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Using a “Positive Deviance” Framework to Discover Adaptive Risk Reduction Behaviors Among High-Risk HIV Negative Black Men Who Have Sex with Men

AbstractDespite the high incidence of HIV among young Black MSM in the United States and engagement in high risk behaviors, many men in this group avoid infection. This suggests that some men may engage in systematic risk reduction behaviors when not always using condoms or abstaining from substances. Using a “positive deviance” framework, we conducted qualitative interviews with HIV-negative, Black MSM between 25 and 35 who reported unprotected anal sex and drug use in the past six months or current heavy drinking (N = 29) to discover behaviors that could facilitate remaining HIV-uninfected. Findi ngs showed that MSM who remain HIV negative despite continuing to engage in high-risk behaviors may be engaging in adaptive risk reduction behaviors that, through successive decisions and advance planning along the timeline to a sexual event, could lead to increased condom use, avoidance or delay of a risky sexual event, or reduction of HIV positive partners.
Source: AIDS and Behavior - Category: Infectious Diseases Source Type: research

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DISCUSSION: We estimated that 10,110 PLHIV resided in NSW in 2016 (range 8400 to 11,720), among whom 9230 (91.3%) were diagnosed, and 8490 (92.0% of those diagnosed) were receiving ART. Among PLDHIV receiving ART, 8020 (94.5%) had suppressed viral load (
Source: Journal of the International AIDS Society - Category: Infectious Diseases Tags: J Int AIDS Soc Source Type: research
CONCLUSION: Both community-models had similar population-level effectiveness for rapidly identifying people living with HIV but differed in effectively transitioning them to treatment. Comprehensiveness, integration and attention to barriers to care are important in the design of community antiretroviral treatment delivery. PMID: 29675995 [PubMed - in process]
Source: Journal of the International AIDS Society - Category: Infectious Diseases Tags: J Int AIDS Soc Source Type: research
Source: Patient Education and Counseling - Category: International Medicine & Public Health Authors: Source Type: research
Publication date: Available online 21 April 2018 Source:Global Heart Author(s): Christopher T. Longenecker, Ankur Kalra, Emmy Okello, Peter Lwabi, John O. Omagino, Cissy Kityo, Moses R. Kamya, Allison R. Webel, Daniel I. Simon, Robert A. Salata, Marco A. Costa In this case study, we describe an ongoing approach to develop sustainable acute and chronic cardiovascular care infrastructure in Uganda that involves patient and provider participation. Leveraging strong infrastructure for HIV/AIDS care delivery, University Hospitals Harrington Heart and Vascular Institute and Case Western Reserve University have partnered with U....
Source: Global Heart - Category: Cardiology Source Type: research
[Observer] The government has revived its HIV testing guidelines of 2016 and started encouraging all family members with HIV positive patients to be screened.
Source: AllAfrica News: HIV-Aids and STDs - Category: Infectious Diseases Source Type: news
This study adds to our understanding of stigma by assessing how perceived stigma varies from one context to another and how such differences are associated with the location where individuals would prefer an HIV test. We used self-administered questionnaire data (n = 378) obtained from a convenience sample of students (18 years and older) attending a tertiary education institution in Durban, South Africa. Perceived stigma in the university environment was compared to perceived stigma in the home community environment. Multiple logistic regression analysis tested whether a higher level of perceived stigma in one setting was...
Source: African Journal of AIDS Research - Category: African Health Tags: Afr J AIDS Res Source Type: research
Immunodeficiency, whether congenital or acquired, iatrogenic (e.g. allograft recipients) or infectious (e.g. human immunodeficiency virus (HIV)), is associated with an increased risk of malignancy. In the case of HIV infection, most cancers are associated with oncogenic virus infection. Although the overall risk of any cancer is increased 2 –3-fold in people living with HIV, there are three acquired immune deficiency syndrome (AIDS)-defining cancers whose relative risk is dramatically higher. These three AIDS-defining illnesses are Kaposi's sarcoma, high-grade B cell non-Hodgkin's lymphoma (including primary cerebral...
Source: Medicine - Category: Internal Medicine Authors: Tags: HIV and its complications Source Type: research
SAN FRANCISCO - What are some of the hottest uses for 3D printing in radiology?...Read more on AuntMinnie.comRelated Reading: 3DHeals 2018 to foster collaboration in medical 3D printing SIR: 3D printing aids US-guided procedure simulation 3D printing enters brave new world 3DHeals: 3D printing start-ups demand skill, persistence Top 10 healthcare 3D printing events of 2016
Source: AuntMinnie.com Headlines - Category: Radiology Source Type: news
HIV &Hepatitis in the Americas 19-21 April 2018, Mexico City, Mexico. J Int AIDS Soc. 2018 Apr;21 Suppl 3:e25093 Authors: PMID: 29671462 [PubMed - in process]
Source: Journal of the International AIDS Society - Category: Infectious Diseases Tags: J Int AIDS Soc Source Type: research
Source: Annals of Hematology - Category: Hematology Source Type: research
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