Correlates of ART Use Among Newly Diagnosed HIV Positive Adolescent Girls and Young Women Enrolled in HPTN 068

Filiatreau, Lindsey M; Wright, Mark S.; Kimaru, Linda; Gómez‐Olivé, Francesc Xavier; Selin, Amanda; Twine, Rhian; Kahn, Kathleen; Pettifor, Audrey

doi:10.1007/s10461-020-02817-1

Cited by 6 publications

(5 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We also searched the Open Grey database for grey literature but did not find any relevant articles. After removing duplicates and screening the articles by the eligibility criteria, 166 articles were included in the review [ 6 , 20 , 22 , 23 , 24 , 25 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , ...…”

Section: Resultsmentioning

confidence: 99%

“…The included studies recruited a total of 68,933 participants, with individual sample sizes ranging from 14 in Rwanda [ 98 ] to 2987 in China [ 187 ]. The recruited participants included diverse samples of PLWH, including adolescents and young adults living with HIV in 12 studies [ 22 , 23 , 38 , 62 , 72 , 80 , 83 , 125 , 126 , 129 , 163 , 178 ], adolescent girls and young women living with HIV in four studies [ 33 , 54 , 68 , 117 ], pregnant women living with HIV in one study [ 31 ], older women living with HIV in one study [ 151 ], older adults living with HIV in seven studies [ 44 , 61 , 63 , 77 , 81 , 139 , 161 ], women living with HIV in 19 studies [ 25 , 42 , 50 , 57 , 58 , 59 , 89 , 90 , 110 , 123 , 135 , 136 , 138 , 141 , 157 , 158 , 168 , 169 , 179 ], men living with HIV in six studies [ 46 , 75 ,…”

Section: Resultsmentioning

confidence: 99%

“…For internal consistency, all the studies, except a 4-item scale in one study [ 127 ] and some subscales in ten studies [ 23 , 52 , 68 , 69 , 91 , 111 , 170 , 172 , 176 , 189 ], reported Cronbach’s alphas of above the recommended acceptable threshold of 0.70 [ 191 ]. Two studies [ 34 , 95 ] reported the internal consistency of the HSS using McDonald’s omega instead of Cronbach’s alpha and reported good reliability ( Table 1 and Supplementary Table S2 ).…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Psychometric Properties of the Berger HIV Stigma Scale: A Systematic Review

Wanjala

Too

Luchters

et al. 2021

IJERPH

View full text Add to dashboard Cite

Addressing HIV-related stigma requires the use of psychometrically sound measures. However, despite the Berger HIV stigma scale (HSS) being among the most widely used measures for assessing HIV-related stigma, no study has systematically summarised its psychometric properties. This review investigated the psychometric properties of the HSS. A systematic review of articles published between 2001 and August 2021 was undertaken (CRD42020220305) following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Additionally, we searched the grey literature and screened the reference lists of the included studies. Of the total 1241 studies that were screened, 166 were included in the review, of which 24 were development and/or validation studies. The rest were observational or experimental studies. All the studies except two reported some aspect of the scale’s reliability. The reported internal consistency ranged from acceptable to excellent (Cronbach’s alpha ≥ 0.70) in 93.2% of the studies. Only eight studies reported test–retest reliability, and the reported reliability was adequate, except for one study. Only 36 studies assessed and established the HSS’s validity. The HSS appears to be a reliable and valid measure of HIV-related stigma. However, the validity evidence came from only 36 studies, most of which were conducted in North America and Europe. Consequently, more validation work is necessary for more precise insights.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Psychometric Properties of the Berger HIV Stigma Scale: A Systematic Review

Wanjala

Too

Luchters

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…An example item is “ I feel I’m not as good a person as others because I have HIV ”, and responses are on a 4-point Likert scale, ranging from strongly disagree (1) to strongly agree (4) (α = 0.74 at BL; α = 0.77 at f-up). The HIV stigma scale has been used extensively, including in young people living with HIV in South Africa [ 78 ].…”

Section: Methodsmentioning

confidence: 99%

The HIV Empowering Adults’ Decisions to Share: UK/Uganda (HEADS-UP) Study—A Randomised Feasibility Trial of an HIV Disclosure Intervention for Young Adults with Perinatally Acquired HIV

Evangeli,

Gnan,

Musiime

et al. 2024

AIDS Behav

View full text Add to dashboard Cite

Young adults with perinatally acquired HIV (PAH) face numerous challenges, including antiretroviral therapy (ART) adherence, managing onward HIV transmission risks and maintaining wellbeing. Sharing one’s HIV status with others (onward HIV disclosure) may assist with these challenges but this is difficult. We developed and tested the feasibility of an intervention to help HIV status sharing decision-making for young adults with PAH. The study used a randomised parallel group feasibility design with 18–25-year-olds in Uganda and 18–29 year-olds in the UK. Participants were randomly assigned to intervention or standard of care (SOC) condition. The intervention consisted of four sessions (3 group, 1 individual) with follow-up support, delivered in person in Uganda and remotely in the UK. Assessments were carried out at: Pre-intervention /baseline; Post-intervention (intervention group only); Six-month follow-up. 142 participants were recruited (94 Uganda, 48 UK; 89 female, 53 male). At six-month follow-up, 92/94 (98%) participants were retained in Uganda, 25/48 (52%) in the UK. Multivariate analysis of combined data from both countries, showed a non-significant effect of intervention condition on HIV disclosure cognitions and affect (p = 0.08) and HIV disclosure intention (p = 0.09). There was a significant intervention effect on well-being (p = 0.005). This study addressed important gaps in understanding acceptable and feasible ways of delivering HIV status sharing support for young people living with PAH across two very different settings. The intervention was acceptable in both countries and feasible in Uganda. In the UK, retention may have been affected by its remote delivery.Trial registration: ISRCTN Registry, ISRCTN31852047, Registered on 21 January 2019.

show abstract

“…In many low-and middle-income countries, particularly in rural settings, improving HIV care outcomes in YWH is further complicated by limited access to both mental healthcare and age-appropriate clinical services [ 22 – 24 ]. Young people often fear stigmatization by healthcare providers and their peers, have difficulty accessing services outside school hours, or are deterred from seeking sexual health services by parental consent policies [ 25 , 26 ].…”

Section: Introductionmentioning

confidence: 99%

Associations Between Key Psychosocial Stressors and Viral Suppression and Retention in Care Among Youth with HIV in Rural South Africa

et al. 2021

Self Cite

View full text Add to dashboard Cite

Despite improvements in access to antiretroviral treatment over the past decade, sub-optimal HIV care outcomes persist among youth with HIV (YWH) in rural South Africa. Psychosocial stressors could impede improved HIV treatment outcomes within this population. We linked self-reported psychosocial health and demographic data from a cross-sectional survey conducted among YWH aged 12–24 in rural South Africa to individual medical record data, including facility visit history and viral load measurements. Poisson regression with robust standard errors was used to estimate the associations between five psychosocial stressors- heightened depressive symptoms (Center for Epidemiological Studies-Depression scale scores ≥ 16), lower social support (Medical Outcomes Social Support Scale scores ≤ 38), lower resilience (Conner-Davidson Resilience Scale scores ≤ 73), lower self-esteem (Rosenberg Self-Esteem Scale scores ≤ 21), and higher perceived stress (Sheldon Cohen Perceived Stress Scale scores ≥ 10)- and viral non-suppression (viral load ≥ 400 copies/mL) and loss to care (no documented clinic visits within the 90 days prior to survey), separately. A total of 359 YWH were included in this analysis. The median age of study participants was 21 (interquartile range: 16–23), and most were female (70.2%), single (82.4%), and attending school (54.7%). Over a quarter of participants (28.1%) had heightened depressive symptoms. Just 16.2% of all participants (n = 58) were lost to care at the time of survey, while 32.4% (n = 73) of the 225 participants with viral load data were non-suppressed. The prevalence of non-suppression in individuals with lower self-esteem was 1.71 (95% confidence interval: 1.12, 2.61) times the prevalence of non-suppression in those with higher self-esteem after adjustment. No meaningful association was observed between heightened depressive symptoms, lower social support, lower resilience, and higher perceived stress and viral non-suppression or loss to care in adjusted analyses. Retention in care and viral suppression among YWH in rural South Africa are below global targets. Interventions aimed at improving viral suppression among YWH should incorporate modules to improve participant’s self-esteem as low self-esteem is associated with viral non-suppression in this setting. Future studies should longitudinally explore the joint effects of co-occurring psychosocial stressors on HIV care outcomes in YWH and assess meaningful differences in these effects by age, gender, and route of transmission.

show abstract

Correlates of ART Use Among Newly Diagnosed HIV Positive Adolescent Girls and Young Women Enrolled in HPTN 068

Cited by 6 publications

References 48 publications

Psychometric Properties of the Berger HIV Stigma Scale: A Systematic Review

Psychometric Properties of the Berger HIV Stigma Scale: A Systematic Review

The HIV Empowering Adults’ Decisions to Share: UK/Uganda (HEADS-UP) Study—A Randomised Feasibility Trial of an HIV Disclosure Intervention for Young Adults with Perinatally Acquired HIV

Associations Between Key Psychosocial Stressors and Viral Suppression and Retention in Care Among Youth with HIV in Rural South Africa

Contact Info

Product

Resources

About