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  • 1
    Online Resource
    Online Resource
    Modeling HIV Transmission from Sexually Active Alcohol-Consuming Men in ART Programs to Seronegative Wives
    SAGE Publications ; 2020
    In:  Journal of the International Association of Providers of AIDS Care (JIAPAC) Vol. 19 ( 2020-01-01), p. 232595822095228-
    Details
    In: Journal of the International Association of Providers of AIDS Care (JIAPAC), SAGE Publications, Vol. 19 ( 2020-01-01), p. 232595822095228-
    Abstract: The rollout of antiviral therapy in Low and Middle Income Countries (LMICs) has reduced HIV transmission rates at the potential risk of resistant HIV transmission. We sought to predict the risk of wild type and antiviral resistance transmissions in these settings. Methods: A predictive model utilizing viral load, ART adherence, genital ulcer disease, condom use, and sexual event histories was developed to predict risks of HIV transmission to wives of 233 HIV+ men in 4 antiretroviral treatment centers in Maharashtra, India. Results: ARV Therapy predicted a 5.71-fold reduction in transmissions compared to a model of using condoms alone, with 79.9%, of remaining transmissions resulting in primary ART-resistance. Conclusions: ART programs reduce transmission of HIV to susceptible partners at a substantial increased risk for transmission of resistant virus. Enhanced vigilance in monitoring adherence, use of barrier protections, and viral load may reduce risks of resistant HIV transmissions in LMIC settings.
    Type of Medium: Online Resource
    ISSN: 2325-9582 , 2325-9582
    URL: Article
    DOI: 10.1177/2325958220952287
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2020
    detail.hit.zdb_id: 2709037-1
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  • 2
    Online Resource
    Online Resource
    Sexual Risk Behaviors, HIV Prevalence and Access to Reproductive Health Services Among Young Women Migrant Workers in the Industrial Zones in Vietnam
    Frontiers Media SA ; 2021
    In:  Frontiers in Reproductive Health Vol. 3 ( 2021-12-3)
    Details
    In: Frontiers in Reproductive Health, Frontiers Media SA, Vol. 3 ( 2021-12-3)
    Abstract: Background: Young migrant workers working in the industrial zones (IZ) in low and middle-income countries are at risk for HIV and other sexually transmitted diseases. This study examines the sex-related risks of young women migrant workers in the IZ in Vietnam. Materials and Methods: This cross-sectional survey was conducted among 1,061 young migrant women working in the IZ park in Hanoi, Vietnam. Multivariate logistic regression analysis was used to identify factors associated with HIV testing and condom use at last sex. Results: A total of 1,061 young women migrant workers completed the survey in which 652 participants consented to take the initial rapid HIV test. All but one participant tested negative indicating a HIV prevalence of 150 (95% CI: 27–860) per 100,000 population among this population. There were no differences in sexual behavior, use of sexual and reproductive health services, HIV knowledge, perceived HIV risk or alcohol use between those who were HIV tested and those not tested. Single participants reported high rates of first sex while living in the IZ and high rates of condom use during the first-time sex, however, they had low levels of condom use at last sex. While the majority of married participants used the SRH/HIV services, nearly 80% of the single participants who reported having sex never used SRH/HIV services since living in the IZ. However, single participants were over 4 times more likely to use condoms at last sex compared to married participants (OR = 4.67; 95%CI = 2.96–7.85). Participants with vocational school or higher education was more likely to use condom (OR = 2.19; 95%CI = 1.05–4.57). Neither HIV knowledge or alcohol use were associated with condom use. Conclusions: Although HIV prevalence is very low among young women workers in the IZ in Vietnam, a significant number of them engaged in risky sexual behavior and low levels of condom use at last sex as well as low level of using SRH/HIV services highlights a need to develop interventions that provide tailored-made and cultural appropriate SRH education for unmarried female migrant workers to prevent risky sexual behaviors, sexually transmitted diseases and unwanted pregnancy.
    Type of Medium: Online Resource
    ISSN: 2673-3153
    URL: Article
    DOI: 10.3389/frph.2021.775375
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2021
    detail.hit.zdb_id: 3035401-8
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  • 3
    Online Resource
    Online Resource
    The Role of Alcohol on Antiretroviral Therapy Adherence Among Persons Living With HIV in Urban India
    Alcohol Research Documentation, Inc. ; 2017
    In:  Journal of Studies on Alcohol and Drugs Vol. 78, No. 5 ( 2017-09), p. 716-724
    Details
    In: Journal of Studies on Alcohol and Drugs, Alcohol Research Documentation, Inc., Vol. 78, No. 5 ( 2017-09), p. 716-724
    Type of Medium: Online Resource
    ISSN: 1937-1888 , 1938-4114
    URL: Article
    DOI: 10.15288/jsad.2017.78.716
    Language: English
    Publisher: Alcohol Research Documentation, Inc.
    Publication Date: 2017
    SSG: 15,3
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  • 4
    Online Resource
    Online Resource
    Water sources and kidney function: investigating chronic kidney disease of unknown etiology in a prospective study
    Springer Science and Business Media LLC ; 2021
    In:  npj Clean Water Vol. 4, No. 1 ( 2021-12-03)
    Details
    In: npj Clean Water, Springer Science and Business Media LLC, Vol. 4, No. 1 ( 2021-12-03)
    Abstract: A chronic Kidney Disease of unknown etiology (CKDu) has emerged with disproportionately high prevalence across dry lowland agricultural communities globally. Here we present the results of a prospective cohort of 293 patients with CKDu in the endemic region of Wilgamuwa, Sri Lanka, in whom we measured baseline kidney function and undertook quarterly follow up over 2 years. Well water was the primary historic drinking water source in the region, although a majority (68%) of participants reported switching to reverse osmosis water during study follow ups. Participants who reported ever drinking from well water had estimated glomerular filtration rates −6.7 (SD: 2.8) ml/min/1.73 m 2 lower than participants who did not drink from well water historically ( p  = 0.0184) during the study period. Geospatial analysis identifies a cluster within the region where CKDu progression is significantly higher than the surrounding area. Samples of household wells ( n  = 262) indicated 68% had detectable agrochemical compounds with concentration above global water quality standards. It is expected that the detected contaminants compounds are indicators of poor water quality and that there is likely additional agrochemical exposure including commercial additives that may contribute to CKDu onset and/or progression. Thus, our study finds that well water exposure during a person’s lifetime in this region is associated with kidney function decline and identifies and quantifies putative nephrotoxic agrochemicals above safe drinking water concentrations in these wells.
    Type of Medium: Online Resource
    ISSN: 2059-7037
    URL: Article
    DOI: 10.1038/s41545-021-00141-2
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2934614-9
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  • 5
    Online Resource
    Online Resource
    Data on early assessment of knowledge, attitudes, and behavioral responses to COVID-19 among Connecticut residents
    Elsevier BV ; 2020
    In:  Data in Brief Vol. 33 ( 2020-12), p. 106347-
    Details
    In: Data in Brief, Elsevier BV, Vol. 33 ( 2020-12), p. 106347-
    Type of Medium: Online Resource
    ISSN: 2352-3409
    URL: Article
    DOI: 10.1016/j.dib.2020.106347
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2020
    detail.hit.zdb_id: 2786545-9
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  • 6
    Online Resource
    Online Resource
    Sexual intimacy and marital relationships in a low-income urban community in India
    Informa UK Limited ; 2018
    In:  Culture, Health & Sexuality Vol. 20, No. 10 ( 2018-10-03), p. 1087-1101
    Details
    In: Culture, Health & Sexuality, Informa UK Limited, Vol. 20, No. 10 ( 2018-10-03), p. 1087-1101
    Type of Medium: Online Resource
    ISSN: 1369-1058 , 1464-5351
    URL: Article
    DOI: 10.1080/13691058.2018.1491060
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2018
    detail.hit.zdb_id: 2023577-X
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  • 7
    Online Resource
    Online Resource
    A multilevel intervention to reduce stigma among alcohol consuming men living with HIV receiving antiretroviral therapy: findings from a randomized control trial in India
    Ovid Technologies (Wolters Kluwer Health) ; 2020
    In:  AIDS Vol. 34, No. 1 ( 2020-09-1), p. S83-S92
    Details
    In: AIDS, Ovid Technologies (Wolters Kluwer Health), Vol. 34, No. 1 ( 2020-09-1), p. S83-S92
    Abstract: To examine the effectiveness of a multilevel intervention to reduce HIV stigma among alcohol consuming men living with HIV in India. Design: A crossover randomized controlled trial in four sites. Setting: Government ART centres (ARTCs) offering core services in the greater Mumbai area. Participants: Seven hundred and fifty two (188 per site) alcohol-consuming male PLHIV on ART were recruited. Intervention: Multilevel intervention to reduce alcohol consumption and promote adherence by addressing stigma, implemented at the individual (individual counselling, IC), group (group intervention, GI) and community levels (collective advocacy, CA) in three distinct sequences over three cycles of 9 months each. Main outcome measure: HIV stigma, measured using the 16-item Berger Stigma scale. Methods: The article examines the effectiveness of the interventions to reduce stigma using Linear Mixed Model regression. Results: At baseline, 57% of participants had moderate-high levels of stigma (scores 〉 40). All three counseling interventions were effective in reducing stigma when delivered individually, in the first cycle (collective advocacy: β coeff  = −9.71; p   〈  0.001; group intervention: β coeff  = −5.22; p   〈  0.001; individual counselling: β coeff  = −4.43; p   〈  0.001). At then end of the second cycle, effects from the first cycle were sustained with no significant change in stigma scores. At the end of the third cycle, the site, which received CA+IC+GI sequence had maximum reduction in stigma scores ( β coeff  = −10.29; p   〈  0.001), followed by GI+CA+IC ( β coeff  = −8.23, p   〈  0.001). Conclusion: Baseline findings suggest that stigma remains a problem even with experienced patients, despite advances in treatment and adherence. Results of multilevel stigma reduction interventions argue for inclusion in HIV prevention and treatment program
    Type of Medium: Online Resource
    ISSN: 0269-9370 , 1473-5571
    URL: Article
    DOI: 10.1097/QAD.0000000000002604
    RVK:
    XA 16838
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2020
    detail.hit.zdb_id: 2012212-3
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  • 8
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    The Mediating Effect of Changes in Depression Symptoms on the Relationship between Health-Related Quality of Life and Alcohol Consumption: Findings from a Longitudinal Study among Men Living with HIV in India
    MDPI AG ; 2023
    In:  International Journal of Environmental Research and Public Health Vol. 20, No. 8 ( 2023-04-18), p. 5567-
    Details
    In: International Journal of Environmental Research and Public Health, MDPI AG, Vol. 20, No. 8 ( 2023-04-18), p. 5567-
    Abstract: Heavy alcohol use is negatively affecting antiretroviral therapy adherence, mental health and health-related quality of life among people living with HIV (PLWH). This paper aims to test the mediation model examining whether changes in depression symptoms mediate in the relationship between health-related quality of life and alcohol use among male PLWH who consume alcohol in India. The study is guided by the stress-coping model, which posits that individuals facing stress may turn to maladaptive coping mechanisms such as alcohol use to alleviate their distress, which includes depression and a low health-related quality of life due to various physical, psychological, and social factors associated with the HIV infection. This study used the data from a randomized controlled clinical trial entitled ‘Alcohol and ART adherence: Assessment, Intervention, and Modeling in India’. Participants completed surveys assessing demographic characteristics, health-related quality of life, depressive symptoms, and alcohol use. Multiple simple mediation models were investigated to examine whether changes in depression symptoms mediated the association between the changes in health-related quality of life and alcohol use after a 9-month follow-up. A total of 940 male PLWH were recruited and interviewed, with 564 participants in the intervention group and 376 participants in the control group. After a 9-month intervention, the mediation results showed that, among intervention participants, a decrease in depressiove symptoms mediated the relationship between improved health-related quality of life and lower alcohol use. However, among control participants, changes in depressive symptoms did not mediate the relationship between changes in health-related quality of life and alcohol use. The study findings have practical and theoretical implications. From a practical perspective, the results suggest that interventions aimed at simultaneously improving HRQoL and depressive symptoms among male PLWH with alcohol use may help reduce alcohol consumption. Therefore, interventions that address depressive symptoms in addition to improving HRQoL may have an even greater impact on reducing alcohol use among this population. Theoretically, the study supports the use of the stress-coping theory in understanding the association between HRQoL, mental health, and alcohol use among male PLWH, contributing to existing literature on a gap in our understanding of the interactions among these factors among PLWH.
    Type of Medium: Online Resource
    ISSN: 1660-4601
    URL: Article
    DOI: 10.3390/ijerph20085567
    Language: English
    Publisher: MDPI AG
    Publication Date: 2023
    detail.hit.zdb_id: 2175195-X
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  • 9
    Online Resource
    Online Resource
    Assessing Barriers and Utilization of Sexual and Reproductive Health Services among Female Migrant Workers in Vietnam
    MDPI AG ; 2023
    In:  International Journal of Environmental Research and Public Health Vol. 20, No. 14 ( 2023-07-15), p. 6368-
    Details
    In: International Journal of Environmental Research and Public Health, MDPI AG, Vol. 20, No. 14 ( 2023-07-15), p. 6368-
    Abstract: Young migrant women workers frequently experience disparities in accessing health services, including sexual and reproductive health (SRH) services, especially in urban settings. This study assesses the barriers and utilization of SRH services and explores factors associated with the utilization of these services among young female migrant workers working in the industrial zone (IZ) in Vietnam. A cross-sectional survey was conducted among 1061 young women migrant workers working in an IZ in Hanoi, Vietnam. Multivariable logistic regression analysis was used to identify factors associated with utilization of SRH services. Nearly 35% of the participants reported using SRH services at least once since working in the IZ. Additionally, around 78% of the participants reported using a contraceptive method during their last sexual encounter. The study also found that older participants (25–29 years old) were nearly two times more likely to use SRH services than younger participants (18–24 years old) (OR = 1.91, 95% CI: 1.19–3.06). Married participants had nearly six times higher odds of using SRH services compared to single participants (OR = 5.98, 95% CI: 3.71–9.63), and participants with higher incomes were more likely to use SRH services (OR = 1.02, 95% CI: 1.01–1.04). The most commonly reported barriers to access SRH services were inconvenient hours of service operation (26.2%), followed by long distance from the service location (9.2%) and high service cost (5.2%). This study found a low level of SRH service utilization and identified several barriers to accessing these services among the study participants. The study findings provide important evidence insights for policymakers and program managers to develop and implement policies that help reduce barriers and enhance the provision of SRH services tailored to the needs of IZ married and unmarried women migrant workers in the IZ in rapidly developing and urbanizing countries like Vietnam and other low- and middle-income countries with similar contexts.
    Type of Medium: Online Resource
    ISSN: 1660-4601
    URL: Article
    DOI: 10.3390/ijerph20146368
    Language: English
    Publisher: MDPI AG
    Publication Date: 2023
    detail.hit.zdb_id: 2175195-X
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  • 10
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    Online Resource
    Depression Among Alcohol Consuming, HIV Positive Men on ART Treatment in India
    Springer Science and Business Media LLC ; 2019
    In:  AIDS and Behavior Vol. 23, No. 6 ( 2019-6), p. 1623-1633
    Details
    In: AIDS and Behavior, Springer Science and Business Media LLC, Vol. 23, No. 6 ( 2019-6), p. 1623-1633
    Type of Medium: Online Resource
    ISSN: 1090-7165 , 1573-3254
    URL: Article
    DOI: 10.1007/s10461-018-2339-3
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2019
    detail.hit.zdb_id: 2014832-X
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