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[PMID]:28746168
[Au] Autor:Pittalis S; Orchi N; De Carli G; Navarra A; Chiaradia G; Puro V; Girardi E
[Ad] Endereço:*Clinical Epidemiology Unit, National Institute for Infectious Disease "L. Spallanzani"-IRCCS, Rome, Italy †Infectious Disease Epidemiology Unit, AIDS Reference Centre, National Institute for Infectious Disease "L. Spallanzani"-IRCCS, Rome, Italy.
[Ti] Título:HIV Self-Testing in Italy.
[So] Source:J Acquir Immune Defic Syndr;76(3):e84-e85, 2017 11 01.
[Is] ISSN:1944-7884
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Sorodiagnóstico da AIDS
Infecções por HIV/diagnóstico
Acesso aos Serviços de Saúde/estatística & dados numéricos
Kit de Reagentes para Diagnóstico/utilização
Autocuidado
[Mh] Termos MeSH secundário: Sorodiagnóstico da AIDS/utilização
Adulto
Aconselhamento Diretivo
Infecções por HIV/epidemiologia
Conhecimentos, Atitudes e Prática em Saúde
Promoção da Saúde
Homossexualidade Masculina
Seres Humanos
Itália/epidemiologia
Masculino
Estudos Prospectivos
Adulto Jovem
[Pt] Tipo de publicação:LETTER; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Reagent Kits, Diagnostic)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.1097/QAI.0000000000001507


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[PMID]:28449599
[Au] Autor:Weikum D; Shrestha R; Ferro EG; Vagenas P; Copenhaver M; Spudich S; Alpert MD; Cabello R; Lama JR; Sanchez J; Altice FL
[Ad] Endereço:a Section of Infectious Diseases, AIDS Program , Yale School of Medicine , New Haven , CT , USA.
[Ti] Título:An explanatory factor analysis of a brief self-report scale to detect neurocognitive impairment among HIV-positive men who have sex with men and transgender women in Peru.
[So] Source:AIDS Care;29(10):1297-1301, 2017 Oct.
[Is] ISSN:1360-0451
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Neurocognitive impairment (NCI) has been associated with poor clinical outcomes in various patient populations. This study used exploratory factor analysis (EFA) to examine the factor structure of the existing 95-item Neuropsychological Impairment Scale (NIS) to create a suitable NCI screening instrument for people living with HIV (PLH). In Lima, Peru, 313 HIV-positive men who have sex with men (MSM) and transgender women (TGW) prescribed antiretroviral therapy (ART) completed the NIS using computer-assisted self-interviews (CASI). The EFA used principal axis factoring and orthogonal varimax rotation, which resulted in 42 items with an 8-factor solution that explained 51.8% of the overall variance. The revised, 8-factor, Brief Inventory of Neurocognitive Impairment for Peru (BINI-P) showed a diverse set of factors with excellent to good reliability (i.e., F α = 0.92 to F α = 0.78). This EFA supports the use of the BINI-P to screen for NCI among Spanish-speaking, HIV-positive MSM and TGW. Future research should examine the effectiveness of the BINI-P in detecting NCI in clinical care settings and the impact of NCI on HIV health-related outcomes, including linkage and retention in care, ART adherence and HIV risk behaviors.
[Mh] Termos MeSH primário: Infecções por HIV/psicologia
Homossexualidade Masculina/psicologia
Transtornos Neurocognitivos/diagnóstico
Testes Neuropsicológicos
Pessoas Transgênero/psicologia
[Mh] Termos MeSH secundário: Adulto
Análise Fatorial
Feminino
Infecções por HIV/tratamento farmacológico
Seres Humanos
Masculino
Transtornos Neurocognitivos/psicologia
Peru
Reprodutibilidade dos Testes
Autorrelato
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1080/09540121.2017.1322681


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[PMID]:28749336
[Au] Autor:Gozlan Y; Bar-Or I; Rakovsky A; Savion M; Amitai Z; Sheffer R; Ceder N; Anis E; Grotto I; Mendelson E; Mor O
[Ad] Endereço:Central Virology Laboratory, Ministry of Health, Sheba Medical Center, Ramat Gan.
[Ti] Título:Ongoing hepatitis A among men who have sex with men (MSM) linked to outbreaks in Europe in Tel Aviv area, Israel, December 2016 - June 2017.
[So] Source:Euro Surveill;22(29), 2017 Jul 20.
[Is] ISSN:1560-7917
[Cp] País de publicação:Sweden
[La] Idioma:eng
[Ab] Resumo:Between December 2016 and June 2017, 19 Hepatitis A virus (HAV)-positive cases, 17 of which were among men who have sex with men (MSM) were identified in the Tel Aviv area. Seven of the 15 sewage samples collected between January and June 2017 were also HAV-positive. All sequences clustered with two of the three strains identified in the current European HAV outbreak. We demonstrate that despite an efficient vaccination programme, HAV can still be transmitted to an unvaccinated high-risk population.
[Mh] Termos MeSH primário: Surtos de Doenças
Vírus da Hepatite A/isolamento & purificação
Hepatite A/epidemiologia
Homossexualidade Masculina
[Mh] Termos MeSH secundário: Adulto
Hepatite A/diagnóstico
Vírus da Hepatite A/genética
Seres Humanos
Israel/epidemiologia
Masculino
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170728
[St] Status:MEDLINE


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[PMID]:28468648
[Au] Autor:Clark JL; Segura ER; Oldenburg CE; Rios J; Montano SM; Perez-Brumer A; Villaran M; Sanchez J; Coates TJ; Lama JR
[Ad] Endereço:David Geffen School of Medicine, University of California, Los Angeles, CA, USA. jlclark@mednet.ucla.edu.
[Ti] Título:Expedited Partner Therapy (EPT) increases the frequency of partner notification among MSM in Lima, Peru: a pilot randomized controlled trial.
[So] Source:BMC Med;15(1):94, 2017 05 04.
[Is] ISSN:1741-7015
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Expedited Partner Therapy (EPT) has been shown to improve treatment outcomes among heterosexual partners of individuals with curable sexually transmitted infections (STIs). Although the use of EPT with men who have sex with men (MSM) has been debated, due to the potential for missed opportunities to diagnose unidentified cases of HIV and syphilis infection in symptomatic partners, increases in partner notification (PN) resulting from use of EPT may promote testing and treatment of otherwise unidentified partners. We assessed the impact of EPT on self-reported PN among MSM in Peru with gonorrheal (GC) and/or chlamydial (CT) infection. METHODS: We enrolled 173 MSM in Lima, Peru with symptomatic or asymptomatic GC and/or CT infection between 2012 and 2014. We enrolled 44 MSM with symptomatic urethritis/proctitis and 129 MSM with asymptomatic GC/CT infection, diagnosed based on nucleic acid testing (Aptima Combo 2 Transcription-Mediated Amplification [TMA]) from urethral, pharyngeal, and rectal sites. Eligible participants were randomly assigned to receive either standard PN counseling (n = 84) or counseling plus EPT (cefixime 400 mg/azithromycin 1 g) for up to five recent partners (n = 89). Self-reported notification was assessed by computer-assisted self-administered survey among 155 participants who returned for 14-day follow-up. RESULTS: The median age of participants was 26 (interquartile range [IQR]: 23-31) with a median of 3 sexual partners (IQR: 2-4) in the previous 30-day period. Among all participants, 111/155 (71.6%) notified at least one partner at 14-day follow-up with a median of 1 partner notified per participant (IQR: 0-2). For participants randomized to receive EPT, 69/83 (83.1%) reported notifying at least one partner, compared with 42/72 (58.3%) of participants in the control arm (odds ratio = 3.52; 95% confidence interval [CI]: 1.68-7.39). The proportion of all recent partners notified was significantly greater in the EPT than in the control arm (53.5%, 95% CI: 45.0-62.0% versus 36.4%, 95% CI: 27.0-47.4%). CONCLUSIONS: Provision of EPT led to significant increases in notification among Peruvian MSM diagnosed with GC/CT infection. Additional research is needed to assess the impact of EPT on biological outcomes, including persistent or recurrent infection, antimicrobial resistance, and HIV/STI transmission, in MSM sexual networks. TRIAL REGISTRATION: ClinicalTrials.gov, NCT01720654 . Registered on 10/29/2012.
[Mh] Termos MeSH primário: Infecções por Chlamydia/terapia
Busca de Comunicante
Gonorreia/terapia
Parceiros Sexuais
[Mh] Termos MeSH secundário: Adulto
Homossexualidade Masculina
Seres Humanos
Masculino
Peru
Projetos Piloto
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1710
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE
[do] DOI:10.1186/s12916-017-0858-9


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[PMID]:27771817
[Au] Autor:Cooley LA; Hoots B; Wejnert C; Lewis R; Paz-Bailey G; NHBS Study Group
[Ad] Endereço:Division of HIV/AIDS Prevention, National Center for HIV, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road, NE, MS-E46, Atlanta, GA, 30329, USA. LCooley@cdc.gov.
[Ti] Título:Policy Changes and Improvements in Health Insurance Coverage Among MSM: 20 U.S. Cities, 2008-2014.
[So] Source:AIDS Behav;21(3):615-618, 2017 Mar.
[Is] ISSN:1573-3254
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Recent policy changes have improved the ability of gay, bisexual, and other men who have sex with men (MSM) to secure health insurance. We wanted to assess changes over time in self-reported health insurance status among MSM participating in CDC's National HIV Behavioral Surveillance (NHBS) in 2008, 2011, and 2014. We analyzed NHBS data from sexually active MSM interviewed at venues in 20 U.S. cities. To determine if interview year was associated with health insurance status, we used a Poisson model with robust standard errors. Among included MSM, the overall percentage of MSM with health insurance rose 16 % from 2008 (68 %) to 2014 (79 %) (p value for trend < 0.001). The change in coverage over time was greatest in key demographic segments with lower health insurance coverage all three interview years, by age, education, and income. Corresponding with recent policy changes, health insurance improved among MSM participating in NHBS, with greater improvements in historically underinsured demographic segments. Despite these increases, improved coverage is still needed. Improved access to health insurance could lead to a reduction in health disparities among MSM over time.
[Mh] Termos MeSH primário: Infecções por HIV/prevenção & controle
Política de Saúde
Disparidades nos Níveis de Saúde
Homossexualidade Masculina
Cobertura do Seguro/tendências
Seguro Saúde
[Mh] Termos MeSH secundário: Adolescente
Adulto
Cidades
Infecções por HIV/diagnóstico
Infecções por HIV/economia
Infecções por HIV/epidemiologia
Inquéritos Epidemiológicos
Seres Humanos
Masculino
Assunção de Riscos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE
[do] DOI:10.1007/s10461-016-1567-7


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[PMID]:28457201
[Au] Autor:Hoyos Miller J; Clarke E; Patel R; Kell P; Desai M; Nardone A
[Ad] Endereço:1 Consortium for Biomedical Research in Epidemiology & Public Health (CIBERESP), Spain.
[Ti] Título:How are sexual health clinics in England managing men who have sex with men who refuse to be tested for HIV?
[So] Source:Int J STD AIDS;28(13):1305-1310, 2017 11.
[Is] ISSN:1758-1052
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to ascertain the existence of written policies and common clinical practices in sexual health clinics in England for the management of men who have sex with men who refuse to test for HIV. All sexual health clinics in England ( n = 223) were invited to complete an online questionnaire in August-September 2014. The questionnaire covered the four domains of clinic policies, management practices, training and monitoring. We assess differences by region. Overall, 92 clinics participated. Only three clinics reported having a written policy. In contrast, most reported having a common agreed practice (94% in London vs. 71.6% elsewhere). When encountering a refusal, 72.2% of the London clinics and 53.4% of the clinics from elsewhere offered a less invasive option. Few clinics (17.4%) provided information on home sampling kits and 74.4% informed about other testing options. Eighty-seven per cent of the clinics recorded the occurrence of refusals, but only 37.8% reviewed the collected data. Providing staff with training was more common in London (94.1% vs. 73.8%). Clear policies should be developed to guide professionals when encountering men who have sex with men who refuse an HIV test. Offering less invasive testing options and information on alternative testing options could be easily introduced into routine practice. Efforts should be made to review monitoring data in order to identify implications of test refusals and introduce improvements in management of refusals.
[Mh] Termos MeSH primário: Infecções por HIV/diagnóstico
Política de Saúde
Homossexualidade Masculina/estatística & dados numéricos
Programas de Rastreamento/utilização
Recusa do Paciente ao Tratamento/estatística & dados numéricos
[Mh] Termos MeSH secundário: Instituições de Assistência Ambulatorial
Inglaterra
Infecções por HIV/epidemiologia
Infecções por HIV/prevenção & controle
Infecções por HIV/psicologia
Soropositividade para HIV
Seres Humanos
Masculino
Programas de Rastreamento/psicologia
Guias de Prática Clínica como Assunto
Parceiros Sexuais
Inquéritos e Questionários
Recusa do Paciente ao Tratamento/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1177/0956462417704343


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[PMID]:29229609
[Au] Autor:Desai M; Field N; Grant R; McCormack S
[Ad] Endereço:HIV and STI Department, Public Health England, London NW9 5EQ, UK.
[Ti] Título:Recent advances in pre-exposure prophylaxis for HIV.
[So] Source:BMJ;359:j5011, 2017 12 11.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Although pre-exposure prophylaxis (PrEP)-the use of antiretroviral drugs by non-infected people to prevent the acquisition of HIV-is a promising preventive option, important public health questions remain. Daily oral emtricitabine (FTC)-tenofovir disoproxil fumarate (TDF) is highly efficacious in preventing the acquisition of HIV in people at risk as a result of a range of different types of sexual exposure. There is good evidence of efficacy in women and men, and when men who have sex with men use event based dosing. Studies have been conducted in several countries and epidemics. Because adherence to this treatment varies greatly there are questions about its public health benefit. Oral FTC-TDF is extremely safe, with minimal impact on kidney, bone, or pregnancy outcomes, and there is no evidence that its effectiveness has been reduced by risk compensation during open label and programmatic follow-up. It is too early to assess the impact of this treatment on the incidence of sexually transmitted infections (STIs) at a population level. Many challenges remain. Access to pre-exposure prophylaxis is limited and disparities exist, including those governed by race and sex. Different pricing and access models need to be explored to avoid further widening inequalities. The optimal combination prevention program needs to be defined, and this will depend on local epidemiology, service provision, and cost effectiveness. This review updates the evidence base for pre-exposure prophylaxis regarding its effectiveness, safety, and risk compensation.
[Mh] Termos MeSH primário: Antirretrovirais/uso terapêutico
Combinação Emtricitabina e Fumarato de Tenofovir Desoproxila/uso terapêutico
Infecções por HIV/prevenção & controle
HIV/efeitos dos fármacos
Profilaxia Pré-Exposição/métodos
Doenças Sexualmente Transmissíveis/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Antirretrovirais/administração & dosagem
Análise Custo-Benefício
Combinação Emtricitabina e Fumarato de Tenofovir Desoproxila/administração & dosagem
Feminino
HIV/isolamento & purificação
Infecções por HIV/epidemiologia
Infecções por HIV/virologia
Disparidades em Assistência à Saúde
Homossexualidade Masculina/psicologia
Seres Humanos
Incidência
Masculino
Meia-Idade
Ensaios Clínicos Controlados Aleatórios como Assunto
Assunção de Riscos
Doenças Sexualmente Transmissíveis/tratamento farmacológico
Doenças Sexualmente Transmissíveis/prevenção & controle
Cooperação e Adesão ao Tratamento
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Nm] Nome de substância:
0 (Anti-Retroviral Agents); 0 (Emtricitabine, Tenofovir Disoproxil Fumarate Drug Combination)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j5011


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[PMID]:28746167
[Au] Autor:Kunzweiler CP; Bailey RC; Okall DO; Graham SM; Mehta SD; Otieno FO
[Ad] Endereço:*Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, IL; †Nyanza Reproductive Health Society, Kisumu, Kenya; and ‡Departments of Medicine, Global Health, and Epidemiology, University of Washington, Seattle, WA.
[Ti] Título:Factors Associated With Prevalent HIV Infection Among Kenyan MSM: The Anza Mapema Study.
[So] Source:J Acquir Immune Defic Syndr;76(3):241-249, 2017 11 01.
[Is] ISSN:1944-7884
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: To inform future HIV treatment and care programs for men who have sex with men (MSM), we assessed the prevalence of and factors associated with previously diagnosed HIV-positive and out-of-care (PDOC) or newly diagnosed HIV-positive and out-of-care (NDOC) HIV infection among MSM enrolled in the prospective Anza Mapema cohort study. METHODS: Participants were aged 18 years and older, reported oral or anal sex with a man in the past 6 months and were not already in HIV care or taking antiretroviral therapy in the past 3 months. At enrollment, men were tested for HIV infection and completed questionnaires through audio computer-assisted self-interview. Multinomial logistic regression was used to identify associations with PDOC or NDOC HIV infection, relative to HIV-negative status. RESULTS: Among 711 enrolled men, 75 (10.5%) were seropositive including 21 PDOC and 54 NDOC men. In multivariable modeling, PDOC status was more likely than HIV-negative status among men who had experienced upsetting sexual experiences during childhood, had recently experienced MSM trauma, and did not report harmful alcohol use. NDOC infection status was more common among men aged 30 years and older and who had completed ≤8 years of education, relative to HIV-negative status. CONCLUSIONS: Most HIV-positive men were unaware of their infection, indicating that HIV testing and counseling services tailored to this population are needed. To improve linkage to and retention in care, HIV testing and care services for MSM should screen and provide support for those with hazardous alcohol use and those who have experienced childhood sexual abuse or MSM trauma.
[Mh] Termos MeSH primário: Infecções por HIV/epidemiologia
Homossexualidade Masculina/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Quênia/epidemiologia
Modelos Logísticos
Masculino
Estudos Prospectivos
Fatores de Risco
Assunção de Riscos
Comportamento Sexual/estatística & dados numéricos
Fatores Socioeconômicos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; RESEARCH SUPPORT, U.S. GOV'T, P.H.S.
[Em] Mês de entrada:1710
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.1097/QAI.0000000000001512


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[PMID]:29342172
[Au] Autor:Nugroho A; Erasmus V; Coulter RWS; Koirala S; Nampaisan O; Pamungkas W; Richardus JH
[Ad] Endereço:Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
[Ti] Título:Driving factors of retention in care among HIV-positive MSM and transwomen in Indonesia: A cross-sectional study.
[So] Source:PLoS One;13(1):e0191255, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Little is known about the prevalence of and factors that influence retention in HIV-related care among Indonesian men who have sex with men (MSM) and transgender women (transwomen, or waria in Indonesian term). Therefore, we explored the driving factors of retention in care among HIV-positive MSM and waria in Indonesia. This cross-sectional study involved 298 self-reported HIV-positive MSM (n = 165) and waria (n = 133). Participants were recruited using targeted sampling and interviewed using a structured questionnaire. We applied a four-step model building process using multivariable logistic regression to examine how sociodemographic, predisposing, enabling, and reinforcing factors were associated with retention in care. Overall, 78.5% of participants were linked to HIV care within 3 months after diagnosis or earlier, and 66.4% were adequately retained in care (at least one health care visit every three months once a person is diagnosed with HIV). Being on antiretroviral therapy (adjusted odds ratio [AOR] = 6.00; 95% confidence interval [CI]: 2.93-12.3), using the Internet to find HIV-related information (AOR = 2.15; 95% CI: 1.00-4.59), and having medical insurance (AOR = 2.84; 95% CI: 1.27-6.34) were associated with adequate retention in care. Involvement with an HIV-related organization was associated negatively with retention in care (AOR = 0.47; 95% CI: 0.24-0.95). Future interventions should increase health insurance coverage and utilize the Internet to help MSM and waria to remain in HIV-related care, thereby assisting them in achieving viral suppression.
[Mh] Termos MeSH primário: Infecções por HIV/epidemiologia
Infecções por HIV/terapia
Homossexualidade Masculina
Pessoas Transgênero
[Mh] Termos MeSH secundário: Adolescente
Adulto
Estudos Transversais
Feminino
Infecções por HIV/psicologia
Alfabetização em Saúde
Homossexualidade Masculina/psicologia
Homossexualidade Masculina/estatística & dados numéricos
Seres Humanos
Indonésia/epidemiologia
Masculino
Meia-Idade
Modelos Psicológicos
Avaliação de Resultados (Cuidados de Saúde)
Cooperação do Paciente/estatística & dados numéricos
Prevalência
Assunção de Riscos
Comportamento Sexual
Parceiros Sexuais
Pessoas Transgênero/psicologia
Pessoas Transgênero/estatística & dados numéricos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180118
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191255


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[PMID]:28481718
[Au] Autor:Qureshi RI; Zha P; Kim S; Hindin P; Naqvi Z; Holly C; Dubbs W; Ritch W
[Ad] Endereço:a School of Nursing, Rutgers , State University of New Jersey , Newark , New Jersey , USA.
[Ti] Título:Health Care Needs and Care Utilization Among Lesbian, Gay, Bisexual, and Transgender Populations in New Jersey.
[So] Source:J Homosex;65(2):167-180, 2018.
[Is] ISSN:1540-3602
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The purpose of this study was to explore prevalent health issues, perceived barriers to seeking health care, and utilization of health care among lesbian, gay, bisexual, and transgender (LGBT) populations in New Jersey. A cross-sectional online survey was administered to 438 self-identified LGBT people. Results identified health needs, which included management of chronic diseases, preventive care for risky behaviors, mental health issues, and issues related to interpersonal violence. Barriers to seeking health care included scarceness of health professionals competent in LGBT health, inadequate health insurance coverage and lack of personal finances, and widely dispersed LGBT inclusive practices making transportation difficult. There is a need for better preparation of health care professionals who care for LGBT patients, to strengthen social services to improve access and for better integration of medical and social services.
[Mh] Termos MeSH primário: Serviços de Saúde/utilização
Determinação de Necessidades de Cuidados de Saúde
Minorias Sexuais e de Gênero
[Mh] Termos MeSH secundário: Adulto
Idoso
Estudos Transversais
Feminino
Homossexualidade Feminina/psicologia
Homossexualidade Masculina/psicologia
Seres Humanos
Masculino
Meia-Idade
New Jersey
Comportamento Sexual
Pessoas Transgênero
Transexualismo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170509
[St] Status:MEDLINE
[do] DOI:10.1080/00918369.2017.1311555



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