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Recently Published Articles
  • 2019, July

    original research

    Why do HIV PrEP Patients Become Lost-to-Care and How Can We Improve PrEP Retention?Open Access

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    Abstract [+]

    Objectives

    To assess reasons for patients being lost-to-care (LTC) at an urban health center (Philadelphia, PA, USA) that provides access to oral tenofovir/emtricitabine(TDF/FTC) as pre- exposure prophylaxis(PrEP) to patients ages 13-30 years through a drop-in model of care.

    Methods

    Ninety-nine patients were identified as LTC based on not visiting a clinician in ≥4 months during the period April 2016-January 2017. Patients were contacted by phone/email to participate in a voluntary telephone survey regarding reasons for falling out of care. Results were analyzed descriptively.

    Results

    Of the 99 patients preliminarily identified as LTC, 19 completed the survey. Reason(s) for becoming LTC included: 47%(9) relocation, 11%(2) transportation difficulties to/from clinic, 26%(5) financial/insurance problems, 5%(1) perceived medication side effects, 16%(3) trouble remembering to attend appointments regularly, 5%(1) difficulty with daily medication adherence, and 0% social stigma. Furthermore, 21%(4) remain at high-risk of HIV/STI acquisition after becoming LTC. The main study limitations are selection bias and small sample size, where the small sample size did not allow for statistical significance.

    Conclusion

    While the major cause for becoming LTC was relocation, these findings suggest 37% of LTC incidences may be preventable with additional/up-front support. Because 21% of LTC patients remain at high-risk of HIV/STI acquisition, proactive re-engagement initiatives are potentially useful.

    Keywords

    HIV/AIDS; Pre-exposure prophylaxis; Retention and care; Socioeconomic factors; Adolescent Health; Lesbian/Gay/Bisexual/Transgender Persons.


  • 2019, July

    original research

    Exploring the Everyday Lived Experience of African American People Living with HIV/AIDS (PLWH) in the Rural SouthOpen Access

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    Abstract [+]

    Aims/Objectives

    Despite previous findings attesting to the syndemic nature of human immunodeficiency virus (HIV), chronic disease and mental illness coordination of these issues remains a significant barrier to initiating and maintaining the delivery of mental and physical health care to persons living with HIV (PLWH). These inequities are even greater when applied to rural settings, particularly in areas that are medically underserved. To date, there is scarce research regarding the lived experiences of African American PLWH
    in rural settings. Constructivist grounded theory was used to analyze this qualitative data set. These discourses provide a rich narrative regarding effective systems of care, the context in which these processes take place and related constraints or limitations of the current systems.

    Methods

    In-depth interviews with 24 African American PLWH both inside (N=20) and outside (N=4) of care in rural Northwestern Virginia were conducted. Rural African American PLWH were queried about their perceptions of the provision of HIV health care services, barriers to linkages to care, retention of PLWH in care, and recommendations for improving HIV health care services for rural PLWH.

    Results

    Participants offered insights on the linkages to health and mental health care consistent with the pattern recommended by the cascade of care (i.e. pre-screening, testing, refer to treatment, treatment and sustain treatment). Participants identified contextual factors, including traumatic events, medication (side effects), other chronic health issues, issues with the current health and mental health system, stigma, and lack of social support. We highlight PLWH’s recommendations for linking rural PLWH into care and sustaining that care.

    Conclusion

    We discuss the implications of these findings for programmatic development in the rural context.

    Keywords

    Rural African Americans living with HIV; Barriers to HIV health care; Rural South; HIV lived experience.


About the Journal

HIV/AIDS Research and Treatment – Open Journal (HARTOJ) aims to publish current innovations and information related to HIV (Human Immunodeficiency Virus) that leads to serious impact on lives of people both infected and affected by the virus and AIDS (Acquired Immuno Deficiency Syndrome), which alters the immune system of affected people.

This journal is an interdisciplinary source for HIV research and development information that focusses on medical sciences, translational science and epidemiology.

Aims and Scope

HIV/AIDS Research and Treatment – Open Journal (HARTOJ) is dedicated to the open dissemination and robust discussion in the area of acquired immunodeficiency syndrome and its related fields.

HARTOJ covers a wide array of subjects as given below:

  • Latest research on immune system
  • Popular HIV/AIDS medications
  • Treatments for HIV and AIDS
  • Anti-retroviral agents
  • Pain management in HIV patients
  • Public policy perspectives for HIV and AIDs control
  • Treatment/prevention
  • HIV care
  • HIV/AIDS-related illnesses and complications
  • Analysis of important social and economic issues
  • Precautionary methods to prevent HIV/AIDS
  • Current research and development

Submissions for this Journal are accepted from the very basic HIV studies to the recent advancements in the techniques. This journal considers all manuscripts related to basic HIV study to recent advancement on HIV/AIDS.

The audience of HARTOJ includes researchers, surgeons, physicians, epidemiologists, clinicians, practitioners, educators, nurse, students, social workers, and the general community.

Any article in the form of original research, review, case-report, mini-review, editorial, short-communication, book-review, opinion, commentary, letter to the editor, conference proceedings, technical report, errata, and illustrations is acceptable for this journal.

We are open to receive comments or any corrections from any potential scientists to improve the quality of our journal.