Background Despite remarkable achievements in antiretroviral therapy (ART), losses to follow-up (LTFU) might prevent the long-term success of HIV treatment and might delay the achievement of the 90–90-90 objectives. This scoping review is aimed at the description and analysis of the strategies used in high-income countries to reengage LTFU in HIV care, their implementation and impact. Methods A scoping review was done following Arksey & O′Malley’s methodological framework and recommendations from Joanna Briggs Institute. Peer reviewed articles were searched for in Pubmed, Scopus and Web of Science; and grey literature was searched for in Google and other sources of information. Documents were charted according to the information presented on LTFU, the reengagement procedures used in HIV units in high-income countries, published during the last 15 years. In addition, bibliographies of chosen articles were reviewed for additional articles. Results Twenty-eight documents were finally included, over 80% of them published in the United States later than 2015. Database searches, phone calls and/or mail contacts were the most common strategies used to locate and track LTFU, while motivational interviews and strengths-based techniques were used most often during reengagement visits. Outcomes like tracing activities efficacy, rates of reengagement and viral load reduction were reported as outcome measures. Conclusions This review shows a recent and growing trend in developing and implementing patient reengagement strategies in HIV care. However, most of these strategies have been implemented in the United States and little information is available for other high-income countries. The procedures used to trace and contact LTFU are similar across reviewed studies, but their impact and sustainability are widely different depending on the country studied.
Depressive symptoms are common among people living with HIV (PLWH). The aim of this study was to identify the determinants of depressive symptoms in PLWH in Spain. A total of 1060 PLWH participated in this cross-sectional study and completed the Patient Health Questionnaire-9. The odds ratios for the presence of depressive symptoms were analyzed in a multivariable logistic regression model, including sociodemographic data, comorbidities, health-related behaviors, and social-environment-related variables. We found an overall prevalence of depressive symptoms of 21.42%; by subgroup, namely men, women, and transgender persons, prevalence was 18.13%, 32.81%, and 37.14%, respectively. Moreover, social isolation (OR = 1.05 [CI, 1.02–1.08]) and poor physical and mental quality of life (OR = 1.06 [CI, 1.02–1.09] and OR = 1.13 [CI, 1.09–1.17], respectively) were associated with depressive symptoms. As protective factors, we identified serodisclosure to more people (vs. none; OR = 0.39 [CI, 0.17–0.87]), satisfaction with social roles (OR = 0.86 [CI, 0.79–0.94]), better cognitive function (OR = 0.92 [CI, 0.89–0.95]), and sexualized drug use once in a lifetime (OR = 0.52 [CI, 0.29–0.93]). This study showed a high prevalence of depressive symptoms in PLWH, especially among women and transgender people. The association between psychosocial variables and depressive symptoms highlights the multidimensionality of the problem and identifies areas for intervention. This study found that the management of mental health issues is an area that needs to be improved and tailored to specific groups, with the aim of enhancing the well-being of PLWH.
Abstract.Introduction. There is a lack of information about initiatives aimed at preventing the harmful effects of alcohol amongst the elderly. Objectives. One of the objectives of the VINTAGE study was to collect the initiatives carried out in Europe and review the published grey literature about this topic. Methods. Email-based survey addressed to researchers, professionals and policymakers, and internet search of grey literature. Results. Three hundred nine contacts were finally made, and 21 of the 36 collected initiatives were considered as useful in preventing the harmful use of alcohol amongst the elderly. Out of the about 2900 references identified 96 were classified as relevant. Conclusions. Despite a growing interest, alcohol use in the elderly is not yet perceived as a major issue for prevention.Key words: aged, alcohol drinking, promotion, prevention, Europe.Riassunto (Esempi di buona pratica per la prevenzione del consumo dannoso di alcol negli anziani in Europa, il progetto VINTaGE). Introduzione. c'è carenza di informazioni sulle iniziative volte a prevenire gli effetti dannosi del consumo di alcol tra gli anziani. Obiettivi. Uno degli obiettivi dello studio VINTAGE è stato quello di raccogliere esempi di intervento condotti in Europa ed eseguire una revisione della letteratura grigia sull'argomento. Metodi. Indagine via e-mail, rivolta a ricercatori, professionisti e decisori politici, e revisione della letteratura grigia disponibile in Internet. Risultati. Su 309 contatti effettuati, 21 delle 36 iniziative raccolte sono state ritenute utili per la prevenzione del consumo dannoso di alcol tra gli anziani. Novantasei dei circa 2900 riferimenti bibliografici individuati sono stati classificati rilevanti. Conclusioni. Nonostante un crescente interesse, il consumo di alcol tra gli anziani non è ancora percepito come obiettivo prioritario di prevenzione.Parole chiave: anziano, assunzioni di alcoolici, promozione, prevenzione, Europa.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.