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 Care1055-3290233May 2012 © 2012 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.nursesinaidscarejournal.org/article/PIIS1055329012000672/abstract?rss=yesCover 110.1016/S1055-3290(12)00067-2Journal of the Association of Nurses in AIDS Care 23, 3 (2012)2012-05-01Journal of the Association of Nurses in AIDS Care2012-05-01233S1055-3290(11)X0009-2OFCOFChttp://www.nursesinaidscarejournal.org/article/PIIS105532901200060X/abstract?rss=yesThe opposite of poverty is not wealth– the opposite of poverty is justice.Brian Stevenson, Director, Equal Justice Initiative(April 3, 2010) Over the course of my career, I have often been confronted with health problems that weren't health problems. Sometimes I saw these problems in individual patients: an infant with a broken arm whose parents were homeless. Sometimes I saw these problems in communities: high rates of uncontrolled diabetes on Native American reservations where patients couldn't get to the clinic for care and couldn't afford their medications. Sometimes I even saw these problems in entire countries: governments that couldn't (or didn't) assure that their citizens had food and safe environments in which to live. Of course these aren't exactly “non-health” issues—we all know that nutrition, clean water, access to care, and the political will to develop population-based health policy are important components of health. But these issues aren't addressed very well in health care funding, at least not in the United States.The Social Determinants of HealthLucy Bradley-Springer10.1016/j.jana.2012.03.001Journal of the Association of Nurses in AIDS Care 23, 3 (2012)2012-05-01Journal of the Association of Nurses in AIDS Care2012-05-01233S1055-3290(11)X0009-2Editorial181183http://www.nursesinaidscarejournal.org/article/PIIS1055329011000653/abstract?rss=yesDepression, HIV, and other sexually transmitted diseases (STDs) are growing concerns among African American adolescent females. Theoretical models contribute to identification of mediators of condom use; however, minimal research has addressed the explicit relationship between clinical depression and condom use in African American adolescent females. The authors report results from quantitative surveys with clinically depressed (n = 64) and nondepressed (n = 64) African American adolescent females in two large metropolitan cities in the eastern United States. Theoretical mediators of condom use in the study sample—attitudes, subjective norms, perceived behavioral control, and intentions—were investigated. Significant differences existed between the groups in condom use frequency (U = 356.5, p = .037); however, there were no statistically significant differences in condom use attitudes and beliefs. Although clinically depressed and nondepressed African American adolescent females may hold similar attitudes and beliefs about condom use, differences in condom use frequency may be a psychopathologic occurrence.Clinical Depression and Condom Use Attitudes and Beliefs Among African American Adolescent FemalesBridgette M. Brawner, Zupenda M. Davis, Ehriel F. Fannin, Kamila A. Alexander10.1016/j.jana.2011.03.005Journal of the Association of Nurses in AIDS Care 23, 3 (2012)2011-07-07Journal of the Association of Nurses in AIDS Care2011-07-07233S1055-3290(11)X0009-2Features184194http://www.nursesinaidscarejournal.org/article/PIIS1055329011001348/abstract?rss=yesMany women living with HIV in the United States have entered or will soon enter menopause. Clinical changes including increased visceral fat, reduced muscle mass, and changes in lipids and bone density are seen across the menopause transition among non-infected women. HIV and antiretroviral therapy use have been associated with similar manifestations, including reduced bone density, and changes in lipid metabolism and body composition. Menopause is also associated with changes in mood, quality of life, and vasomotor symptoms. Similar psychological indices are common among women with HIV, and may worsen during menopause transition. Research investigating the presence and acuity of metabolic, psychological, and vasomotor symptoms among perimenopausal women with HIV is limited. An important, yet unknown consideration for researchers and clinicians is how metabolic and psychological co-morbidities associated with HIV will influence changes associated with menopause in this population. Further research is needed to provide answers to these important questions.Menopause-Associated Metabolic Manifestations and Symptomatology in HIV Infection: A Brief Review With Research ImplicationsSara E. Dolan Looby10.1016/j.jana.2011.06.008Journal of the Association of Nurses in AIDS Care 23, 3 (2012)2011-09-19Journal of the Association of Nurses in AIDS Care2011-09-19233S1055-3290(11)X0009-2Features195203http://www.nursesinaidscarejournal.org/article/PIIS1055329011001257/abstract?rss=yesAdvances in antiretroviral therapy (ART) have decreased HIV-related morbidity and mortality and contributed to rapidly increasing numbers of older people living with HIV. Successful management of ART-related side effects (metabolic syndrome) and age-related comorbidities (frailty) are major challenges for patients and providers. Exercise has proven beneficial for younger HIV-infected patients, but we know little about which exercise regimens to recommend to the elderly. Our goal was to develop age-appropriate, evidence-based exercise recommendations for older HIV-infected adults (age > 50). We reviewed randomized controlled trials on the effects of physical exercise for: (a) HIV-infected young adults, (b) frail older adults, and (c) elderly individuals with metabolic syndrome. We recommend a combination of endurance and resistance exercises 3 times per week for at least 6 weeks to improve cardiovascular, metabolic, and muscle function. Further research is warranted to study the benefits and risks of physical exercise in older HIV-infected patients.Development of Evidence-Based Exercise Recommendations for Older HIV-Infected PatientsAnella Yahiaoui, Ellen L. McGough, Joachim G. Voss10.1016/j.jana.2011.06.001Journal of the Association of Nurses in AIDS Care 23, 3 (2012)2011-08-01Journal of the Association of Nurses in AIDS Care2011-08-01233S1055-3290(11)X0009-2Features204219http://www.nursesinaidscarejournal.org/article/PIIS1055329011000811/abstract?rss=yesThe key to the success of antiretroviral (ARV) treatment is optimal treatment taking. However, people living with HIV (PLWH) have problems sustaining this behavior. An intervention to facilitate optimal ARV treatment taking was developed using the intervention mapping approach. A pilot randomized controlled trial was conducted to evaluate the feasibility, acceptability, and effects of this intervention on optimal ARV treatment taking and on viral and immunologic outcomes. Over the 9 months of recruitment, 76 PLWH were referred. A total of 51 participants were enrolled in the study. All but three experimental participants attended at least one of the four intervention sessions. At 12 and 24 weeks respectively, the HIV RNA level was undetectable for 34.8% and 56.5% of controls and 78.6% and 89.3% of experimental participants (p = .056). The results are compelling and suggest that this intervention is acceptable to PLWH and that further formal testing is worth considering.An Individualized Intervention to Foster Optimal Antiretroviral Treatment-Taking Behavior Among Persons Living With HIV: A Pilot Randomized Controlled TrialPilar Ramirez-Garcia, José Côté10.1016/j.jana.2011.04.003Journal of the Association of Nurses in AIDS Care 23, 3 (2012)2011-07-07Journal of the Association of Nurses in AIDS Care2011-07-07233S1055-3290(11)X0009-2Features220232http://www.nursesinaidscarejournal.org/article/PIIS1055329011000434/abstract?rss=yesThis study investigated how HIV/sexually transmitted infection peer education (PE) affected HIV knowledge, perceived prevention self-efficacy, and risky sexual behaviors among Turkish university students (N = 118) who were sexually active but did not use condoms. A methodological and pre-/posttest controlled study design was used, with data collected before PE, just after PE, 3 months after PE, and 6 months after PE. We found significant differences according to group∗time interaction in the variables of HIV knowledge, self-efficacy for condom use and refusing sexual intercourse, and vaginal-oral-anal intercourse with condom, talking with the partner about condom use, refusing sexual intercourse with someone not using a condom, and taking alcohol before sexual intercourse. No differences were found according to group∗time interaction in self-efficacy for asking potential partners questions, using drugs before and after sexual intercourse, and sexual partner. Peer education was found to reduce risky sexual behaviors among university students. Peer education should focus on safer sexual behaviors to develop strategies to increase self-efficacy.The Effects of Peer Education on Reduction of the HIV/Sexually Transmitted Infection Risk Behaviors Among Turkish University StudentsSerap Bulduk, Semra Erdogan10.1016/j.jana.2011.02.003Journal of the Association of Nurses in AIDS Care 23, 3 (2012)2011-04-18Journal of the Association of Nurses in AIDS Care2011-04-18233S1055-3290(11)X0009-2Features233243http://www.nursesinaidscarejournal.org/article/PIIS1055329011000082/abstract?rss=yesDespite growing numbers of people living with HIV (PLWH), the landscape of related services is shrinking. This study investigated health and social service needs of men (N = 489) and women (N = 165) living with HIV in Atlanta, GA. Participants completed confidential measures asking about the health and social services they needed and accessed. Results showed an array of health and social service needs among PLWH; failure to access services was prevalent. Hunger was among the most common basic needs, reported by greater than 60% of men and women. For men, unmet service needs were associated with fewer years since testing positive for HIV, higher CD4+ T cell values, experiencing more stressors and depression, and greater quantity of alcohol use. For women, failure to access services was associated with experiencing depression and not receiving HIV medications. Providing basic services to PLWH remains a public health priority and a moral imperative.Falling Through the Cracks: Unmet Health Service Needs Among People Living With HIV in Atlanta, GeorgiaSeth C. Kalichman, Charsey Cherry, Denise White, Mich’l Jones, Moira O. Kalichman, Christina Amaral, Connie Swetzes10.1016/j.jana.2011.01.005Journal of the Association of Nurses in AIDS Care 23, 3 (2012)2011-04-18Journal of the Association of Nurses in AIDS Care2011-04-18233S1055-3290(11)X0009-2Features244254http://www.nursesinaidscarejournal.org/article/PIIS1055329011000628/abstract?rss=yesSince the emergence of HIV, a plethora of Web sites have been developed to disseminate information about the disease. HIV-related Web sites provide facts about prevention, treatment, clinical trials, funding, support, and resources (). However, while the number of HIV-related Web sites has increased, rates of infection among African-American adolescents has also increased. In 2005, African Americans were 15% of the U.S. population ages 13–19 but represented 66% of adolescent AIDS cases (). These infection rates indicate that HIV-prevention efforts have not been fully effective in reaching at-risk adolescents. One evidence-based intervention, Becoming a Responsible Teen (BART), has been effective in reaching African-American adolescents with HIV information (), but the face-to-face approach of BART limits dissemination to only small groups of teens. Clearly an alternative approach to the delivery of this information is needed. One such alternative is the use of mobile cell phones (MCPs).Following the Trail of an HIV-Prevention Web Site Enhanced for Mobile Cell Phone Text Messaging DeliveryJudith B. Cornelius, Michael G. Cato, Jennifer L. Toth, Philip M. Bard, Michael W. Moore, Ann White10.1016/j.jana.2011.03.002Journal of the Association of Nurses in AIDS Care 23, 3 (2012)2011-05-10Journal of the Association of Nurses in AIDS Care2011-05-10233S1055-3290(11)X0009-2Research Briefs255259http://www.nursesinaidscarejournal.org/article/PIIS1055329011000768/abstract?rss=yesThe majority of all adolescent and young adult women (90%) with HIV were infected by unprotected sex with an infected male partner (). As of 2008, the epidemic had disproportionately affected Black women, who were 14% of the population of women in the United States but comprised 67% of women with HIV infection. It is estimated that in a lifetime, 1 in 30 Black women will be infected with HIV (). Innovative approaches to reduce sexual transmission of HIV to this population are needed.Handheld Computers to Run ACASI to Assess HIV Risk and Deliver Tailored Soap Opera Video Feedback: Acceptability Among Young Adult Urban WomenRachel Jones10.1016/j.jana.2011.04.001Journal of the Association of Nurses in AIDS Care 23, 3 (2012)2011-06-13Journal of the Association of Nurses in AIDS Care2011-06-13233S1055-3290(11)X0009-2Research Briefs260267http://www.nursesinaidscarejournal.org/article/PIIS1055329012000118/abstract?rss=yesThis book, edited by Beverley Haddad (), stemmed from the understanding that 72% of all AIDS-related deaths in the world occur on the African continent, and millions of African children, men, and especially women have died as a result of the epidemic. KwaZulu-Natal is the hardest-hit province in South Africa, and so the Collaborative for HIV and AIDS, Religion and Theology (CHART) at the University of KwaZulu-Natal pioneered research on HIV and AIDS to address the epidemic. This book is a part of that effort. Religion in general and African traditional religions (ATRs), in particular, play a pivotal role in peoples’ lives and are built into all aspects of life in Africa. Haddad, in this book, has outlined a collection of 32 scholarly essays by illustrious researchers and practitioners who are interested in religion and theology and who have worked or conducted research in the field of HIV.Religion and HIV and AIDS: Charting the TerrainBeverly M. Fray10.1016/j.jana.2012.01.007Journal of the Association of Nurses in AIDS Care 23, 3 (2012)2012-05-01Journal of the Association of Nurses in AIDS Care2012-05-01233S1055-3290(11)X0009-2Book Review268271http://www.nursesinaidscarejournal.org/article/PIIS1055329012000556/abstract?rss=yesReviewed and Revised by the ANAC Board; August 14, 1999; November 1, 2000; September 2002; January 2007; January 2009 It is the position of the Association of Nurses in AIDS Care that:Syringe Access Programs: Adopted by the ANAC Board of Directors September 13, 199810.1016/j.jana.2012.02.002Journal of the Association of Nurses in AIDS Care 23, 3 (2012)2012-05-01Journal of the Association of Nurses in AIDS Care2012-05-01233S1055-3290(11)X0009-2ANAC Position Statements272274http://www.nursesinaidscarejournal.org/article/PIIS1055329012000544/abstract?rss=yesReviewed and Revised by the ANAC Board September 2007 It is the position of the Association of Nurses in AIDS Care that:Syringe Prescription for Injection Drug Users to Prevent Disease: Adopted by the ANAC Board of Directors January 200310.1016/j.jana.2012.02.001Journal of the Association of Nurses in AIDS Care 23, 3 (2012)2012-05-01Journal of the Association of Nurses in AIDS Care2012-05-01233S1055-3290(11)X0009-2ANAC Position Statements275276http://www.nursesinaidscarejournal.org/article/PIIS1055329012000696/abstract?rss=yesEditorial Board10.1016/S1055-3290(12)00069-6Journal of the Association of Nurses in AIDS Care 23, 3 (2012)2012-05-01Journal of the Association of Nurses in AIDS Care2012-05-01233S1055-3290(11)X0009-2FrontmatterA1A1http://www.nursesinaidscarejournal.org/article/PIIS1055329012000726/abstract?rss=yesMasthead10.1016/S1055-3290(12)00072-6Journal of the Association of Nurses in AIDS Care 23, 3 (2012)2012-05-01Journal of the Association of Nurses in AIDS Care2012-05-01233S1055-3290(11)X0009-2FrontmatterA2A2http://www.nursesinaidscarejournal.org/article/PIIS1055329012000702/abstract?rss=yesTable of Contents10.1016/S1055-3290(12)00070-2Journal of the Association of Nurses in AIDS Care 23, 3 (2012)2012-05-01Journal of the Association of Nurses in AIDS Care2012-05-01233S1055-3290(11)X0009-2FrontmatterA3A3http://www.nursesinaidscarejournal.org/article/PIIS1055329012000714/abstract?rss=yesBoard of Directors10.1016/S1055-3290(12)00071-4Journal of the Association of Nurses in AIDS Care 23, 3 (2012)2012-05-01Journal of the Association of Nurses in AIDS Care2012-05-01233S1055-3290(11)X0009-2FrontmatterA4A4