Regional resource for men who havd sex with men

Posted June 8, 2017 by administrator
Categories: Community, Health Alerts, HIV care, Media, PrEP, Prevention

m4mHealthySex.org is a joint effort between the HIV Prevention and Care Project and the Pitt Men’s Study at the Graduate School of Public Health, University of Pittsburgh. Our goal is to provide up-to-date sexual health information for men who have sex with men. You can use the site to find free STD testing in your area (including free HIV testing). You can also locate PrEP providers based on a zip code search. Other site features include an up-to-date blog of news and information related to sexual health and listings of regional health services (including HIV treatment specialists).

Mental health care is key to ending AIDS

Posted May 24, 2017 by administrator
Categories: Commentary, Prevention, Stigma

From Advocate.com

Research shows a strong correlation between mental health disorders and living with HIV or AIDS, a correlation that is often overlooked. According to the National Institutes of Health, people with HIV have an increased risk for developing mood, anxiety, and cognitive disorders and are twice as likely to live with depression as those who do not have HIV. A 2010 U.K. study showed that one-third of HIV-positive men who participated in the survey met the criteria for a post-traumatic stress disorder diagnosis.  

For those living with HIV or AIDS, depression is more than just mental hell — it can be a silent killer. Studies show that if people living with HIV feel stigmatized or suffer from mental illness, they are less likely to take their medication properly, which not only puts their own health at risk by not suppressing the individuals’ viral load, but also raises the likelihood that they will pass HIV on to others. Individuals living with HIV and depression are also more likely to think about suicide or even attempt to take their own lives. 

Despite what we know about the connection between mental health and HIV/AIDS, too few people living with HIV or AIDS, and those invested in their health and happiness, are getting the mental health support they need. That is why we are proud to announce the opening of the state-of-the-art GMHC Carl Jacobs Mental Health Clinic, which will allow us to incorporate innovative treatment and counseling into our service model. Services will be available to adult New Yorkers of all sexual orientations, gender identities, and income levels, regardless of HIV status.

Past traumas, stress, depression, reduced self-esteem, and other challenges can be grueling to deal with. We aim to offer holistic services that address not only our clients’ mental health issues, but their social, spiritual and health concerns as well. Meanwhile, the ability to reach more HIV-negative people with HIV-preventive interventions and mental health services will help us decrease new HIV infections. 

Read the full article.

Life expectancy of HIV patients increasing thanks to new drugs

Posted May 16, 2017 by administrator
Categories: Features, HIV care

A study published in the Lancet Medical Journal revealed that life expectancy of HIV patients is nearing to that of a normal person due to improvements in medicines. The study suggests that a twenty-year-old person who has started antiretroviral therapy in 2010 is expected to live for ten years more when compared to individuals who started medications in 1996.

According to experts, early identification and treatment are quite crucial for a healthy living among HIV patients. The Lancet Journal report also highlights the progress made in this study for the past three decades.

The study was led by researchers at the Bristol University, and they believe this progress as a tremendous medical achievement. The team believes that the new finding will encourage HIV-affected people to start treatment as soon as they can so that they can also lead a full life just like normal people. 88500 people across Europe and North America were involved in the study.

 

Dr. Larry Corey of the HIV Vaccine Trials Network talks about what it will take to rid the world of AIDS

Posted May 4, 2017 by administrator
Categories: Features, Research, video

From Time Health

In many ways, the domestic and global fight against HIV/AIDs has made great strides. Yet there are still millions of people who are newly diagnosed with HIV globally each year.

One preventive strategy receiving renewed attention and progress is an HIV vaccine. Dr. Larry Corey, the principal investigator of the HIV Vaccine Trials Network based at Fred Hutchinson Cancer Research Center, recently launched a highly ambitious HIV vaccine study, which will test a protective antibody on thousands of people around the world.

Dr Corey“I am cautiously optimistic,” said Corey during a panel discussion at Fortune’s Brainstorm Health conference on Tuesday. Corey says researchers could start seeing very early results from the trials as early April 2019.

Beyond a vaccine, getting people rapid treatment is another way to keep infection rates down, and help people with an HIV diagnosis live a long and healthy life. Dr. Diane Havlir, a professor of medicine at the University of California, San Francisco (UCSF), has been part of an innovative program in San Francisco focused on substantially curb the spread of HIV in the city. A key pillar of the program’s success lies in its strategy to get recently infected people into treatment on the same day as their diagnosis.

“We need to work together in order to reduce the number of HIV infections,” said Havlir during the conference, adding that getting patients into treatment quickly can help empower them to take charge of their treatment. It’s also an inexpensive strategy.

But what will it take to get to zero infections worldwide? Both Corey and Havlir said public commitment and cross sector engagement will be critical. “For sure, HIV is the epidemic of our time,” said Corey. “I think to some extent the health care of our generation is going to be defined by how we handle [it] … We need sustained commitment.”

Havlir agrees. “Invest in research. Invest in care. Either we pay now, or we pay later,” she said.

Watch the video interview here.

Finding LGBT-friendly care  

Posted April 29, 2017 by administrator
Categories: Community, Features, HIV care

 

Resources for finding LGBT-friendly care, support and useful information:

• The Human Rights Campaign releases an annual report, “Healthcare Equality Index,” with information on the policies and practices that health care facilities in the United States offer to LGBT patients and their families.

SAGE is a national social service agency dedicated to LGBT seniors, with a free and confidential LGBT Elder Hotline: 888-234-7243.

• The National Resource Center on LGBT Aging offers a wide range of health, policy and legal info on its site, where you can search for local resources by state.

  • The LGBT National Help Center is an online and call-in resource center for information, support and referrals. It includes an online peer-support chat group and a hotline you can call to speak with a volunteer peer counselor: 888-843-4564.

• The Gay and Lesbian Medical Association allows you to search for health care providers in your area.

CenterLink, the Community of LGBT Centers, has a locator where you can find the gay community center nearest to you or your loved one’s home.

• The Metropolitan Community Churches, an international Christian denomination, is particularly welcoming of LGBT people. A staff person at the nearest MCC might be able to recommend appropriate resources in your area.

  • Family Caregiver Alliance offers LGBT caregiving FAQs, as well as a section on “Legal Issues for LGBT Caregivers” and other useful legal resources.

• The U.S. Department of Veterans Affairs has information about its policies and military benefits for LGBT service members and veterans.

• The Centers for Disease Control and Prevention offers a range of info on LGBT health issues.

• The American Psychological Association includes some general information on transgender people and gender identity.

• The World Professional Association for Transgender Health has established standards of care for the treatment of gender identity disorders, and offers information on a spectrum of transgender issues, plus a provider search engine.

• The Transgender Law Center fights discrimination, helps transgender people find legal assistance and has updates on related legal news (with some focus on California).

Editor’s note: If you live in Allegheny County, you can find local health resources on our Website in a downloadable pdf file. 

Addressing stigma, coping behaviors and mechanisms in persons living with HIV could lead to better health outcomes

Posted April 25, 2017 by administrator
Categories: HIV care, Research, Stigma

From medicalxpress.com

Investigators from the University of Alabama at Birmingham have developed a new conceptual framework highlighting how unique dimensions of individual-level HIV-related stigma might affect the health of those living with HIV. According to the paper’s authors, little is known about the mechanisms through which stigma leads to worse health behaviors or outcomes.

The framework, published in the American Journal of Public Health, looks at perceived community stigma, experienced stigma, internalized stigma and anticipated stigma as barriers to both HIV prevention and engagement in care. An intersectional framework looks at how multiple social statuses intersect at an individual level, such as HIV status, race, gender or sexual orientation, and a broader level, such as structural stigmas in society including racism, sexism, HIV-related stigma and classism, to produce health inequalities.

The conceptual framework suggests that individual-level dimensions of HIV-related stigma operate through interpersonal factors, mental health, psychological resources and biological stress pathways.

“Those living with HIV often fight fear and experiences of HIV-related stigma, affecting their quality of life and mental health, as well as engaging poorly in their HIV care and treatment,” said Janet Turan, Ph.D., professor in the UAB School of Public Health Department of Health Care Organization and Policy. “Our proposed conceptual framework for individual-level dimensions of stigma and potential individual and interpersonal mechanisms explains how stigma affects each individual’s HIV-related health.”

HIV-infected individuals may be judged by others to be in marginalized social groups, causing social stress because of their minority social position, which could lead to important implications for their health.

Read more at: https://medicalxpress.com.

More gay, bi men with HIV receiving care, disparities remain

Posted April 20, 2017 by administrator
Categories: HIV care, Research

From Reuters Health

Gay and bisexual men in the United States who are diagnosed with HIV are promptly receiving the necessary treatments more often than in the past, according to a new report from the Centers for Disease Control and Prevention (CDC).

Still, black gay and bisexual men are less likely than their white counterparts to receive antiretroviral therapy (ART) to keep the human immunodeficiency virus in check, the researchers found.

They write in the Journal of Infectious Diseases that one goal of the National HIV/AIDS Strategy was to get 85 percent of people to a healthcare facility within three months of being diagnosed with HIV by 2015. By 2020, the goal is to get 85 percent of people diagnosed with HIV to care within one month.

The study team previously published 2008 and 2011 results from the CDC’s National HIV Behavioral Surveillance, which includes data from 20 cities on adult HIV-positive men who have sex with men – a group at particular risk for HIV infection. The new study adds data from 2014.

Altogether, 1,144 men provided data in 2008, 1,338 in 2011 and 1,716 in 2014. The proportion of white men taking the survey fell 14 percentage points between 2008 and 2014, but the proportion of black men participating increased by 13 percentage points during the same period.

The average age of the men dropped over the study period, too. Insurance coverage increased from 75 percent in 2008 to 86 percent in 2014, which was the first year of coverage expansion under the Affordable Care Act.

In 2008, 79 percent of the men were seen at a healthcare facility within three months of their diagnosis. That measure – known as linkage to care – increased to 87 percent by 2014.

With the 2020 goal in mind, the researchers analyzed how many men were seen at a healthcare facility within one month of their HIV diagnosis. In 2014, 78 percent of men were linked to care within one month, which the researchers say suggests the 2020 goal is feasible.

When the researchers looked at how many of the men were receiving ART, they found the rate increased from 69 percent in 2008 to 88 percent in 2014.

People with insurance or with higher levels of education or income were more likely to be linked to care within a short amount of time and be on ART.

In all years, a higher percentage of ARV treatment was observed among whites, according to the researchers – and this disparity persisted in 2014. The proportion of white men on ART were 9 percentage points higher than the proportion of black men.

“We’re moving in the right direction, but the fact that the disparities are persisting in 2014 when we’ve had access to antiretroviral therapy for so long is troubling,” said Jennifer Kates, who is vice president and director of global health and HIV policy at the Kaiser Family Foundation in Washington, D.C.

The findings suggest black men are being linked to care at roughly the same rate as white men, but they’re not getting equal access to ART, said Kates, who wasn’t involved in the new study.

“There are some systemic issues on the healthcare system side – from providers to insurance – that this study wasn’t designed to look at,” she told Reuters Health.

Read the full article.