Psychosocial implications of HIV serostatus disclosure to youth with perinatally acquired HIV.


:Recommendations suggest that older children and adolescents perinatally infected with HIV (PHIV+) be informed of their HIV diagnosis; however, delayed disclosure is commonly reported. This study examined the prevalence and timing of HIV disclosure to PHIV+ adolescents and the associations between the timing of disclosure and psychological functioning and other behavioral outcomes. Recruitment took place at four medical centers in New York City between December 2003 and December 2008. This sample included data from 196 PHIV+ youth and their caregivers: 50% of youth were male, 58% African American, 42% Hispanic, with a mean age of 12.71 years. According to caregiver reports, 70% of the PHIV+ youth knew their HIV diagnosis. Youths who had been told were more likely to be older; youths with a Spanish-speaking Latino caregiver and whose caregivers had a grade school education were told at an older age. Youths who had been told their HIV status were significantly less anxious than those who had not been told; there were no other differences in psychological functioning. Youths who knew their status for longer reported higher intentions to self-disclose to potential sex partners. In multivariate analyses only demographic differences associated with timing of disclosure remained. In summary, PHIV+ youth who had been told their HIV status did not show an increase of psychological problems and were more likely to have intentions to self-disclose to sexual partners. Yet, almost one third was entering puberty without important information regarding their illness. Caregivers need support to address factors impeding HIV disclosure.


AIDS Patient Care STDS


Santamaria EK,Dolezal C,Marhefka SL,Hoffman S,Ahmed Y,Elkington K,Mellins CA




Has Abstract


2011-04-01 00:00:00












  • Hepatitis C virus is infrequently evaluated and treated in an urban HIV clinic population.

    abstract::This retrospective cohort study of HIV/hepatitis C virus (HCV) coinfected patients evaluated time trends and rates of HCV evaluation for patients seen between January 1, 1997 and October 30, 2004. Survival analysis and Cox proportional hazards modeling were used to describe the time to evaluation and covariates associ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章


    authors: Scott JD,Wald A,Kitahata M,Krantz E,Drolette L,Corey L,Wang CC

    更新日期:2009-11-01 00:00:00

  • Reengagement in Care After a Gap in HIV Care Among a Population of Privately Insured Persons with HIV in the United States.

    abstract::The HIV care continuum illustrates steps needed to reach HIV viral suppression, including retention in care. The continuum's retention measure does not account for gaps or reengagement in care and thus provides an incomplete picture of long-term engagement. We used a claims database to determine the proportion of priv...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章


    authors: Byrd KK,Furtado M,Bush T,Gardner L

    更新日期:2016-11-01 00:00:00

  • Maternal HIV-1 DNA load and mother-to-child transmission.

    abstract::While many factors contribute to mother-to-child transmission (MTCT) of HIV-1, maternal plasma HIV-1 RNA viral load (RNA-VL) has been consistently found as the main risk factor, including when antiretroviral prophylaxis was used to prevent MTCT. However the predictive value of RNA-VL is poor. A recent study of HIV-1-p...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Arvold ND,Ngo-Giang-Huong N,McIntosh K,Suraseranivong V,Warachit B,Piyaworawong S,Changchit T,Lallemant M,Jourdain G,Perinatal HIV Prevention Trial (PHPT-1), Thailand.

    更新日期:2007-09-01 00:00:00

  • Individual variability in barriers affecting people's decision to take HAART: a qualitative study identifying barriers to being on HAART.

    abstract::The efficacy of highly active antiretroviral therapy (HAART) has been well documented, particularly among HIV-infected individuals with CD4 cell counts below 200/mm(3). Despite this, eligible individuals may continue to show some reluctance to use HAART. The present study explored the factors influencing patients' dec...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章


    authors: Alfonso V,Bermbach N,Geller J,Montaner JS

    更新日期:2006-12-01 00:00:00

  • The spectrum of eye disease in hospitalized adults living with HIV, 1995-2010.

    abstract::Eye disease is a well-documented complication of HIV infection. Opportunistic infections generally comprised the majority of pre-antiretroviral therapy (ART) eye complications. With the introduction of ART, opportunistic infections diminished. However, early ART regimens were cumbersome regarding side effects and pill...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章


    authors: Miller C,Short WR,Perez-Povis L,Lontok J,Fecarotta C,Liu M,Sendecki J,Belden K

    更新日期:2014-02-01 00:00:00

  • Feasibility, acceptability, and preliminary efficacy of the unity workshop: an internalized stigma reduction intervention for African American women living with HIV.

    abstract::Observational studies have examined the prevalence and impact of internalized stigma among African American women living with HIV, but there are no intervention studies investigating stigma reduction strategies in this population. Based on qualitative data previously collected, we adapted the International Center for ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章


    authors: Rao D,Desmond M,Andrasik M,Rasberry T,Lambert N,Cohn SE,Simoni J

    更新日期:2012-10-01 00:00:00

  • Combining Cell and Gene Therapy in an Effort to Eradicate HIV.

    abstract::More than 30 million people are infected with HIV, and HIV remains the fifth leading cause of disability-adjusted life years worldwide. Antiretroviral therapy (ART) dramatically decreases mortality rate, but there are side effects, long-term toxicities, expenses, stigmas, and inconveniences associated with chronic tre...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章


    authors: Wagner TA

    更新日期:2016-12-01 00:00:00

  • Building blocks for peer success: lessons learned from a train-the-trainer program.

    abstract::The National HIV/AIDS Strategy (NHAS) calls for a reduction in health disparities, a reduction in new HIV infections, and improved retention in HIV care and treatment. It acknowledges that HIV-positive peers can play an important role in supporting these aims. However, peer training must be comprehensive enough to equ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,评审


    authors: Tobias CR,Downes A,Eddens S,Ruiz J

    更新日期:2012-01-01 00:00:00

  • Experience of pain among women with advanced HIV disease.

    abstract::We evaluated pain frequency and severity in 339 women enrolled in the Women's Interagency HIV Study (WIHS). Among these, 63% were 39 years of age or younger, 17% were white, 54% African American, and 29% Hispanic; 32% did not complete high school; 58% had a CD4 less than 200; 65% had clinical AIDS; 60% were on highly ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,多中心研究


    authors: Richardson JL,Heikes B,Karim R,Weber K,Anastos K,Young M

    更新日期:2009-07-01 00:00:00

  • Therapy adherence and highly active antiretroviral therapy: comparison of three sources of information.

    abstract::With the advent of the highly active antiretroviral therapy (HAART), adherence became one of the key issues within the behavioral management of the treatment of human immunodeficiency virus (HIV) infection. One of the central limitations in studying adherence to HAART is that usually one has to rely on self-reported m...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章


    authors: Vincke J,Bolton R

    更新日期:2002-10-01 00:00:00

  • Risk of opportunistic infection in the HAART era among HIV-infected Latinos born in the United States compared to Latinos born in Mexico and Central America.

    abstract::There are few studies that compare opportunistic infection (OI) rates for U.S.-born, Mexican-born, and Central American-born Latinos in the pre- or post-highly active antiretroviral therapy (HAART) era. Data on 803 Latino persons in treatment for HIV infection in Los Angeles, California, were examined to evaluate diff...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章


    authors: Wohl AR,Lu S,Turner J,Kovacs A,Witt M,Squires K,Towner W,Beer V

    更新日期:2003-06-01 00:00:00

  • "You must take the medications for you and for me": family caregivers promoting HIV medication adherence in China.

    abstract::China is experiencing a rapid increase in the incidence of HIV infections, which it is addressing proactively with broad implementation of antiretroviral therapy (ART). Within a cultural context extolling familial responsibility, family caregiving may be an important component to promote medication adherence for perso...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章


    authors: Fredriksen-Goldsen KI,Shiu CS,Starks H,Chen WT,Simoni J,Kim HJ,Pearson C,Zhao H,Zhang F

    更新日期:2011-12-01 00:00:00

  • Antiretroviral use among active injection-drug users: the role of patient-provider engagement and structural factors.

    abstract::HIV-seropositive, active injection-drug users (IDUs), compared with other HIV populations, continue to have low rates of highly active antiretroviral therapy (HAART) use, contributing to disparities in their HIV health outcomes. We sought to identify individual-level, interpersonal, and structural factors associated w...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章


    authors: Knowlton AR,Arnsten JH,Eldred LJ,Wilkinson JD,Shade SB,Bohnert AS,Yang C,Wissow LS,Purcell DW

    更新日期:2010-07-01 00:00:00

  • Health-related quality of life in HIV-infected patients: the role of substance use.

    abstract::HIV infection and substance use disorders are chronic diseases with complex contributions to health-related quality of life (HRQOL). We conducted a cross-sectional survey of 951 HIV-infected adults receiving care at 14 HIV Research Network sites in 2003 to estimate associations between HRQOL and specific substance use...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章


    authors: Korthuis PT,Zephyrin LC,Fleishman JA,Saha S,Josephs JS,McGrath MM,Hellinger J,Gebo KA,HIV Research Network.

    更新日期:2008-11-01 00:00:00

  • Cardiac diastolic dysfunction is prevalent in HIV-infected patients.

    abstract::Combination antiretroviral therapy (ART) has markedly improved survival in HIV-infected patients, but not without significant adverse effects including ART-associated dyslipdemia and insulin resistance, which may in part contribute to an increased risk of cardiovascular events. Other contributing factors to cardiovasc...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章


    authors: Nayak G,Ferguson M,Tribble DR,Porter CK,Rapena R,Marchicelli M,Decker CF

    更新日期:2009-04-01 00:00:00

  • Health System Features That Enhance Access to Comprehensive Primary Care for Women Living with HIV in High-Income Settings: A Systematic Mixed Studies Review.

    abstract::Women living with HIV in high-income settings continue to experience modifiable barriers to care. We sought to determine the features of care that facilitate access to comprehensive primary care, inclusive of HIV, comorbidity, and sexual and reproductive healthcare. Using a systematic mixed studies review design, we r...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章


    authors: O'Brien N,Hong QN,Law S,Massoud S,Carter A,Kaida A,Loutfy M,Cox J,Andersson N,de Pokomandy A

    更新日期:2018-04-01 00:00:00

  • Pelvic inflammatory disease in women infected with HIV.

    abstract::Pelvic inflammatory disease (PID) and HIV infection are frequently coincident. The diagnosis of PID can be more difficult to make in HIV-infected than in uninfected women. In general, HIV-infected women with PID have a good response to standard intravenous antibiotic therapy. However, surgical therapy is more frequent...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,评审


    authors: Korn AP

    更新日期:1998-06-01 00:00:00

  • Review of metabolic, immunologic, and virologic consequences of suboptimal vitamin D levels in HIV infection.

    abstract::Low 25-hydroxyvitamin D levels are common in the general and HIV-infected populations alike. Defined as levels less than 30 ng/mL, suboptimal vitamin D is known to afflict over 70% of representative samples from each group in resource-rich countries with even greater prevalence in resource-poor regions of the world. I...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,评审


    authors: Griffin AT,Arnold FW

    更新日期:2012-09-01 00:00:00

  • Potential for new antiretrovirals to address unmet needs in the management of HIV-1 infection.

    abstract::Despite the myriad advances in antiretroviral therapy since the original highly active antiretroviral therapy regimens were developed, there remain numerous important and pressing unmet needs that, if addressed, would substantially improve the quality of life and longevity of HIV-infected patients. The most achievable...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,评审


    authors: Moyle G,Gatell J,Perno CF,Ratanasuwan W,Schechter M,Tsoukas C

    更新日期:2008-06-01 00:00:00

  • A novel combination HIV prevention strategy: post-exposure prophylaxis with contingency management for substance abuse treatment among methamphetamine-using men who have sex with men.

    abstract::Methamphetamine use has been associated with HIV transmission among men who have sex with men (MSM). However, providers have been hesitant to utilize post-exposure prophylaxis (PEP) in populations of stimulant users. This single-arm, open label pilot study sought to demonstrate the safety, feasibility, and acceptabili...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章


    authors: Landovitz RJ,Fletcher JB,Inzhakova G,Lake JE,Shoptaw S,Reback CJ

    更新日期:2012-06-01 00:00:00

  • Legislated human immunodeficiency virus testing in New York State Emergency Departments: reported experience from Emergency Department providers.

    abstract::In 2010, New York (NY) passed new legislation mandating Emergency Departments (EDs) to offer HIV tests to patients 13-64 presenting for care. We evaluated the requirement's implementation and determined differences based on HIV prevalence or site-specific designated AIDS centers (DACs). We also evaluated policies for ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章


    authors: Egan DJ,Cowan E,Fitzpatrick L,Savitsky L,Kushner J,Calderon Y,Agins BD

    更新日期:2014-02-01 00:00:00

  • HIV System Navigation: an emerging model to improve HIV care access.

    abstract::Little is known about the effectiveness of outreach interventions to engage and retain underserved populations living with HIV in stable, primary medical care. This study provided an opportunity to adapt a patient navigation model first developed for cancer care to assess its effectiveness with HIV-infected disadvanta...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章


    authors: Bradford JB,Coleman S,Cunningham W

    更新日期:2007-01-01 00:00:00

  • Stridor and difficult airway in an AIDS patient.

    abstract::Kaposi's sarcoma (KS) is the most common malignancy observed in patients with acquired immune deficiency syndrome (AIDS). Although KS involves the head and neck in AIDS patients, difficult airway due to KS in an AIDS patient has rarely been reported in the literature. We report a patient with AIDS and cutaneous KS who...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章


    authors: Alkhuja S,Menkel R,Patel B,Ibrahimbacha A

    更新日期:2001-06-01 00:00:00

  • Preintervention Profiles of Information, Motivational, and Behavioral Self-Efficacy for Methamphetamine Use and HIV Medication Adherence Among Gay and Bisexual Men.

    abstract::Although rates of crystal methamphetamine use in the United States have fallen from their peak in the mid-2000s, use remains a major public health concern, which disproportionately affects gay and bisexual men (GBM). It poses a particular challenge for HIV-positive men, for whom it has been linked to medication adhere...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章


    authors: Starks TJ,Millar BM,Lassiter JM,Parsons JT

    更新日期:2017-02-01 00:00:00

  • Rilpivirine versus efavirenz with emtricitabine/tenofovir disoproxil fumarate in treatment-naïve HIV-1-infected patients with HIV-1 RNA ≤100,000 copies/mL: week 96 pooled ECHO/THRIVE subanalysis.

    abstract::The once daily, single-tablet regimen (STR) combining rilpivirine (RPV), emtricitabine (FTC), and tenofovir disoproxil fumarate (TDF) provides a simplified treatment option for antiretroviral therapy (ART)-naïve patients with baseline HIV-1 RNA (BLVL) of ≤100,000 copies/mL. The aim of this analysis is to compare long-...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,随机对照试验


    authors: Behrens G,Rijnders B,Nelson M,Orkin C,Cohen C,Mills A,Elion RA,Vanveggel S,Stevens M,Rimsky L,Thorpe D,Bosse M,White K,Zhong L,DeMorin J,Chuck SK

    更新日期:2014-04-01 00:00:00

  • AIDS presenting with cutaneous Kaposi's sarcoma and bacillary angiomatosis in the bone marrow mimicking Kaposi's sarcoma.

    abstract::Kaposi's sarcoma (KS) and bacillary angiomatosis (BA) may be histologically similar. A precise diagnosis is required because of the different management of these diseases. KS or BA involving bone marrow is rare in patients with and without acquired immune deficiency syndrome (AIDS). We report the case of a 40-year-old...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章


    authors: Rosales CM,McLaughlin MD,Sata T,Katano H,Veno PA,de Las Casas LE,Miranda RN

    更新日期:2002-12-01 00:00:00

  • Dual infection with Mycobacterium tuberculosis and Pneumocystis jiroveci Lymphadenitis in a Patient with HIV infection: case report and review of the literature.

    abstract::We report a case of dual Mycobacterium tuberculosis (TB) and Pneumocystis jiroveci (carinii) (PCP) lymphadenitis in a patient with HIV who had been receiving trimethoprim-sulfamethoxazole (TMP-SMX) as systemic prophylaxis for PCP. This patient was successfully treated with antituberculosis medications and TMP-SMX. Our...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,评审


    authors: Khawcharoenporn T,Apisarnthanarak A,Sakonlaya D,Mundy LM,Bailey TC

    更新日期:2006-01-01 00:00:00

  • Attitudes and perceptions of AIDS clinical trials group site coordinators on HIV clinical trial recruitment and retention: a descriptive study.

    abstract::HIV-seropositive blacks, Hispanics, women of all ethnicities, and injection drug users (IDUs) have low rates of clinical trial participation. The opinions of research nurses and study coordinators as potential facilitators and barriers to access to clinical trials may contribute to this disparity. Study coordinators a...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章


    authors: King WD,Defreitas D,Smith K,Andersen J,Perry LP,Adeyemi T,Mitty J,Fritsche J,Jeffries C,Littles M,Fischl M,Pavlov G,Mildvan D,Underrepresented Populations Committee of the Adult AIDS Clinical Trials Group (AACTG).

    更新日期:2007-08-01 00:00:00

  • Sadness in the SUN: using computerized screening to analyze correlates of depression and adherence in HIV-infected adults in the United States.

    abstract::We used a standardized screening tool to examine frequency of depression and its relation to antiretroviral medication adherence among HIV-infected persons on highly active antiretroviral therapy (HAART) in the Study to Understand the Natural History of HIV/AIDS in the Era of Effective Therapy (SUN Study). This is a p...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,多中心研究


    authors: Tedaldi EM,van den Berg-Wolf M,Richardson J,Patel P,Durham M,Hammer J,Henry K,Metzler S,Önen N,Conley L,Wood K,Brooks JT,Buchacz K,SUN Study Investigators.

    更新日期:2012-12-01 00:00:00

  • Adherence to HAART regimens.

    abstract::The problem of inadequate adherence to prescribed highly active antiretroviral therapy (HAART) drug regimens to treat HIV infection and AIDS is ubiquitous. Adherence can be inadequate despite both provider and patient understanding of the consequences of nonadherence. Successful long-term treatment of HIV/AIDS require...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,评审


    authors: Chesney M

    更新日期:2003-04-01 00:00:00