Improving Adherence to Care Among “Hard to Reach” HIV-Infected Patients in Argentina

Jones, Deborah L.; Sued, Omar; Cecchini, Diego; Bofill, Lina; Cook, Ryan; Lucas, Mar; Bordato, Alejandra; Cassetti, Isabel; Cahn, Pedro

doi:10.1007/s10461-015-1133-8

Cited by 20 publications

(39 citation statements)

References 43 publications

(51 reference statements)

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“…Other studies in LMIC have found similarly high rates of IMB- Behavior endorsement relative to other subscales, but also higher levels of IMB- Motivation compared to the current study. 36 , 37 Future studies examining mechanistic interrelations between information, motivation, behavior, and adherence may aid in disentangling these observed differences.…”

Section: Discussionmentioning

confidence: 99%

Patient-Provider Communication and Information, Motivation, and Behavioral Skills in HIV-Positive Adults Initiating Antiretroviral Therapy in Haiti

Ramaiya

Haight

Simoni

et al. 2020

J Int Assoc Provid AIDS Care

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While Haiti has scaled up use of antiretroviral therapy (ART), current studies suggest sub-optimal adherence threatens long-term viral suppression in this understudied setting. Patient-provider communication (PPC) and information, motivation, and behavioral skills (IMB) have been implicated in ART adherence globally. However, no studies have examined their relevance in Haiti. The present mixed-methods study utilized cross-sectional survey data from 128 ART-initiating patients at 2 large HIV treatment sites in Haiti, as well as observational data from 12 clinic visits, to document associations between adherence-related PPC and IMB. Multivariate regression analyses suggested that PPC is associated with IMB constructs. At the bivariate level, more effective PPC was associated with higher levels of adherence-related information and motivation, but not behavioral skills. Observational findings indicate infrequent and non-collaborative adherence support. Taken together, findings lay the groundwork for additional research in the area of PPC, IMB, and ART adherence in Haiti.

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Section: Discussionmentioning

confidence: 99%

Patient-Provider Communication and Information, Motivation, and Behavioral Skills in HIV-Positive Adults Initiating Antiretroviral Therapy in Haiti

Ramaiya

Haight

Simoni

et al. 2020

J Int Assoc Provid AIDS Care

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“…While considerable progress has been achieved with ART/HAART, nonetheless, too many people of the diverse at-risk categories unprecedentedly continue the spread of HIV. Support by "Adherence to the care…" [112] [113] and online services [114] may be helpful to some degree. The proposals published by the ECDC/WHO are not innovative: "Multi-component interventions and the consideration of new strategies, such as the inclusion of pre-exposure prophylaxis for HIV, self-testing and assisted partner notification into the package of prevention and control interventions, could help to curb this increasing trend [115]."…”

Section: Discussionmentioning

confidence: 99%

The Disregarded HIV Prevention Strategies—Their Potential to Uphold the Pandemic, and the Challenges Facing Societies

Dennin¹,

Sinn²,

Du³

2018

WJA

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The ongoing spread of HIV after sobering news about the goal "End of AIDS" is not encouraging, apart from regional differences. We focus on the consequences of the two essentially failed HIV prevention strategies in certain countries. The first failed because the correct messages concerning preventive behavior did not reach the required levels of target populations to interrupt HIV infection chains. There was a lack of appropriate framework conditions for the target populations to engage in the required scale. The additional biomedical strategy "Treatment as Prevention" didn't achieve the breakthrough as was hoped. The consequences thereof affect the financial burden on societies, which can take several decades. We draw attention to the unbalanced principles of proportionality to which governments are committed, but which are practiced in favor of those vulnerable people; these people abuse their autonomy and contribute to the further spread of HIV at the expense of financial burdens, social and medical care systems; this behavior is tolerated, although the transmission of HIV is mostly preventable. We point to extreme tendencies, such as the chem-sex settings, whose unswayable participants engage in indirect violence against the societies. Another possible consequence of the still uncontrolled spread of HIV is the potential for HIV to increase its virulence.

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“…But it turned out that the circumstances to motivate HIV patients to cooperate here have to be structured to the very individual needs to help them [42]. Enforcing the linking to health care for HIV patients seems to be a necessary thing to do [43] [44]. A dire situation is given with people living with HIV/AIDS (PLWH) who know their HIV-positive status but do not initiate cART [45].…”

Section: ) Hiv Carementioning

confidence: 99%

The HIV Infection: Clarification of Its Legal Classification of Transmission and Measures to Protect Societies from Burdening Caused by Social and Medical Care Services for the Coming Decades

Dennin¹,

Sinn²

2019

WJA

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This article addresses issues regarding the transmission of HIV; without the combination antiretroviral treatment (cART), HIV causes a fatal outcome of those infected in most cases. First, legal issues: For years, controversial discussions have dealt with the subject of the legal classification of HIV infection, such as "… criminalization of HIV exposure might limit access to and uptake of HIV prevention services…" Based on the rule of law of a constitutional state, we explain the legal principles that serve to protect the legal rights of its citizens. The state has to protect its citizens from harm by other people. The prosecution and conviction of a specific person for a proven HIV infection are legal. Therefore, general decriminalization of HIV infection would undermine the right of thereby harmed citizens to compensation. Second, HIV prevention strategies: Based on the Test and Treatment Strategy (TASP) 1 , controlled studies were undertaken to find out which framework conditions could improve their benefit. We outline concepts that can help to curb the still ongoing spread of HIV: By providing early HIV diagnosis and ongoing HIV care services as part of updated education and prevention campaigns. Also, concerted, comprehensive campaigns are required to demonstrate further impacts of HIV infection: Both on the quality of life of infected individuals due to the development of non-communicable diseases and the increasing burden to societies as a whole.

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Improving Adherence to Care Among “Hard to Reach” HIV-Infected Patients in Argentina

Cited by 20 publications

References 43 publications

Patient-Provider Communication and Information, Motivation, and Behavioral Skills in HIV-Positive Adults Initiating Antiretroviral Therapy in Haiti

Patient-Provider Communication and Information, Motivation, and Behavioral Skills in HIV-Positive Adults Initiating Antiretroviral Therapy in Haiti

The Disregarded HIV Prevention Strategies—Their Potential to Uphold the Pandemic, and the Challenges Facing Societies

The HIV Infection: Clarification of Its Legal Classification of Transmission and Measures to Protect Societies from Burdening Caused by Social and Medical Care Services for the Coming Decades

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