2024
Causes, risks and care circumstances associated with death in older adults diagnosed with HIV in a tertiary centre in Malaysia.
Wong H, Pui Li W, Abdul Kahar M, Chong M, Shenoi S, Rozanova J, Syed Omar S, Neelamegam M, Lee Y, Rajasuriar R. Causes, risks and care circumstances associated with death in older adults diagnosed with HIV in a tertiary centre in Malaysia. International Journal Of STD & AIDS 2024, 35: 710-720. PMID: 38722271, DOI: 10.1177/09564624241250378.Peer-Reviewed Original ResearchOlder adultsART initiationCox proportional multivariate modelsFactors associated with all-cause mortalityOlder ageRisk factorsAIDS-relatedIndependent factors associated with deathAll-cause mortalityFactors associated with deathHIV diagnosisCare circumstancesAssociated with deathChronic comorbiditiesOlder individualsCareIndependent risk factorAnalysed dataAge groupsMultivariate modelAdultsTertiary centreHIVOpportunistic infectionsAge
2023
MENTAL HEALTH VULNERABILITIES AND STRENGTHS OF OLDER WOMEN WITH HIV DURING THE HUMANITARIAN CRISIS IN UKRAINE
Rozanova J, Shenoi S, Zeziulin O, Rich K, Bromberg D, Kiriazova T, Deac A, Earnshaw V. MENTAL HEALTH VULNERABILITIES AND STRENGTHS OF OLDER WOMEN WITH HIV DURING THE HUMANITARIAN CRISIS IN UKRAINE. Innovation In Aging 2023, 7: 137-137. PMCID: PMC10737039, DOI: 10.1093/geroni/igad104.0449.Peer-Reviewed Original ResearchSubstance use disordersHIV diagnosisChronic conditionsDepressive symptomsComorbid substance use disorderAnxiety symptomsSocial supportLikelihood of anxietyMixed effects logistic regression modelsEffects logistic regression modelsLogistic regression modelsMental health vulnerabilitiesPsychological counselingPrimary outcomeLongitudinal cohortHIV disclosureUse disordersSevere anxietySymptomsOlder individualsOlder peopleLogistical regressionMental healthCOVID-19HIVPoor HIV-Related Outcomes in Older Adults Newly Diagnosed With HIV: A 4-Year Retrospective Analysis From a Single Site in Asia
Wong H, Wong P, Bador M, Chong M, Shenoi S, Rozanova J, Omar S, Neelamegam M, Lee Y, Rajasuriar R. Poor HIV-Related Outcomes in Older Adults Newly Diagnosed With HIV: A 4-Year Retrospective Analysis From a Single Site in Asia. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2023, 93: 64-72. PMID: 36716735, DOI: 10.1097/qai.0000000000003169.Peer-Reviewed Original ResearchConceptsNew HIV diagnosesHIV diagnosisOlder adultsLate presentationYoung adultsRetrospective analysisJoin-point regression analysisAntiretroviral therapy initiationKaplan-Meier analysisNew HIV infectionsLog-rank testMalaya Medical CentreAnnual percent increaseMann-Whitney U testYoung key populationsResource-limited settingsAntiretroviral therapyTherapy initiationHIV infectionHIV testingHIV transmissionHeterosexual contactPoint regression analysisMedical CenterImmunological response
2021
An expanding HIV epidemic among older adults in Ukraine: Implications for patient-centered care
Rozanova J, Zeziulin O, Rich KM, Altice FL, Kiriazova T, Zaviryukha I, Sosidko T, Gulati K, Carroll C, Shenoi SV. An expanding HIV epidemic among older adults in Ukraine: Implications for patient-centered care. PLOS ONE 2021, 16: e0256627. PMID: 34591848, PMCID: PMC8483339, DOI: 10.1371/journal.pone.0256627.Peer-Reviewed Original ResearchConceptsStandardized mortality ratioMortality rateCause standardized mortality ratioTime of diagnosisGeneral population ratesLate-stage HIVAge-matched groupHigh mortality ratePatient-centered careIncident HIVHIV diagnosisHIV testingHIV incidenceHIV treatmentHIV epidemicMortality ratioTreatment strategiesGeneral populationHIVMortality trendsAge groupsEECA countriesTreatment programSame calendar yearOlder peopleThe Lived Experience of a Newly Diagnosed Older Person With HIV in Ukraine
Allen A, Zaviryukha I, Kiriazova T, Shenoi S, Rozanova J. The Lived Experience of a Newly Diagnosed Older Person With HIV in Ukraine. Qualitative Health Research 2021, 31: 2290-2303. PMID: 34414837, PMCID: PMC8930274, DOI: 10.1177/10497323211026914.Peer-Reviewed Original ResearchConceptsHIV diagnosisCare providersAntiretroviral therapy initiationPrimary care providersHealth care providersFear of stigmaTherapy initiationYounger patientsMiddle-income countriesHIV knowledgeLower riskNew diagnosisHigh mortalityOlder personsOlder peopleDiagnosisLittle dataHIVTraumatic eventsPatientsProvidersMortality
2020
763. Correlates of Antiretroviral Therapy Initiation Among Newly Diagnosed Older People with HIV in Ukraine
Allen A, Zeziulin O, Rozanova J, Litz T, Zaviryukha I, Postnov O, Kiriazova T, Shenoi S. 763. Correlates of Antiretroviral Therapy Initiation Among Newly Diagnosed Older People with HIV in Ukraine. Open Forum Infectious Diseases 2020, 7: s427-s427. PMCID: PMC7777959, DOI: 10.1093/ofid/ofaa439.953.Peer-Reviewed Original ResearchTime of diagnosisART initiationAntiretroviral therapyAge-matched general populationMultivariable logistic regression modelOlder peopleLow CD4 countAntiretroviral therapy initiationHIV treatment outcomesMonths of diagnosisRetrospective chart reviewNew HIV diagnosesAdjusted odds ratioFirst clinical dataDispensing of medicationsImpact of ageLogistic regression modelsAdvanced diseaseCD4 countTherapy initiationChart reviewClinical characteristicsHIV diagnosisHIV patientsOpportunistic infections
2017
“It’s about my life”: facilitators of and barriers to isoniazid preventive therapy completion among people living with HIV in rural South Africa
Jacobson KB, Niccolai L, Mtungwa N, Moll AP, Shenoi SV. “It’s about my life”: facilitators of and barriers to isoniazid preventive therapy completion among people living with HIV in rural South Africa. AIDS Care 2017, 29: 936-942. PMID: 28147705, PMCID: PMC5545149, DOI: 10.1080/09540121.2017.1283390.Peer-Reviewed Original ResearchMeSH KeywordsAdultAIDS-Related Opportunistic InfectionsAmbulatory Care FacilitiesAntitubercular AgentsCounselingFemaleHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHIV InfectionsHumansIncidenceInterviews as TopicIsoniazidMalePatient ComplianceQualitative ResearchRural PopulationSocial StigmaSouth AfricaTrustTuberculosisConceptsIsoniazid preventive therapyIPT completionPreventive roleAbsence of symptomsHealth care workersKnowledge of TBHealth service deliveryResource-limited settingsHealth care systemRural KwaZulu-NatalAntiretroviral therapyHIV patientsHIV diagnosisPreventive therapyTherapy completionTB incidenceAppropriate counselingHealthcare workersIndividual patientsCare workersRural South AfricaHIVPatientsUnrelated conditionsIndividual semi-structured interviews