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Phillips JC, Hidayat J, Clark KD, Melisek J, Balthazar MS, Beck AGD, Moore SE, Dawson-Rose C. A Review of the State of HIV Nursing Science With Sexual Orientation, Gender Identity/Expression Peoples. J Assoc Nurses AIDS Care 2021; 32:225-252. [PMID: 33929977 PMCID: PMC8154173 DOI: 10.1097/jnc.0000000000000250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
ABSTRACT Throughout the HIV pandemic, nurses have contributed to or led approaches to understanding the effects of HIV disease at individual and societal levels. Nurses have advocated for socially just care for more than a century, and our efforts have created a foundation on which to further build the state of HIV nursing science with sexual orientation and gender identity/expression (SOGI) Peoples. Nurses have also participated in the development of approaches to manage HIV disease for and in collaboration with populations directly affected by the disease. Our inclusive approach was guided by an international human rights legal framework to review the state of nursing science in HIV with SOGI Peoples. We identified articles that provide practice guidance (n = 44) and interventions (n = 26) to address the health concerns of SOGI Peoples and our communities. Practice guidance articles were categorized by SOGI group: SOGI People collectively, bisexual, transgender, cisgender lesbian, women who have sex with women, cisgender gay men, and men who have sex with men. Interventions were categorized by societal level (i.e., individual, family, and structural). Our review revealed opportunities for future HIV nursing science and practices that are inclusive of SOGI Peoples. Through integrated collaborative efforts, nurses can help SOGI communities achieve optimal health outcomes that are based on dignity and respect for human rights.
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Affiliation(s)
| | - Jufri Hidayat
- J. Craig Phillips, PhD, LLM, RN, ACRN, FAAN, is a Professor of Nursing and Vice Dean of Governance and Secretary, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
- Jufri Hidayat, MSN, RN, is an MSN Graduate, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
- Kristen D. Clark, MSN, RN, is a PhD Candidate, School of Nursing, University of California, San Francisco, San Francisco, California, USA
- Julia Melisek, BScN, RN, is a Master of Nursing Graduate Student, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
- Monique S. Balthazar, DNP, PhD, FNP-BC, AGACNP-BC, is a Postdoctoral Fellow, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA
- Albert G. D. Beck is a Senior Policy Analyst, Métis National Council, Ottawa, Canada, and an Indigenous Fellow, Indigenous Fellowship Programme, United Nations Office of the High Commissioner for Human Rights, Geneva, Switzerland
- Scott E. Moore, PhD, APRN, AGPCNP-BC, is an Assistant Professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA
- Carol Dawson-Rose, PhD, RN, FAAN, is a Professor and Chair, Department of Community Health Systems, School of Nursing, University of California, San Francisco, San Francisco, California, USA
| | - Kristen D. Clark
- J. Craig Phillips, PhD, LLM, RN, ACRN, FAAN, is a Professor of Nursing and Vice Dean of Governance and Secretary, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
- Jufri Hidayat, MSN, RN, is an MSN Graduate, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
- Kristen D. Clark, MSN, RN, is a PhD Candidate, School of Nursing, University of California, San Francisco, San Francisco, California, USA
- Julia Melisek, BScN, RN, is a Master of Nursing Graduate Student, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
- Monique S. Balthazar, DNP, PhD, FNP-BC, AGACNP-BC, is a Postdoctoral Fellow, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA
- Albert G. D. Beck is a Senior Policy Analyst, Métis National Council, Ottawa, Canada, and an Indigenous Fellow, Indigenous Fellowship Programme, United Nations Office of the High Commissioner for Human Rights, Geneva, Switzerland
- Scott E. Moore, PhD, APRN, AGPCNP-BC, is an Assistant Professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA
- Carol Dawson-Rose, PhD, RN, FAAN, is a Professor and Chair, Department of Community Health Systems, School of Nursing, University of California, San Francisco, San Francisco, California, USA
| | - Julia Melisek
- J. Craig Phillips, PhD, LLM, RN, ACRN, FAAN, is a Professor of Nursing and Vice Dean of Governance and Secretary, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
- Jufri Hidayat, MSN, RN, is an MSN Graduate, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
- Kristen D. Clark, MSN, RN, is a PhD Candidate, School of Nursing, University of California, San Francisco, San Francisco, California, USA
- Julia Melisek, BScN, RN, is a Master of Nursing Graduate Student, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
- Monique S. Balthazar, DNP, PhD, FNP-BC, AGACNP-BC, is a Postdoctoral Fellow, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA
- Albert G. D. Beck is a Senior Policy Analyst, Métis National Council, Ottawa, Canada, and an Indigenous Fellow, Indigenous Fellowship Programme, United Nations Office of the High Commissioner for Human Rights, Geneva, Switzerland
- Scott E. Moore, PhD, APRN, AGPCNP-BC, is an Assistant Professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA
- Carol Dawson-Rose, PhD, RN, FAAN, is a Professor and Chair, Department of Community Health Systems, School of Nursing, University of California, San Francisco, San Francisco, California, USA
| | - Monique S. Balthazar
- J. Craig Phillips, PhD, LLM, RN, ACRN, FAAN, is a Professor of Nursing and Vice Dean of Governance and Secretary, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
- Jufri Hidayat, MSN, RN, is an MSN Graduate, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
- Kristen D. Clark, MSN, RN, is a PhD Candidate, School of Nursing, University of California, San Francisco, San Francisco, California, USA
- Julia Melisek, BScN, RN, is a Master of Nursing Graduate Student, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
- Monique S. Balthazar, DNP, PhD, FNP-BC, AGACNP-BC, is a Postdoctoral Fellow, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA
- Albert G. D. Beck is a Senior Policy Analyst, Métis National Council, Ottawa, Canada, and an Indigenous Fellow, Indigenous Fellowship Programme, United Nations Office of the High Commissioner for Human Rights, Geneva, Switzerland
- Scott E. Moore, PhD, APRN, AGPCNP-BC, is an Assistant Professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA
- Carol Dawson-Rose, PhD, RN, FAAN, is a Professor and Chair, Department of Community Health Systems, School of Nursing, University of California, San Francisco, San Francisco, California, USA
| | - Albert G. D. Beck
- J. Craig Phillips, PhD, LLM, RN, ACRN, FAAN, is a Professor of Nursing and Vice Dean of Governance and Secretary, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
- Jufri Hidayat, MSN, RN, is an MSN Graduate, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
- Kristen D. Clark, MSN, RN, is a PhD Candidate, School of Nursing, University of California, San Francisco, San Francisco, California, USA
- Julia Melisek, BScN, RN, is a Master of Nursing Graduate Student, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
- Monique S. Balthazar, DNP, PhD, FNP-BC, AGACNP-BC, is a Postdoctoral Fellow, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA
- Albert G. D. Beck is a Senior Policy Analyst, Métis National Council, Ottawa, Canada, and an Indigenous Fellow, Indigenous Fellowship Programme, United Nations Office of the High Commissioner for Human Rights, Geneva, Switzerland
- Scott E. Moore, PhD, APRN, AGPCNP-BC, is an Assistant Professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA
- Carol Dawson-Rose, PhD, RN, FAAN, is a Professor and Chair, Department of Community Health Systems, School of Nursing, University of California, San Francisco, San Francisco, California, USA
| | - Scott E. Moore
- J. Craig Phillips, PhD, LLM, RN, ACRN, FAAN, is a Professor of Nursing and Vice Dean of Governance and Secretary, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
- Jufri Hidayat, MSN, RN, is an MSN Graduate, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
- Kristen D. Clark, MSN, RN, is a PhD Candidate, School of Nursing, University of California, San Francisco, San Francisco, California, USA
- Julia Melisek, BScN, RN, is a Master of Nursing Graduate Student, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
- Monique S. Balthazar, DNP, PhD, FNP-BC, AGACNP-BC, is a Postdoctoral Fellow, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA
- Albert G. D. Beck is a Senior Policy Analyst, Métis National Council, Ottawa, Canada, and an Indigenous Fellow, Indigenous Fellowship Programme, United Nations Office of the High Commissioner for Human Rights, Geneva, Switzerland
- Scott E. Moore, PhD, APRN, AGPCNP-BC, is an Assistant Professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA
- Carol Dawson-Rose, PhD, RN, FAAN, is a Professor and Chair, Department of Community Health Systems, School of Nursing, University of California, San Francisco, San Francisco, California, USA
| | - Carol Dawson-Rose
- J. Craig Phillips, PhD, LLM, RN, ACRN, FAAN, is a Professor of Nursing and Vice Dean of Governance and Secretary, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
- Jufri Hidayat, MSN, RN, is an MSN Graduate, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
- Kristen D. Clark, MSN, RN, is a PhD Candidate, School of Nursing, University of California, San Francisco, San Francisco, California, USA
- Julia Melisek, BScN, RN, is a Master of Nursing Graduate Student, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
- Monique S. Balthazar, DNP, PhD, FNP-BC, AGACNP-BC, is a Postdoctoral Fellow, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA
- Albert G. D. Beck is a Senior Policy Analyst, Métis National Council, Ottawa, Canada, and an Indigenous Fellow, Indigenous Fellowship Programme, United Nations Office of the High Commissioner for Human Rights, Geneva, Switzerland
- Scott E. Moore, PhD, APRN, AGPCNP-BC, is an Assistant Professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA
- Carol Dawson-Rose, PhD, RN, FAAN, is a Professor and Chair, Department of Community Health Systems, School of Nursing, University of California, San Francisco, San Francisco, California, USA
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Mimiaga MJ, Pantalone DW, Biello KB, White Hughto JM, Frank J, O’Cleirigh C, Reisner SL, Restar A, Mayer KH, Safren SA. An initial randomized controlled trial of behavioral activation for treatment of concurrent crystal methamphetamine dependence and sexual risk for HIV acquisition among men who have sex with men. AIDS Care 2019; 31:1083-1095. [PMID: 30887824 PMCID: PMC6625920 DOI: 10.1080/09540121.2019.1595518] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2018] [Accepted: 02/25/2019] [Indexed: 10/27/2022]
Abstract
Men who have sex with men (MSM) continue to be the largest risk group for HIV infections in the U.S., where crystal methamphetamine abuse heightens risk for HIV infection through greater engagement in condomless anal sex (CAS). Existing treatments lack attention to replacement activities or the role of depressed mood. Behavioral activation (BA) is an evidence-based approach for depression that involves identifying and participating in pleasurable, goal-directed activities. We hypothesize, for MSM abusing crystal methamphetamine, re-learning how to engage in non-drug-using aspects of life would facilitate their ability to benefit from sexual risk reduction (SRR) counseling. Project IMPACT was a pilot randomized-controlled-trial. Forty-six MSM at sexual risk of acquiring HIV who met DSM-IV criteria for crystal methamphetamine dependence were enrolled. Of those MSM, 41 were randomized: 21 were assigned to the intervention, two sessions of SRR, ten sessions of BA with SRR, and one session of relapse prevention; 20 participants were assigned to a control condition (two sessions of SRR). At the acute post-intervention visit, intervention participants reported an average of 3.2 CAS acts with men who were HIV-infected or whose status they did not know, compared to 4.5 among control participants (β = -0.36; 95% CI: -0.69, -0.02; p = 0.035). At the 6-month post-intervention visit, intervention participants reported 1.1 CAS acts with men who were HIV-infected or whose status they did not know compared to 2.8 among control participants (β = -0.95; 95% CI: -1.44, -0.46; p < 0.0001). Similarly, intervention participants reported 1.0 CAS acts under the influence of crystal methamphetamine with men who were HIV-infected or whose status they did not know compared to 2.5 among control participants (β = -0.87; 95% CI: -1.38, -0.36; p = 0.0005). Lastly, intervention participants reported more continuous days abstaining from crystal methamphetamine compared to control (50.1 vs. 39.0, respectively) (β = 0.25; 95% CI: 0.16, 0.34; p < 0.0001). Findings are encouraging, provide evidence of feasibility and acceptability, and demonstrate initial efficacy for reducing sexual risk for HIV and crystal methamphetamine use.
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Affiliation(s)
- Matthew J. Mimiaga
- Center for Health Equity Research, Brown University, Providence, RI, USA
- Departments of Behavioral & Social Health Sciences and Epidemiology, Brown University School of Public Health, Providence, RI, USA
- Department of Psychiatry and Human Behavior, Brown University Alpert Medical School, Providence, RI, USA
- The Fenway Institute, Fenway Health, Boston, MA, USA
| | - David W. Pantalone
- The Fenway Institute, Fenway Health, Boston, MA, USA
- Department of Psychology, University of Massachusetts, Boston, MA, USA
| | - Katie B. Biello
- Center for Health Equity Research, Brown University, Providence, RI, USA
- Departments of Behavioral & Social Health Sciences and Epidemiology, Brown University School of Public Health, Providence, RI, USA
- The Fenway Institute, Fenway Health, Boston, MA, USA
| | - Jackie M. White Hughto
- The Fenway Institute, Fenway Health, Boston, MA, USA
- Department of Epidemiology, Yale University School of Public Health, New Haven, CT, USA
| | - John Frank
- Center for Health Equity Research, Brown University, Providence, RI, USA
- Departments of Behavioral & Social Health Sciences and Epidemiology, Brown University School of Public Health, Providence, RI, USA
- Department of Psychiatry and Human Behavior, Brown University Alpert Medical School, Providence, RI, USA
| | - Conall O’Cleirigh
- The Fenway Institute, Fenway Health, Boston, MA, USA
- Department of Psychiatry, Behavioral Medicine Service, Harvard Medical School/Massachusetts General Hospital, Boston, MA, USA
| | - Sari L. Reisner
- The Fenway Institute, Fenway Health, Boston, MA, USA
- Division of General Pediatrics, Boston Children’s Hospital, Boston, MA, USA
- Department of Pediatrics, Harvard Medical School, Boston, MA, USA
- Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, USA
| | - Arjee Restar
- Center for Health Equity Research, Brown University, Providence, RI, USA
- Departments of Behavioral & Social Health Sciences and Epidemiology, Brown University School of Public Health, Providence, RI, USA
| | - Kenneth H. Mayer
- The Fenway Institute, Fenway Health, Boston, MA, USA
- Department of Infectious Diseases, Harvard Medical School/Beth Israel Deaconess Medical Center, Boston, MA, USA
| | - Steven A. Safren
- The Fenway Institute, Fenway Health, Boston, MA, USA
- Department of Psychology, University of Miami, Coral Gables, FL, USA
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