 35-39
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Akinsete, Omobosola O., Tracy Sides, Diane Hirigoyen, Charles Cartwright, Christy Boraas, Cynthia Davey, Luisa Pessoa-Brandão, et al. "Demographic, Clinical, and Virologic Characteristics of African-Born Persons with HIV/AIDS in a Minnesota Hospital." AIDS Patient Care and STDs 21, no. 5 (May 2007): 356–65. http://dx.doi.org/10.1089/apc.2006.0074.
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Benavides-Torres, Raquel A., Kristin M. Wall, Georgina Máyela Núñez Rocha, Dora Julia Onofre Rodríguez, and Laura Hopson. "Factors Associated with Lifetime HIV Testing in Texas by Race/Ethnicity." Open AIDS Journal 6, no. 1 (October 5, 2012): 232–38. http://dx.doi.org/10.2174/1874613601206010232.
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Introduction: In United States, roughly 1/5 of all HIV infected persons remain undiagnosed. Because HIV testing is critical to improve prevention efforts, more research is needed to understand the characteristics of individuals who get tested for HIV. Methods: This secondary analysis of the 2010 Texas Behavioral Risk Factor Surveillance System used data from 9,744 respondents between 18-64 years of age to evaluate the relationship between demographic characteristics (gender, race/ethnicity, age, area of residence, education, marital status, employment status, and income), healthcare characteristics (insurance status, having a primary provider, and access to healthcare), and HIV risk behaviors with ever having received an HIV test. Results: Significant associations between gender, age, area of residence, marital and employment status, and HIV risk behaviors and HIV testing in a Texas population by race/ethnicity were observed. Conclusions: These findings have important implications for future research into racial/ethnic disparities between lifetime HIV testing, and can help guide practitioners who work with populations at risk for HIV/AIDS in Texas.
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YA Asare, Bernard, Henrietta Y Yeboaa, and Bismark Dwumfour-Asare. "Acceptance and utilization of HIV testing among the youth: a cross-sectional study in Techiman, Ghana." African Health Sciences 20, no. 1 (April 20, 2020): 142–49. http://dx.doi.org/10.4314/ahs.v20i1.19.
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Background: In Ghana, efforts including ‘Know Your Status’ campaign have been made to increase awareness and improve the uptake of HIV screening.
Objective: This study examined the acceptance and utilization of the HIV/AIDS ‘Know Your Status’ campaign and determine dthe differences in HIV testing by demographic characteristics among the youth in Techiman, Ghana.
Method: This study was a cross-sectional study conducted among the youth aged 15-24 years. A structured questionnaire was used to collect data from 200 purposively selected respondents.
Results: The mean age of the respondents was 19.6±2.72 years. There was a universal awareness (100%) of HIV/AIDs, and were knowledgeable about the mode of transmission, symptoms and the prevention of HIV. A high proportion of the respon- dents (n=161, 80.5%) had heard about the ‘Know Your Status’ (KYS) campaign. Less than half of respondents (n=91, 45.5%) had tested for HIV, and only 16.5% (n=15/91) of respondents tested through the KYS campaign. Testing for HIV was associ- ated with age (p<0.001) and marital status (p<0.001).
Conclusion: The youth should therefore be targeted in the awareness and the ‘Know Your Status campaigns’, and in an effort- sto promote screening for HIV.
Keywords: Awareness; campaign; knowledge; HIV/AIDS; know your status; screening.
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MAGADI, MONICA A., and JOSEPH UCHUDI. "ONSET OF SEXUAL ACTIVITY AMONG ADOLESCENTS IN HIV/AIDS-AFFECTED HOUSEHOLDS IN SUB-SAHARAN AFRICA." Journal of Biosocial Science 47, no. 2 (May 28, 2014): 238–57. http://dx.doi.org/10.1017/s0021932014000200.
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SummaryThis paper examines the effect of orphanhood and HIV status of adults in a household on onset of sexual activity among adolescent girls and boys aged 15–17 years in sub-Saharan Africa. Multilevel logistic regression models were applied to pooled Demographic and Health Surveys data from nineteen countries of sub-Saharan Africa where HIV test data were collected during 2003–2008 from nationally representative samples of men and women of reproductive age. The results highlight increased vulnerability among adolescent boys and girls living in households where an adult is infected with HIV, and adolescent boys who are paternal orphans. On average, adolescent boys and girls living in households where at least one adult is HIV-positive have about 25% higher odds of having initiated sexual activity compared with their counterparts of similar characteristics in households where no adult is HIV-positive. Furthermore, adolescent boys who are paternal orphans have about 25% higher odds of having initiated sexual activity than their non-orphan counterparts of similar individual characteristics. Further analysis reveals that household circumstances relating to living arrangements and poverty are important pathways through which household HIV/AIDS status is linked to adolescent sexual debut. The findings underscore the importance of international efforts in the sub-Saharan Africa region to address the plight of other children in HIV/AIDS-affected households, beyond orphans.
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Martínez, Ana Maria Barral de, Edel Figueirêdo Barbosa, Paulo César Pelegrino Ferreira, Fabiola Adriene Cardoso, Jussara Silveira, Gabriela Sassi, Cláudio Moss da Silva, Vera Mendonça-Signorini, and Carlos Maurício de Figueiredo Antunes. "Molecular epidemiology of HIV-1 in Rio Grande, RS, Brazil." Revista da Sociedade Brasileira de Medicina Tropical 35, no. 5 (October 2002): 471–76. http://dx.doi.org/10.1590/s0037-86822002000500008.
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We conducted a molecular epidemiological study to investigate HIV-1 strains in Rio Grande, southern Brazil, searching for an association with transmission mode and risk behavior. Patients (185) identified at an AIDS treatment reference Hospital, from 1994 to 1997, were included; from which 107 blood samples were obtained. Nested PCR was realized once for each sample; for amplified samples (69) HIV subtypes were classified using the heteroduplex mobility assay. Subtypes identified were B (75%), C (22%) and F (3%). All infections with C were diagnosed after 1994. Comparing patients with B and C, no differences were detected regarding demographic, clinical and laboratory characteristics; survival analysis did not reveal differences in HIV to AIDS evolution. A higher proportion of injecting drug users, IDU (not significant, p<.07) was found among those with C. This suggests that C may have been introduced in this area through IDU, and is being spread, probably by their sexual partners, to persons with other risk practices.
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Rickert, Edward J., and Donna L. Rickert. "Different HIV Risk Profiles in Samples of College Students and Homeless Persons." Psychological Reports 76, no. 3_suppl (June 1995): 1123–32. http://dx.doi.org/10.2466/pr0.1995.76.3c.1123.
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A cross-sectional survey examined demographic characteristics, self-reported sexual behaviors, and knowledge of AIDS in samples of 106 homeless persons and 260 college students. As expected, the two samples differed with respect to age, gender, race, and education. Respondents in both samples possessed moderate knowledge of HIV infection and AIDS and reported they considered their personal risk of HIV infection low. Both samples acknowledged frequent use of alcohol with sexual activity, active and passive oral sex, and lax use of condoms. A discriminant analysis indicated that a greater percentage of college students were sexually active than of the homeless sample and that the homeless group had a higher proportion of individuals who were either homosexual or bisexual, who had sexual contact with multiple partners or who had visited a prostitute, who had sexually transmitted diseases, and who had injected drugs. Although the risk profiles differed, each group reported high-risk behaviors and perceptions of low personal risk of HIV infection.
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Pradnyani, Putu Erma, Arief Wibowo, and Mahmudah. "The Effects of Socio-demographic Characteristics on Indonesian Women’s Knowledge of HIV/AIDS: A Cross-sectional Study." Journal of Preventive Medicine and Public Health 52, no. 2 (March 31, 2019): 109–14. http://dx.doi.org/10.3961/jpmph.18.256.
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Nozza, Silvia, Laura Timelli, Annalisa Saracino, Nicola Gianotti, Claudia Lazzaretti, Alessandro Tavelli, Massimo Puoti, et al. "Decrease in Incidence Rate of Hospitalizations Due to AIDS-Defining Conditions but Not to Non-AIDS Conditions in PLWHIV on cART in 2008–2018 in Italy." Journal of Clinical Medicine 10, no. 15 (July 30, 2021): 3391. http://dx.doi.org/10.3390/jcm10153391.
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Background: We aimed to describe the change in the incidence and causes of hospitalization between 2008 and 2018 among persons living with HIV (PLWHIV) who started antiretroviral therapy (ART) from 2008 onwards in Italy. Methods: We included participants in the ICONA (Italian Cohort Naïve Antiretrovirals) cohort who started ART in 2008. All the hospitalizations occurring during the first 30 days from the start of ART were excluded. Hospitalizations were classified as due to: AIDS-defining conditions (ADC), non-ADC infections and non-infections/non-ADC (i.e., cardiovascular, pulmonary, renal-genitourinary, cancers, gastrointestinal-liver, psychiatric and other diseases). Comparisons of rates across time were assessed using Poisson regression. The Poisson multivariable model evaluated risk factors for hospitalizations, including both demographic and clinical characteristics. Results: A total of 9524 PLWHIV were included; 6.8% were drug users, 48.9% men-who-have sex with men (MSM), 39.6% heterosexual contacts; 80.8% were males, 42.3% smokers, 16.6% coinfected with HCV and 6.8% with HBV (HBsAg-positive). During 36,157 person-years of follow-up (PYFU), there were 1058 hospitalizations in 747 (7.8%) persons; they had HIV-RNA >50 copies mL in 34.9% and CD4 < 200/mmc in 27%. Causes of hospitalization were 23% ADC, 22% non-ADC infections, 55% non-infections/non-ADC (11% cancers; 9% gastrointestinal-liver; 6% cardiovascular; 5% renal-genitourinary; 5% psychiatric; 4% pulmonary; 15% other). Over the study period, the incidence rate (IR) decreased significantly (from 5.8 per 100 PYFU in 2008–2011 to 2.21 per 100 PYFU in 2016–2018). Age > 50 years, intravenous drug use (IDU), family history of cardiovascular disease, HIV-RNA > 50, CD4 < 200, were associated with a higher hospitalization risk. Conclusions: In our population of PLWHIV, the rate of hospitalization decreased over time.
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Nayak, U. B., S. Lenka, and B. Achappa. "Clinical and Socio demographic profile of attendees at ART centre in a tertiary care hospital in Mangalore, India." Asian Journal of Medical Sciences 6, no. 5 (March 18, 2015): 61–65. http://dx.doi.org/10.3126/ajms.v6i5.11622.
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Introduction: India has the third largest number of people living with HIV/AIDS. There is a need to study the profile of patients who come to ART centers and link their clinical and socio-demographic variables in the management. Moreover, it is important to understand the presentation of HIV disease in the local context and culture. The present study is aimed at identifying the socio-demographic characteristics, clinical presentations of HIV/AIDS patients, opportunistic infections and the possible risk factors for acquiring HIV infection at an ART centre of Government Wenlock hospital, situated in Karnataka state of India. Materials and Methods: In this study 102 HIV patients attending the HIV clinic were enrolled and they were followed for a period of one year with relevant investigations.Results: Of 102 patients 69 were males and 33 were females.The mean age of the study subjects at the time of diagnosis was 38.06. Heterosexual contact was the commonest mode of transmission in96 (94.12%) patients. History suggestive of a risk factor for HIV transmission could not be elicited in 4 (3.92%) patients. Fever (71.5%), weight loss (62.74%), cough (51.96%) and chronic diarrhea (43.9%) were the common presenting symptoms. The most common opportunistic infection was oral candidiasis (66.67%) followed bytuberculosis (22.54%) and pneumocystis pneumonia (13.72%). Significant number of patients (30.37%) developed Zidovudine induced anemia and females were more prone for Zidovudine induced anemia as compared to males. CD4 counts of the patients were significantly inversely correlated with the number of symptoms and the number of opportunistic infections. Conclusion: Majority of patients were of low socioeconomic status and in productive age group with heterosexual contact being commonest mode of transmission.Significant number of patients developed Zidovudine induced anemia and females were more prone. DOI: http://dx.doi.org/10.3126/ajms.v6i5.11622Asian Journal of Medical Sciences Vol.6(5) 2015 61-65
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Petrowski, Kelly A., Harsha Poola, Katherine Lee Chuy, Shweta Gupta, and Paul G. Rubinstein. "AIDS-Related Vs. Non-AIDS-Related Diffuse Large B-Cell Lymphoma. Analysis of the County Hospital AIDS Malignancy Project (CHAMP)." Blood 126, no. 23 (December 3, 2015): 2684. http://dx.doi.org/10.1182/blood.v126.23.2684.2684.
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Abstract Introduction: Stroger Hospital of Cook County (CCH) and the Ruth M. Rothstein CORE Center (CC) are the largest health providers for HIV+ patients (pts) in Chicago and among the largest in the United States. Together, CCH and CC treat over 5,500 HIV+ individuals per year and 60 newly diagnosed HIV-associated cancers yearly. In addition, CCH is the largest safety net hospital in Illinois; in the calendar year 2010, it had over 32,000 outpatient hematology/oncology clinic visits. The County Hospital AIDS malignancy project (CHAMP) is a prospective database of all HIV-associated hematological malignancies from 1995 to present. Here we analyzed the demographic, histological, germinal center status, outcome data, and HIV characteristics of pts with AIDS-related diffuse large B-cell lymphoma (AR-DLBCL). As a control, we compared these data to DLBCL pts not infected with HIV, intra-institutionally instead of national historical controls to better understand the AR-DLBCL population of the inner-city, a mostly minority, and one of the largest growing HIV populations. Methods: We screened the CCH cancer registry from 2001 to 2014, and 240 non-HIV pts were identified to have DLBCL. We searched the CHAMP database for cases of DLBCL from the same period. From 196 lymphomas, 51 were identified. Only pts who had a confirmed pathology report as DLBCL were included in this study. We subsequently identified the HIV characteristics, overall survival (OS), and patient demographics for all pts. In addition to OS data in both cohorts, we compared outcomes based on chemotherapy, stage, germinal center (defined by the HANS algorithm), and IPI status. Statistics: Non-parametric Fisher's exact test was used to examine the difference in proportion of pts in both the HIV and non-HIV arm. Survival data were analyzed using Kaplan-Meier analysis and Cox Proportional Hazards model. Results: The M:F ratio was 7.5:1 in AR-DLBCL and 1.9:1 in the non-HIV cohort (P<0.001). The median CD4+ count for the HIV population was 107 cells/mm3. Patients with germinal center DLBCL had a median CD4+ count of 196 cells/mm3 vs. non-germinal of 87 cells/mm3. The racial composition of the 2 cohorts showed a significantly higher percentage of African-Americans (AA) in the HIV cohort, 51% vs. 35% in the non-HIV, (p<0.04) and no difference in Caucasian or Hispanic populations. The AR-DLBCL population was younger. Only 4% of the HIV pts were 60 years and older compared to 32% in the non-HIV cohort. The HIV positive pts tended to present with more advanced disease. Seventy two % vs. 53% in the non-HIV cohort presented with stage III/IV disease (p <0.01). Only 18% vs. 38% in the non-HIV cohort presented with stage I/II disease (p <0.006). Of pts tested, there were no differences in GC (68 (n=15) vs. 66% (n=77) or NGC (32 (n=7) vs. 34% (n=39)) between HIV and non-HIV cohorts. The OS of the AR-DLBCL at 5 years was 54% vs. 77% in the non-HIV cohort (p<0.003). However, since 2009, pts with AR-DLBCL have been treated with daEPOCHR (Sparano et al, Blood 2010) at CCH, and since then no difference in OS compared to the non-HIV cohort has been identified. At 5 year follow up, the OS of AR-DLBCL was 81% treated with daEPOCHR (n=11) vs. 77% (n=108) in the non-HIV population (p 0.081). Comparing survival between each cohort by stage there was a trend to poorer outcomes in the AR-DLBCL for stage III/IV disease, 58% vs. 75% 5-year survival (p 0.064). Similarly, there was little difference in comparing each cohort by IPI score due to the small number of pts in each IPI category in the HIV cohort. Conclusions: In assessing the cases of AR-DLBCL, it appears to be a disease of AA (51% vs. 35%) men (88% vs. 53%) compared to the non-HIV population at the same institution. But when compared to the general population of Chicago, where AA constitute only 33% of the population, the disparity is more pronounced. Patients are also younger, 4% vs. 32% over 60 years of age. In addition, the AR-DLBCL pts present with more advanced disease (72% vs. 53%). As a whole, the AR-DLBCL cohort had a poorer OS survival than the non-HIV population, at 5 years, 54% vs. 77%. Importantly, pts with AR-DLBCL had the same OS as the non-HIV cohort, 81% vs. 77%, with a 5 year follow up when treated with daEPOCHR despite HIV pts presenting with a higher stage. Thus, education and screening in the AA community is needed, as this is an AA male disease in the inner city. It is also clear that treatment with daEPOCHR should be the therapy of choice when treating AR-DLBCL. Disclosures No relevant conflicts of interest to declare.
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Yastrebova, E. B., T. N. Vinogradova, and A. G. Rakhmanova. "SOLUTION-ORIENTED APPROAСHES TO HIV TRANSMISSION FROM MOTHER ТО СНILD AND PRESERVATION OF FAMILY HEALTH DUE AССOUNT FOR MEDICAL-SOCIAL PERFORMANСE." Epidemiology and Infectious Diseases 17, no. 2 (April 15, 2012): 20–25. http://dx.doi.org/10.17816/eid40637.
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This article presents the data of analysis of medical and social characteristics of 629 mother-infant pairs with HIV infection examined in the Department of mothers and children of the St. Petersburg AIDS Center. The new direction "the family - HIV-infection" has been developed. This direction is based on the complex medical, social, and psychological monitoring of the family at the stage of planning, pregnancy, childbirth, and during all periods of childhood, to the timely prevention, diagnosis and treatment of HIV infection in women, their sexual partners and children, and also to improve the demographic situation in the metropolis. It allowed to increase the number of observed HIV infected families, reduce HIV transmission from mother to child, diminish the number of orphaned children, and also to cut maternal and infant mortality rate.
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Abdullah, Azreen, Adibah Hanim Ismail, and Ching Siew Mooi. "Stigma Among Patients with HIV/AIDS: A Cross Sectional Study in Malaysia." International Journal of Human and Health Sciences (IJHHS) 4, no. 1 (October 31, 2019): 26. http://dx.doi.org/10.31344/ijhhs.v4i1.116.
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Introduction:HIV stigma refers to negative beliefs, feelings and attitudes towards people living with HIV (PLWH), groups associated with PLWH and other key populations at higher risk of HIV infection, such as people who inject drugs, sex workers, men who have sex with men and transgender people. Despite the advancement made in the knowledge and treatment of HIV, PLWH continues to be stigmatized.Objective: To determine the level of HIV stigma and its predictors among people living with HIV/AIDS in a tertiary hospital in Malaysia.Methods: A cross sectional study was conducted among HIV/AIDS patients aged 18 and above at infectious disease clinic in Hospital Sungai Buloh, Gombak, Malaysia. HIV stigma was assessed using Berger’s HIV stigma scale, which is available in Bahasa Malaysia and English.A self-administered questionnaire was used to determine their demographic and clinical characteristics. Multiple linear regression analysis was used to identify the predictors.Results: 526 subjects participated in this study. The mean age of the study population was 33.5± 8.4 years. The majority of the participants were male (90.9%) and contracted HIV through sexual activities (87.8%). The mean score of HIV stigma was 104.7 ± 19.5. Based on multiple linear regression analysis, patients who were unemployed (B = -8.00, 95% confidence interval (CI) = -12.12,-3.88, p = < 0.001) and being on antiretroviral treatment (B = 4.95, 95% (CI) = 0.30, 9.60, p = < 0.037) had higher level of HIV stigma.Conclusions: The level of HIV stigma was high (mean score =104.7 ± 19.5). HIV/AIDS patients who are unemployed and on antiretroviral agents were at risks of having higher level of HIV stigma. Future study is needed urgently to implement intervention that can minimize the stigmatization among patients with HIV/AIDS.International Journal of Human and Health Sciences Vol. 04 No. 01 January’20 Page : 26-35