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7 Results Found

  • Published research

    We don’t dare to tell her ... we don’t know where to begin: Disclosure experiences and challenges among adolescents living with HIV and their caregivers in China

    The research findings indicate that disclosure to HIV-positive adolescents in China was delayed compared with recommended guidelines. This paper suggests culturally appropriate disclosure strategies should be developed, with a focus on supporting caregivers and destigmatizing HIV. The potential to use peer support strategies for both caregivers and adolescents in this process might also be explored.
  • Published research

    Brief participant-centered convergence interviews integrate self-reports, product returns, and pharmacokinetic results to improve adherence measurement in MTN-017

    Studies of HIV prevention products face challenges with adherence and adherence reporting. This paper presents the convergence interviews that were developed and implemented during the Microbicide Trials Network (MTN) 017 study. The authors demonstrated that brief convergence interviews and pharmacokinetic data convergence interviews were feasible in adherence counseling sessions and, in general, participants would clarify with the counselors any discrepancies between adherence measures.
  • Published research

    High prevalence of HIV drug resistance among newly diagnosed infants aged <18 months: Results from a nationwide surveillance in Nigeria

    The study found a high prevalence of pretreatment HIV drug resistance, predominantly nonnucleoside reverse transcriptase inhibitor-based regimen (NNRTI) associated, among HIV-infected children (less than 18 months) in Nigeria. The findings support using a non-NNRTI regimen in children less than 3 years of age as a preferred first-line antiretroviral treatment regimen, as recommended by the World Health Organization. Child-friendly, fixed-dose, combination co-formulated drugs need to be widely available in the country.
  • Published research

    What works — reaching universal HIV testing: Lessons from HPTN 071 (PopART) trial in Zambia

    This article presents early data from the community-randomized universal HIV testing and treatment trial, HIV Prevention Trails Network (HPTN) 071 (PopART). The data show that home-based HIV counseling and testing offered to all households in urban and peri-urban communities in Zambia is acceptable and can dramatically improve residents’ awareness of their HIV status. The authors state that maximizing uptake requires repeated visits to homes to reach those not available or not yet ready to be tested during the initial visit.
  • Published research

    Sexual networks and HIV risk among black men who have sex with men in six U.S. cities

    Analysis of self-reported data from 1,349 black men who have sex with men in the United States, a group that is disproportionately affected by HIV, found that the men's sexual networks were relatively small and often overlapped with their social networks. Network interventions that engage the social networks of black men who have sex with men, such as peer influence, should be developed to affect social norms around HIV testing and HIV status disclosure.
  • Published research

    On the road again: Concurrency and condom use among Uganda truck drivers

    Analyses of data collected from Ugandan truck drivers showed that overlapping sexual relationships with two or more long-term partners, with whom condoms were not being used, was common. These findings are of particular concern because this population is sometimes considered a key bridging population in the HIV epidemic. Innovative intervention programs that address the realities of truck drivers' lifestyles are needed for these men and their partners.
  • Published research

    Intimacy versus isolation: A qualitative study of sexual practices among sexually active HIV-infected patients in HIV care in Brazil, Thailand and Zambia

    Understanding the psychosocial context of condomless sex among people living with HIV or AIDS could shed light on effective intervention strategies. The study considers the perceived impact of HIV on the sexual practices and relationships of in-care HIV-infected men who have sex with men, heterosexual men and women in Brazil, Thailand and Zambia who engaged in high-risk sexual practices.