scholarly journals Sex and Gender are Not the Same: Why Identity Is Important for People Living with HIV and Chronic Pain

2020 ◽  
Vol Volume 13 ◽  
pp. 829-835
Author(s):  
Larissa J Strath ◽  
Robert E Sorge ◽  
Michael A Owens ◽  
Cesar E Gonzalez ◽  
Jennifer I Okunbor ◽  
...  
Keyword(s):  
Chronic Pain ◽  
People Living With Hiv ◽  
Sex And Gender ◽  
And Gender ◽  
Living With Hiv

Secret lives and gender fluidity of people living with HIV in Hyderabad, India

2021 ◽  
Author(s):  
Sameena Azhar ◽  
Jason Vaudrey ◽  
Sabitha Gandham ◽  
Sean Burr ◽  
Ganesh Oruganti ◽  
...  
Keyword(s):  
People Living With Hiv ◽  
Gender Fluidity ◽  
And Gender ◽  
Living With Hiv

Prevalence and impact of comorbid chronic pain and cigarette smoking among people living with HIV

AIDS Care ◽  
2021 ◽  
pp. 1-9
Author(s):  
Lisa R. LaRowe ◽  
John D. Cleveland ◽  
Dustin M. Long ◽  
Shadi Nahvi ◽  
Edward R. Cachay ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Cigarette Smoking ◽  
People Living With Hiv ◽  
Living With Hiv

scholarly journals Validity of hemoglobin A1c for diagnosing diabetes among people with and without HIV in Uganda

2019 ◽  
Vol 30 (5) ◽  
pp. 479-485
Author(s):  
James Muchira ◽  
Eileen Stuart-Shor ◽  
Jen Manne-Goehler ◽  
Janet Lo ◽  
Alexander C Tsai ◽  
...  
Keyword(s):  
Hemoglobin A1c ◽  
Fasting Blood Glucose ◽  
High Specificity ◽  
Sub Saharan Africa ◽  
People Living With Hiv ◽  
Cd4 Cell Count ◽  
Sub Saharan ◽  
And Gender ◽  
Living With Hiv ◽  
Cd4 Cell

Sub-Saharan Africa (SSA) is facing a growing co-epidemic of chronic HIV infection and diabetes. Hemoglobin A1c (A1c) may underestimate glycemia among people living with HIV (PLWH). We estimated the validity of A1c to diagnose diabetes among PLWH and HIV-uninfected persons in rural Uganda. Data were derived from a cohort of PLWH and age- and gender-matched HIV-uninfected comparators. We compared A1c to fasting blood glucose (FBG) using Pearson correlations, regression models, and estimated the sensitivity and specificity of A1c for detecting diabetes with FBG ≥126 mg/dL as reference standard. Approximately half (48%) of the 212 participants were female, mean age of 51.7 years (SD = 7.0) at enrollment. All PLWH (n = 118) were on antiretroviral therapy for a median of 7.5 years with mean CD4 cell count of 442 cells/µL. Mean FBG (89.7 mg/dL) and A1c (5.6%) were not different between PLWH and HIV-uninfected ( P > 0.50) groups, but the HIV-uninfected group had a higher prevalence of A1c >5.7% (33% vs. 20%, P = 0.024). We found a relatively strong correlation between A1c and FBG (r = 0.67). An A1c ≥6.5% had a poor sensitivity (46%, 95% CI 26–67%) but high specificity (98%, 95% CI 96–99%) for detecting diabetes. More work is needed to define an optimal A1c for screening diabetes in SSA.

scholarly journals Social support buffers the negative influence of perceived injustice on pain interference in people living with HIV and chronic pain

PAIN Reports ◽  
2019 ◽  
Vol 4 (2) ◽  
pp. e710 ◽  
Author(s):  
Terence M. Penn ◽  
Zina Trost ◽  
Romy Parker ◽  
William P. Wagner ◽  
Michael A. Owens ◽  
...  
Keyword(s):  
Social Support ◽  
Chronic Pain ◽  
Negative Influence ◽  
Pain Interference ◽  
People Living With Hiv ◽  
Perceived Injustice ◽  
Living With Hiv

scholarly journals Pain-Specific Resilience in People Living With HIV and Chronic Pain: Beneficial Associations With Coping Strategies and Catastrophizing

2019 ◽  
Vol 10 ◽  
Author(s):  
Cesar E. Gonzalez ◽  
Jennifer I. Okunbor ◽  
Romy Parker ◽  
Michael A. Owens ◽  
Dyan M. White ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Coping Strategies ◽  
People Living With Hiv ◽  
Living With Hiv

scholarly journals A preliminary analysis of the association between perceived stigma and HIV-related pain in South Africans living with HIV

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Antonia L. Wadley ◽  
Tamar Pincus ◽  
Michael Evangeli
Keyword(s):  
Chronic Pain ◽  
Pain Intensity ◽  
Mediation Analysis ◽  
Rating Scale ◽  
Hiv Stigma ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Aids Stigma ◽  
Living With Hiv ◽  
The Relationship

Background: Stigma related to the human immunodeficiency virus (HIV) remains common and has been associated with severity of HIV-related symptoms. Associations between HIV stigma and HIV-related pain, one of the most common symptoms in HIV, have however not been investigated. Data from low back pain populations suggest that stigma is associated with worse pain intensity and so we hypothesised that the same would be the case in HIV.Aim: The goal of this study was to assess the association between HIV stigma and pain intensity in people living with HIV (PLWH) with chronic pain whilst controlling for depression, a well-established correlate of pain.Setting: The study took place at an HIV clinic in Johannesburg, South Africa.Methods: Mediation analysis was used to assess the effect of depression on the relationship between stigma and pain intensity in a cross-sectional cohort of 50 PLWH and chronic pain (pain most days of the week for > 3 months). All participants were assessed using the HIV/AIDS Stigma Instrument – PLWA, an 11-point numerical pain rating scale and the Beck Depression Inventory II.Results: In all, 88% (44/50) of participants reported experiencing some form of HIV stigma (HIV stigma scale score ≥ 1). Worst pain intensity and depressive symptoms individually correlated with total stigma score (Spearman’s r = 0.33, p = 0.02 for both). The mediation analysis highlighted that mediation of the relationship by depression was equivocal (b = -0.002, bootstrapped confidence interval -0.02 to 0.00).Conclusion: Whilst these preliminary data are marginal, they do suggest that associations between HIV stigma and HIV-related pain warrant further investigation. Future study should also include potential mechanisms, which may include mediation through depression.

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