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This commentary explores the imperative of decolonizing HIV nursing within the global context of HIV care. Acknowledging historical colonial influences, it examines persistent disparities and challenges in current HIV nursing practice, emphasizing the need for transformative approaches that center marginalized voices and challenge hegemonic structures. Drawing on frameworks such as critical race theory and postcolonial perspectives, it advocates for culturally responsive care models and community-led initiatives to address health inequities. Case studies from diverse global settings illustrate successful decolonized approaches, highlighting the impact of inclusive policies and partnerships in improving health outcomes. Recommendations include reframing cultural competency training in nursing education, promoting diverse health care leadership, and prioritizing research on intersectional health disparities. By embracing decolonization, nurses can lead efforts toward a more equitable and effective global HIV response, ensuring dignity and empowerment for all affected communities.
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http://dx.doi.org/10.1097/JNC.0000000000000536 | DOI Listing |
AIDS Patient Care STDS
September 2025
Department of Medicine and Dentistry, University of Rochester, Rochester, New York, USA.
Structural inequities significantly shape disparities across the HIV care continuum, yet few validated tools exist to quantify HIV-specific structural vulnerability at the population level in the United States. This study introduces and validates the HIV-Specific Social and Structural Determinants of Health Index (HIV-SSDI), a multi-dimensional, state-level index designed to capture structural disadvantage relevant to HIV prevention and care. Using publicly available state-level index (2008-2023) spanning nine structural domains, we developed the HIV-SSDI through exploratory factor analysis with three extraction methods: principal component analysis, maximum likelihood, and minimum residual.
View Article and Find Full Text PDFJ Assoc Nurses AIDS Care
September 2025
Seonmi Yeom, PhD, RN, is a Research Professor, College of Nursing and Research Institute of Nursing Science, Jeonbuk National University, Jeonju-si, Republic of Korea.
As the number of older people living with HIV (PLWH) continues to grow, many experience a high symptom burden that negatively affects quality of life. Identifying symptom subgroups can help inform targeted interventions. Our study explored symptom patterns among older PLWH and their associations with self-rated health.
View Article and Find Full Text PDFPLoS One
September 2025
School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.
Background: Female sex workers (FSWs) are at an elevated risk of HIV infection with an eight-fold risk of HIV infection. In countries like Zimbabwe, FSWs have an HIV incidence of around 10.2%.
View Article and Find Full Text PDFJ Int Assoc Provid AIDS Care
September 2025
Division of Infectious Diseases, Amsterdam Infection and Immunity Institute, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, the Netherlands.
BackgroundPeer support is an important intervention to achieve increased quality of life for people with HIV. We set out to understand the perceptions and experiences of HIV nurses with peer support in the Netherlands.MethodsWe conducted 21 semi-structured interviews which were analysed using thematic analysis.
View Article and Find Full Text PDFJ Acquir Immune Defic Syndr
September 2025
Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Background: Anti-lesbian, gay, bisexual, transgender, and/or queer (LGBTQ+) legislation has dramatically increased in the United States. These laws limit the rights of sexual and gender minoritized (SGM) youth, but their health effects remain understudied. We estimated how a hypothetical intervention setting states to have more equitable LGBTQ+-related policies would affect individual-level pre-exposure prophylaxis (PrEP) use among SGM youth and young adults, and whether internalized stigma mediates this effect.
View Article and Find Full Text PDF