Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Typ-2-Diabetes und Adipositas Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Häufige urologisch-sexualmedizinische Themen in der Praxis sind das Thema des MMW-Webinars am 5. Juni von 17.30 bis 19 Uhr. Konkret geht es um die Frage, wann bei Harnwegsinfektionen auf Antibiotika verzichtet werden kann, und um ein Update zur Therapie von Libido- und Potenzstörungen des Mannes. Der dritte Vortrag behandelt sexuell übertragbare Krankheiten. Stellen Sie Ihre Fragen an die Experten und sammeln Sie 2 CME-Punkte. Jetzt gleich anmelden!
Erweiterte Suche
Anmelden
nach oben
AIDS and Behavior
Erschienen in: AIDS and Behavior 7/2023

02.02.2023 | Original Paper

Precarious Housing Associated with Unsuppressed Viral load, sub-optimal Access to HIV Treatment and Unmet Health care Needs, Among Women Living with HIV in Metro Vancouver, Canada

verfasst von: Yinong Zhao, Kate Shannon, Jane A. Buxton, Lianping Ti, Theresa Anne Genovy, Melissa Braschel, Neora Pick, Mary Kestler, Kathleen Deering

Erschienen in: AIDS and Behavior | Ausgabe 7/2023

Einloggen, um Zugang zu erhalten

Abstract

We investigated associations between (1) housing status (four categories measuring housing stability) and outcomes along the HIV care continuum (not currently on antiretroviral therapy [ART]; sub-optimal ART adherence [< 95% in the last 3–4 weeks]; unsuppressed viral load [> 200 copies/ml], median CD4 < 200 in the last six months), and (2) housing status and unmet primary, dental and mental health care needs in the last six months among WLWH. Housing status was defined according to the Canadian Definition of Homelessness and had four categories: unsheltered (i.e., living in ≥ 1 unsheltered location [e.g., street, abandoned buildings]), unstable (i.e., living in ≥ 1 unstable location [e.g., shelter, couch surfing]), supportive housing (i.e., only living in supportive housing), and stable housing (i.e., only living in one’s own housing; reference). At baseline, in the last six months, 47.3% of participants reported unstable housing, followed by 24.4% unsheltered housing, 16.4% stable housing, and 11.9% supportive housing. Overall, 19.1% of the full sample (N = 336, 2010–2019) reported not currently on ART; among participants on ART, 28.0% reported sub-optimal ART adherence. Overall, 32.1% had recent unsuppressed viral load. Among a subsample (n = 318, 2014–2019), 15.7% reported unmet primary care needs, 26.1% unmet dental care needs, and 16.4% unmet mental health care needs. In adjusted models, being unsheltered (vs. stable housing) was associated with not currently on ART, unsuppressed viral load, and unmet primary and dental care needs. Housing and health services need to be developed with and for WLWH to address structural inequities and fulfill basic rights to housing and health.
Fußnoten
1
In this study, quality of care was measured by six indicators of non-compliance with treatment initiation guidelines. At baseline, not having drug resistance testing before treatment; starting on a non-recommended regimen; starting therapy at CD4 < 200. During first-year follow-up, receiving < 3 CD4 tests; receiving < 3 viral load tests; not having viral load suppression within six months
 
2
HIV care following guidelines: suppressed viral load, CD4 > 200, no gaps in ART > 3 months, and no gaps in CD4 or viral load measurement > 6 months [18].
 
3
Sub-optimal HIV care: unsuppressed viral load, CD4 < 200 on 2 consecutive visits, ≥ 1 gap in ART > 3 months, or ≥ 1 gap in CD4 or viral load measurement > 12 months [18].
 
Literatur
1.
Rodger AJ, Lodwick R, Schechter M, Deeks S, Amin J, Gilson R, et al. Mortality in well controlled HIV in the continuous antiretroviral therapy arms of the SMART and ESPRIT trials compared with the general population. AIDS. 2013 Mar;27(6):973–9. 27(.PubMedCrossRef
2.
Wood E, Milloy MJ, Montaner JSG. HIV treatment as prevention among injection drug users. Curr Opin HIV AIDS. 2012 Mar;7(2):151–6.PubMedCrossRef
3.
Cohen MS, Chen YQ, McCauley M, Gamble T, Hosseinipour MC, Kumarasamy N, et al. Antiretroviral therapy for the Prevention of HIV-1 transmission. N Engl J Med. 2016 Sep;375(9):830–9.PubMedPubMedCentralCrossRef
4.
5.
Gisslén M, Svedhem V, Lindborg L, Flamholc L, Norrgren H, Wendahl S, et al. Sweden, the first country to achieve the Joint United Nations Programme on HIV/AIDS (UNAIDS)/World Health Organization (WHO) 90-90-90 continuum of HIV care targets. HIV Med [Internet]. 2017 Apr 1 [cited 2021 May 11];18(4):305–7. Available from: http://​www.​sls.​se/​Global/​RAV/​
6.
7.
8.
9.
LourenÒ«o L, Colley G, Nosyk B, Shopin D, Montaner JSG, Lima VD. High levels of heterogeneity in the hiv cascade of care across different population subgroups in British Columbia, Canada. PLoS ONE. 2014;9(12):1–18.
10.
Wester CW, Koethe JR, Shepherd BE, Stinnette SE, Rebeiro PF, Kipp AM, et al. Non-AIDS-defining events among HIV-1-infected adults receiving combination antiretroviral therapy in resource-replete versus resource-limited urban setting. AIDS. 2011 Jul;31(12):1471–9. 25(.CrossRef
11.
Hasse B, Ledergerber B, Furrer H, Battegay M, Hirschel B, Cavassini M, et al. Morbidity and Aging in HIV-Infected Persons: The Swiss HIV Cohort Study. Clin Infect Dis. 2011 Dec 1;53(11):1130–9.
12.
Loutfy M, de Pokomandy A, Kennedy VL, Carter A, O’Brien N, Proulx-Boucher K, et al. Cohort profile: the canadian HIV Women’s sexual and Reproductive Health Cohort Study (CHIWOS). Schanzer DL, editor. PLoS ONE. 2017 Sep;28(9):e0184708. 12.CrossRef
13.
Leao JC, Ribeiro CMB, Carvalho AAT, Frezzini C, Porter S. Oral complications of HIV disease. Clin (Sao Paulo). 2009 May;64(5):459–70.CrossRef
14.
Nokta M. Oral manifestations associated with HIV infection. Curr HIV/AIDS Rep. 2008;5(1):5–12.PubMedCrossRef
15.
Samji H, Cescon A, Hogg RS, Modur SP, Althoff KN, Buchacz K, et al. Closing the gap: increases in life expectancy among treated HIV-positive individuals in the United States and Canada. PLoS ONE. 2013;8(12):6–13.CrossRef
16.
Hogg RS, Eyawo O, Collins AB, Zhang W, Jabbari S, Hull MW, et al. Health-adjusted life expectancy in HIV-positive and HIV-negative men and women in British Columbia, Canada: a population-based observational cohort study. Lancet HIV. 2017 Jun 1;4(6):e270–6.
17.
Carter A, Eun Min J, Chau W, Lima VD, Kestler M, Pick N, et al. Gender Inequities in Quality of Care among HIV-Positive Individuals Initiating Antiretroviral Treatment in British Columbia, Canada (2000–2010). Sluis-Cremer N, editor. PLoS One. 2014 Mar 18;9(3):e92334.
18.
Gillis J, Loutfy M, Bayoumi AM, Antoniou T, Burchell AN, Walmsley S, et al. A multi-state model examining patterns of transitioning among states of engagement in care in HIV-positive individuals initiating combination antiretroviral therapy. J Acquir Immune Defic Syndr. 2016;73(5):531–9.PubMedPubMedCentralCrossRef
19.
Milloy MJ, Alexandra K, Thomas K, Evan A, Hasina S, Silvia G, et al. Improvements in HIV treatment outcomes among indigenous and non-indigenous people who use illicit drugs in a canadian setting. J Int AIDS Soc. 2016;19(1):1–8.CrossRef
20.
Lima VD, Le A, Nosyk B, Barrios R, Yip B, Hogg RS, et al. Development and validation of a Composite Programmatic Assessment Tool for HIV Therapy. PLoS ONE. 2012;7(11):1–8.CrossRef
21.
Bachhuber MA, Southern WN. Hospitalization rates of people living with HIV in the United States, 2009. Public Health Rep. 2014 Mar;129(2)(1):178–86.PubMedPubMedCentralCrossRef
22.
Aidala AA, Wilson MG, Shubert V, Gogolishvili D, Globerman J, Rueda S, et al. Housing status, medical care, and health outcomes among people living with HIV/AIDS: a systematic review. Am J Public Health. 2016;106(1):e1–23.PubMedPubMedCentralCrossRef
23.
Giblon R, Bauer GR. Health care availability, quality, and unmet need: a comparison of transgender and cisgender residents of Ontario, Canada. Vol. 17, BMC health services research. England: Springer Science and Business Media LLC; 2017. pp. 210–83.
24.
Lyons T, Krüsi A, Pierre L, Smith A, Small W, Shannon K. Experiences of Trans Women and Two-Spirit Persons Accessing Women-Specific Health and Housing Services in a Downtown Neighborhood of Vancouver, Canada. LGBT Heal. 2016;3(5):373–8.CrossRef
25.
Kidder DP, Wolitski RJ, Campsmith ML, Nakamura GV. Health status, health care use, medication use, and medication adherence among homeless and housed people living with HIV/AIDS. Am J Public Health. 2007;97(12):2238–45.PubMedPubMedCentralCrossRef
26.
Riley ED, Vittinghoff E, Koss CA, Christopoulos KA, Clemenzi-Allen A, Dilworth SE, et al. Housing First: unsuppressed viral load among women living with HIV in San Francisco. AIDS Behav. 2019;23(9):2326–36.PubMedPubMedCentralCrossRef
27.
Loh J, Kennedy MC, Wood E, Kerr T, Marshall B, Parashar S, et al. Longer duration of Homelessness is Associated with a lower likelihood of non-detectable plasma Hiv-1 rna viral load among people who use Illicit drugs in. AIDS Care. 2017;28(11):1448–54.CrossRef
28.
Fairbairn N, Milloy MJ, Zhang R, Lai C, Grafstein E, Kerr T, et al. Emergency department utilization among a cohort of HIV-positive injecting drug users in a canadian setting. J Emerg Med. 2012;43(2):236–43.PubMedCrossRef
29.
Berry SA, Fleishman JA, Moore RD, Gebo KA, Network HIVR. Trends in reasons for hospitalization in a multisite United States cohort of persons living with HIV, 2001–2008. J Acquir Immune Defic Syndr. 2012 Apr 1;59(4):368–75.
30.
Khandor E, Mason K, Chambers C, Rossiter K, Cowan L, Hwang SW. Access to primary health care among homeless adults in Toronto, Canada: results from the street health survey. Open Med. 2011;5(2):94–103.
31.
Kestler M, Murray M, Money D, Sauve L, Pick N. The Oak Tree Clinic: the Envisioned Model of Care for Women living with human immunodeficiency virus in Canada. Women’s Heal Issues. 2018;28(2):197–8.CrossRef
32.
Allen J, Vottero B. Experiences of homeless women in accessing health care in community-based settings: a qualitative systematic review. JBI Evid Synth. 2020;18(9).
33.
Bretherton J. Reconsidering Gender in Homelessness. Eur J Homelessness. 2017 Jul 1;11(2):1–22.
34.
Logie CH, Wang Y, Marcus N, Kaida A, O’Brien N, Nicholson V, et al. Factors Associated with the Separate and Concurrent Experiences of Food and Housing Insecurity Among Women Living with HIV in Canada. AIDS Behav. 2018 Sep 1;22(9):3100–10.
35.
Schwan K, Versteegh A, Perri M, Caplan R, Baig K, Dej E, et al. The state of women’s housing need & homelessness in Canada: Literature Review. Toronto, Canada; 2020.
36.
37.
Gaetz S, Barr C, Friesen A, Harris B, Hill C, Kovacs-Burns K, et al. Canadian definition of homelessness. Toronto: Canadian Observatory on Homelessness Press; 2012.
38.
Zhao Y, Shannon K, Buxton JA, Ti L, Genovy TA, Braschel M, et al. The prevalence and social-structural correlates of housing status among women living with HIV in Vancouver, Canada. BMC Public Health. 2022 Sep 22;22(1804):1–10.
39.
40.
Duff P, Shannon K, Braschel M, Ranville F, Kestler M, Elwood Martin R, et al. HIV viral load trajectories of women living with HIV in Metro Vancouver, Canada. Int J STD AIDS. 2021 Mar 1;32(4):322–30.
41.
Olding M, Enns B, Panagiotoglou D, Shoveller J, Harrigan PR, Barrios R, et al. A historical review of HIV prevention and care initiatives in British Columbia, Canada: 1996–2015. J Int AIDS Soc. 2017;20(1):5–9.CrossRef
42.
Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)-A metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009 Apr;42(2):377–81.PubMedCrossRef
43.
Harris PA, Taylor R, Minor BL, Elliott V, Fernandez M, O’Neal L, et al. The REDCap consortium: building an international community of software platform partners. Vol. 95, Journal of Biomedical Informatics. Academic Press Inc.; 2019.
44.
Baggett TP, O’Connell JJ, Singer DE, Rigotti NA. The unmet health care needs of homeless adults: a national study. Am J Public Health. 2010 Jul 1;100(7):1326–33.
45.
46.
47.
Donnelly LR, Bailey L, Jessani A, Postnikoff J, Kerston P, Brondani M. Stigma experiences in Marginalized People Living with HIV seeking Health Services and Resources in Canada. J Assoc Nurses AIDS Care. 2016;27(6):768–83.PubMedCrossRef
48.
Santos GM, Wilson EC, Rapues J, Macias O, Packer T, Raymond HF. HIV treatment cascade among transgender women in a San Francisco respondent driven sampling study. Sex Transm Infect. 2014;90(5):430–3.PubMedCrossRef
49.
Ayhan CHB, Bilgin H, Uluman OT, Sukut O, Yilmaz S, Buzlu S. A systematic review of the discrimination against sexual and gender minority in Health Care settings. Int J Heal Serv. 2020;50(1):44–61.CrossRef
50.
Cochran BN, Stewart AJ, Ginzler JA, Cauce AM. Challenges faced by homeless sexual minorities: comparison of gay, lesbian, bisexual, and transgender homeless adolescents with their heterosexual counterparts. Am J Public Health. 2002 May;92(5):773–7.PubMedPubMedCentralCrossRef
51.
Gushulak BD, Pottie K, Hatcher Roberts J, Torres S, DesMeules M. Migration and health in Canada: Health in the global village. Vol. 183: Canadian Medical Association Journal. Canadian Medical Association; 2011.
52.
McNaughton CC. Transitions through homelessness, substance use, and the effect of material marginalization and psychological trauma. Drugs Educ Prev Policy. 2008 Jan 1;15(2):177–88.
53.
Kennedy MC, McNeil R, Milloy MJ, Dong H, Kerr T, Hayashi K. Residential eviction and exposure to violence among people who inject drugs in Vancouver, Canada. Int J Drug Policy. 2017;41:59–64.PubMedPubMedCentralCrossRef
54.
55.
Phillips-Beck W, Eni R, Lavoie JG, Kinew KA, Achan GK, Katz A. Confronting Racism within the Canadian Healthcare System: Systemic Exclusion of First Nations from Quality and Consistent Care. Int J Environ Res Public Heal 2020, Vol 17, Page 8343. 2020 Nov 11;17(22):8343.
56.
57.
Laveist TA. Beyond dummy variables and sample selection: what health services researchers ought to know about race as a variable. Health Serv Res. 1994 Apr;29(1):1.PubMedPubMedCentral
58.
Martinez RAM, Andrabi N, Goodwin AN, Wilbur RE, Smith NR, Zivich PN. Conceptualization, operationalization, and utilization of race and ethnicity in Major Epidemiology Journals 1995–2018: a systematic review. Am J Epidemiol. 2022 Aug 8.
59.
Pruden H. Two-Spirit Conversations and work: subtle and at the same time radically different. In: Devor A, Haefele-Thomas A, editors. Transgender: a reference handbook. Greenwood: ABC-CLIO, LLC; 2019. pp. 134–6.
60.
Meyer IH. Prejudice. Social stress, and Mental Health in Lesbian, Gay, and bisexual populations: conceptual issues and research evidence. Vol 129, Psychological Bulletin. NIH Public Access; 2003. pp. 674–97.
61.
Tan KKH, Treharne GJ, Ellis SJ, Schmidt JM, Veale JF. Gender minority stress: a critical review. J Homosex. 2020 Aug;23(10):1471–89. 67(.CrossRef
62.
Maldonado G, Greenland S. Simulation study of confounder-selection strategies. Am J Epidemiol. 1993 Dec;138(11)(1):923–36.PubMedCrossRef
63.
Kerkerian G, Kestler M, Carter A, Wang L, Kronfli N, Sereda P, et al. Attrition Across the HIV Cascade of Care Among a Diverse Cohort of Women Living With HIV in Canada. JAIDS J Acquir Immune Defic Syndr. 2018 Oct 1;79(2):226–36.
64.
Statistics Canada. Tables 13-10-0485-01 Difficulties accessing routine or on-going care. 2021.
65.
Statistics Canada. Tables 13-10-0487-01 Difficulties accessing immediate care for a minor health problem. 2021.
66.
Jeanty Y, Cardenas G, Fox JE, Pereyra M, Diaz C, Bednarsh H, et al. Correlates of unmet dental care need among HIV-positive people since being diagnosed with HIV. Public Health Rep. 2012 May 1;127(SUPPL.2):17–24.
67.
Baguso GN, Turner CM, Santos G-M, Raymond HF, Dawson-Rose C, Lin J, et al. Successes and final challenges along the HIV care continuum with transwomen in San Francisco. J Int AIDS Soc. 2019 Apr 1;22(4):e25270.
68.
Parashar S, Chan K, Milan D, Grafstein E, Palmer AK, Rhodes C, et al. The impact of unstable housing on emergency department use in a cohort of HIV-positive people in a canadian setting. AIDS Care - Psychol Socio-Medical Asp AIDS/HIV. 2014;26(1):53–64.CrossRef
69.
Ford P, Cramb S, Farah C. Oral health impacts and quality of life in an urban homeless population. Aust Dent J. 2014 Jun 1;59(2):234–9.
70.
Mago A, MacEntee MI, Brondani M, Frankish J. Anxiety and anger of homeless people coping with dental care. Community Dent Oral Epidemiol. 2018 Jun 1;46(3):225–30.
71.
72.
Caton S, Greenhalgh F, Goodacre L. Evaluation of a community dental service for homeless and “hard to reach” people. Br Dent J. 2016 Jan 22;220(2):67–70.
73.
Socías ME, Shoveller J, Bean C, Nguyen P, Montaner J, Shannon K. Universal Coverage without Universal Access: institutional barriers to Health Care among Women Sex Workers in Vancouver, Canada. PLoS ONE. 2016;11(5):1–15.CrossRef
74.
Collins AB, Parashar S, Hogg RS, Fernando S, Worthington C, McDougall P, et al. Integrated HIV care and service engagement among people living with HIV who use drugs in a setting with a community-wide treatment as prevention initiative: a qualitative study in Vancouver, Canada. J Int AIDS Soc. 2017 Mar 3;20(1):21407.
75.
Mcneil R, Kerr T, Coleman B, Maher L, Milloy • MJ, Small W. Antiretroviral therapy interruption among HIV postive people who use drugs in a setting with a community-wide HIV treatment-as-Prevention Initiative. AIDS Behav. 2017;21(2):402–9.PubMedPubMedCentralCrossRef
76.
77.
Metro Vancouver Aboriginal Homeless Count. Aboriginal Homeless Count in Metro Vancouver 2018. 2018.
78.
Negin J, Aspin C, Gadsden T, Reading C. HIV among Indigenous peoples: a review of the literature on HIV-Related Behaviour since the beginning of the Epidemic. AIDS Behav. 2015;19(9):1720–34.PubMedPubMedCentralCrossRef
79.
80.
Thistle J. Definition of Indigenous Homelessness in Canada. Toronto, Canada; 2017.
81.
First Nations Health Authority. FNHA’s Policy Statement on Cultrual Safety and Humility [Internet]. West Vancouver; 2016. Available from: www.fnha.ca.
82.
Fineblit E. Indigenizing Housing: A Guide to Providing Culturally-Appropriate Housing for Aboriginal Communities in British Columbia [Internet]. West Vancouver; 2015. Available from: http://​www.​ahma-bc.​org/​
83.
Hadjiyanni T, Hirani A, Jordan C. Toward culturally sensitive housing-eliminating Health Disparities by Accounting for Health. Hous Soc. 2012 Jan;39(2):149–64.CrossRef
84.
85.
Yeager KA, Bauer-Wu S. Cultural humility: essential foundation for clinical researchers. Appl Nurs Res. 2013 Nov;26(4):251–6.PubMedCrossRef
86.
Hughes V, Delva S, Nkimbeng M, Spaulding E, Turkson-Ocran RA, Cudjoe J, et al. Not missing the opportunity: strategies to promote cultural humility among future nursing faculty. J Prof Nurs. 2020 Jan;36(1)(1):28–33.PubMedCrossRef
87.
Bennett B, Gates TG. Teaching cultural humility for social workers serving LGBTQI Aboriginal communities in Australia. Soc Work Educ. 2019 Jul 4;38(5):604–17.
88.
Ohtsuka M, Shannnon K, Krüsi A, King D, Braschel M, Deering KN. Prevalence and correlates of HIV status disclosure without consent among women living with HIV in Metro Vancouver, Canada. In: 25th International AIDS Conference, Berlin, Germany. 2021.
89.
Ghose T, Ali S, Shubert V, Stanton M, Walker L, Chaudhuri S. “It’s my room and my Life”: Housing’s influence on Medication Adherence for HIV-positive women released from incarceration. J Health Care Poor Underserved. 2019 Feb;30(1):182–201.PubMedCrossRef
90.
Hall G, Singh T, Lim S. Supportive housing promotes AIDS-Free Survival for chronically homeless HIV positive persons with behavioral Health Conditions. AIDS Behav. 2019;23(3):776–83.PubMedCrossRef
91.
Quinn K, Young S, Thomas D, Baldwin B, Paul M. The role of supportive housing for HIV-Positive mothers and their children. J Soc Serv Res. 2015 Oct;20(5):642–58. 41(.CrossRef
92.
93.
Parashar S, Palmer AK, O’Brien N, Chan K, Shen A, Coulter S, et al. Sticking to it: the effect of maximally assisted therapy on antiretroviral treatment adherence among individuals living with HIV who are unstably housed. AIDS Behav [Internet]. 2011 Nov;15(8):1612–22. Available from: https://​pubmed.​ncbi.​nlm.​nih.​gov/​21850442
94.
Barker B, Adams E, Wood E, Kerr T, DeBeck K, Dong H, et al. Engagement in maximally-assisted therapy and adherence to antiretroviral therapy among a cohort of Indigenous People who Use Illicit Drugs. AIDS Behav. 2019 May;23(5):1258–66.PubMedPubMedCentralCrossRef
95.
96.
Metadaten
Titel
Precarious Housing Associated with Unsuppressed Viral load, sub-optimal Access to HIV Treatment and Unmet Health care Needs, Among Women Living with HIV in Metro Vancouver, Canada
verfasst von
Yinong Zhao
Kate Shannon
Jane A. Buxton
Lianping Ti
Theresa Anne Genovy
Melissa Braschel
Neora Pick
Mary Kestler
Kathleen Deering
Publikationsdatum
02.02.2023
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 7/2023
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-022-03957-2

Weitere Artikel der Ausgabe 7/2023

AIDS and Behavior 7/2023 Zur Ausgabe

Substantive Review

Prioritization of Evidence-Based and Evidence-Informed Interventions for Retention in Medical Care for Persons with HIV

Original Paper

“I want the doctors to know that I am as bright as a candle”:

Original Paper

The Prevalence of HIV Infection in Minority Indigenous Populations of the South-East Asia and Western Pacific Regions: A Systematic Review and Meta-analysis

Original Paper

Measuring Oral Pre-exposure Prophylaxis (PrEP) Continuation Through Electronic Health Records During Program Scale-Up Among the General Population in Zambia

Original Paper

Women Want Choices: Opinions from the Share.Learn.Shape Global Internet Survey About Multipurpose Prevention Technology (MPT) Products in Development

Original Paper

Development of an Economic and Relationship-Strengthening Intervention for Alcohol Drinkers Living with HIV in Malawi

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

Erhebliches Risiko für Kehlkopfkrebs bei mäßiger Dysplasie

29.05.2024 Larynxkarzinom Nachrichten

Fast ein Viertel der Personen mit mäßig dysplastischen Stimmlippenläsionen entwickelt einen Kehlkopftumor. Solche Personen benötigen daher eine besonders enge ärztliche Überwachung.

Nach Herzinfarkt mit Typ-1-Diabetes schlechtere Karten als mit Typ 2?

29.05.2024 Herzinfarkt Nachrichten

Bei Menschen mit Typ-2-Diabetes sind die Chancen, einen Myokardinfarkt zu überleben, in den letzten 15 Jahren deutlich gestiegen – nicht jedoch bei Betroffenen mit Typ 1.

15% bedauern gewählte Blasenkrebs-Therapie

29.05.2024 Urothelkarzinom Nachrichten

Ob Patienten und Patientinnen mit neu diagnostiziertem Blasenkrebs ein Jahr später Bedauern über die Therapieentscheidung empfinden, wird einer Studie aus England zufolge von der Radikalität und dem Erfolg des Eingriffs beeinflusst.

Costims – das nächste heiße Ding in der Krebstherapie?

28.05.2024 Onkologische Immuntherapie Nachrichten

„Kalte“ Tumoren werden heiß – CD28-kostimulatorische Antikörper sollen dies ermöglichen. Am besten könnten diese in Kombination mit BiTEs und Checkpointhemmern wirken. Erste klinische Studien laufen bereits.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise