Mood and Psychiatric Disturbance in HIV and AIDS: Changes Over Time

1993 ◽  
Vol 162 (5) ◽  
pp. 604-610 ◽  
Author(s):  
Mary Fell ◽  
Stanton Newman ◽  
Mary Herns ◽  
Pauline Durrance ◽  
Hadi Manji ◽  
...  
Keyword(s):  
Well Being ◽  
Hiv And Aids ◽  
Psychiatric History ◽  
Bisexual Men ◽  
Psychiatric Disturbance ◽  
Symptomatic Group ◽  
And Bisexual ◽  
Changes Over Time ◽  
Hiv Seropositive ◽  
Over Time

A sample of 26 HIV seronegative, 59 HIV seropositive asymptomatic and 7 HIV seropositive symptomatic homosexual and bisexual men were assessed over two visits, a mean of 11 months apart, using the BDI, STAI, and CIS. Significant differences emerged between the symptomatic group and the other two groups. Past psychiatric history and the somatic items in the assessments accounted for some of these differences. The seropositive asymptomatic and the seronegative groups did not differ on any of the mood or psychiatric assessments, suggesting minimal effect on psychological well-being of seroconversion in the absence of symptoms.

scholarly journals The Impact of Intersectional Identities on Older People With HIV

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 723-723
Author(s):  
Mark Brennan-Ing ◽  
Charles Emlet
Keyword(s):  
Older People ◽  
African American Women ◽  
Well Being ◽  
Hiv Stigma ◽  
Neurocognitive Functioning ◽  
Bisexual Men ◽  
And Bisexual ◽  
And Gender ◽  
The Impact ◽  
Racial Ethnic

Abstract Kimberlé Crenshaw introduced the term “intersectionality” in the late 1980s to highlight the experience discrimination and marginalization of Black and African-American women originating from the confluence of their racial/ethnic and gender identities. Since that time the focus on intersectionality has broadened to consider other communities and individuals who may have multiple stigmatized and discredited identities, including older people with HIV (PWH). For example, Porter and Brennan-Ing described the “Five Corners” model as the intersection of ageism, racism, classism, sexism, and HIV stigma for older transgender and gender non-conforming PWH. HIV disproportionately affects marginalized communities (e.g., racial/ethnic and sexual minorities). Thus, for older PWH it is important to consider how HIV stigma may intersect with other marginalized identities and impact physical and psychological well-being. The first paper in this session examines how the intersection of HIV serostatus, gay identity, and age complicates identity disclosure, leading to social isolation and interference with care planning. The second paper describes how intersectional identities among older PWH interfere with access to mental health services in a population that is disproportionately affected by depression and PTSD. Our third paper examines the role of race, education, and behavioral health in neurocognitive functioning among a diverse sample of older HIV+ gay and bisexual men. Our last paper examines neurocognitive functioning among older Latinx PWH, finding that sexual and gender minorities were at greater risk for impairment. Implications of these findings for research and programming that accounts for the effects of intersectionality among older PWH will be discussed.

Effect of Erythropoietin Treatment on Nutritional Status of Continuous Ambulatory Peritoneal Dialysis Patients

1993 ◽  
Vol 13 (2_suppl) ◽  
pp. 544-549 ◽  
Author(s):  
Elias V. Balaskas ◽  
I. Rogers Melamed ◽  
Amit Gupta ◽  
Joanne Bargman ◽  
Dimitrios G. Oreopoulos
Keyword(s):  
Nutritional Status ◽  
Serum Albumin ◽  
Absolute Lymphocyte Count ◽  
Well Being ◽  
Underlying Disease ◽  
Phosphate Binders ◽  
Self Assessment ◽  
Erythropoietin Treatment ◽  
Changes Over Time ◽  
Over Time

Seventeen patients -10 females, 7 males -mean age 52 years (range: 21–77 years), on CAPD for an average of 35 months (range 10–160 months) were studied. Mean initial dose of EPO was 114±45 U/kg/week subcutaneously (range: 59–209). The dose was adjusted to achieve and maintain a target Hb of 100 g/L and Hct 30%. Fifteen of the patients (88.2%) achieved this target within 6 months [baseline to month 6 changes: Hb 72±10 g/L to 107±12 g/L (p=0.0001); Hct 22±3% to 33±4% (p=0.0001)]. Serum total protein also increased significantly over the time of EPO use (p=0.0133); changes from baseline were significant by the fourth month [68±9 g/L to 72±9 g/L (p=0.0115)]. Serum albumin also increased significantly over time (p=0.0157). The change from the baseline result (37±4 g/L) was statistically significant by month 2 (p=0.0060) and was maintained over the following 4 months [month 6 result: 40±3 g/L (p=0.0180)]. The increase was greater for 8 patients with initial serum albumin <35 g/L (mean change 5.75 g/L) than for the 9 subjects with levels >35 g/L (mean change 0.11 g/L). In a comparison group of 17 patients (matched for age, sex, duration of CAPD, underlying disease and antihypertensive treatment), who did not receive EPO treatment, albumin and protein did not appear to increase over time. Mean body weight increased from 60.9± 14.0 kg at the start to 62.1± 13.9 kg at month 6 (p=0.281) and the absolute lymphocyte count from 1.6±0.8 x 109/L to 1.8±1.0 x 109/L (p=0.0472). Serum potassium, urea, creatinine, phosphorus, cholesterol, tri. glycerides, WBC and platelets did not show significant changes over time. Serum phosphorus increased at the end of the second and third months (from 1.6±0.5 mmol/L to 1.9±0.4 and 1.8±0.4 mmol/L and then decreased at the sixth month (1.7±0.5 mmol/L); this is probably due to an increase in phosphate binders in 9 of 17 patients. An improvement in appetite, sleep and well-being, by patients’ self-assessment, was noted during the treatment. We conclude that the treatment with EPO is associated with improvement of the nutritional status of patients on CAPD.

scholarly journals P443 Eligibility for and use of HIV pre-exposure prophylaxis among australian gay and bisexual men over time

2019 ◽  
Author(s):  
Garrett Prestage ◽  
Mohamed Hammoud ◽  
Benjamin Bavinton ◽  
Adam Bourne ◽  
Martin Holt ◽  
...  
Keyword(s):  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
And Bisexual ◽  
Exposure Prophylaxis ◽  
Over Time

Psychosocial correlates of transmission risk behavior among HIV-seropositive gay and bisexual men

AIDS ◽  
2005 ◽  
Vol 19 (Supplement 1) ◽  
pp. S67-S75 ◽  
Author(s):  
Ann OʼLeary ◽  
Richard J Wolitski ◽  
Robert H Remien ◽  
William J Woods ◽  
Jeffrey T Parsons ◽  
...  
Keyword(s):  
Risk Behavior ◽  
Gay And Bisexual Men ◽  
Transmission Risk ◽  
Bisexual Men ◽  
Psychosocial Correlates ◽  
And Bisexual ◽  
Hiv Seropositive

scholarly journals Predictors of Facebook User Engagement With Health-Related Content for Gay, Bisexual, and Other Men Who Have Sex With Men: Content Analysis (Preprint)

2017 ◽  
Author(s):  
Kiffer George Card ◽  
Nathan Lachowsky ◽  
Blake W Hawkins ◽  
Jody Jollimore ◽  
Fahmy Baharuddin ◽  
...  
Keyword(s):  
Negative Binomial ◽  
Negative Binomial Regression ◽  
Application Programming Interface ◽  
Well Being ◽  
Gay And Bisexual Men ◽  
User Engagement ◽  
Bisexual Men ◽  
And Bisexual ◽  
Sex With Men ◽  
Health Content

BACKGROUND Social media is used by community-based organizations (CBOs) to promote the well-being of gay and bisexual men (GBM). However, few studies have quantified which factors facilitate the diffusion of health content tailored for sexual minorities. OBJECTIVE The aim of this study was to identify post characteristics that can be leveraged to optimize the health promotion efforts of CBOs on Facebook. METHODS The Facebook application programming interface was used to collect 5 years’ of posts shared across 10 Facebook pages administered by Vancouver-based CBOs promoting GBM health. Network analysis assessed basic indicators of network structure. Content analyses were conducted using informatics-based approaches. Hierarchical negative binomial regression of post engagement data was used to identify meaningful covariates of engagement. RESULTS In total, 14,071 posts were shared and 21,537 users engaged with these posts. Most users (n=13,315) engaged only once. There was moderate correlation between the number of posts and the number of CBOs users engaged with (r=.53, P<.001). Higher user engagement was positively associated with positive sentiment, sharing multimedia, and posting about pre-exposure prophylaxis, stigma, and mental health. Engagement was negatively associated with asking questions, posting about dating, and sharing posts during or after work (versus before). CONCLUSIONS Results highlight the existence of a core group of Facebook users who facilitate diffusion. Factors associated with greater user engagement present CBOs with a number of strategies for improving the diffusion of health content.

scholarly journals Well-Being Among Older Gay and Bisexual Men and Women in England: A Cross-sectional Population Study

2019 ◽  
Vol 20 (9) ◽  
pp. 1080-1085.e1 ◽  
Author(s):  
Igor Grabovac ◽  
Lee Smith ◽  
Daragh T. McDermott ◽  
Sinisa Stefanac ◽  
Lin Yang ◽  
...  
Keyword(s):  
Population Study ◽  
Well Being ◽  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
Cross Sectional ◽  
Men And Women ◽  
And Bisexual

Sexuality and public health

2021 ◽  
pp. 307-316
Author(s):  
Richard Parker ◽  
Jonathan Garcia ◽  
Miguel Muñoz-Laboy ◽  
Marni Sommer ◽  
Patrick Wilson
Keyword(s):  
Public Health ◽  
Sexual Health ◽  
Well Being ◽  
Hiv And Aids ◽  
Health It ◽  
Public Health Response ◽  
International Agencies ◽  
Health Response ◽  
Health And Well Being ◽  
Over Time

This chapter seeks to provide an overview of this rapidly growing body of work in public health. It describes the initial public health response to sexuality in the context of HIV and AIDS, as well as the ways in which that response has been gradually broadened over time in order to provide a more comprehensive approach to sexual health and well-being. It also focuses on both the local and the global dimensions of this work, in both developed and developing countries, and as much in the work of local communities struggling to respond to the needs of their own populations, as well as on the part of a range of international agencies that are increasingly seeking to address a range of challenges to sexual health.

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