{"id":"https://openalex.org/W7225616754","doi":"https://doi.org/10.2147/hiv.s653876","title":"HIV/AIDS Care Practices, Attitudes, and Challenges Among Orthopaedic Surgeons in Somalia: A Descriptive Cross-Sectional Survey","display_name":"HIV/AIDS Care Practices, Attitudes, and Challenges Among Orthopaedic Surgeons in Somalia: A Descriptive Cross-Sectional Survey","publication_year":2026,"publication_date":"2026-11-01","ids":{"openalex":"https://openalex.org/W7225616754","doi":"https://doi.org/10.2147/hiv.s653876"},"language":"en","primary_location":{"id":"doi:10.2147/hiv.s653876","doi":"https://doi.org/10.2147/hiv.s653876","is_oa":true,"landing_page_url":"https://doi.org/10.2147/hiv.s653876","pdf_url":"https://www.dovepress.com/article/download/122035","source":{"id":"https://openalex.org/S2739411477","display_name":"HIV/AIDS - Research and Palliative Care","issn_l":"1179-1373","issn":["1179-1373"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","norway-1","poland-70","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320348","host_organization_name":"Dove Medical Press","host_organization_lineage":["https://openalex.org/P4310320348","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Dove Medical Press","Taylor & Francis"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"HIV/AIDS - Research and Palliative Care","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.dovepress.com/article/download/122035","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5023135678","display_name":"Abdirizak Abdullahi Sheikdon","orcid":"https://orcid.org/0000-0002-1057-5284","observed_orcids":["https://orcid.org/0000-0002-1057-5284"]},"institutions":[{"id":"https://openalex.org/I2801301251","display_name":"Somali National University","ror":"https://ror.org/03f3jde70","country_code":"SO","type":"education","lineage":["https://openalex.org/I2801301251"]}],"countries":["SO"],"is_corresponding":false,"raw_author_name":"Abdirizak Abdullahi Sheikdon","raw_affiliation_strings":["Department of Orthopaedics, Royal Hospital, Somali National University, Mogadishu, Somalia;"],"raw_orcid":"https://orcid.org/0000-0002-1057-5284","affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Royal Hospital, Somali National University, Mogadishu, Somalia;","institution_ids":["https://openalex.org/I2801301251"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055976226","display_name":"Abdishakor Mohamud Ahmed","orcid":"https://orcid.org/0009-0009-6118-8872","observed_orcids":["https://orcid.org/0009-0009-6118-8872"]},"institutions":[{"id":"https://openalex.org/I4210127735","display_name":"SIMAD University","ror":"https://ror.org/03dynh639","country_code":"SO","type":"education","lineage":["https://openalex.org/I4210127735"]}],"countries":["SO"],"is_corresponding":false,"raw_author_name":"Abdishakor Mohamud Ahmed","raw_affiliation_strings":["Department of Orthopaedics, Royal Hospital, Mogadishu, Somalia;","Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Royal Hospital, Mogadishu, Somalia;","institution_ids":[]},{"raw_affiliation_string":"Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia;","institution_ids":["https://openalex.org/I4210127735"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5114267008","display_name":"Abdullahi Hassan Elmi","orcid":"https://orcid.org/0009-0006-5038-8017","observed_orcids":["https://orcid.org/0009-0006-5038-8017"]},"institutions":[{"id":"https://openalex.org/I4210127735","display_name":"SIMAD University","ror":"https://ror.org/03dynh639","country_code":"SO","type":"education","lineage":["https://openalex.org/I4210127735"]}],"countries":["SO"],"is_corresponding":false,"raw_author_name":"Abdullahi Hassan Elmi","raw_affiliation_strings":["Department of Nursing and Midwifery, Dr. Sumait Hospital, SIMAD University, Mogadishu, Somalia","Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nursing and Midwifery, Dr. Sumait Hospital, SIMAD University, Mogadishu, Somalia","institution_ids":["https://openalex.org/I4210127735"]},{"raw_affiliation_string":"Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia;","institution_ids":["https://openalex.org/I4210127735"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":2320,"currency":"USD","value_usd":2320},"apc_paid":{"value":2320,"currency":"USD","value_usd":2320},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"Volume 18","issue":null,"first_page":"1","last_page":"15"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.9911999702453613,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.9911999702453613,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11731","display_name":"Global Health and Surgery","score":0.003000000026077032,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11000","display_name":"Infection Control in Healthcare","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/surgeons","display_name":"surgeons","score":0.7580000162124634},{"id":"https://openalex.org/keywords/people-living-with-hiv","display_name":"people living with HIV","score":0.5740000009536743},{"id":"https://openalex.org/keywords/infection-control","display_name":"infection control","score":0.5720000267028809},{"id":"https://openalex.org/keywords/occupational-transmission","display_name":"occupational transmission","score":0.7519999742507935},{"id":"https://openalex.org/keywords/stigma-and-discrimination","display_name":"stigma and discrimination","score":0.7710000276565552},{"id":"https://openalex.org/keywords/surgical-training","display_name":"surgical training","score":0.35899999737739563},{"id":"https://openalex.org/keywords/somalia","display_name":"Somalia","score":0.5},{"id":"https://openalex.org/keywords/resource-constraints","display_name":"resource constraints","score":0.5410000085830688},{"id":"https://openalex.org/keywords/referral-patterns","display_name":"referral patterns","score":0.6100000143051147},{"id":"https://openalex.org/keywords/institutional-protocols","display_name":"institutional protocols","score":0.7269999980926514},{"id":"https://openalex.org/keywords/occupational-health-support","display_name":"occupational health support","score":0.5059999823570251},{"id":"https://openalex.org/keywords/infection-control-training","display_name":"infection control training","score":0.39100000262260437}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8539999723434448},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.6481000185012817},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.6168000102043152},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4666000008583069},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.4172999858856201},{"id":"https://openalex.org/C3019806175","wikidata":"https://www.wikidata.org/wiki/Q11974939","display_name":"Health professionals","level":3,"score":0.37070000171661377},{"id":"https://openalex.org/C2989236134","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Patient care","level":2,"score":0.35109999775886536},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3458000123500824},{"id":"https://openalex.org/C142546437","wikidata":"https://www.wikidata.org/wiki/Q2661195","display_name":"Descriptive research","level":2,"score":0.3328000009059906},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.3003999888896942},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.30000001192092896},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.29589998722076416},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.2957000136375427},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.26829999685287476},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.2678000032901764},{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.2603999972343445}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.2147/hiv.s653876","doi":"https://doi.org/10.2147/hiv.s653876","is_oa":true,"landing_page_url":"https://doi.org/10.2147/hiv.s653876","pdf_url":"https://www.dovepress.com/article/download/122035","source":{"id":"https://openalex.org/S2739411477","display_name":"HIV/AIDS - Research and Palliative Care","issn_l":"1179-1373","issn":["1179-1373"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","norway-1","poland-70","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320348","host_organization_name":"Dove Medical Press","host_organization_lineage":["https://openalex.org/P4310320348","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Dove Medical Press","Taylor & Francis"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"HIV/AIDS - Research and Palliative Care","raw_type":"journal-article"},{"id":"pmh:oai:dovepress.com/122035","doi":null,"is_oa":true,"landing_page_url":"https://www.dovepress.com/hivaids-care-practices-attitudes-and-challenges-among-orthopaedic-surg-peer-reviewed-fulltext-article-HIV","pdf_url":null,"source":{"id":"https://openalex.org/S4306401012","display_name":"Dove Medical Press (Taylor and Francis Group)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.2147/hiv.s653876","doi":"https://doi.org/10.2147/hiv.s653876","is_oa":true,"landing_page_url":"https://doi.org/10.2147/hiv.s653876","pdf_url":"https://www.dovepress.com/article/download/122035","source":{"id":"https://openalex.org/S2739411477","display_name":"HIV/AIDS - Research and Palliative Care","issn_l":"1179-1373","issn":["1179-1373"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","norway-1","poland-70","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320348","host_organization_name":"Dove Medical Press","host_organization_lineage":["https://openalex.org/P4310320348","https://openalex.org/P4310320547"],"host_organization_lineage_names":["Dove Medical Press","Taylor & Francis"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"HIV/AIDS - Research and Palliative Care","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225616754.pdf","grobid_xml":"https://content.openalex.org/works/W7225616754.grobid-xml"},"referenced_works_count":23,"referenced_works":["https://openalex.org/W1968111418","https://openalex.org/W1971254960","https://openalex.org/W1975511178","https://openalex.org/W1999322400","https://openalex.org/W2019483154","https://openalex.org/W2037673371","https://openalex.org/W2047400426","https://openalex.org/W2131659949","https://openalex.org/W2165072261","https://openalex.org/W2167694399","https://openalex.org/W2304737561","https://openalex.org/W2408178726","https://openalex.org/W2724307874","https://openalex.org/W2807734148","https://openalex.org/W2895388154","https://openalex.org/W2914055280","https://openalex.org/W2921656906","https://openalex.org/W4391067909","https://openalex.org/W4391999273","https://openalex.org/W4399157943","https://openalex.org/W4400366355","https://openalex.org/W4401682140","https://openalex.org/W4414881759"],"related_works":["https://openalex.org/W2002582734","https://openalex.org/W7140168388","https://openalex.org/W2410665874","https://openalex.org/W1803472241","https://openalex.org/W1972027098","https://openalex.org/W1412289469","https://openalex.org/W2508788158","https://openalex.org/W2940953033","https://openalex.org/W2089846405","https://openalex.org/W1848302707"],"abstract_inverted_index":{"Background:":[0],"Orthopaedic":[1],"surgeons":[2,48,125,179,291],"may":[3,304],"encounter":[4],"occupational,":[5],"clinical,":[6],"and":[7,26,43,61,106,118,139,143,168,216,251,262,284,301,309,321,330],"institutional":[8,100,280],"challenges":[9,45,268],"when":[10],"providing":[11],"surgical":[12,312],"care":[13,40],"to":[14,37,70,224,238,343],"patients":[15,31,200,212,222,226,237],"living":[16,201,213],"with":[17,202,214],"HIV.":[18,203],"In":[19],"Somalia,":[20],"evidence":[21],"concerning":[22],"surgeons\u2019":[23],"attitudes,":[24,42,102],"practices,":[25,41,104],"experiences":[27],"in":[28,50,279,292,347],"managing":[29,220],"these":[30,221],"remains":[32],"limited.":[33],"This":[34],"study":[35],"aimed":[36],"assess":[38],"HIV-related":[39,285,348],"perceived":[44,107],"among":[46,122,288],"orthopaedic":[47,75,124,290,349,354],"practising":[49],"Somalia.":[51,293],"Methods:":[52],"A":[53,64],"descriptive":[54,137,322],"cross-sectional":[55],"survey":[56],"was":[57,68,119],"conducted":[58],"between":[59],"January":[60],"April":[62],"2025.":[63],"census-based":[65],"sampling":[66],"approach":[67],"used":[69],"invite":[71],"33":[72],"identified":[73,266],"eligible":[74],"surgeons,":[76,355],"all":[77],"of":[78,87,271,311,327],"whom":[79],"completed":[80],"the":[81,130,307,315,325,328,334],"survey,":[82],"yielding":[83],"a":[84,93],"response":[85],"rate":[86],"100%.":[88],"Data":[89,133],"were":[90,127,134,148,257,264],"collected":[91],"using":[92,136],"structured,":[94],"self-administered":[95],"questionnaire":[96,110],"covering":[97],"demographic":[98],"characteristics,":[99],"policies,":[101],"clinical":[103,337,356],"training,":[105],"challenges.":[108,260],"The":[109,274],"underwent":[111],"expert":[112],"review":[113],"by":[114,158,269],"five":[115,123],"healthcare":[116],"professionals":[117],"pilot":[120],"tested":[121],"who":[126],"excluded":[128],"from":[129],"final":[131],"sample.":[132],"analyzed":[135],"statistics":[138],"presented":[140],"as":[141,267],"frequencies":[142],"percentages.":[144],"Results:":[145],"Most":[146],"respondents":[147,205,233],"aged":[149,160],"30\u2013":[150],"40":[151,162],"years":[152,163,173],"(n":[153,164,174],"=":[154,165,175],"23,":[155],"69.7%),":[156],"followed":[157],"those":[159,169],"above":[161],"6,":[166],"18.2%)":[167],"younger":[170],"than":[171],"30":[172],"4,":[176],"12.1%).":[177],"Thirty":[178],"(90.9%)":[180],"reported":[181,190,219,259,277],"mandatory":[182],"preoperative":[183],"HIV":[184],"testing,":[185],"while":[186,227],"only":[187],"seven":[188],"(21.2%)":[189],"that":[191],"their":[192],"hospitals":[193],"had":[194,207],"written":[195],"protocols":[196],"for":[197],"operating":[198],"on":[199,211],"Twenty-two":[204],"(66.7%)":[206],"previously":[208],"performed":[209],"surgery":[210],"HIV,":[215],"21":[217],"(63.6%)":[218],"similarly":[223],"other":[225],"applying":[228],"appropriate":[229],"precautions.":[230],"However,":[231,314],"ten":[232],"(30.3%)":[234],"preferred":[235],"referring":[236],"another":[239],"provider":[240],"or":[241,254],"facility.":[242],"Inadequate":[243],"resources":[244],"(84.8%),":[245],"concerns":[246],"about":[247],"occupational":[248,298,360],"transmission":[249],"(78.8%),":[250],"insufficient":[252],"knowledge":[253],"training":[255,287],"(45.5%)":[256],"frequently":[258],"Stigma":[261],"discrimination":[263],"also":[265],"45.5%":[270],"respondents.":[272],"Conclusion:":[273],"findings":[275,329],"highlight":[276],"gaps":[278],"guidance,":[281],"protective":[282],"resources,":[283],"professional":[286,302],"participating":[289],"Strengthening":[294],"infection":[295,358],"prevention":[296],"procedures,":[297],"health":[299],"support,":[300],"education":[303],"help":[305],"improve":[306],"consistency":[308],"safety":[310],"care.":[313,350],"small":[316],"sample":[317],"size,":[318],"self-reported":[319],"data,":[320],"design":[323],"limit":[324],"generalizability":[326],"do":[331],"not":[332],"establish":[333],"reasons":[335],"underlying":[336],"preferences.":[338],"Further":[339],"research":[340],"is":[341],"needed":[342],"inform":[344],"broader":[345],"improvements":[346],"Keywords:":[351],"HIV/AIDS":[352],"care,":[353],"practice,":[357],"prevention,":[359],"exposure,":[361],"resource-limited":[362],"settings,":[363],"Somalia":[364]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-10T00:00:00"}
