Laura Whiteley, Lacey Craker, Shufang Sun, Nicholas Tarantino, Dylan Hershkowitz, Jesse Moskowitz, Trisha Arnold, Kayla Haubrick, Elizabeth Olsen, Leandro Mena, Larry K Brown
{"title":"Factors associated with PrEP adherence among MSM living in Jackson, Mississippi.","authors":"Laura Whiteley, Lacey Craker, Shufang Sun, Nicholas Tarantino, Dylan Hershkowitz, Jesse Moskowitz, Trisha Arnold, Kayla Haubrick, Elizabeth Olsen, Leandro Mena, Larry K Brown","doi":"10.1080/15381501.2021.1956666","DOIUrl":"https://doi.org/10.1080/15381501.2021.1956666","url":null,"abstract":"<p><p>Understanding the determinants of pre-exposure prophylaxis (PrEP) adherence is integral to reducing HIV incidence in the United States, especially for those at highest risk. To this end, the present study explored demographic, psychosocial, and behavioral factors related to adherence among 43 Southern, predominately Black, men who have sex with men (MSM). During the study months, 46% of the sample reported being nonadherent to PrEP. Those with more sexual partners (<i>p</i> = .05), greater self-efficacy for taking PrEP (<i>p</i> = .03), and those who felt condoms were less important (<i>p</i> = .02), were more likely to be adherent to PrEP at six-month follow-up. Further interventions that consider perceived sexual risk, condom use, and adherence self-efficacy are needed to improve PrEP adherence among Southern MSM.</p>","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"20 3","pages":"246-261"},"PeriodicalIF":0.7,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9162088/pdf/nihms-1811177.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10251785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Wright, M. Dairo, Babatunde A. Odugbemi, F. Adepoju, Bisola I Adebayo, Temitope O. Durojaiye, Y. Shogbamimu, O. Odusanya, O. Idris
{"title":"Misconceptions about HIV infection and testing services: A qualitative pilot survey in Lagos","authors":"K. Wright, M. Dairo, Babatunde A. Odugbemi, F. Adepoju, Bisola I Adebayo, Temitope O. Durojaiye, Y. Shogbamimu, O. Odusanya, O. Idris","doi":"10.1080/15381501.2020.1836543","DOIUrl":"https://doi.org/10.1080/15381501.2020.1836543","url":null,"abstract":"Abstract Aim The aim of this study was to assess the perception and utilization of HIV services in Lagos Nigeria. Methods One focus group discussion (FGD) and three key informant interviews (KIIs) were conducted in each of the three LGAs in the state. Results A high level of awareness of HIV was observed among the participants. However, risk perception was varied with some members of the community refusing to believe that HIV is real and some misconceptions about risk factors. The availability of testing and treatment centers was not well known to a number of the respondents. Stigmatization of those infected is still high due to the perceived high transmissibility of the disease. Conclusion There is need for the Lagos State government to leverage on all existing health facilities in the state for the provision of HIV testing services and focus efforts on removing misconceptions and stigmatization of those infected with HIV.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"19 1","pages":"283 - 298"},"PeriodicalIF":0.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2020.1836543","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45942866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perceptions of black men who have sex with men about accessing and taking PrEP: A qualitative study","authors":"L. Remy, W. Majee, M. Teti, M. Enriquez","doi":"10.1080/15381501.2020.1824843","DOIUrl":"https://doi.org/10.1080/15381501.2020.1824843","url":null,"abstract":"Abstract Black men who have sex with men (MSM) have a 1 in 2 lifetime risk of acquiring HIV infection; yet are underrepresented in biomedical HIV prevention behaviors. In-depth interviews were conducted with Midwestern Black MSM (n = 12) taking PrEP for more than one year. A strength of this study was that it utilized qualitative methodology, which allows the revelation of perceptions that researchers cannot predict a priori. Black MSM in this study were educated and privately insured; even so, an overarching theme that emerged was that obtaining PrEP was a “long, hard road.” Facilitators to PrEP access included having an important person, insight into stigma, wariness of sexual partners, and desire to be a part of something greater than oneself. Findings have important implications for research and clinical practice. Strategies that decrease healthcare system barriers and simplify PrEP access are urgently needed for MSM at risk for HIV acquisition.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"19 1","pages":"263 - 282"},"PeriodicalIF":0.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2020.1824843","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47479383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Students’ behaviors in the context of the risk of HIV infection","authors":"Maria Łukaszek","doi":"10.1080/15381501.2020.1806165","DOIUrl":"https://doi.org/10.1080/15381501.2020.1806165","url":null,"abstract":"Abstract The HIV infection rate in Poland is 3.3 per 100,000 and concerns mostly young adults. 2,764 students from 12 universities in the Podkarpackie region were examined. A high percentage of students had experiences of sexual contacts without condoms: vaginal contacts—40%, oral—22%, anal—14%, with strangers (8.3%) or little-known persons (9.6%), while alcohol-intoxicated (both partners—20.3%, one partner—14.8%) or drug-intoxicated (both partners—4%, one—4.2%). 3.8% admitted to having injected drugs, 1.2%—tattooed, and 4.9%—pierced in non-sterile conditions. Students who were not tested also displayed risky behaviors.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"10 1","pages":"231 - 251"},"PeriodicalIF":0.7,"publicationDate":"2020-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2020.1806165","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59864299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Human immunodeficiency virus (HIV) stigma among general population in Isfahan metropolis in Central Iran","authors":"F. Ebrahimi, Setayesh Sindarreh, M. Nasirian","doi":"10.1080/15381501.2020.1785365","DOIUrl":"https://doi.org/10.1080/15381501.2020.1785365","url":null,"abstract":"Abstract Background This study was aimed to evaluate stigma-related to HIV infection among the general population in Isfahan as a representative of Iran. Methods In order to conduct the cross-sectional study, 800 people with an age range of 18–73 years from 14 municipal regions of Isfahan were selected based on a multistage sampling. A standard questionnaire was used to evaluate HIV stigma in the general population in December 2017. Results The mean score (SD) of stigma toward PLHIV was 45.49 (9.17) out of 90. The prevalence of stigmatized attitudes was 18.97% among participants. Stigma’s score was correlated with the score of HIV knowledge, gender, and age. Conclusion The level of stigmatized attitude toward PLHIV was low among the general population in Isfahan. Given that there is still a stigma toward PLHIV in Isfahan as the representative of Iranian population, it is recommended to implement the population-based educational programs for decreasing HIV stigma.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"19 1","pages":"220 - 230"},"PeriodicalIF":0.7,"publicationDate":"2020-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2020.1785365","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46480022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Drainoni, Allyson L. Baughman, S. Bachman, Rachel Bowers-Sword, Melissa Davoust, Karen Fortu, P. Ni, S. Rajabiun, Maria Campos Rojo, Hill L. Wolfe, Linda S. Sprague Martinez
{"title":"Integrating community health workers into HIV care teams: Impact on HIV care outcomes","authors":"M. Drainoni, Allyson L. Baughman, S. Bachman, Rachel Bowers-Sword, Melissa Davoust, Karen Fortu, P. Ni, S. Rajabiun, Maria Campos Rojo, Hill L. Wolfe, Linda S. Sprague Martinez","doi":"10.1080/15381501.2020.1785364","DOIUrl":"https://doi.org/10.1080/15381501.2020.1785364","url":null,"abstract":"Abstract Objectives To assess the impact of a Community Health Worker (CHW) intervention within HIV primary care on patient outcomes. Methods We evaluated a 10-site initiative integrating CHWs into HIV care, examining changes in three outcomes: viral load suppression, a prescription for ART, and appointment attendance. We also assessed the relationship between the three outcomes and the number of CHW encounters. Results Of 397 participants, most were male and African-American. The mean days of encounters over the first 6 months was 11 per participant. All outcomes improved in the first 6 months: percent with a primary care visit from 49.9 to 84.7% (p < .000); percent with an active ART prescription from 66.9 to 91.3% (p < .000); percent virally suppressed from 22.4 to 43.7% (p < .000). No statistically significant relationship between number of encounters and improvement in outcomes was found. Conclusions CHW interventions in HIV primary care can lead to improvements in HIV outcomes.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"19 1","pages":"204 - 219"},"PeriodicalIF":0.7,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2020.1785364","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47314734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Kay, Yookyong Lee, K. Hauenstein, L. Jackson, E. Jackson, M. Fordham, Neil Rafferty, Ruth DeRamus, Rick Walton, M. Mugavero, D. Batey
{"title":"“Where people are safe in their own homes:” The interplay of community factors and health among people living with HIV in the Deep South","authors":"E. Kay, Yookyong Lee, K. Hauenstein, L. Jackson, E. Jackson, M. Fordham, Neil Rafferty, Ruth DeRamus, Rick Walton, M. Mugavero, D. Batey","doi":"10.1080/15381501.2020.1765225","DOIUrl":"https://doi.org/10.1080/15381501.2020.1765225","url":null,"abstract":"Abstract Our aim was to explore the role of community factors in HIV health within the Deep South. We utilized community-based participatory research to qualitatively explore experiences and perceptions of 40 persons living with HIV (age ≥18) regarding their communities and HIV health. Participants identified community factors that were important for their health (e.g. social involvement) and those that were detrimental to their health (e.g. crime). It is important for HIV providers to be aware of the factors that may affect patients’ ability to remain engaged in care. Policymakers should consider the impact that community-level factors have on population health.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"19 1","pages":"156 - 172"},"PeriodicalIF":0.7,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2020.1765225","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47371948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Jaiswal, M. Francis, S. N. Singer, K. Dunlap, A. Cox, R. Greene
{"title":"“Worn out”: Coping strategies for managing antiretroviral treatment fatigue among urban people of color living with HIV who were recently disengaged from outpatient HIV care","authors":"J. Jaiswal, M. Francis, S. N. Singer, K. Dunlap, A. Cox, R. Greene","doi":"10.1080/15381501.2020.1767749","DOIUrl":"https://doi.org/10.1080/15381501.2020.1767749","url":null,"abstract":"Abstract Antiretroviral-related treatment fatigue is inconsistently defined in the literature on barriers to ART adherence. Research suggests that treatment fatigue is a salient challenge for people struggling with antiretroviral therapy adherence, but little is known about how people living with HIV attempt to manage this fatigue. Twenty-seven semi-structured interviews were conducted with low-income people of color living with HIV in NYC that were currently, or recently, disengaged from HIV care. The findings from this exploratory study suggest that treatment fatigue was common and that participants devised personal strategies to overcome it. These strategies included using reminder programs, requesting weekly rather than monthly pill quantities, and taking “pill holidays”. The varied nature- and varying levels of effectiveness- of these strategies highlight the need for specific programing to provide tailored support. Future research should examine treatment fatigue as a specific subtype of adherence challenge, and aim to define pill fatigue clearly.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"19 1","pages":"173 - 187"},"PeriodicalIF":0.7,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2020.1767749","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41673412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Holistically speaking: A content analysis of spiritual interventions to inform the development of culturally relevant interventions for African American women living with HIV","authors":"Ratonia C. Runnels","doi":"10.1080/15381501.2020.1757555","DOIUrl":"https://doi.org/10.1080/15381501.2020.1757555","url":null,"abstract":"Abstract Psychosocial interventions are a key component to improved quality of life for women living with HIV. Spirit-level interventions are shown to buffer psychosocial distress experienced by HIV positive persons. This article will review published spiritually-oriented interventions and compare, contrast, and critique the various components, sample, and intervention methods. Using a summative approach to content analysis, this article will offer the applicability and replicability of these interventions as a basis for increasing treatment options for co-morbid African American women.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"19 1","pages":"140 - 155"},"PeriodicalIF":0.7,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2020.1757555","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42013903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Code blue! Implementing a COVID-19 emergency response, supported by an HIV community program: Communities without borders, a Spanish-Speaking intervention in Toronto, Canada","authors":"G. Betancourt","doi":"10.1080/15381501.2020.1768194","DOIUrl":"https://doi.org/10.1080/15381501.2020.1768194","url":null,"abstract":"Abstract COVID-19 a new infections agent took the world by surprise. Governments, medical systems, communities, and individuals soon would become familiar with many new terms and many new prevention measurements to avoid infection. To this day, it is unknown what would be the final consequences and impact in populations in the world, how those came to be a “new normal” in our daily lives. Also, it is unknown the number of victims, and economical after-effects result from the new pandemic. This article aims to establish a para parallel in relation to the early days of HIV/AIDS in the world. Keeping in mind the slow governmental, and even irresponsible response in different countries, both cases (HIV/AIDS-COVID-19), present a dimension that shows intermediately from HIV/AIDS organizations response to help communities. The article argues that is precise because we have learned as marginalized communities that reacted at the beginning of the AIDS early days, that HIV/AIDS educators adapted very fast interventions, programs, and counseling to alleviate societal effect pandemic against COVID-19 new infections.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"19 1","pages":"188 - 191"},"PeriodicalIF":0.7,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2020.1768194","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41608855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}