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[PMID]:29179700
[Au] Autor:Palummieri A; De Carli G; Rosenthal É; Cacoub P; Mussini C; Puro V; PrEPventHIV Italy Study Group
[Ad] Endereço:National Institute for Infectious Diseases "Lazzaro Spallanzani" IRCCS, Department of Epidemiology, Pre-clinical Research and Advanced Diagnostics, via Portuense, 292, 00149, Roma, Italy.
[Ti] Título:Awareness, discussion and non-prescribed use of HIV pre-exposure prophylaxis among persons living with HIV/AIDS in Italy: a Nationwide, cross-sectional study among patients on antiretrovirals and their treating HIV physicians.
[So] Source:BMC Infect Dis;17(1):734, 2017 11 28.
[Is] ISSN:1471-2334
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Before Pre-Exposure Prophylaxis (PrEP) was officially recommended and made available, a few surveys among gay and bisexual men, and persons living with HIV/AIDS (PLWHA), identified an informal use of antiretrovirals (ARVs) for PrEP among HIV-negative individuals. Before PrEP availability in Italy, we aimed to assess whether PLWHA in Italy shared their ARVs with HIV-negative individuals, whether they knew people who were on PrEP, and describe the level of awareness and discussion on this preventive measure among them and people in their close circle. METHODS: Two anonymous questionnaires investigating personal characteristics and PrEP awareness, knowledge, and experience were proposed to HIV specialists and their patients on ARVs in a one-week, cross-sectional survey (December 2013-January 2014). Among PLWHA, a Multivariable Logistic Regression analysis was conducted to identify factors associated with PrEP discussion with peers (close circle and/or HIV associations), and experience (use in close circle and/or personal ARV sharing). RESULTS: Eighty-seven specialists in 31 representative Infectious Diseases departments administered the questionnaire to 1405 PLWHA. Among specialists, 98% reported awareness, 65% knew the dosage schedule, and 14% had previously suggested or prescribed PrEP. Among PLWHA, 45.6% were somehow aware, discussed or had direct or indirect experience of PrEP: 38% "had heard" of PrEP, 24% were aware of studies in HIV-negative individuals demonstrating a risk reduction through the use of ARVs, 22% had discussed PrEP, 12% with peers; 9% reported PrEP use in close circle and 1% personal ARV sharing. Factors predictive of either PrEP discussion with peers or experience differed between men and women, but across all genders were mainly related to having access to information, with HIV association membership being the strongest predictor. CONCLUSIONS: At a time and place where there were neither official information nor proposals or interventions to guide public policies on PrEP in Italy, a significant number of PLWHA were aware of it, and approximately 10% reported PrEP use in their close circle, although they rarely shared their ARVs with uninfected people for this purpose. Official policies and PrEP availability, along with implementation programs, could avoid risks from uncontrolled PrEP procurement and self-administration practices.
[Mh] Termos MeSH primário: Fármacos Anti-HIV/uso terapêutico
Infecções por HIV/prevenção & controle
Conhecimentos, Atitudes e Prática em Saúde
Profilaxia Pré-Exposição/métodos
Comportamento Sexual
[Mh] Termos MeSH secundário: Síndrome de Imunodeficiência Adquirida/tratamento farmacológico
Síndrome de Imunodeficiência Adquirida/prevenção & controle
Adulto
Estudos Transversais
Feminino
Infecções por HIV/tratamento farmacológico
Seres Humanos
Itália
Masculino
Médicos
Automedicação
Minorias Sexuais e de Gênero
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Anti-HIV Agents)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE
[do] DOI:10.1186/s12879-017-2819-5


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[PMID]:28453061
[Au] Autor:Hoyos-Hernández PA; Duarte-Alarcón C
[Ad] Endereço:Pontificia Universidad Javeriana, Cali, Colombia, paulahoyos@javerianacali.edu.co.
[Ti] Título:[Roles and challenges of female heads of household with HIV/AIDS].
[Ti] Título:Roles y desafíos de mujeres jefas de hogar con VIH/Sida..
[So] Source:Rev Salud Publica (Bogota);18(4):554-567, 2016 Aug.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objective To characterize the roles and challenges that female heads of households with HIV in Valle del Cauca, Colombia assume. Method A qualitative exploratory method, based on Grounded Theory was conducted. Data were collected through in depth interviews to 13 women with HIV, heads of household with ages between 19 and 46,who live in the cities of Cali and Buenaventura. Results The main roles assumed by women are taking care of their children and their homes, expressing affection, providing support during different life events and administrative procedures related to health care services access. The challenges expressed by these women include aspects related to parenting, being a self-care role model, accompanying and leading the diagnosis and adherence to the treatment children with HIV, revealing the diagnosis, providing the best living conditions, and providing access to goods and services. Conclusions The results of the study highlight the challenges that women living with a chronic illness, that is still loaded with stigma and discrimination, have to face. The social, economic, cultural and health aspects related to the inequities and inequalities in health, to gender and access to health services, to decent work and to education are made clear in this work.
[Mh] Termos MeSH primário: Características da Família
Relações Familiares
Infecções por HIV/psicologia
Papel (Figurativo)
[Mh] Termos MeSH secundário: Síndrome de Imunodeficiência Adquirida/psicologia
Adulto
Colômbia
Feminino
Seres Humanos
Meia-Idade
Aceitação pelo Paciente de Cuidados de Saúde
Autocuidado
Estigma Social
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:28453150
[Au] Autor:Restrepo-Pineda JE
[Ad] Endereço:Corporación Universitaria Minuto de Dios (UNIMINUTO), Antioquia, Colombia, jair.restrepo@uniminuto.edu.
[Ti] Título:[Comparative analysis of the perceptions of HIV/AIDS by gay and bisexual Colombian men with and without migratory experience].
[Ti] Título:Análisis comparativo de las percepciones sobre el VIH/SIDA de varones homosexuales y bisexuales colombianos, con experiencia migratoria o sin la misma..
[So] Source:Rev Salud Publica (Bogota);18(1):13-25, 2016 Feb.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objective To compare the perceptions about HIV/AIDS of homosexual and bisexual Colombian males who live in the Colombian "Eje Cafetero" (Coffee Zone) and of those who migrated to Spain, in order to investigate whether those perceptions have an influence on the social vulnerability of the groups involved, which is determined by aspects such as inequalities that may emerge from ignorance about cultural and sexual diversity of the people who are undergoing a migratory process. Methods This research has a transnational character and was carried out by way of in-depth interviews of adult males living in the autonomous communities of Madrid, Valencia, Cataluña and Andalucía in Spain, and in the departments of Caldas, Quindío, Risaralda and Valle del Cauca in Colombia between 2011 and 2013. In total, 87 interviews were performed in both countries. Conclusion The relationship between migration and sexuality must be contemplated from a comprehensive viewpoint that enriches understanding both of the society of origin as well as of the welcoming country through a consideration of social and cultural aspects. Any health promotion and prevention program expecting to have an influence on social aspects must take into account people's particularities in order to avoid generalizations and their exploitation, recognizing them and making them visible as individuals with full rights who express opinions, speak and participatevisible as whole right individuals, who express opinions, speak and participate.
[Mh] Termos MeSH primário: Bissexualidade/fisiologia
Emigrantes e Imigrantes/psicologia
Infecções por HIV/psicologia
Homossexualidade Masculina/psicologia
Percepção
[Mh] Termos MeSH secundário: Síndrome de Imunodeficiência Adquirida/psicologia
Colômbia/etnologia
Seres Humanos
Masculino
Pesquisa Qualitativa
Espanha
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:29419696
[Au] Autor:Clement ME; Lin L; Navar AM; Okeke NL; Naggie S; Douglas PS
[Ad] Endereço:Division of Infectious Diseases.
[Ti] Título:Lower likelihood of cardiac procedures after acute coronary syndrome in patients with human immunodeficiency virus/acquired immunodeficiency syndrome.
[So] Source:Medicine (Baltimore);97(6):e9849, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Cardiovascular disease (CVD) is an increasing cause of morbidity and mortality in human immunodeficiency virus (HIV)-infected adults; however, this population may be less likely to receive interventions during hospitalization for acute coronary syndrome (ACS). The degree to which this disparity can be attributed to poorly controlled HIV infection is unknown.In this large cohort study, we used the National Inpatient Sample (NIS) to compare rates of cardiac procedures among patients with asymptomatic HIV-infection, symptomatic acquired immunodeficiency syndrome (AIDS), and uninfected adults hospitalized with ACS from 2009 to 2012. Multivariable analysis was used to compare procedure rates by HIV status, with appropriate weighting to account for NIS sampling design including stratification and hospital clustering.The dataset included 1,091,759 ACS hospitalizations, 0.35% of which (n = 3783) were in HIV-infected patients. Patients with symptomatic AIDS, asymptomatic HIV, and uninfected patients differed by sex, race, and income status. Overall rates of cardiac catheterization and revascularization were 53.3% and 37.4%, respectively. In multivariable regression, we found that relative to uninfected patients, those with symptomatic AIDS were less likely to undergo catheterization (odds ratio [OR] 0.48, confidence interval [CI] 0.43-0.55), percutaneous coronary intervention (OR 0.69, CI 0.59-0.79), and coronary artery bypass grafting (0.75, CI 0.61-0.93). No difference was seen for those with asymptomatic HIV relative to uninfected patients (OR 0.93, CI 0.81-1.07; OR 1.06, CI 0.93-1.21; OR 0.88, CI 0.72-1.06, respectively).We found that lower rates of cardiovascular procedures in HIV-infected patients were primarily driven by less frequent procedures in those with AIDS.
[Mh] Termos MeSH primário: Síndrome de Imunodeficiência Adquirida
Síndrome Coronariana Aguda
Cateterismo Cardíaco/estatística & dados numéricos
Ponte de Artéria Coronária/estatística & dados numéricos
Infecções por HIV/epidemiologia
Intervenção Coronária Percutânea/estatística & dados numéricos
[Mh] Termos MeSH secundário: Síndrome de Imunodeficiência Adquirida/diagnóstico
Síndrome de Imunodeficiência Adquirida/epidemiologia
Síndrome Coronariana Aguda/diagnóstico
Síndrome Coronariana Aguda/epidemiologia
Síndrome Coronariana Aguda/cirurgia
Idoso
Infecções Assintomáticas/epidemiologia
Cateterismo Cardíaco/métodos
Estudos de Coortes
Ponte de Artéria Coronária/métodos
Feminino
Hospitalização/estatística & dados numéricos
Seres Humanos
Funções Verossimilhança
Masculino
Meia-Idade
Seleção de Pacientes
Intervenção Coronária Percutânea/métodos
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180209
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009849


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[PMID]:28453572
[Au] Autor:Chandra D; Gupta A; Leader JK; Fitzpatrick M; Kingsley LA; Kleerup E; Haberlen SA; Budoff MJ; Witt M; Post WS; Sciurba FC; Morris A
[Ad] Endereço:Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
[Ti] Título:Assessment of coronary artery calcium by chest CT compared with EKG-gated cardiac CT in the multicenter AIDS cohort study.
[So] Source:PLoS One;12(4):e0176557, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Individuals with HIV are at increased risk for coronary artery disease (CAD). Early detection of subclinical CAD by assessment of coronary artery calcium (CAC) may help risk stratify and prevent CAD events in these individuals. However, the current standard to quantify CAC i.e. Agatston scoring requires EKG-gated cardiac CT imaging. OBJECTIVE: To determine if the assessment of CAC using non-EKG-gated chest CT and the Weston scoring system is a useful surrogate for Agatston scores in HIV-infected and HIV-uninfected individuals. METHODS AND MEASUREMENTS: CAC was assessed by both the Weston and Agatston score in 108 men enrolled in the Multicenter AIDS Cohort Study. RESULTS: Participants were 55.2 (IQR 50.4; 59.9) years old and 62 (57.4%) were seropositive for HIV. Inter-observer agreement (rs = 0.94, κ = 90.0%, p<0.001, n = 21) and intra-observer agreement (rs = 0.95, κ = 95.2%, p<0.001, n = 97) for category of Weston score were excellent. Weston scores were associated with similar CAD risk factors as Agatston scores (age, race, HDL cholesterol level, all p<0.05) in our cohort. There was excellent correlation (rs = 0.92, p<0.001) and agreement (κw = 0.77, p<0.001) between Weston and Agatston scores. CONCLUSIONS: This study is the first to examine calcium scoring using chest CT in HIV-infected individuals and to independently validate the Weston score as a surrogate for the Agatston score. In clinical or research settings where EKG-gated cardiac CT is not feasible for the assessment of coronary calcium, Weston scoring by using chest CT should be considered.
[Mh] Termos MeSH primário: Síndrome de Imunodeficiência Adquirida/metabolismo
Cálcio/metabolismo
Técnicas de Imagem de Sincronização Cardíaca
Vasos Coronários/diagnóstico por imagem
Vasos Coronários/metabolismo
Eletrocardiografia
Tomografia Computadorizada por Raios X
[Mh] Termos MeSH secundário: Síndrome de Imunodeficiência Adquirida/diagnóstico por imagem
Estudos de Coortes
Seres Humanos
Masculino
Meia-Idade
Radiografia Torácica
[Pt] Tipo de publicação:CLINICAL TRIAL; COMPARATIVE STUDY; JOURNAL ARTICLE; MULTICENTER STUDY
[Nm] Nome de substância:
SY7Q814VUP (Calcium)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:180210
[Lr] Data última revisão:
180210
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0176557


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[PMID]:29365298
[Au] Autor:Fauci AS; Eisinger RW
[Ad] Endereço:From the National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD.
[Ti] Título:PEPFAR - 15 Years and Counting the Lives Saved.
[So] Source:N Engl J Med;378(4):314-316, 2018 Jan 25.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Síndrome de Imunodeficiência Adquirida/prevenção & controle
Cooperação Internacional
[Mh] Termos MeSH secundário: Síndrome de Imunodeficiência Adquirida/epidemiologia
África/epidemiologia
Epidemias/prevenção & controle
Infecções por HIV/tratamento farmacológico
História do Século XXI
Seres Humanos
Cooperação Internacional/história
Estados Unidos
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180208
[Lr] Data última revisão:
180208
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180125
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMp1714773


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[PMID]:28467158
[Au] Autor:Khumsaen N; Stephenson R
[Ad] Endereço:Center for Sexuality and Health Disparities, University of Michigan, and the Boromarajonani College of Nursing, Suphanburi, Thailand.
[Ti] Título:Beliefs and Perception About HIV/AIDS, Self-Efficacy, and HIV Sexual Risk Behaviors Among Young Thai Men Who Have Sex With Men.
[So] Source:AIDS Educ Prev;29(2):175-190, 2017 Apr.
[Is] ISSN:1943-2755
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study examined the relationships of HIV/AIDS beliefs, self-efficacy for AIDS preventive behaviors, perception of HIV as a chronic disease, and HIV risk behaviors among young Thai men who have sex with men. Participants were recruited for a self-administered anonymous survey through Facebook. Logistic regression analysis was used to identify factors associated with each of four HIV risk behavior outcomes. Factors associated with sexual risk behaviors included age (18 and 21 years), having a current regular male partner, self-efficacy for AIDS preventive behaviors (self-efficacy in refusing sexual intercourse, self-efficacy in questioning potential sex partners, and self-efficacy in condom use), AIDS health belief (perceived susceptibility to HIV/AIDS, perceived severity of HIV/AIDS, perceived barriers to condom use, and cues to action for HIV/AIDS prevention), and perception of HIV/AIDS as a chronic disease (perceived HIV sero-status disclosure). Knowledge generated from this study has the potential to inform prevention messages for young Thai MSM.
[Mh] Termos MeSH primário: Síndrome de Imunodeficiência Adquirida/prevenção & controle
Conhecimentos, Atitudes e Prática em Saúde
Homossexualidade Masculina/psicologia
Assunção de Riscos
Autoeficácia
[Mh] Termos MeSH secundário: Síndrome de Imunodeficiência Adquirida/psicologia
Síndrome de Imunodeficiência Adquirida/transmissão
Adolescente
Preservativos/utilização
Estudos Transversais
Infecções por HIV/prevenção & controle
Infecções por HIV/psicologia
Infecções por HIV/transmissão
Seres Humanos
Masculino
Percepção
Comportamento Sexual/estatística & dados numéricos
Parceiros Sexuais/psicologia
Fatores Socioeconômicos
Inquéritos e Questionários
Tailândia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1521/aeap.2017.29.2.175


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[PMID]:28450464
[Au] Autor:Luo X; Gong X; Zhao P; Zou X; Chen W; Ling L
[Ad] Endereço:Faculty of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen Center for Migrant Health Policy, Sun Yat-Sen University, Guangzhou, China.
[Ti] Título:Positive percentages of urine morphine tests among methadone maintenance treatment clients with HIV/AIDS: a 12-month follow-up study in Guangdong Province, China.
[So] Source:BMJ Open;7(4):e014237, 2017 04 27.
[Is] ISSN:2044-6055
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: We aimed to assess the positive percentages of urine morphine tests and correlates among methadone maintenance treatment (MMT) clients with HIV/AIDS in Guangdong, China. SETTING: Fourteen MMT clinics located in nine cities of Guangdong were chosen as study sites. PARTICIPANTS: In this study, we reviewed 293 clients with opioid dependence, who were HIV seropositive, 18 years or older, provided informed consent and had at least 10 records of urine morphine tests during the study period. PRIMARY AND SECONDARY OUTCOME MEASURES: The positive percentages of urine morphine tests were calculated and underlying predictors were estimated. RESULTS: The highest positive percentage (95.9%) was observed in the first month. After excluding the highest percentage in the first month, the average positive percentage was 40.9% for month 2 to month 12. Positive percentages of urine morphine tests that were <20%, 20-60% and >80% were 25.4%, 36.1% and 38.5% respectively. Lower percentages of continued heroin use were associated with being young (OR =0.31, 95% CI 0.12 to 0.78; OR =0.44, 95% CI 0.20 to 1.00), and financial sources depending on family or friends (OR=0.55, 95% CI 0.32 to 0.93). Higher percentages of continued heroin use were associated with being unemployed (OR=1.99, 95% CI 1.13 to 3.49) and poor MMT attendance (OR =3.60, 95% CI 1.55 to 8.33; OR =2.80, 95% CI 1.48 to 5.33). CONCLUSIONS: High positive percentages of urine morphine tests remain prevalent among MMT clients with HIV/AIDS in Guangdong. The present findings have implications for taking effective measures to facilitate attendance in order to decrease heroin use and ultimately improve the effectiveness among these sub-group MMT clients.
[Mh] Termos MeSH primário: Síndrome de Imunodeficiência Adquirida/tratamento farmacológico
Metadona/uso terapêutico
Derivados da Morfina/urina
Transtornos Relacionados ao Uso de Opioides/diagnóstico
[Mh] Termos MeSH secundário: Adulto
China/epidemiologia
Feminino
Seguimentos
Seres Humanos
Masculino
Transtornos Relacionados ao Uso de Opioides/epidemiologia
Prevalência
Assunção de Riscos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Morphine Derivatives); UC6VBE7V1Z (Methadone)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180201
[Lr] Data última revisão:
180201
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1136/bmjopen-2016-014237


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[PMID]:28745597
[Au] Autor:Williams BG; Granich R
[Ad] Endereço:South African Centre for Epidemiological Modelling and Analysis, Stellenbosch University, Stellenbosch 7602, South Africa. Electronic address: briangerardwilliams@gmail.com.
[Ti] Título:Ending AIDS: myth or reality?
[So] Source:Lancet;390(10092):357, 2017 07 22.
[Is] ISSN:1474-547X
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Síndrome de Imunodeficiência Adquirida/terapia
[Mh] Termos MeSH secundário: Atitude
Seres Humanos
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180126
[Lr] Data última revisão:
180126
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE


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[PMID]:28464926
[Au] Autor:Kemp CG; de Kadt J; Pillay E; Gilvydis JM; Naidoo E; Grignon J; Weaver MR
[Ad] Endereço:Department of Global Health, University of Washington, Ninth and Jefferson Building, 13th Floor, Box 359932, 908 Jefferson Street, Seattle, WA, 98104, USA. kempc@uw.edu.
[Ti] Título:Pre/post evaluation of a pilot prevention with positives training program for healthcare providers in North West Province, Republic of South Africa.
[So] Source:BMC Health Serv Res;17(1):316, 2017 05 02.
[Is] ISSN:1472-6963
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Prevention interventions for people living with HIV/AIDS are an important component of HIV programs. We report the results of a pilot evaluation of a four-hour, clinic-based training for healthcare providers in South Africa on HIV prevention assessments and messages. This pre/post pilot evaluation examined whether the training was associated with providers delivering more prevention messages. METHODS: Seventy providers were trained at four public primary care clinics with a high volume of HIV patients. Pre- and post-training patient exit surveys were conducted using Audio-Computer Assisted Structured Interviews. Seven provider appropriate messaging outcomes and one summary provider outcome were compared pre- and post-training using Poisson regression. RESULTS: Four hundred fifty-nine patients pre-training and 405 post-training with known HIV status were interviewed, including 175 and 176 HIV positive patients respectively. Among HIV positive patients, delivery of all appropriate messages by providers declined post-training. The summary outcome decreased from 56 to 50%; adjusted rate ratio 0.92 (95% CI = 0.87-0.97). Sensitivity analyses adjusting for training coverage and time since training detected fewer declines. Among HIV negative patients the summary score was stable at 32% pre- and post-training; adjusted rate ratio 1.05 (95% CI = 0.98-1.12). CONCLUSIONS: Surprisingly, this training was associated with a decrease in prevention messages delivered to HIV positive patients by providers. Limited training coverage and delays between training and post-training survey may partially account for this apparent decrease. A more targeted approach to prevention messages may be more effective.
[Mh] Termos MeSH primário: Soropositividade para HIV
Pessoal de Saúde/educação
Capacitação em Serviço
Educação de Pacientes como Assunto
[Mh] Termos MeSH secundário: Síndrome de Imunodeficiência Adquirida/prevenção & controle
Adulto
Instituições de Assistência Ambulatorial
Educação Continuada em Enfermagem
Feminino
Seres Humanos
Masculino
Meia-Idade
Projetos Piloto
Distribuição de Poisson
Avaliação de Programas e Projetos de Saúde
África do Sul
Inquéritos e Questionários
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE; RESEARCH SUPPORT, U.S. GOV'T, P.H.S.
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180117
[Lr] Data última revisão:
180117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1186/s12913-017-2263-7



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