Aids Education and Prevention最新文献

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Beyond Acculturation: Contextual Factors Predicting Neurocognitive Performance in a Clinical Sample of Latina/o/e Adults. 超越文化适应:背景因素预测拉丁/o/e成人临床样本的神经认知表现。
IF 1.6 4区 医学
Aids Education and Prevention Pub Date : 2025-07-01 DOI: 10.1521/aeap.2025.37.3.197
Denise S Oleas, Alyssa Arentoft, Maral Aghvinian, Micah J Savin, Jordan Stiver, Angela Summers, Alexander Slaughter, Elizabeth Breen, Sandra Talavera, Heining Cham, Desiree Byrd, Jessica Robinson Papp, Monica Rivera Mindt
{"title":"Beyond Acculturation: Contextual Factors Predicting Neurocognitive Performance in a Clinical Sample of Latina/o/e Adults.","authors":"Denise S Oleas, Alyssa Arentoft, Maral Aghvinian, Micah J Savin, Jordan Stiver, Angela Summers, Alexander Slaughter, Elizabeth Breen, Sandra Talavera, Heining Cham, Desiree Byrd, Jessica Robinson Papp, Monica Rivera Mindt","doi":"10.1521/aeap.2025.37.3.197","DOIUrl":"10.1521/aeap.2025.37.3.197","url":null,"abstract":"<p><p>Acculturation is related to neurocognitive functioning in Latina/o/e PWH, however, little is known about the effects of stigma and nativity status. U.S.-born PWH (<i>n</i> = 44) and PWH born outside the U.S. (<i>n</i> = 22), <i>M</i><sub>age</sub> = 45.33 (7.67), 71.2% male, <i>M</i><sub>education</sub> = 12.33 (2.47) completed a neurocognitive battery, neuromedical evaluation, and sociodemographic questionnaires. Hierarchical regressions predicted neurocognitive T-scores from acculturation, perceived stigma, and nativity status. After accounting for acculturation, nativity status significantly predicted attention/working memory (<i>p</i> = .006), processing speed (<i>p</i> = .03), and executive function (<i>p</i> = .002), and the interaction between nativity status and stigma predicted English language verbal fluency (<i>p</i> = .001). Higher stigmatization was associated with higher English language fluency among those born outside the U.S. but lower English language fluency in U.S.-born participants. Nativity status should be considered when interpreting neurocognitive performance within Latina/o/e PWH.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"37 3","pages":"197-217"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512605","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
Integrating a Nurse-Led Sexual and Reproductive Health Program Among Adolescents Living With HIV in Nigeria: Randomized Controlled Trial. 在尼日利亚感染艾滋病毒的青少年中整合护士主导的性健康和生殖健康计划:随机对照试验。
IF 1.6 4区 医学
Aids Education and Prevention Pub Date : 2025-07-01 DOI: 10.1521/aeap.2025.37.3.218
Gift Onyinye Christopher, Candan Ozturk
{"title":"Integrating a Nurse-Led Sexual and Reproductive Health Program Among Adolescents Living With HIV in Nigeria: Randomized Controlled Trial.","authors":"Gift Onyinye Christopher, Candan Ozturk","doi":"10.1521/aeap.2025.37.3.218","DOIUrl":"10.1521/aeap.2025.37.3.218","url":null,"abstract":"<p><p>This study examines the impact of a nurse-led sexual and reproductive health (SRH) intervention on the knowledge and attitudes of adolescents living with HIV (ALHIV). Using a randomized controlled trial design, 50 participants (25 control, 25 intervention) were recruited, with 47 completing the study between October 2023 and April 2024. The intervention group received four interactive sessions covering personal hygiene, contraceptive use, STI prevention, and risky behaviors. Baseline assessments showed no significant difference between groups (t =-1.411, <i>p</i> = .300). However, post-intervention analysis revealed a significant improvement in SRH knowledge and attitudes in the intervention group (<i>t</i> = 5.467, <i>p</i> < .001). Participants also showed increased comfort discussing SRH with nurses (χ<sup>2</sup> = 22.17, <i>p</i> < .001), greater willingness to disclose HIV status (χ<sup>2</sup> = 7.69, <i>p</i> = .021), and better understanding of STI testing importance (χ<sup>2</sup> = 18.694, <i>p</i> < .001). These findings support integrating nurse-led SRH programs into adolescent HIV care to improve outcomes.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"37 3","pages":"218-236"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512607","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
Feasibility of the Adapted MyPEEPS Mobile App for HIV Prevention in Young Transgender Men. MyPEEPS移动应用程序在年轻跨性别男性艾滋病预防中的可行性
IF 1.6 4区 医学
Aids Education and Prevention Pub Date : 2025-07-01 DOI: 10.1521/aeap.2025.37.3.173
Rebecca Schnall, Asa Radix, Lisa M Kuhns, Patrick Janulis, Christian Paredes, Robert Garofalo
{"title":"Feasibility of the Adapted MyPEEPS Mobile App for HIV Prevention in Young Transgender Men.","authors":"Rebecca Schnall, Asa Radix, Lisa M Kuhns, Patrick Janulis, Christian Paredes, Robert Garofalo","doi":"10.1521/aeap.2025.37.3.173","DOIUrl":"10.1521/aeap.2025.37.3.173","url":null,"abstract":"<p><p>Transgender youth in the U.S. have unique health needs but often face barriers to accessing and receiving health care services, which contribute to disparate health outcomes including high risk for HIV acquisition. This article reports on a pilot randomized clinical trial of MyPEEPS Mobile for young transgender men (YTM) versus delayed intervention on condomless receptive anal and vaginal acts at 3 and 6 months after baseline. Participants rated the app as highly usable. Retention rates at 3 and 6 months were 89%. There were lower rates of condomless anal or vaginal sex acts during the intervention periods, but this reduction was not significantly different versus nonintervention periods. There was a higher likelihood of nPEP and PrEP use and HIV/STI testing during intervention periods, but this increase was not significantly different than nonintervention periods. Findings from the study support the feasibility of MyPEEPS Mobile for HIV prevention in YTM.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"37 3","pages":"173-186"},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512606","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
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
{"title":"Knowledge and Barriers to HIV Pre-exposure Prophylaxis in Southern California.","authors":"Gilbert A Orta Portillo, Chrysovalantis Stafylis, Yara Tapia, Jeffrey D Klausner","doi":"10.1521/aeap.2025.37.2.126","DOIUrl":"https://doi.org/10.1521/aeap.2025.37.2.126","url":null,"abstract":"<p><p>Despite the proven effectiveness of human immunodeficiency virus (HIV) pre-exposure prophylaxis (PrEP), its use remains low in high-incidence areas. This study examined knowledge and barriers to PrEP among individuals at risk in Southern California. From September 2022 to April 2023, we recruited adult men who have sex with men, residing in San Bernardino and Riverside counties, who were not living with HIV and not using PrEP. Recruitment occurred through targeted online advertisements and clinic-distributed materials. Statistical analyses explored associations between demographic factors and barriers to PrEP. While 81% had heard of PrEP, nearly half were unaware of HIV testing requirements or of its availability for uninsured individuals. Uninsured participants were significantly less comfortable discussing sexual health with providers (OR: 0.19, 95% CI [0.05, 0.68]). Addressing misinformation, reducing provider stigma, and expanding access for uninsured individuals are essential for increasing PrEP use.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"37 2","pages":"126-141"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054429","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
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":"<p><p>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 (<i>N</i> = 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.</p>","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":"10.1521/aeap.2025.37.2.89","url":null,"abstract":"<p><p>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.</p>","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":"10.1521/aeap.2025.37.2.107","url":null,"abstract":"<p><p>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 (<i>n</i> = 10) with HIV-negative Black men, including Black SGM individuals, and surveys (<i>n</i> = 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.</p>","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":"10.1521/aeap.2025.37.2.160","url":null,"abstract":"<p><p>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.</p>","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":"<p><p>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.</p>","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
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
{"title":"Framing HIV Pre-exposure Prophylaxis Use as a Public or Private Matter.","authors":"Joel E Martinez, Kai J Jonas","doi":"10.1521/aeap.2025.37.1.74","DOIUrl":"10.1521/aeap.2025.37.1.74","url":null,"abstract":"<p><p>PrEP campaigns often promote a \"private\" frame emphasizing personal HIV risk management. We explore how a \"public\" frame emphasizing community-managed sexual health is relevant among men who have sex with men (MSM) and can advance HIV prevention. We sampled MSM from the United States (<i>N</i> = 311 in 2015) and the Netherlands (<i>N</i> = 222 in 2020) soon after each country's official PrEP introduction to study the early adoption of PrEP frames. Using regressions and machine learning, we quantified support for different PrEP frames, person-level correlates, and relationships to personal PrEP disclosure. Respondents were generally neutral about PrEP framing (U.S.: 44%, Netherlands: 48%), yet many held private (U.S.: 23%, Netherlands: 28%) and public (U.S.: 33%, Netherlands: 24%) frames. Public and neutral frames were associated with PrEP users and disclosure comfort. PrEP messaging and uptake could improve by understanding how and when MSM frame their PrEP use as a public or private matter.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"37 1","pages":"74-88"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392305","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
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