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Counseling in HIV Infection

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41. Variations in Testing for HIV and Other Sexually Transmitted Infections Across Gender Identity Among Transgender Youth. (PubMed)

Variations in Testing for HIV and Other Sexually Transmitted Infections Across Gender Identity Among Transgender Youth. Purpose: Transgender youth are at high risk for human immunodeficiency virus (HIV) and other sexually transmitted infections (STIs), but their rates of screening are unknown. This study sought to quantify HIV and other STI testing levels and to examine variations in testing levels across three categories of gender identity: transgender men, transgender women, and nonbinary (...) individuals. Methods: Between June 2017 and June 2018, 186 transgender youth aged 15-24 years were recruited into a randomized trial of home HIV testing supplemented with telehealth-based counseling. Information on sociodemographics, health care utilization, sexual activity, stress and resilience, and history of HIV and other STI testing was obtained. Multivariable logistic regression models were formulated to identify variations in testing for HIV and other STIs across gender identities. Results: Twenty

2019 Transgender health Controlled trial quality: uncertain

42. Targeted pregnancy and HIV prevention risk-reduction counselling for young women: lessons learned from biomedical prevention trials. (PubMed)

Targeted pregnancy and HIV prevention risk-reduction counselling for young women: lessons learned from biomedical prevention trials. Women enrolled in human immunodeficiency virus (HIV) prevention efficacy trials receive counseling on prevention of HIV, sexually transmitted infections (STIs), and pregnancy during every visit. Incident pregnancy has an impact on efficacy outcomes. Incidence rates of pregnancy and HIV/STIs among women who became pregnant and associated risk factors were (...) , suggesting an urgent need for appropriate, targeted, individual-centred counseling for women participating in HIV prevention trials.

2018 Journal of Infectious Diseases

43. The role of counseling on modern contraceptive utilization among HIV positive women: the case of Northwest Ethiopia. (PubMed)

The role of counseling on modern contraceptive utilization among HIV positive women: the case of Northwest Ethiopia. Over 90% of the children with Human Immunodeficiency Virus are infected through the mother to child transmission process according to literatures. Preventing unintended pregnancy by using contraceptive methods is crucial for reducing maternal and child mortality and morbidity. Here we set out to assess the prevalence and associated factors of modern contraceptive utilization (...) residence (AOR = 0.095, 95% CI: 0.03-0.28), having discussed contraceptives with partner (AOR = 7, 95% CI: 5.3-11.9), receiving counseling from health care providers (AOR = 4.8, 95% CI: 1.8-7), previous history of contraceptive utilization (AOR = 5.6, 95% CI: 2.6-8.3), and with CD4 count >500mm3/dl (AOR = 2.4, 95% CI: 1.3-4.3).The proportion of women utilizing contraceptive has been low in Amhara Region referral hospitals. Encouraging patients to discuss about contraception with partners and repeated

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2018 BMC Women's Health

44. Integrating Pregnancy Prevention Into an HIV Counseling and Testing Program in Pediatric Primary Care. (PubMed)

Integrating Pregnancy Prevention Into an HIV Counseling and Testing Program in Pediatric Primary Care. Certified health educator (CHE)-based HIV counseling and testing typically focus on HIV and sexually transmitted infection (STI) prevention only. A quality improvement initiative examined integrating assessment of reproductive life plans, counseling about pregnancy prevention, and contraception referral into a CHE-based HIV testing program.Between February 2014 and January 2017, in one urban (...) for and counseling about pregnancy prevention in a CHE-based HIV testing program. This can more effectively address the needs of patients with concomitant risks of STI/HIV and unintended pregnancy, and link patients who do not desire pregnancy to more effective methods.Copyright © 2018 The Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

2018 The Journal of Adolescent Health

45. The Intention of Men Who Have Sex With Men to Participate in Voluntary Counseling and HIV Testing and Access Free Condoms in Indonesia (PubMed)

The Intention of Men Who Have Sex With Men to Participate in Voluntary Counseling and HIV Testing and Access Free Condoms in Indonesia This study aimed to identify factors that influenced the intention of men who have sex with men (MSM) to participate in voluntary counseling and HIV testing (VCT) and in accessing free condoms. A qualitative inquiry using one-on-one in-depth interviews was conducted with MSM participants who were recruited using a purposive sampling technique. Data analysis (...) is associated with resource availability and having confidence and positive intention to participate in VCT and willingness to access free condoms. Findings indicated that personal, community, and structural factors were predictors to intention to accessing services. Interventions targeting large numbers of MSM population and further studies to understand what needs to be done by nongovernmental organizations and governmental institutions to halt the spread of HIV infections among MSM populations

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2018 American journal of men's health

46. A qualitative study on the voluntariness of counselling and testing for HIV amongst antenatal clinic attendees: do women have a choice? (PubMed)

A qualitative study on the voluntariness of counselling and testing for HIV amongst antenatal clinic attendees: do women have a choice? Mother-to-child transmission (MTCT) of the Human Immunodeficiency -Virus (HIV) is a serious public health problem, contributing up to 90% of childhood HIV infections. In Tanzania, the prevention-of-mother-to-child-transmission (PMTCT) feature of the HIV programme was rolled out in 2000. The components of PMTCT include counselling and HIV testing directed (...) at antenatal clinic attendees. It is through the process of Provider Initiated Counseling and Testing (PITC) that counselling is offered participant confidentiality and voluntariness are upheld and valid consent obtained. The objective of the study was to explore antenatal clinic attendees' experiences of the concept of voluntariness vis- a- vis the implementation of prior counseling and subsequent testing for HIV under the PITC as part of their antenatal care.In-depth interviews were conducted with17

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2018 BMC medical ethics

47. Factors associated with regular counselling attendance of HIV outpatients of a national referral hospital in Jakarta, Indonesia: a cross sectional study. (PubMed)

Factors associated with regular counselling attendance of HIV outpatients of a national referral hospital in Jakarta, Indonesia: a cross sectional study. Counselling has been shown to improve adherence to medication in people living with HIV (PLHIV). The aim of this study was to investigate factors associated with regular counselling attendance of patients taking antiretroviral therapy (ART).We conducted a cross-sectional, paper-based survey among 880 PLHIV patients on ART attending outpatient (...) (OR) = 0.55, 95% confidence interval (CI) = 0.32-0.93, > 40 years (OR = 0.30, 95% CI = 0.16-0.55) vs < 30 years, hepatitis B/C co-infection (OR = 0.42, 95% CI = 0.24-0.75), living > 20 km from the hospital (OR = 0.55, 95% CI = 0.33-0.93), transmission male-to-male (OR = 0.13, 95% CI = 0.04-0.44), unemployment (OR = 1.88, 95% CI = 1.02-3.44), part-time employment (OR = 10.71, 95% CI = 4.09-28.02), household member with HIV (OR = 3.31, 95% CI = 1.70-6.44), and Christianity (OR = 1.82, 95% CI = 1.12-2.94

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2018 BMC Public Health

48. Are HIV, HBV and HCV Voluntary Counseling and Testing Programs Needed in Balkans? (PubMed)

. Nicolau Virology Institute, Bucharest, Romania. eng Journal Article Research Support, Non-U.S. Gov't Turkey Balkan Med J 101571817 2146-3123 IM Adult Aged Balkan Peninsula Child Counseling Cross-Sectional Studies HIV Infections diagnosis epidemiology Hepatitis B diagnosis epidemiology Hepatitis C diagnosis epidemiology Humans Middle Aged Romania Seroepidemiologic Studies Young Adult 2018 3 20 6 0 2018 3 20 6 0 2018 12 13 6 0 ppublish 29553468 10.4274/balkanmedj.2017.1229 PMC5863267 Int J Environ Stud (...) Are HIV, HBV and HCV Voluntary Counseling and Testing Programs Needed in Balkans? 29553468 2018 12 12 2018 12 12 2146-3131 35 2 2018 03 15 Balkan medical journal Balkan Med J Are HIV, HBV and HCV Voluntary Counseling and Testing Programs Needed in Balkans? 219-220 10.4274/balkanmedj.2017.1229 Sultana Camelia C Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. Stefan S. Nicolau Virology Institute, Bucharest, Romania. Schweitzer Ana Maria AM Baylor Black Sea Foundation

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2018 Balkan medical journal

49. Effects of Counselling on Adherence to Antiretroviral Treatment Among People with HIV in Estonia: A Randomized Controlled Trial. (PubMed)

Effects of Counselling on Adherence to Antiretroviral Treatment Among People with HIV in Estonia: A Randomized Controlled Trial. To assess the efficacy of an education- and strengths-based counselling programme to promote antiretroviral therapy (ART) adherence in a cohort of HIV-infected individuals with high prevalence of injection drug use in Estonia. Parallel-group randomized (1:1) controlled trial (RCT). Adults receiving ART in two clinics were followed for 12 months. The trial compared: (i (...) ) an intervention (three sessions) incorporated into routine clinic visits, providing education about HIV, ART, the role of adherence, and tailoring regimen to daily routines using problem-solving skills to address adherence barriers versus (ii) usual care (control). Primary and secondary outcomes were self-reported ART adherence (3-day recall) and viral load (respectively). 519 patients were randomized and 82% completed the study. Recent optimal ART adherence (3-day recall ≥95%) was reported by 75.6

2018 AIDS and behavior Controlled trial quality: predicted high

50. A Pilot, Randomized Controlled Trial of HIV Self-Testing and Real-Time Post-Test Counseling/Referral on Screening and Preventative Care Among Men Who Have Sex with Men. (PubMed)

A Pilot, Randomized Controlled Trial of HIV Self-Testing and Real-Time Post-Test Counseling/Referral on Screening and Preventative Care Among Men Who Have Sex with Men. HIV self-testing (HST) could be an effective strategy for helping those at high risk test more regularly. However, concerns about HST's lack of follow-up care and referral have so far limited its use. In a pilot, randomized controlled trial, high-risk HIV-negative, or status unknown men who have sex with men (MSM; N = 65) were (...) recruited from January 2016 to February 2017 and received (1) HST kits by mail, equipped with devices that detected when kits were opened and prompted a follow-up call from a counselor (eTEST); (2) standard HST kits with no follow-up (standard); or (3) informational letters about HIV testing locations (control) at baseline, 3 months, and 6 months. Monthly surveys over 7 months assessed HIV testing, sexually transmitted infection (STI) testing, access to prevention services, and behavioral risk reduction

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2018 AIDS patient care and STDs Controlled trial quality: uncertain

51. Use of a counsellor supported disclosure model to improve the uptake of couple HIV testing and counselling in Kenya: a quasi-experimental study. (PubMed)

Use of a counsellor supported disclosure model to improve the uptake of couple HIV testing and counselling in Kenya: a quasi-experimental study. Heterosexual couples account for 44% of new HIV infections in Kenya and there's low awareness of self and partner HIV status. Different strategies have been employed to promote couple HIV testing and counselling (CHTC). Despite this, HIV incidence among couples continues to rise. This study sought to assess the use of a counsellor-supported disclosure (...) (CSD) model in enhancing the uptake of CHTC and the factors that were associated with it.A pre-post quasi experimental study design with an intervention and a comparison arm was utilized. The study was conducted in Nairobi, Nakuru, Kisumu, and Homa Bay counties in Kenya. A total of 276 participants were recruited; 149 and 127 in the comparison and intervention arms, respectively. Standard HIV testing & counselling (HTC) was offered in the comparison arm whereas the counsellor-supported disclosure

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2018 BMC Public Health

52. Trend of HIV transmitted drug resistance before and after implementation of HAART regimen restriction in the treatment of HIV-1 infected patients in southern Taiwan. (PubMed)

of a fixed regimen of HIV treatment in Taiwan in 2012.TDR was measured in antiretroviral treatment-naïve HIV-1-infected individuals who participated in voluntary counseling and testing between 2007 and 2015 in southern Taiwan. Antiretroviral resistance mutations were interpreted using the HIVdb program from the Stanford University HIV Drug Resistance Database.Sequences were obtained from 377 consecutive individuals between 2007 and 2015. The overall prevalence rates of TDR HIV among the study population (...) Trend of HIV transmitted drug resistance before and after implementation of HAART regimen restriction in the treatment of HIV-1 infected patients in southern Taiwan. The use of fixed combination antiretroviral therapy with a low genetic barrier for the treatment of patients infected with human immunodeficiency virus (HIV) may affect the local HIV transmitted drug resistance (TDR) pattern. The present study aimed to investigate changes in the prevalence of HIV TDR following the implementation

2019 BMC Infectious Diseases

53. Universal voluntary HIV testing in antenatal care settings: a review of the contribution of provider-initiated testing and counselling

, Grabbe KL, Shaffer N, Lo YR, Hargreaves J. Universal voluntary HIV testing in antenatal care settings: a review of the contribution of provider-initiated testing and counselling. Tropical Medicine and International Health 2012; 17(1): 59-70 PubMedID DOI Original Paper URL Indexing Status Subject indexing assigned by NLM MeSH AIDS Serodiagnosis; Access to Information; Anti-HIV Agents /therapeutic use; Counseling; Female; HIV; HIV Infections /diagnosis /prevention & Humans; Infectious Disease (...) Universal voluntary HIV testing in antenatal care settings: a review of the contribution of provider-initiated testing and counselling Universal voluntary HIV testing in antenatal care settings: a review of the contribution of provider-initiated testing and counselling Universal voluntary HIV testing in antenatal care settings: a review of the contribution of provider-initiated testing and counselling Hensen B, Baggaley R, Wong VJ, Grabbe KL, Shaffer N, Lo YR, Hargreaves J CRD summary

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2012 DARE.

54. Universal Testing, Expanded Treatment, and Incidence of HIV Infection in Botswana. (PubMed)

and counseling, linkage to care, ART (started at a higher CD4 count than in standard care), and increased access to male circumcision services. The standard-care group also consisted of 15 villages. Universal ART became available in both groups in mid-2016. We enrolled a random sample of participants from approximately 20% of households in each community and measured the incidence of HIV infection through testing performed approximately once per year. The prespecified primary analysis was a permutation test (...) Universal Testing, Expanded Treatment, and Incidence of HIV Infection in Botswana. The feasibility of reducing the population-level incidence of human immunodeficiency virus (HIV) infection by increasing community coverage of antiretroviral therapy (ART) and male circumcision is unknown.We conducted a pair-matched, community-randomized trial in 30 rural or periurban communities in Botswana from 2013 to 2018. Participants in 15 villages in the intervention group received HIV testing

2019 NEJM Controlled trial quality: uncertain

55. Telephone communication of HIV testing results for improving knowledge of HIV infection status. (PubMed)

Telephone communication of HIV testing results for improving knowledge of HIV infection status. This is one of three Cochrane reviews that examine the role of the telephone in HIV/AIDS services. Both in developed and developing countries there is a large proportion of people who do not know they are infected with HIV. Knowledge of one's own HIV serostatus is necessary to access HIV support, care and treatment and to prevent acquisition or further transmission of HIV. Using telephones instead (...) Education Global Information System, and reference lists of relevant studies for this review.Randomised controlled trials (RCTs), quasi-randomised controlled trials (qRCTs), controlled before and after studies (CBAs), and interrupted time series (ITS) studies comparing the effectiveness of telephone HIV test results notification and post-test counselling to face-to-face or other ways of HIV test result delivery in people regardless of their demographic characteristics and in all settings.Two reviewers

2013 Cochrane

56. Greater involvement of HIV-infected peer-mothers in provision of reproductive health services as "family planning champions" increases referrals and uptake of family planning among HIV-infected mothers. (PubMed)

Greater involvement of HIV-infected peer-mothers in provision of reproductive health services as "family planning champions" increases referrals and uptake of family planning among HIV-infected mothers. In 2012, Makerere University Johns - Hopkins University, and Mulago National Referral Hospital, with support from the National Institute of Health (under Grant number: NOT AI-01-023) undertook operational research at Mulago National Hospital PMTCT/PNC clinics. The study employed Peer Family (...) Planning Champions to offer health education, counselling, and triage aimed at increasing the identification, referral and family planning (FP) uptake among HIV positive mothers attending the clinic.The Peer Champion Intervention to improve FP uptake was introduced into Mulago Hospital PMTCT/PNC clinic, Kampala Uganda. During the intervention period, peers provided additional FP counselling and education; assisted in identification and referral of HIV Positive mothers in need of FP services

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2017 BMC health services research

57. Prepregnancy counseling

and infertility for counseling. Like prepregnancy counseling for non-HIV-infected women, the goals for HIV-infected women are to improve the health of the women before pregnancy and to identify risk factors for adverse maternal and fetal outcomes. Safe sex practices and avoidance of STIs should be discussed, and both partners should be screened for STIs, which should be treated if pre- sent. The choice of antiretroviral therapy in women of child- bearingcapacityshouldtakeintoconsiderationtheregimen's (...) an annual in?uenza vaccina- tion; those women who are or will be pregnant during in?uenza season will have additional bene?ts. Assessment of the need for sexually transmitted infection (STI)screeningshouldbeperformedatthetimeofprepreg- nancy counseling. Patients with potential exposure to certain infectious dis- eases,suchastheZikavirus,shouldbecounseledregarding travel restrictions and appropriate waiting time before at- tempting pregnancy. All patients should be routinely asked about their use

2019 Society for Assisted Reproductive Technology

58. Counselling for Chlamydia Case Management: A Rapid Review

to the individual situation. • The observational cohort study indicated that brief risk reduction counselling provided by healthcare providers during HIV primary-care visits coupled with routine STI screening may reduce STI incidence in persons with HIV infection. Counseling Messaging for Positive Cases: Encourage Abstinence until Treatment Completion • Evidence from one randomized control trial were utilized to examine the effectiveness of counselling messages for avoiding unprotected sexual intercourse (...) - Public Health (ROP-PH) prevents or reduces the burden of STIs and blood-borne infections, and promotes healthy sexuality (2,3). HS public health nurses conduct case management for all reportable 3 STIs in Peel region. STI case management often involves brief counselling ( two hours) + + Effective (+) Mixed effect (+/-) No effect (-) 14 STI Incidence Brief duration counselling ( two hours) can reduce STI incidence among adolescents and adults. Longer duration counselling resulted in a 62 per cent

2019 Peel Health Library

59. Prepregnancy Counseling

( ) and ASRM ( ). Gonorrhea, chlamydial infection, syphilis, and human immunodeficiency virus (HIV) should be screened for based on age and risk factors. Counseling to reduce STI risk should be provided (26). For current guidance on hepatitis C screening for nonpregnant women, see the CDC’s recommendations ( ). Those at high risk of tuberculosis should be screened and treated appropriately before pregnancy (26). Exposure to toxoplasmosis should be assessed and avoidance counseled. Much attention has been (...) if considering pregnancy ( ). Prepregnancy counseling should include a detailed discussion of interventions to reduce the risk of perinatal transmission, ways to optimize long-term health, and the possible effects of antiretroviral medications on the fetus. Any HIV-infected patients who are contemplating pregnancy should be counseled that they should be receiving treatment with antiretroviral therapy, with the goal of a plasma viral load suppressed to an undetectable level before achieving pregnancy

2019 American College of Obstetricians and Gynecologists

60. Home HIV testing and counseling for reducing HIV incidence in a generalized epidemic setting: a mathematical modeling analysis (PubMed)

Home HIV testing and counseling for reducing HIV incidence in a generalized epidemic setting: a mathematical modeling analysis Home HIV testing and counselling (HTC) achieves high levels of HIV testing and linkage to care. Periodic home HTC, particularly targeted to those with high HIV viral load, might facilitate expansion of antiretroviral therapy (ART) coverage. We used a mathematical model to assess the effect of periodic home HTC programmes on HIV incidence in KwaZulu-Natal, South (...) %, and this was the most cost-effective strategy for prevention of HIV infections at US$2960 per infection averted. Expansion of ART eligibility CD4 counts of 350-500 cells per μL is cost-effective at $900 per quality-adjusted life-year gained. Following health economic guidelines, expansion of ART use to individuals who have viral loads of more than 10 000 copies per mL among those with CD4 counts of more than 350 cells per μL was cost-effective to reduce HIV-related morbidity.Our results show that province-wide home

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2016 The lancet. HIV

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