Aids Education and Prevention最新文献

"I've Been Forged in Fire": Preliminary Theory of HIV Prevention Resilience Among Sexual Minority Men With HIV Risk Factors.

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2025-02-01 DOI: 10.1521/aeap.2025.37.1.56

Eva N Woodward, Anthony W P Flynn, Ethan H Mereish, Regina J Banks, Amy K Marks, David W Pantalone

{"title":"\"I've Been Forged in Fire\": Preliminary Theory of HIV Prevention Resilience Among Sexual Minority Men With HIV Risk Factors.","authors":"Eva N Woodward, Anthony W P Flynn, Ethan H Mereish, Regina J Banks, Amy K Marks, David W Pantalone","doi":"10.1521/aeap.2025.37.1.56","DOIUrl":"https://doi.org/10.1521/aeap.2025.37.1.56","url":null,"abstract":"HIV prevention research on sexual minority men focuses predominantly on risk factors, yet there is potential for enhancing HIV risk reduction by also examining resilience factors. We used mixed methods to explore HIV-related resilience pathways among 20 HIV-negative sexual minority men reporting HIV syndemic risks (childhood sexual abuse, partner abuse, mental health problems, substance abuse). Using grounded theory, we found that stress-related growth after mental health problems and/or unwanted sexual experiences can trigger development/use of HIV prevention resilience resources that, in turn, help sexual minority men cope and enhance HIV prevention behavior. We identified 23 HIV resilience resources at individual, interpersonal, community, health system, and structural levels. These findings informed a preliminary Theory of HIV Prevention Resilience for Sexual Minority Men. Our findings identified resilience resources to be nurtured through public health or mental health/substance use-focused interventions at broader levels to better address the HIV epidemic.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"37 1","pages":"56-73"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Couples Have a Way of Speaking: Examining the Characteristics and Stability of Communication Style in HIV Testing Sessions With Male Couples.

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2025-02-01 DOI: 10.1521/aeap.2025.37.1.1

Tyrel J Starks, Lila A Amin, Jayelin N Parker

{"title":"Couples Have a Way of Speaking: Examining the Characteristics and Stability of Communication Style in HIV Testing Sessions With Male Couples.","authors":"Tyrel J Starks, Lila A Amin, Jayelin N Parker","doi":"10.1521/aeap.2025.37.1.1","DOIUrl":"https://doi.org/10.1521/aeap.2025.37.1.1","url":null,"abstract":"Couples HIV testing and counseling (CHTC) emerged as an early HIV prevention intervention for male couples in the US. Understanding how couples speak to a testing counselor may enhance CHTC training and delivery. Raters analyzed CHTC sessions involving 66 adult cisgender male couples and noted three distinct styles. When co-speaking, partners collaborated in the construction of a shared response, often using plural pronouns. Parallel speaking involved partners sharing individual perspectives in turn, often using singular pronouns. The spokesperson style was typified by one partner consistently speaking first and saying more. Most (65.1%) couples adopted a consistent style. The majority of these were co-speaking (72.1%). Fewer had a consistent spokesperson (18.6%) or parallel speaking style (9.3%). Where observed, style changes often accompanied shifts in topic or in the CHTC counselor's attention. A couple's communication style may provide CHTC counselors with information about partners' familiarity with each other's perspectives as well as relationship power. Implications for rapport building and engagement are discussed.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"37 1","pages":"1-22"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Framing HIV Pre-exposure Prophylaxis Use as a Public or Private Matter.

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2025-02-01 DOI: 10.1521/aeap.2025.37.1.74

Joel E Martinez, Kai J Jonas

引用次数: 0

Using Graphics as an Alternative to Written Instructions: Adapting Oral Self-Implemented Test Instructions for Tanzanian Youth.

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2025-02-01 DOI: 10.1521/aeap.2025.37.1.39

Zainab Alidina, M Margaret Dolcini, Cassidy Huun, Angelmary Joel Urban, Nick Fleury, Ryan Singh, Donaldson F Conserve, Clinton Ndyetabula, Joseph A Catania

{"title":"Using Graphics as an Alternative to Written Instructions: Adapting Oral Self-Implemented Test Instructions for Tanzanian Youth.","authors":"Zainab Alidina, M Margaret Dolcini, Cassidy Huun, Angelmary Joel Urban, Nick Fleury, Ryan Singh, Donaldson F Conserve, Clinton Ndyetabula, Joseph A Catania","doi":"10.1521/aeap.2025.37.1.39","DOIUrl":"https://doi.org/10.1521/aeap.2025.37.1.39","url":null,"abstract":"In sub-Saharan Africa, HIV is the leading cause of death among 15-24-year-olds. Tanzanian youth rank fifth in HIV prevalence, yet testing rates are low. Dissemination of oral HIV self-implemented tests (Oral-SIT) may improve access if tests are coupled with graphic instructions to address low literacy. This study analyzed how a graphic instruction book (GIB) alone, compared to a GIB combined with an instructional video (GIB-video), affected comprehension of the Oral-SIT kit procedures. In a randomized experiment (N = 257; 14-19 yrs), we analyzed misunderstandings of testing procedures across the two study arms. Participants in the GIB-only condition reported more misunderstandings (59%) than in the GIB-video condition (41%). Fifty-eight percent of misunderstandings contained major errors, though most centered on a few graphics. Fewer than 6% of participants had four or more misunderstandings. Overall, the GIB was comprehended well and with modifications, could enhance Oral-SIT fidelity in low-literacy settings.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"37 1","pages":"39-55"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Exploration of Resilience-Enabling Behaviors and Practices Among Young Latino Sexual Minority Men to Address Intersectional Stigma Experiences and Reduce Their HIV Risk: A Positive Deviance Approach.

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2025-02-01 DOI: 10.1521/aeap.2025.37.1.23

Rainier Masa, Don Operario, Natalia Villegas, Oscar Pineda, Dicky Baruah, Graham Zulu, Brian Garcia

{"title":"An Exploration of Resilience-Enabling Behaviors and Practices Among Young Latino Sexual Minority Men to Address Intersectional Stigma Experiences and Reduce Their HIV Risk: A Positive Deviance Approach.","authors":"Rainier Masa, Don Operario, Natalia Villegas, Oscar Pineda, Dicky Baruah, Graham Zulu, Brian Garcia","doi":"10.1521/aeap.2025.37.1.23","DOIUrl":"https://doi.org/10.1521/aeap.2025.37.1.23","url":null,"abstract":"This mixed-methods study explored resilience-enabling behaviors and practices exhibited by young Latino sexual minority men (YLSMM) to cope with stigmatizing experiences attributed to their multiple minoritized identities and reduce their HIV risk. Guided by a positive deviance approach, we identified and interviewed 15 YLSMM (aged 18 to 24) with a history of regular HIV testing and lived experiences of intersectional stigma. Thematic analysis reveals multilevel strategies used by participants to mitigate the adverse effects of stigma on mental health and HIV preventive behaviors. Strategies included using positive self-talk and self-expression, having an immediate network of supportive friends and families, and engaging in community-based support groups and events. In turn, these strategies motivated participants to exercise self-care, accept their minoritized identities, especially their sexual orientation, seek emotional and informational support, and connect with other Latino sexual minority men and the larger Latine community.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"37 1","pages":"23-38"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Differentiated HIV Pre-Exposure Prophylaxis Delivery Model for High-Risk Groups in Nanning City, South China: Findings from a Pilot Program. 南宁市针对高危人群的差异化艾滋病暴露前预防服务模式：试点项目的研究结果。

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2024-12-01 DOI: 10.1521/aeap.2024.36.6.428

Yufei Wu, Huanhuan Chen, Junyu Zhan, Junhui Liu, Yanjun Li, Wenlong Cai, Shuaifeng Liu, Nengxiu Liang, Guanghua Lan

{"title":"A Differentiated HIV Pre-Exposure Prophylaxis Delivery Model for High-Risk Groups in Nanning City, South China: Findings from a Pilot Program.","authors":"Yufei Wu, Huanhuan Chen, Junyu Zhan, Junhui Liu, Yanjun Li, Wenlong Cai, Shuaifeng Liu, Nengxiu Liang, Guanghua Lan","doi":"10.1521/aeap.2024.36.6.428","DOIUrl":"https://doi.org/10.1521/aeap.2024.36.6.428","url":null,"abstract":"In China, pre-exposure prophylaxis (PrEP) uptake among men who have sex with men (MSM) and HIV-serodiscordant couples is low. We offered differentiated PrEP options tailored to MSM in a community-based organization (CBO) setting, and to HIV-serodiscordant couples attempting conception in a specialized HIV care clinic. The CBO facilitated PrEP by linkage with a telemedicine platform for virtual consultation; additional online follow-up on social media was conducted by peers. PrEP was taken properly in 88.7% of visits. Retention was 82.4% at Month 6. MSM having HIV-infected partners over the past 6 months were more likely to adhere to PrEP; ≥ 50 years old and daily oral PrEP were significant predictors for failing in retention. Five pregnancies were reported in the clinic. A peer-led and social media, telemedicine-assisted PrEP model within a CBO is a feasible approach to roll out PrEP among MSM. Integrated PrEP in specialized HIV clinics is appropriate for serodiscordant couples attempting conception.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 6","pages":"428-445"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Conceptualizations of Mental Health Among Young Black Gay, Bisexual, and Other Men (YB-GBMSM) Who Have Sex With Men Who Are Living With HIV. 与感染艾滋病毒的男性发生性关系的年轻黑人男同性恋、双性恋和其他男性（YB-GBMSM）的心理健康概念。

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2024-12-01 DOI: 10.1521/aeap.2024.36.6.387

Sophia A Hussen, Ryan M Wade, Antonio Newman, Daniel I Alohan, Gary W Harper

{"title":"Conceptualizations of Mental Health Among Young Black Gay, Bisexual, and Other Men (YB-GBMSM) Who Have Sex With Men Who Are Living With HIV.","authors":"Sophia A Hussen, Ryan M Wade, Antonio Newman, Daniel I Alohan, Gary W Harper","doi":"10.1521/aeap.2024.36.6.387","DOIUrl":"10.1521/aeap.2024.36.6.387","url":null,"abstract":"Young Black gay, bisexual, and other men who have sex with men who are living with HIV are at an increased risk of experiencing poor mental health due to their exposures to intersectional stigma and discrimination, but often do not seek traditional mental health care. We qualitatively explored conceptualizations of mental health through interviews with 40 participants and analyzed our data using a phenomenology-informed approach. Participants conceptualized mental health as having inward-facing (cultivation of a healthy relationship with oneself, maintaining a peaceful state of mind, lack of depressed mood) and outward-facing components (goal-oriented behavior, resilient coping mechanisms). Some participants espoused an internal locus of control over one's mental state, while others focused on structural or environmental factors as key drivers of mental health. Our findings suggest that provider trainings and service integration, consistent with a more holistic conception of mental health, could help providers support well-being among this population.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 6","pages":"387-402"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effect and Acceptability of an HIV Education Intervention for Adolescents With Intellectual Disability in Uganda: A Quasi-Experimental Study. 乌干达智障青少年艾滋病教育干预的效果和可接受性：一项准实验研究。

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2024-12-01 DOI: 10.1521/aeap.2024.36.6.415

Anita Arinda, Noeline Nakasujja, Mary M McKay, Fred M Ssewamala, James Mugisha

{"title":"The Effect and Acceptability of an HIV Education Intervention for Adolescents With Intellectual Disability in Uganda: A Quasi-Experimental Study.","authors":"Anita Arinda, Noeline Nakasujja, Mary M McKay, Fred M Ssewamala, James Mugisha","doi":"10.1521/aeap.2024.36.6.415","DOIUrl":"10.1521/aeap.2024.36.6.415","url":null,"abstract":"Adolescents with intellectual disability (ID) are often deficient in knowledge about HIV/AIDS. This pilot study evaluated the impact and acceptability of an HIV education intervention for adolescents with mild-to-moderate ID delivered in a peri-urban setting in Uganda. This quasi-experimental study involved 60 adolescents with mild to moderate ID evenly split between the intervention and control groups. Data were collected using a questionnaire that included sociodemographic information, HIV knowledge and attitudes, and acceptability measures, administered at baseline, immediately postintervention, and 3 months later. Approximately 53.3% of the participants were male, and 50% had mild ID. Immediately post-intervention, the intervention group reported a significantly higher increase in HIV knowledge (8.5 vs. -0.2, p < .001) and attitudes (3.9 vs. 0.1, p < .001) than the control group. A similar significant increase was maintained at 3 months post-intervention. These findings show that tailored education programs can improve HIV knowledge and attitudes in adolescents with ID.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 6","pages":"415-427"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11957949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recovery Residences Are an Innovative Site for HIV Prevention Interventions Targeting People Who Inject Drugs: Preliminary Data From Project HOMES. 康复居住地是针对注射吸毒者进行艾滋病预防干预的创新场所：HOMES 项目的初步数据。

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2024-12-01 DOI: 10.1521/aeap.2024.36.6.403

J Michael Wilkerson, John Atkinson, Sreelatha Akkala, I Niles Zoschke, Michael U Anosike, Kathryn R Gallardo, Serena A Rodriguez, Henry S Brown, Cecilia Ganduglia Cazaban, James Yang, Estevan Herrera, Jason Howell, Sheryl McCurdy

{"title":"Recovery Residences Are an Innovative Site for HIV Prevention Interventions Targeting People Who Inject Drugs: Preliminary Data From Project HOMES.","authors":"J Michael Wilkerson, John Atkinson, Sreelatha Akkala, I Niles Zoschke, Michael U Anosike, Kathryn R Gallardo, Serena A Rodriguez, Henry S Brown, Cecilia Ganduglia Cazaban, James Yang, Estevan Herrera, Jason Howell, Sheryl McCurdy","doi":"10.1521/aeap.2024.36.6.403","DOIUrl":"https://doi.org/10.1521/aeap.2024.36.6.403","url":null,"abstract":"Of 1.2 million Americans who would benefit from pre-exposure prophylaxis (PrEP), only 36% were prescribed PrEP in 2023. Project HOMES is an ongoing study that evaluates recovery residences for individuals in medication-assisted recovery from opioid use disorder across five Texas cities. Behavioral and psychosocial survey data and biomarkers were collected with a focus on the history of HIV testing, PrEP awareness, and willingness to engage in preventive treatments from a subsample of participants. Preliminary results demonstrated varying levels of HIV testing (83%), PrEP awareness (51%), and willingness to use PrEP (44%) among residents. Willingness to use PrEP was further differentiated by the method of administration, including the preference for pills (40%) and injections (40%). The findings underscore the critical role that recovery residences could play in PrEP access and addressing health care disparities among people with a history of injecting drugs.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 6","pages":"403-414"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors Associated With PrEP Utilization and Access in the United States. 与美国PrEP使用和获取相关的因素。

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2024-12-01 DOI: 10.1521/aeap.2024.36.6.446

Hollie M David, Thomas Martin, Alan Wells, Susan J Little, Sanjay Mehta

引用次数: 0