Aids Education and Prevention最新文献

Knowledge and Barriers to HIV Pre-exposure Prophylaxis in Southern California. 南加州HIV暴露前预防的知识和障碍。

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2025-04-01 DOI: 10.1521/aeap.2025.37.2.126

Gilbert A Orta Portillo, Chrysovalantis Stafylis, Yara Tapia, Jeffrey D Klausner

引用次数: 0

Cannabis Use Trajectories Among People Living With HIV in the Decade Prior to Recreational Legalization in Ontario, Canada (2008-2017). 加拿大安大略省娱乐性大麻合法化前十年艾滋病毒感染者的大麻使用轨迹（2008-2017）。

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2025-04-01 DOI: 10.1521/aeap.2025.37.2.142

Tanya Lazor, Marcos Sanches, Jeffrey D Wardell, Wei Wang, Ann N Burchell, Shari Margolese, Tsegaye Bekele, Abigail E Kroch, Sergio Rueda

{"title":"Cannabis Use Trajectories Among People Living With HIV in the Decade Prior to Recreational Legalization in Ontario, Canada (2008-2017).","authors":"Tanya Lazor, Marcos Sanches, Jeffrey D Wardell, Wei Wang, Ann N Burchell, Shari Margolese, Tsegaye Bekele, Abigail E Kroch, Sergio Rueda","doi":"10.1521/aeap.2025.37.2.142","DOIUrl":"https://doi.org/10.1521/aeap.2025.37.2.142","url":null,"abstract":"We aimed to describe long-term use trajectories and predictors prior to recreational cannabis legalization in people with HIV in Ontario, Canada. We analysed interview data from the prospective Ontario HIV Treatment Network Cohort Study from 2008 to 2017. We conducted Latent Class Growth Analyses to describe cannabis use trajectories and chi-square tests to identify trajectory group predictors. Most participants (N = 3,299) were male (81%), gay (57%), current/former tobacco smokers (58%), and many had significant symptoms of depression (43%). Four cannabis use trajectory groups were identified (Low/No Use (67%); Increased Use (4%); Decreased use (2%); High Use (26%)). Relative to the Low/No Use group, membership in the High Use group was associated with several predictors such as being older age, completing university, smoking tobacco, and significant depressive symptoms. Future research should explore the relationship between cannabis use and depressive symptoms, outcomes associated with trajectory groups and changes in use trajectories following recreational legalization.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"37 2","pages":"142-159"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031706","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 Longitudinal Impact of Psychosocial Syndemic Variables on Adherence to Antiretroviral Therapy Among People With HIV in Brazil, Thailand, and Zambia: An Analysis by HIV Transmission Groups in HPTN 063. 巴西、泰国和赞比亚艾滋病毒感染者抗逆转录病毒治疗依从性的心理社会综合变量的纵向影响：HPTN 063中艾滋病毒传播组的分析

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2025-04-01 DOI: 10.1521/aeap.2025.37.2.89

Carlos E Rodríguez-Díaz, Sahar Z Zangeneh, Yumei O Chen, Xu Guo, Kiyomi Tsuyuki, Yusuf Ransome, Ruth K Friedman, Kriengkrai Srithanaviboonchai, Sarah T Roberts, Matthew J Mimiaga, Kenneth H Mayer, Steven A Safren

{"title":"The Longitudinal Impact of Psychosocial Syndemic Variables on Adherence to Antiretroviral Therapy Among People With HIV in Brazil, Thailand, and Zambia: An Analysis by HIV Transmission Groups in HPTN 063.","authors":"Carlos E Rodríguez-Díaz, Sahar Z Zangeneh, Yumei O Chen, Xu Guo, Kiyomi Tsuyuki, Yusuf Ransome, Ruth K Friedman, Kriengkrai Srithanaviboonchai, Sarah T Roberts, Matthew J Mimiaga, Kenneth H Mayer, Steven A Safren","doi":"10.1521/aeap.2025.37.2.89","DOIUrl":"https://doi.org/10.1521/aeap.2025.37.2.89","url":null,"abstract":"In the field of HIV prevention and care, most studies of HIV syndemic problems are cross-sectional, few differentiate by HIV transmission groups, and few focus on people living with HIV (PWH). We analyzed one-year longitudinal data of 692 sexually active PWH (heterosexual men [HM], heterosexual women [HW], and men who have sex with men [MSM]) in care from Brazil, Thailand, and Zambia. Syndemic scores (0-3+) included stimulant use, polydrug use, depression, alcohol use, and fear of discrimination. Overall, syndemic scores were associated with lower ART adherence over time, but this differed across sexual transmission categories. For HM and HW, those with 2 or 3+ syndemic problems had lower odds of ART adherence than those with none. However, for MSM, the association between syndemic scores and ART adherence was not significant. While syndemic problems generally predicted suboptimal ART adherence among PWH, the association appears nuanced across subgroups.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"37 2","pages":"89-106"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034624","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

Exploring Willingness to Use Long-Acting Injectable PrEP Among Sexual and Gender Minoritized People Accessing Pharmacies. 探索性和性别少数群体使用长效注射PrEP的意愿。

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2025-04-01 DOI: 10.1521/aeap.2025.37.2.107

Daniel I Alohan, Christina Chandra, Henry N Young, Alvan Quamina, David P Holland, Natalie D Crawford

{"title":"Exploring Willingness to Use Long-Acting Injectable PrEP Among Sexual and Gender Minoritized People Accessing Pharmacies.","authors":"Daniel I Alohan, Christina Chandra, Henry N Young, Alvan Quamina, David P Holland, Natalie D Crawford","doi":"10.1521/aeap.2025.37.2.107","DOIUrl":"https://doi.org/10.1521/aeap.2025.37.2.107","url":null,"abstract":"This mixed-methods study explored willingness to use long-acting injectable pre-exposure prophylaxis (LAI-PrEP) among a pharmacy-based sample of men, including sexual and gender minoritized (SGM) individuals. We conducted qualitative interviews (n = 10) with HIV-negative Black men, including Black SGM individuals, and surveys (n = 103) across three study phases with men recruited from community pharmacies in Atlanta, Georgia. Interviews explored perceived benefits and concerns related to LAI-PrEP; surveys assessed willingness and related reasons. Thematic analysis was used for interview transcripts, and descriptive statistics summarized survey responses. Participants mentioned benefits such as improved adherence and reduced stigma, but also noted concerns about medical mistrust and fear of needles. Willingness was higher in the transitional pilot phase than in the pilot phase, where concerns about side effects and comfort were more common. Findings highlight the need for tailored LAI-PrEP strategies that address barriers among Black SGM populations and promote equitable HIV prevention.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"37 2","pages":"107-125"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041954","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

Differences Among Current Pre-exposure Prophylaxis (PrEP) Users, Former Users, and Nonusers in a Community Sample in Two Midwestern U.S. Cities: Implications for Interventions to Promote PrEP Uptake and Adherence. 美国中西部两个城市社区样本中暴露前预防（PrEP）使用者、前使用者和非使用者的差异：促进PrEP吸收和依从性干预的意义

IF 1.6 4区医学

Aids Education and Prevention Pub Date : 2025-04-01 DOI: 10.1521/aeap.2025.37.2.160

Wayne DiFranceisco, Katherine Quinn, Jennifer L Walsh, Jeffrey A Kelly, Yuri A Amirkhanian, Timothy L McAuliffe, Broderick Pearson, Kevin D Brown

{"title":"Differences Among Current Pre-exposure Prophylaxis (PrEP) Users, Former Users, and Nonusers in a Community Sample in Two Midwestern U.S. Cities: Implications for Interventions to Promote PrEP Uptake and Adherence.","authors":"Wayne DiFranceisco, Katherine Quinn, Jennifer L Walsh, Jeffrey A Kelly, Yuri A Amirkhanian, Timothy L McAuliffe, Broderick Pearson, Kevin D Brown","doi":"10.1521/aeap.2025.37.2.160","DOIUrl":"https://doi.org/10.1521/aeap.2025.37.2.160","url":null,"abstract":"Disparate rates of HIV infection among Black MSM and TGW emphasize the need for interventions designed to overcome obstacles to increasing PrEP adoption within these populations. This study compared PrEP-use groups on a variety of attitudinal and behavioral factors related to PrEP adoption. Regression analysis confirmed that current and former users demonstrated greater PrEP knowledge and communicated more frequently to friends about PrEP and its benefits than nonusers. Former users exhibited more positive attitudes and perceived less stigma regarding PrEP use than other groups. Current users reported the highest prevalence of condomless anal sex and multiple partners; conversely, former users were most often in stable monogamous relationships. Our findings are consistent with the notion of prevention-effective adherence and advance our understanding of attitudinal supports for that paradigm. This research also suggests that recruitment of former PrEP users could increase the pool of effective peer behavior-change agents in future intervention efforts.","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"37 2","pages":"160-172"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040055","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

"I've Been Forged in Fire": Preliminary Theory of HIV Prevention Resilience Among Sexual Minority Men With HIV Risk Factors. “我在火中锻造”：具有艾滋病危险因素的性少数男性艾滋病预防弹性的初步理论。

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":"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. 夫妻有说话的方式：男性夫妇HIV检测过程中沟通方式的特点与稳定性考察

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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12004970/pdf/","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":"OA","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. 将艾滋病毒暴露前预防使用作为公共或私人事务。

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. 使用图形作为书面指示的替代：为坦桑尼亚青年调整口头自我实施的测试指示。

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":"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. 探索拉丁裔年轻性少数男性的弹性行为和实践，以解决交叉污名经历并降低其艾滋病毒风险：一种积极的偏差方法。

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":"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