Journal of the Association of Nurses in AIDS Care RSS feed: Current Issue. The Journal of the Association of Nurses in AIDS Care covers the spectrum of nursing issues in HIV/AIDS: education, treatment, prevention, research, practice, clinical issues, awareness, policies and program development. This peer-reviewed journal is a forum for nurses and other health care professionals whose focus is the care and treatment of individuals infected and affected by HIV/AIDS. The Journal of the Association of Nurses in AIDS Care offers the latest information in the areas of health care delivery, program implementation and research analysis and application. JANAC encourages the submission of original manuscripts through its first-time author mentoring program. The journal is included in Index Medicus, MEDLINE, CINAHL and the Expanded Science Citation Index. The Journal of the Association of Nurses in AIDS Care is also included in the following abstracting services: AIDS and Cancer Research; Biological Sciences Abstracts; Family & Society Studies Worldwide; Health & Safety Sciences Abstracts; IBZ (International Bibliography of Periodical Literature on the Humanities and Social Sciences): International Nursing Index; Pollution Abstracts; PsychINFO; PsycLIT; Psychological Abstracts; RNdex; Risk Abstracts; Safety Science & Risk Abstracts; Sexual Diversity Studies; and Virology and AIDS Abstracts. http://www.nursesinaidscarejournal.org/?rss=yesElsevier Inc.en © 2010 Published by Elsevier Inc. All rights reserved. Journal of the Association of Nurses in AIDS Care1055-3290215September 2010 © 2010 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.nursesinaidscarejournal.org/article/PIIS1055329010001214/abstract?rss=yesCover 110.1016/S1055-3290(10)00121-4Journal of the Association of Nurses in AIDS Care 21, 5 (2010)2010-09-01Journal of the Association of Nurses in AIDS Care2010-09-01215S1055-3290(10)X0005-XOFCOFChttp://www.nursesinaidscarejournal.org/article/PIIS1055329010001172/abstract?rss=yesLook at the world as it really is, not through the rose-colored, corrupt glasses of ideology.—Ben Stein, September 21, 2008 CBS Sunday Morning Have you read the recent evaluation of the President's Emergency Plan for AIDS Relief ()? It provides an interesting analysis of successes and problems with PEPFAR as well as an agenda to improve this global initiative to stem the tide of the HIV epidemic. Evertz, the first openly gay appointee of a Republican president, served in two different HIV-related positions in the Bush White House. His analysis of PEPFAR comes from an insider's perspective, but his comments are tempered by a pragmatism that was not often applied to HIV during the previous administration.Political Ideology, HIV Infection, and PEPFARLucy Bradley-Springer10.1016/j.jana.2010.07.004Journal of the Association of Nurses in AIDS Care 21, 5 (2010)2010-09-01Journal of the Association of Nurses in AIDS Care2010-09-01215S1055-3290(10)X0005-XEditorial377379http://www.nursesinaidscarejournal.org/article/PIIS1055329010000063/abstract?rss=yesThis article reviews the literature on HIV-related interventions for U.S. women prisoners, with a focus on identifying strategies that enabled women to practice safer sex, reduce drug use, and to avoid recidivism. A comprehensive search indicated that only nine such interventions were evaluated in professional journals between 1994 and 2009. These interventions involved behavioral programs for women at risk for HIV and discharge planning for women releasees who were either infected with or at risk for HIV. Four interventions for incarcerated women achieved successful outcomes regarding self-empowerment and safer sex skills; 3 prison-release interventions resulted in less recidivism if not reduced HIV risk. Each intervention was nominally women-centered, with prison-release programs lacking protocols that were designed specifically for women. Based on evidence that women-centered interventions were desirable for this population, such interventions should be given high priority in criminal justice policy and care provision during the HIV epidemic.A Critical Review of HIV-Related Interventions for Women Prisoners in the United StatesBronwen Lichtenstein, Robert Malow10.1016/j.jana.2010.01.004Journal of the Association of Nurses in AIDS Care 21, 5 (2010)2010-03-29Journal of the Association of Nurses in AIDS Care2010-03-29215S1055-3290(10)X0005-XFeatures380394http://www.nursesinaidscarejournal.org/article/PIIS1055329010000051/abstract?rss=yesHIV screening is the first step in identifying HIV infection; however, the HIV screening rates remain low. Homeless people in the United States are at risk for HIV infection, yet their acceptance of HIV screening remains poorly understood. The purpose of this study was to investigate beliefs and intentions of the homeless toward HIV screening. Using a survey design, this study applied the Theory of Planned Behavior to investigate attitudes, social norms, and perceived behavioral control and their relationship to intention to screen for HIV. Homeless people (N = 323) from 12 different shelters participated in this study. The final path analysis explained 60% of homeless people's intentions to screen for HIV. Significant predictors included: attitude toward HIV screening, prior screening, age, and subjective norms. Implications include health provider recommendations for screening and increasing awareness of HIV risk behaviors for this vulnerable population.HIV Screening: Beliefs and Intentions of the HomelessCatherine J. Fogg, Barbara Mawn10.1016/j.jana.2010.01.003Journal of the Association of Nurses in AIDS Care 21, 5 (2010)2010-03-29Journal of the Association of Nurses in AIDS Care2010-03-29215S1055-3290(10)X0005-XFeatures395407http://www.nursesinaidscarejournal.org/article/PIIS1055329010000452/abstract?rss=yesPeople living with HIV infection have a significantly higher rate of anal cancer as compared with that of uninfected people. It is believed that high-grade anal dysplasia secondary to human papillomavirus infection is a precursor to anal cancer. Considering this, screening and treatment of high-grade anal dysplasia is a possible means of preventing the development of anal cancer. No national or international guidelines exist to guide practice for screening and management of anal dysplasia. On the basis of a review of research and expert recommendations, a guide to practice for screening and management of anal dysplasia and anal cancer is made for clinicians.Screening and Management of Anal Dysplasia and Anal Cancer in HIV-Infected Patients: A Guide for PracticeMatt G. Moran, Thomas W. Barkley, Cynthia B. Hughes10.1016/j.jana.2010.02.010Journal of the Association of Nurses in AIDS Care 21, 5 (2010)2010-04-22Journal of the Association of Nurses in AIDS Care2010-04-22215S1055-3290(10)X0005-XFeatures408416http://www.nursesinaidscarejournal.org/article/PIIS1055329009002167/abstract?rss=yesAntiretroviral therapy (ART) for HIV became available in the South African public health sector in 2004. Medical treatment in public primary health care (PHC) clinics is dependent on nurses and auxiliary staff. The aim of this descriptive study was to describe practice patterns and perceptions of health care providers (HCPs) regarding treatment of HIV-infected patients on ART, drug adherence, and patient education in a public PHC setting in the Eastern Cape, South Africa. Personal interviews, using a structured questionnaire, were conducted with all HCPs (N=43) working with the ART program at 7 PHC clinics. Insufficient training was expressed as a major concern. Medication adherence was believed to be the most important aspect of care to discuss with HIV-infected patients. HCPs perceived that patients had few side effects. HCPs faced challenges with heavy workloads, lack of sufficient human resources and training, and time constraints.Antiretroviral Treatment and Follow-up of HIV-Infected Patients by Health Care Providers in South African Public Primary Health CareKarine W. Ruud, Else-Lydia Toverud, Sarah Radloff, Sunitha C. Srinivas10.1016/j.jana.2009.12.003Journal of the Association of Nurses in AIDS Care 21, 5 (2010)2010-03-22Journal of the Association of Nurses in AIDS Care2010-03-22215S1055-3290(10)X0005-XFeatures417428http://www.nursesinaidscarejournal.org/article/PIIS1055329009002349/abstract?rss=yesDyslipidemia is common in persons living with HIV infection. Nurse clinicians must be able to recognize lipid abnormalities so that treatment plans can be developed. Managing dyslipidemia must be considered early in the HIV treatment process because certain antiretroviral therapy (ART) regimens, particularly those containing ritonavir, may exacerbate dyslipidemia risk. Statins are the most common medications used to treat dyslipidemia; however, because of drug-drug interactions, some are contraindicated with certain ART drugs. Other statins can be used but require dose adjustments when used with certain ART medications. Nonstain medications such as fibrates, niacin, and omega-3 fatty acid (fish oil) can be used to manage lipids and are discussed. Nurse clinicians should be prepared to discuss with the health care team potential alternative drug regimens for concurrent treatment of HIV infection and dyslipidemia.Evaluation and Pharmacologic Management of the HIV-Infected Patient With DyslipidemiaRobin L. Hardwicke, Stanley T. Lewis, Richard M. Grimes10.1016/j.jana.2009.12.006Journal of the Association of Nurses in AIDS Care 21, 5 (2010)2010-03-22Journal of the Association of Nurses in AIDS Care2010-03-22215S1055-3290(10)X0005-XFeatures429438http://www.nursesinaidscarejournal.org/article/PIIS1055329010001111/abstract?rss=yesMen who have sex with men (MSM) account for 76.3% of the HIV cases in Canada since HIV-reporting began in 1985 (). There has been a recent increase in unprotected anal intercourse (UAI) among MSM both in the United States and Canada, which seems to have occurred soon after the advances in antiretroviral therapy (ART; ). HIV optimism—the term given for a set of beliefs that ART has made HIV less of a health threat—has been found to be associated with HIV sexual risk behavior among MSM in a recent meta-analysis (), as well as in other studies on MSM (e.g., ).HIV Optimism and High-Risk Sexual Behavior in Two Cohorts of Men Who Have Sex With MenTrevor A. Hart, Carolyn A. James, Carolyn M.P. Hagan, Emilie Boucher10.1016/j.jana.2010.06.001Journal of the Association of Nurses in AIDS Care 21, 5 (2010)2010-07-26Journal of the Association of Nurses in AIDS Care2010-07-26215S1055-3290(10)X0005-XResearch Briefs439443http://www.nursesinaidscarejournal.org/article/PIIS1055329010000087/abstract?rss=yesAlmost three quarters of North Americans in 2008 were Internet users, representing a 128% increase in Internet usage between 2000 and 2008 (). A national survey conducted in 2005 found that 59% of Internet users searched for health information online (). Persons living with HIV (PLWH) have group characteristics associated with lower rates of Internet usage, including socioeconomic disadvantage and lower literacy rates (). The Internet has the potential to be an important vehicle for the communication of health messages of particular relevance to PLWH, such as safer sex (), medication adherence (), and smoking cessation ().Internet Access and Usage in a Sample of Inner-City HIV-Infected PatientsSherlan Thomas, Jonathan Shuter10.1016/j.jana.2010.01.006Journal of the Association of Nurses in AIDS Care 21, 5 (2010)2010-03-29Journal of the Association of Nurses in AIDS Care2010-03-29215S1055-3290(10)X0005-XResearch Briefs444448http://www.nursesinaidscarejournal.org/article/PIIS105532901000004X/abstract?rss=yesHIV educators are aware of a range of factors that pose constraints to HIV containment, including high-risk behavior, freedom of choice, and economic and public policies (). Addressing the multitude of risk factors requires the establishment of coordinated, multi-level, and multi-stakeholder efforts (). Risk factors that increase vulnerability to HIV infection, such as high rates of sexually transmitted infections and substance abuse are also prevalent among Canada's Aboriginal communities (). Although Aboriginal persons make up only 3.3% of the Canadian population, Aboriginal persons account for approximately 7.5% of persons living with HIV in Canada. Furthermore, the incidence of HIV among Aboriginal persons is about 2.8 times higher than non-Aboriginal persons ().HIV Prevention in an Aboriginal Community in CanadaBasanti Majumdar, Dale Guenter, Gina Browne10.1016/j.jana.2010.01.002Journal of the Association of Nurses in AIDS Care 21, 5 (2010)2010-03-29Journal of the Association of Nurses in AIDS Care2010-03-29215S1055-3290(10)X0005-XResearch Briefs449454http://www.nursesinaidscarejournal.org/article/PIIS1055329010001238/abstract?rss=yesEditorial Board10.1016/S1055-3290(10)00123-8Journal of the Association of Nurses in AIDS Care 21, 5 (2010)2010-09-01Journal of the Association of Nurses in AIDS Care2010-09-01215S1055-3290(10)X0005-XFrontmatterA2A2http://www.nursesinaidscarejournal.org/article/PIIS105532901000124X/abstract?rss=yesTable of Contents10.1016/S1055-3290(10)00124-XJournal of the Association of Nurses in AIDS Care 21, 5 (2010)2010-09-01Journal of the Association of Nurses in AIDS Care2010-09-01215S1055-3290(10)X0005-XFrontmatterA3A3http://www.nursesinaidscarejournal.org/article/PIIS1055329010001263/abstract?rss=yesMasthead10.1016/S1055-3290(10)00126-3Journal of the Association of Nurses in AIDS Care 21, 5 (2010)2010-09-01Journal of the Association of Nurses in AIDS Care2010-09-01215S1055-3290(10)X0005-XFrontmatterA4A4http://www.nursesinaidscarejournal.org/article/PIIS1055329010001251/abstract?rss=yesBoard of Directors10.1016/S1055-3290(10)00125-1Journal of the Association of Nurses in AIDS Care 21, 5 (2010)2010-09-01Journal of the Association of Nurses in AIDS Care2010-09-01215S1055-3290(10)X0005-XFrontmatterA7A7