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 © 2012 Published by Elsevier Inc. All rights reserved. Journal of the Association of Nurses in AIDS Care1055-3290231January 2012 © 2012 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.nursesinaidscarejournal.org/article/PIIS1055329011002512/abstract?rss=yesCover 110.1016/S1055-3290(11)00251-2Journal of the Association of Nurses in AIDS Care 23, 1 (2012)2012-01-01Journal of the Association of Nurses in AIDS Care2012-01-01231S1055-3290(11)X0007-9OFCOFChttp://www.nursesinaidscarejournal.org/article/PIIS1055329011002469/abstract?rss=yesRe-examine all you have been told…Dismiss whatever insults your soul.—Walt Whitman (1819–1892) Last fall, I received an email from my colleague, Linda Frank, letting me know about an article that had been published in the New York Times (). I was on vacation, but I scanned the article and was righteously indignant, which – I assume – is the reaction that Dr. Frank thought I would have. I tried to ignore it, but throughout the rest of my vacation, my mind kept coming back to that article, and my indignation rose with each mental review of its content.Doctor, DoctorLucy Bradley-Springer10.1016/j.jana.2011.12.002Journal of the Association of Nurses in AIDS Care 23, 1 (2012)2012-01-01Journal of the Association of Nurses in AIDS Care2012-01-01231S1055-3290(11)X0007-9Editorials13http://www.nursesinaidscarejournal.org/article/PIIS1055329011002470/abstract?rss=yes“Life, too, is like that. You live it forward,but understand it backward.”—, p. 9) We live in the present. It is a fact of life, or physics, or biology, or some existential reality, it just is. We are able, however, to look to the future, to hope for more, and to commit to doing something that makes life better. We are also able to look back, and, in so doing, learn and understand. We are able to remember, pay homage, grieve, and celebrate, and that is what I hope the members of the Association of Nurses in AIDS Care (ANAC) will be doing this year.The 25th YearLucy Bradley-Springer10.1016/j.jana.2011.12.003Journal of the Association of Nurses in AIDS Care 23, 1 (2012)2012-01-01Journal of the Association of Nurses in AIDS Care2012-01-01231S1055-3290(11)X0007-9Editorials44http://www.nursesinaidscarejournal.org/article/PIIS1055329011002445/abstract?rss=yesWe would like to take this opportunity to thank the following members of our review panel for reviewing manuscripts for JANAC in 2011. We sincerely value their time, expertise, and important contributions to the journal.Thank You!10.1016/j.jana.2011.11.006Journal of the Association of Nurses in AIDS Care 23, 1 (2012)2012-01-01Journal of the Association of Nurses in AIDS Care2012-01-01231S1055-3290(11)X0007-9Peer Reviewers56http://www.nursesinaidscarejournal.org/article/PIIS1055329011002457/abstract?rss=yesJust when I thought it was safe to plan for retirement HIV threw me another zinger: Accelerated aging! As if aging in and of itself didn’t present enough of a challenge, HIV appears to be adding a new twist.Age DisgracefullyMichael P. Graham10.1016/j.jana.2011.12.001Journal of the Association of Nurses in AIDS Care 23, 1 (2012)2012-01-01Journal of the Association of Nurses in AIDS Care2012-01-01231S1055-3290(11)X0007-9Commentaries78http://www.nursesinaidscarejournal.org/article/PIIS1055329011001890/abstract?rss=yesJune marked the 30th anniversary of the HIV epidemic in the United States and the 1-year anniversary of the launch of the first-ever U.S. National HIV/AIDS Strategy (). The Association of Nurses in AIDS Care (ANAC) has taken an active role in advocating for nurses and nursing in the context of the development and implementation of the NHAS and is publishing a series of commentaries in JANAC documenting our efforts. This initial commentary is designed to provide an overview of ANAC’s involvement in and work related to the NHAS.Shortages and Strategies: ANAC’s Role in the Development of the National HIV/AIDS StrategyKimberly Carbaugh10.1016/j.jana.2011.08.013Journal of the Association of Nurses in AIDS Care 23, 1 (2012)2012-01-01Journal of the Association of Nurses in AIDS Care2012-01-01231S1055-3290(11)X0007-9Commentaries910http://www.nursesinaidscarejournal.org/article/PIIS1055329011001889/abstract?rss=yesIn recent years, criminal laws have been increasingly applied in matters related to HIV nondisclosure, HIV exposure, and/or HIV transmission (). In North America, there has been a dramatic increase in the number of people charged for allegedly failing to disclose their serologic status before engaging in sexual activities, exposing others to HIV (via bodily fluids), and/or sexually transmitting HIV infection (). In Canada, charges have been laid against persons living with HIV (PLWH) in numerous cases. As of February 2011, there have been a total of 115 prosecutions in which a PLWH was alleged to have transmitted HIV or exposed a sexual partner to the risk of infection without disclosing HIV-infection status (). Of this number, more than 56% (65/115) were convicted of an offense under the Criminal Code of Canada (). See for a review of some of these cases.Toward a Critical Response to HIV Criminalization: Remarks on Advocacy and Social JusticeMarilou Gagnon10.1016/j.jana.2011.08.012Journal of the Association of Nurses in AIDS Care 23, 1 (2012)2011-11-07Journal of the Association of Nurses in AIDS Care2011-11-07231S1055-3290(11)X0007-9Commentaries1115http://www.nursesinaidscarejournal.org/article/PIIS1055329011000306/abstract?rss=yesTreatment for acute hepatitis C virus (HCV) infection has significantly better outcomes than treatment for chronic infection. The short window of the acute period poses challenges for young injection drug users (IDU), who are at highest risk of HCV infection, to demonstrate treatment candidacy. We recruited patients with acute HCV from a prospective cohort study to examine clinical and behavioral issues related to treatment candidacy. We report on outcomes and how nursing case management affected candidacy. All five acutely-infected participants reported daily drug use at baseline. All established primary care and decreased their drug use. None received treatment for their acute infection; one was treated within 12 months of infection. Establishing treatment candidacy for young IDU in the acute phase involves various health domains. An acute infection’s short period poses many challenges to establishing candidacy, but it is a window of opportunity to engage young IDU in health care.Assessing Candidacy for Acute Hepatitis C Treatment Among Active Young Injection Drug Users: A Case-Series ReportAlice Asher, Paula J. Lum, Kimberly Page10.1016/j.jana.2011.01.006Journal of the Association of Nurses in AIDS Care 23, 1 (2012)2011-04-18Journal of the Association of Nurses in AIDS Care2011-04-18231S1055-3290(11)X0007-9Features1629http://www.nursesinaidscarejournal.org/article/PIIS1055329011000616/abstract?rss=yesHIV-infected patients have considerable need for alcohol reduction support, and HIV care providers are strategically placed to implement a “prevention for positives” alcohol-reduction approach through alcohol screening and brief interventions (SBIs). To facilitate this approach, we provided alcohol SBI education and training to HIV care providers in four hospital-based, New York City HIV Care Centers in 2007. Interviews with the medical directors and 14 of the HIV care providers who attended the training identified barriers to implementing alcohol SBIs. These included limited time for alcohol screening, patients’ incomplete disclosure of alcohol use, providers’ perceptions that alcohol use is not a major problem for their patients, and provider specialization that assigns patients with problematic alcohol use to specifically designated providers. Identified facilitators for alcohol SBI implementation included adequate time to conduct the SBI; availability of information, tools, and key points to emphasize with HIV-infected patients; and use of a brief alcohol screening tool.Barriers and Facilitators in Implementing “Prevention for Positives” Alcohol-Reduction Support: The Perspectives of Directors and Providers in Hospital-Based HIV Care CentersShiela M. Strauss, Corrine E. Munoz-Plaza, Nelson J. Tiburcio, Marya Gwadz10.1016/j.jana.2011.03.001Journal of the Association of Nurses in AIDS Care 23, 1 (2012)2011-05-16Journal of the Association of Nurses in AIDS Care2011-05-16231S1055-3290(11)X0007-9Features3040http://www.nursesinaidscarejournal.org/article/PIIS1055329011001129/abstract?rss=yesA cohort of individuals with perinatally acquired HIV is maturing into reproductive age. This study describes pregnancy incidence and outcomes among females ages 15-25 with perinatally acquired HIV infection receiving comprehensive family-centered services in New York City. Chart reviews from 1998–2006 indicated 33 pregnancies among 96 young women. Twenty-six percent of the cohort experienced a pregnancy during the study period, with a rate of 125 per 1,000 person years in 2006. The age of first pregnancy ranged from 15–25; 24% were younger than 18. Fourteen pregnancies (42%) were terminated. Nineteen pregnancies resulted in live births, and all infants tested negative for HIV. The success of preventing vertical HIV transmission is attributed to interdisciplinary family-centered services, including reproductive health education, family planning, obstetric–gynecologic services and psychosocial support. Such approach is most likely to be effective at promoting healthy reproductive decisions and reducing morbidity in perinatally infected mothers and their children.Pregnancies in Perinatally HIV-Infected Young Women and Implications for Care and Service ProgramsMari Millery, Seydi Vazquez, Virginia Walther, Natalie Humphrey, Jennifer Schlecht, Nancy Van Devanter10.1016/j.jana.2011.05.008Journal of the Association of Nurses in AIDS Care 23, 1 (2012)2011-08-05Journal of the Association of Nurses in AIDS Care2011-08-05231S1055-3290(11)X0007-9Features4151http://www.nursesinaidscarejournal.org/article/PIIS105532901100135X/abstract?rss=yesAlthough stigma is a significant barrier to HIV prevention and treatment globally, the culture-specific psychosocial processes through which HIV-infected Chinese experience stigma have not been described. This study used grounded theory to explore the social and psychological processes of HIV-related stigma experienced by Chinese injection drug users and proposed a culture-specific concept of stigma. The focus group had six participants, and we conducted 16 individual interviews. The core category emerged as “Double struggle: Returning to normalcy.” Key concepts were dual stigma and family support, while keeping secrets and active drug use were factors influencing the struggle to return to normalcy. Family responsibility played an important role in bringing family members together to cope with HIV. Recommendations for Chinese health care providers include leveraging the traditional Chinese concept of family responsibility to establish a family alliance in response to the dual stigma and providing psychological counseling and education in treatment clinics.Shadow on My Heart: A Culturally Grounded Concept of HIV Stigma Among Chinese Injection Drug UsersXianhong Li, Honghong Wang, Guoping He, Kristopher Fennie, Ann Bartley Williams10.1016/j.jana.2011.07.002Journal of the Association of Nurses in AIDS Care 23, 1 (2012)2011-09-19Journal of the Association of Nurses in AIDS Care2011-09-19231S1055-3290(11)X0007-9Features5262http://www.nursesinaidscarejournal.org/article/PIIS1055329011000069/abstract?rss=yesThis study examined the relationships between personal characteristics, social support, spiritual well-being, coping style and adaptation process, and quality of life (QOL) among Thai people living with HIV infection (Thai PLWH) in Suphanburi Province, Thailand. Predictors of QOL were also investigated. Molassiotis’s Quality of Life Assessment in Chronic Patients provided the theoretical framework for this descriptive correlational design. The sample consisted of 120 Thai PLWH. Multiple regressions were used to estimate correlates between the independent study variables and QOL in Thai PLWH. The results revealed that age, education level, employment status, monthly income, living in own house, living with family member, social support, spiritual well-being, and coping style and adaptation process were related to QOL. This study provides a backdrop for the implementation of nursing interventions that will be designed to reshape QOL among Thai PLWH.Factors Influencing Quality of Life Among People Living With HIV (PLWH) in Suphanburi Province, ThailandNatawan Khumsaen, Wasana Aoup-por, Patcharaporn Thammachak10.1016/j.jana.2011.01.003Journal of the Association of Nurses in AIDS Care 23, 1 (2012)2011-04-18Journal of the Association of Nurses in AIDS Care2011-04-18231S1055-3290(11)X0007-9Features6372http://www.nursesinaidscarejournal.org/article/PIIS1055329011000410/abstract?rss=yesWe tested the impacts of a professionally assisted peer-group intervention on Chilean health workers’ HIV-related knowledge, attitudes, and behaviors using a quasi-experimental design with a pretest and 3-month posttest. Two Santiago suburbs were randomly assigned to the intervention or delayed intervention control condition. Five community clinics per suburb participated. Interested workers at the intervention (n = 262) and control (n = 293) clinics participated and completed both evaluations. At posttest, intervention clinic workers had higher knowledge and more positive attitudes regarding HIV, condoms, stigmatization, and self-efficacy for prevention. They reported more partner discussion about safer sex, less unprotected sex, and more involvement in HIV prevention activities in the clinic and the community, but they did not report fewer sexual partners or more standard precautions behaviors. Because of these positive impacts, the program will become a regular continuing education unit that can be used to meet health-worker licensing requirements.Peer Group Intervention for HIV Prevention Among Health Workers in ChileKathleen F. Norr, Lilian Ferrer, Rosina Cianelli, Kathleen S. Crittenden, Lisette Irarrázabal, Báltica Cabieses, Alejandra Araya, Margarita Bernales10.1016/j.jana.2011.02.001Journal of the Association of Nurses in AIDS Care 23, 1 (2012)2011-04-18Journal of the Association of Nurses in AIDS Care2011-04-18231S1055-3290(11)X0007-9Features7386http://www.nursesinaidscarejournal.org/article/PIIS1055329011001294/abstract?rss=yesThe Centers for Disease Control and Prevention (CDC) first published recommended guidelines for the prevention of HIV infection in 1985 when HIV antibodies were found in the nation’s blood supply (). Since that time, prevention guidelines have been updated periodically to keep up with the changing face of the HIV epidemic in the United States. Newer antiretroviral drug classes make it possible to now manage HIV infection with less toxic, more effective medications, giving patients new hope for longer life and providers the luxury of more treatment options. The development of newer generation HIV-1 and HIV-2 (HIV-1/2) rapid antibody tests makes it possible to develop new approaches to HIV prevention in the United States. One of the major drawbacks to traditional HIV testing has been the need for venipuncture, laboratory processing, and patient wait time. It is estimated that 25%–50% of patients who are tested for HIV through the traditional method (laboratory venipuncture and a wait period of several days to weeks) never return for their test results (). The development of rapid HIV-1/2 antibody tests allows for highly accurate test results within 20 minutes ().Routine HIV Testing in Primary Care Clinics: A Study Evaluating Patient and Provider AcceptanceSharon E. Valenti, Susan M. Szpunar, Louis D. Saravolatz, Leonard B. Johnson10.1016/j.jana.2011.06.005Journal of the Association of Nurses in AIDS Care 23, 1 (2012)2011-08-05Journal of the Association of Nurses in AIDS Care2011-08-05231S1055-3290(11)X0007-9Research Brief8791http://www.nursesinaidscarejournal.org/article/PIIS1055329011002482/abstract?rss=yesIt is the position of Association of Nurses in AIDS Care that: Qualified advanced practice nurses should be allowed to prescribe buprenorphine for the treatment of opioid dependence;Advanced Practice Nurse Prescriptive Authority of Buprenorphine: Adopted by the ANAC Board of Directors September 17, 201110.1016/j.jana.2011.12.004Journal of the Association of Nurses in AIDS Care 23, 1 (2012)2012-01-01Journal of the Association of Nurses in AIDS Care2012-01-01231S1055-3290(11)X0007-9ANAC Position Statement9293http://www.nursesinaidscarejournal.org/article/PIIS1055329011002536/abstract?rss=yesEditorial Board10.1016/S1055-3290(11)00253-6Journal of the Association of Nurses in AIDS Care 23, 1 (2012)2012-01-01Journal of the Association of Nurses in AIDS Care2012-01-01231S1055-3290(11)X0007-9FrontmatterA1A1http://www.nursesinaidscarejournal.org/article/PIIS1055329011002561/abstract?rss=yesMasthead10.1016/S1055-3290(11)00256-1Journal of the Association of Nurses in AIDS Care 23, 1 (2012)2012-01-01Journal of the Association of Nurses in AIDS Care2012-01-01231S1055-3290(11)X0007-9FrontmatterA2A2http://www.nursesinaidscarejournal.org/article/PIIS1055329011002548/abstract?rss=yesTable of Contents10.1016/S1055-3290(11)00254-8Journal of the Association of Nurses in AIDS Care 23, 1 (2012)2012-01-01Journal of the Association of Nurses in AIDS Care2012-01-01231S1055-3290(11)X0007-9FrontmatterA3A3http://www.nursesinaidscarejournal.org/article/PIIS105532901100255X/abstract?rss=yesBoard of Directors10.1016/S1055-3290(11)00255-XJournal of the Association of Nurses in AIDS Care 23, 1 (2012)2012-01-01Journal of the Association of Nurses in AIDS Care2012-01-01231S1055-3290(11)X0007-9FrontmatterA4A4