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Background: Women ageing with HIV undergo sex-specific changes. There is limited evidence available with regards to how the menopause impacts HIV outcomes. Objective: To investigate whether menopausal age is associated with engagement-in-care (EIC), viral load (VL) suppression and rebound among women living with HIV. Methods: Women were grouped by age (<40, 40–50, >50 years), corresponding to pre-, peri- and post-menopausal stages. EIC, HIV VL suppression (VL < 50 copies/mL) within 12 months of antiretroviral therapy initiation and VL rebound (two consecutive VL > 50 copies/mL) after VL suppression were compared across age groups using logistic/Cox proportional hazards regression. Associations were compared to those seen in heterosexual men. Results: Six thousand four hundred and fifty-five (6455) eligible women (median age 36 [interquartile range: 29–42], 64.4% black African, 19.1% white) contributed 44,226 person-years (PYRS) of follow-up; 29,846, 10,980 and 3,399 PYRS in those aged <40, 40–50 and >50, respectively. Women were engaged-in-care for 79.5% of follow-up time, 3,344 (78.0%) experienced VL suppression and 739 (22.1%) VL rebound. After adjustment, women aged >50 years had lower EIC than those aged <40. Women aged 40–50 were more likely to have VL suppression and were less likely to experience VL rebound than those aged <40 years. Trends in heterosexual men were similar for EIC but with no evidence of a higher VL suppression rate in those aged 40–50 years (pint. 0<.0001) and a stronger protective association between older age and VL rebound (pint. 0<.0001). Conclusion: Our findings warrant further research into the potential impact of the menopause to support women and clinicians through HIV care. [ABSTRACT FROM AUTHOR]

In many Western countries, the public has extensively debated factors potentially leading Muslim minority-group members to support violence by foreign extremist states or to commit violence themselves. Here, one central question has been whether their acculturation orientations may play a role. Combining perspectives from intergroup threat theory and acculturation psychology, the present study investigated whether one reason for why threat perceptions lead to higher violent behavioral intentions among Muslims, as evidence by previous research, may be that they are related to distinct acculturation orientations. It tested this proposition in two samples comprising of Norwegian (N = 253) and British Muslims (N = 194). The more Norwegian Muslims perceived realistic threat, the more violent behavioral intentions they showed, but this relation was not mediated by acculturation. Among British Muslims, mainstream acculturation orientation was related to more violent intentions, while threat was not. In both samples, symbolic threat was associated with more support for Muslim military violence and this relationship was mediated by religious acculturation in the U.K. In contrast to previous research, symbolic threat was linked with less personal intentions to commit violence in the U.K., mediated by religious acculturation. Complementary analyses calculating acculturation strategies indicated that assimilated, and to some extend integrated, Muslims in both countries tended to show the highest violent behavioral intentions. By contrast, separated individuals showed the highest level of support for Muslim military violence. Ways in which these findings can be used to counter violence and improve intergroup relations in Western ethnically diverse societies are discussed. [ABSTRACT FROM AUTHOR]

Muslims in the U.K. who maintain their religious culture are often viewed as a suspect community. This pre-registered experimental research examined the mediating role of perceived (dis)loyalty as underlying process and the moderating role of acculturation expectations. A total of 334 non-Muslim White British participants in Study 1 and 810 in Study 2 were asked to indicate their acculturation expectations towards Muslims. They were then randomly assigned to read a text that described Muslims in a fictional town as either (a) maintaining their religious culture or (b) adopting the mainstream British culture, or they read (c) a neutral control text. As expected, in Study 1, when Muslims were presented as maintaining their religious culture, trust decreased compared to the control group. Conversely, when described as adopting the mainstream culture, trust increased while support for surveillance of Muslims decreased. Both effects were mediated by the perception of Muslims being disloyal or loyal to the U.K in both studies, respectively. Perceived loyalty to their religious group did not significantly mediate any effect. We replicated these findings in Study 2. Moreover, we showed that describing Muslims as maintaining their religious culture decreased trust and increased support for surveillance especially among participants who expected Muslims to give up their religious culture. Moderated mediation analysis showed that these effects were partly mediated by perceived loyalty to the U.K. We discuss the societal implications of the findings for policymakers and Muslim leaders along with recommendations for future research. [ABSTRACT FROM AUTHOR]