Advantages attributed to male circumcision include protection against a range of sexually transmitted diseases. The frequency of HIV transmission from females to males has been found to be reduced by male circumcision in regions of Sub-Saharan Africa. The relevance of these data to the Caribbean is explored.
This exploratory study of the perceptions of the Grenadian Faith-based Community about HIV/AIDS
and persons living with HIV/AIDS (PLHIV/AIDS) brought to the fore the multiple socio-economic and cultural dimensions that underlie HIV/AIDS and that must be considered in prevention efforts as well as in the development of appropriate strategies to support PLHIV/AIDS.
Mother-to-child transmission of HIV is the major cause of HIV-infection in children especially in Africa and pregnancy among HIV-positive women is common among women on a prevention of HIV from mother-to-child transmission (PMTCT) programme and thus constitute a serious health risk to the child and to the general population. Results have shown that pregnant women on PMTCT programme seemed to know their HIV status prior to pregnancy and there are various factors associated with HIV-positive women becoming pregnant.
TR Clarke, RC Gibson, G Barrow, WD Abel, EN Barton
This paper reports on the prevalence of depression among patients attending a HIV/AIDS outpatient clinic in Kingston, Jamaica. It also explores the possible role of a number of clinical and socio-demographic factors in the relationship between HIV and depression. Recommendations
for enhancing the timely detection of depression among persons living with HIV/AIDS are also discussed.
GE Lipps, GA Lowe, W De La Haye, S Longman-Mills, TR Clarke, EN Barton, B Bain
The Beck Depression Inventory–ΙΙ is one of the gold standard screening tools for depression. It was validated in a sample of HIV-positive patients in Jamaica. The scale has reasonably good concurrent validity and acceptable discriminant validity.
W De La Haye, TR Clarke, G Lipps, GA Lowe, S Longman-Mills, EN Barton, B Bain
Identifying depression among HIV-infected patients is challenging, due to the overlapping symptoms of both illnesses. This study identified the clusters of depressive symptoms associated with HIV infection in a sample of patients.
PR Byam, RB Pierre, CDC Christie, WA Andiman, M Pettigrew, (KPAIDS)
The prevalence and antibiotic susceptibility patterns of pathogens causing urinary tract infections (UTIs) and sepsis in a cohort of HIV positive Jamaican children was determined. Cotrimoxazole is a poor choice for empiric treatment of sepsis and UTIs in this cohort.
G Barrow, TR Clarke, D Carrington, K Harvey, EN Barton
This paper reports on the occurrence of HIV-associated opportunistic infections in 2007, among patients attending a HIV/AIDS outpatient clinic in Kingston, Jamaica. It also examines associations between several clinical variables and the occurrence of opportunistic infections.
Poor adherence to antiretroviral therapy can result in the development of multidrug resistant HIV. This can result in a need for salvage therapy. Darunavir, a new generation protease Inhibitor, is an essential part of this treatment modality.
With HIV becoming a growing problem among adolescent girls in the Caribbean, this study examined the HIV-related sexual risk behaviours of Jamaican late-adolescent girls who have male sexual partners who are two or more years older than themselves.
This cross-sectional study of 350 pregnant women in rural Nigeria demonstrated that HIV infection was independently associated with suspecting their partner of extramarital sex, post-primary education, multiple sexual partners and cigarette smoking by a partner.
RC Gibson, S Jackson, WD Abel, R Wright-Pascoe, TRClarke, DT Gilbert, EN Barton
This paper reports on the seroprevalence of HIV among hospital inpatients whose principal diagnosis was a neuropsychiatric or other central nervous system (CNS) disorder. The low prevalence in neuropsychiatric patients and the strong association with CNS infections are discussed.